Characterization of BRP MBL , the Bleomycin Resistance Protein Associated with the Carbapenemase NDM

Author:

Dortet Laurent123ORCID,Girlich Delphine2,Virlouvet Anne-Laure1,Poirel Laurent45,Nordmann Patrice456,Iorga Bogdan I.7,Naas Thierry123

Affiliation:

1. Bacteriology-Hygiene unit, Assistance Publique/Hôpitaux de Paris, Bicêtre Hospital, Le Kremlin-Bicêtre, France

2. EA7361 (Structure, dynamic, function and expression of broad spectrum β-lactamases), Paris-Sud University, LabEx Lermit, Faculty of Medicine, Le Kremlin-Bicêtre, France

3. Associated French National Reference Center for Antibiotic Resistance: Carbapenemase-producing Enterobacteriaceae, Le Kremlin-Bicêtre, France

4. Emerging Antibiotic Resistance Unit, Medical and Molecular Microbiology, Department of Medicine, University of Fribourg, Switzerland

5. INSERM European Unit (LEA Paris, IAME, France), University of Fribourg, Switzerland

6. University hospital and University of Lausanne, Switzerland

7. Institut de Chimie des Substances Naturelles, CNRS UPR 2301, LabEx LERMIT, Gif-sur-Yvette, France

Abstract

ABSTRACT The metallo-β-lactamase NDM-1 is among the most worrisome resistance determinants and is spreading worldwide among Gram-negative bacilli. A bleomycin resistance gene, ble MBL , downstream of the bla NDM-1 gene has been associated with resistance almost systematically. Here, we characterized the corresponding protein, BRP MBL , conferring resistance to bleomycin, an antitumoral glycopeptide molecule. We have determined whether the expression of the bla NDM-1 - ble MBL operon is inducible in the presence of carbapenems and/or bleomycin-like molecules using quantitative reverse transcription-PCR (qRT-PCR), determination of imipenem and zeocin MICs, and carbapenemase-specific activity assays. We showed that the bla NDM-1 - ble MBL operon is constitutively expressed. Using electrophoretic mobility shift and DNA protection assays performed with purified glutathione S -transferase (GST)-BRP MBL , we demonstrated that BRP MBL is able to bind and sequester bleomycin-like molecules, thus preventing bleomycin-dependent DNA degradation. In silico modeling confirmed that the mechanism of action required the dimerization of the BRP MBL protein in order to sequester bleomycin and prevent DNA damage. BRP MBL acts specifically on bleomycin-like molecules since cloning and expression of ble MBL in Staphyloccoccus aureus did not confer cross-resistance to any other antimicrobial glycopeptides such as vancomycin and teicoplanin.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

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