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Antimicrobial Agents and Chemotherapy logoLink to Antimicrobial Agents and Chemotherapy
. 2017 Mar 24;61(4):e02531-16. doi: 10.1128/AAC.02531-16

Structure and Function of the PiuA and PirA Siderophore-Drug Receptors from Pseudomonas aeruginosa and Acinetobacter baumannii

Lucile Moynié a, Alexandre Luscher b,c, Dora Rolo c,d, Daniel Pletzer e, Antoni Tortajada a, Helge Weingart e, Yvonne Braun e, Malcolm G P Page f,*, James H Naismith a, Thilo Köhler b,c,✉
PMCID: PMC5365723  PMID: 28137795

ABSTRACT

The outer membrane of Gram-negative bacteria presents an efficient barrier to the permeation of antimicrobial molecules. One strategy pursued to circumvent this obstacle is to hijack transport systems for essential nutrients, such as iron. BAL30072 and MC-1 are two monobactams conjugated to a dihydroxypyridone siderophore that are active against Pseudomonas aeruginosa and Acinetobacter baumannii. Here, we investigated the mechanism of action of these molecules in A. baumannii. We identified two novel TonB-dependent receptors, termed Ab-PiuA and Ab-PirA, that are required for the antimicrobial activity of both agents. Deletion of either piuA or pirA in A. baumannii resulted in 4- to 8-fold-decreased susceptibility, while their overexpression in the heterologous host P. aeruginosa increased susceptibility to the two siderophore-drug conjugates by 4- to 32-fold. The crystal structures of PiuA and PirA from A. baumannii and their orthologues from P. aeruginosa were determined. The structures revealed similar architectures; however, structural differences between PirA and PiuA point to potential differences between their cognate siderophore ligands. Spontaneous mutants, selected upon exposure to BAL30072, harbored frameshift mutations in either the ExbD3 or the TonB3 protein of A. baumannii, forming the cytoplasmic-membrane complex providing the energy for the siderophore translocation process. The results of this study provide insight for the rational design of novel siderophore-drug conjugates against problematic Gram-negative pathogens.

KEYWORDS: Acinetobacter baumannii, Pseudomonas aeruginosa, siderophore-drug receptor

INTRODUCTION

The outer membrane of Gram-negative bacteria is an efficient barrier that limits access of antibiotics to their targets. Pseudomonas aeruginosa and Acinetobacter baumannii are characterized by especially low outer membrane permeability due to slow influx across porin channels and relatively rapid efflux via numerous efflux systems of the resistance-nodulation-division (RND) type (1). There have been several attempts to exploit alternative transport mechanisms to overcome this permeability barrier (2). In this view, the TonB-dependent receptors (TBDRs), able to transport siderophores or vitamin B12 in Gram-negative organisms (3), as well as carbohydrates, cations, and thiamine (4), are particularly attractive. Due to their high-affinity binding sites, substrates are transported even at low substrate concentrations. Furthermore, they can perform concentrative uptake (uphill transport) for enterochelin (5) and vitamin B12 (6) and accommodate large substrate molecules, including cobalamines, heme, or peptidic siderophores, such as pyoverdin. In contrast to porin-mediated passive diffusion, the uptake via the outer membrane TBDRs requires energy, derived from the proton motive force, and transmitted via the TonB-ExbB-ExbD complex located in the cytoplasmic membrane.

In order to highjack these uptake systems, conjugates between antibiotics and siderophore molecules have been designed. So far, the most success has been obtained with beta-lactams, since their target is located in the periplasmic space, to which most of the siderophores are delivered (3). The iron-binding moiety of beta-lactam siderophore conjugates is frequently a small catechol-type siderophore, such as dihydroxypyridone or a mixed catechol-hydroxamate (7). Such conjugates have been developed with aminopenicillins (8), cephems (KP-736 and S-649266) (9–11), and monocyclic beta-lactams (pirazmonam, BAL30072, and MC-1) (12–15). In particular, the monobactam conjugates show potent activity against the Gram-negative nonfermenters P. aeruginosa and A. baumannii (15–18).

A. baumannii is a nosocomial pathogen associated with severe infections in immunocompromised hosts (19). Besides its chromosomally encoded AmpC-type beta lactamase (20), A. baumannii frequently harbors class B and D carbapenemases (21) and extended-spectrum beta-lactamases (ESBL) of the PER, GES, and VEB types (22). RND-type efflux systems, including AdeABC (23), AdeIJK (24), and AdeFGH (25), further contribute to the multidrug resistance phenotype of clinical isolates. A. baumannii harbors between 21 and 27 TonB-dependent receptors compared to 35 in P. aeruginosa (26). So far, only FhuE (27) and BauA (28), the receptor for the siderophore acinetobactin (29, 30), have been characterized in A. baumannii.

In this study, we identified two novel TonB-dependent receptors of A. baumannii, termed PiuA and PirA (Ab-PiuA and Ab-PirA), required for the activity of two monocyclic beta-lactam siderophore conjugates. When expressed in P. aeruginosa, both receptors confer hypersusceptibility to the two drugs. The first crystal structures of PiuA and PirA were obtained, together with their orthologues from P. aeruginosa. Although they showed similar overall structures, there were marked differences in their putative substrate binding sites. The data should provide insights for the future rational design of novel siderophore-drug conjugates. (Part of this work was presented at the ECCMID conference, Copenhagen, Denmark, 2015.)

RESULTS

Identification of PiuA and PirA orthologues in A. baumannii.

We (31) and others (15) previously identified the TBDRs PiuA and PirA as important to the activity of the siderophore-drug conjugates BAL30072 and MC-1 in P. aeruginosa. Since BAL30072 also shows potent activity toward A. baumannii (14, 18, 32), we attempted to identify its mechanism of action in the organism. We performed a homology search for potential orthologues of PiuA and PirA on the genome of A. baumannii reference strain ATCC 19606 (Table 1). The BLAST algorithm identified two uncharacterized open reading frames (ORFs), A1S_0474 and A1S_0980 (ATCC 17978 numbering), as the closest hits, sharing amino acid identities of 44% with PiuA and 51% with PirA of P. aeruginosa, respectively. Both genes have been shown to be preceded by putative Fur binding sites (A1S_0474, GCGAATAATAATAATTCTTATTTAT, and A1S_0980, GATATTGTTAATAATTATCATTATT) (33), suggesting regulation by iron availability via the Fur iron uptake regulator. Downstream of the piuA gene of A. baumannii, we identified an ORF (A1S_0473) showing 52% amino acid identity with piuC from P. aeruginosa and ybiX from Escherichia coli (Fig. 1). The corresponding proteins belong to the family of Fe(II)-dependent oxidoreductases (34), and their colocalization with piuA might indicate that they act on the natural substrate transported by PiuA/FiuA. In contrast, the genetic environment of the pirA region of A. baumannii is different from those in P. aeruginosa and E. coli (Fig. 1). The pirA gene in A. baumannii is preceded by nfuA, coding for an Fe-S-containing protein involved in intracellular iron utilization and oxidative-stress response (35). In P. aeruginosa, the gene for the secondary enterobactin transporter PirA is located next to a two-component system comprising the transcriptional regulator PirR (PA0929) and the sensor kinase PirS (PA0930) (36). The closest orthologue of PirA in E. coli is the ferric enterobactin transporter FepA, whose gene is embedded within the enterobactin biosynthesis region (not shown in Fig. 1). Based on this evidence, we adopted the nomenclature from P. aeruginosa and termed these proteins PiuA (A1S_0474) and PirA (A1S_0980), designated below Ab-PiuA and Ab-PirA.

TABLE 1.

Bacterial strains and plasmidsa

Strain/plasmid Relevant characteristics Reference or source
P. aeruginosa
    PAO1 PAO1; mexT nonfunctional Laboratory collection
    PAO1 ΔpiuA Unmarked deletion of piuA gene This study
A. baumannii
    ATCC 19606 A. baumannii reference clinical isolate HUGb collection
    307-0274 A. baumannii clinical isolate T. A. Russo; SUNY, Buffalo, NY
    ATCC 19606 ΔpiuA piuA (A1S_0474) deletion mutant This study
    ATCC 19606 ΔpirA pirA (A1S_0980) deletion mutant This study
    ATCC 19606 ΔpiuA ΔpirA piuA-pirA double-deletion mutant This study
E. coli
    XL1-Blue recA1 endA1 gyrA96 thi-1 hsdR17(rK− mK+) supE44 relA1 lac [F′ proAB lacIq ZΔM15Tn10(Tc)] Stratagene
    ST18 pro thi hsdR+ Tmpr Smr; chromosome::RP4-2 Tc::Mu-Kan::Tn7/λpir ΔhemA 68
Plasmids
    pMKm Contains a 1.7-kb Km cassette carrying a neo gene; Kmr 69
    pEX18Ap Gene replacement vector; Apr 53
    pEX18Gm Gene replacement vector; Gmr 53
    pEX18Km pEX18Ap derivate; 0.4-kb fragment of the bla gene replaced with 1-kb neo gene from pMKm via AatII/ScaI; Kmr This study
    pEX18Gm-pirA-ko Contains a 1.4-kb fusion fragment of the up- and downstream regions of pirA; Gmr This study
    pEX18Km-piuA-ko 1.1-kb fusion fragment of the 5′ and 3′ regions of piuA; Kmr This study
    pEX1.8 Inducible expression vector; Apr 70
    pIApX2 Broad-host-range expression vector; Apr I. Attree (Grenoble, France)
    ppiuA1.1 piuA from PAO1 cloned into pIApX2; Apr This study
    ppirA1.1 pirA from PAO1 cloned into pIApX2; Apr This study
    ppiuA-Ab6.3 piuA-Ab cloned into pEX1.8; Apr This study
    ppirA-Ab4.1 pirA-Ab cloned into pIApX2; Apr This study
a

Ap, ampicillin; Gm, gentamicin; Km, kanamycin; Sm, streptomycin; Tc, tetracycline; Tmp, trimethoprim.

b

HUG, Hôpitaux Universitaires de Genève.

FIG 1.

FIG 1

Chromosomal loci of piuA and pirA genes in A. baumannii, P. aeruginosa, and E. coli. The TBDR gene piuA is colocalized with the Fe(II)-dependent oxidoreductase gene piuC, while the pirA loci differ among the three organisms. Only genes relevant to the study context are shown.

PiuA and PirA contribute similarly to siderophore–beta-lactam activity in A. baumannii.

To test the involvement of PiuA and PirA in the activity of BAL30072 and MC-1 against A. baumannii, we constructed piuA (A1S_0474) and pirA (A1S_0980) gene deletion mutants in A. baumannii strain ATCC 19606. Both the piuA and the pirA mutants showed 2- to 8-fold increases in the MICs for both drug conjugates, in agreement with decreased transport in the individual mutants. The piuA-pirA double mutant showed a further increase in MICs, which was more pronounced for MC-1 than for BAL30072 (Table 2). This suggests that in the wild-type strain and under the conditions of the MIC assay, both receptors have a basal expression level and may contribute similarly to the uptake of BAL30072 and MC-1. This is in contrast to the situation in P. aeruginosa, since deletion of pirA in PAO1 has no effect on susceptibility to BAL30072 and MC-1, and the contribution of this TBDR is seen only in a piuA deletion background (15).

TABLE 2.

Susceptibilities of piuA and pirA deletion mutants of A. baumannii

Strain MIC (mg/liter)
BAL30072 MC-1 ATM
ATCC 19606 0.25 1 32
ATCC 19606 ΔpiuA 1 2 32
ATCC 19606 ΔpirA 1–2 4 32
ATCC 19606 ΔpirA ΔpiuA 2–4 32 32

PiuA and PirA from A. baumannii are functional in P. aeruginosa.

To test whether the A. baumannii proteins are functional in P. aeruginosa, plasmids ppirA-Ab4.1 and ppiuA-Ab6.3, expressing, respectively, the pirA and piuA genes of A. baumannii from a constitutive or an inducible promoter, were transferred into P. aeruginosa strain PAO1 and into a piuA deletion mutant. While expression of the vector plasmids alone had no significant effect on the BAL30072 or MC-1 MIC, the expression of both piuA and pirA from A. baumannii conferred increased susceptibility to these conjugates in P. aeruginosa. As expected, susceptibility to aztreonam (ATM) was not affected by overexpression of the TBDR genes (Table 3). Similar results were obtained in a piuA deletion strain showing a 32- to 64-fold increase in susceptibility to BAL30072 and MC-1 when the pirA gene of either P. aeruginosa or A. baumannii was overexpressed. However, Ab-PiuA expression from plasmid ppiuA-Ab6.3 did not seem to confer increased susceptibility on the piuA deletion strain (Table 3). A possible explanation is that the induced expression level of Ab-PiuA in the piuA deletion strain might be insufficient to restore wild-type susceptibility.

TABLE 3.

Effects of heterologous expression of Ab-PiuA and Ab-PirA in P. aeruginosa PAO1 and PAO1 ΔpiuA on susceptibility to monocyclic beta-lactam antibiotics

Strain/plasmid MIC (mg/liter)a
BAL30072 MC-1 ATM
PAO1 1–2 0.5 4
    pEX1.8 2 0.25 4
    pIApX2 1 0.5 8
    ppiuA1.1 (P. aeruginosa) 0.125 ND 4
    ppiuAΔL1.1 (P. aeruginosa) 2 ND 4
    ppiuA-Ab6.3 0.25 0.06 4
    ppirA1.1 (P. aeruginosa) 0.25 ND 8
    ppirA-Ab4.1 0.06 0.03 4
PAO1 ΔpiuA 8–16 2 4
    pIApX2 16 4 8
    pEX1.8 16 4 4
    ppiuA1.1 (P. aeruginosa) 0.125 0.03 8
    ppiuA-Ab6.3 8 2 2
    ppirA1.1 (P. aeruginosa) 0.25 0.06 8
    ppirA-Ab4.1 0.25 0.125 4
a

Determined in MH medium supplemented with carbenicillin at 100 mg/liter and with 1 mM IPTG for strains harboring pEX1.8 and ppiuA-Ab6.3. ND, not done.

Structure comparison of PiuA and PirA from P. aeruginosa and A. baumannii.

The sequence alignment of the PiuA and PirA orthologues revealed high conservation within the putative substrate binding domains NL1 (PiuA and PirA) and NL2 and NL3 (PirA) (Fig. 2). The structures of PiuA and PirA from P. aeruginosa and A. baumannii have been solved. As expected, these structures were similar to those of other TBDRs, sharing a two-domain organization consisting of a 22-stranded transmembrane β-barrel (Fig. 3, green ribbons) and an N-terminal plug domain (blue ribbons) folded inside the barrel.

FIG 2.

FIG 2

Structure-based sequence alignment of PiuA and PirA proteins from P. aeruginosa and A. baumannii. Secondary-structure elements of Ab-PiuA are illustrated above the alignment. Regions predicted to be involved in the binding of the siderophores are boxed in red. Residues spatially equivalent to those involved in substrate binding in FhuA, FptA, and FpvA are highlighted in green. Key residues of the secondary binding site of FepA and conserved in the PirA structure are shown in yellow. Positions of residues of the nonconserved initial binding site are indicated by orange triangles. The plug domain is boxed in cyan. The alignment was drawn using Aline (71).

FIG 3.

FIG 3

Crystal structures of PiuA and PirA from P. aeruginosa and A. baumannii. β-Barrels are colored green, and N-terminal plug domains are blue. Loops NL1, NL2, and NL3 of the plug domains are shown in red. Residues likely to be part of the siderophore substrate binding site are shown as yellow sticks. The last solved residues of the flexible loops are represented as spheres.

As often observed with TBDRs, several extracellular loops were missing in the Pa-PiuA structure. Loops NL1 (83 to 90), L7 (505 to 526), and L8 (560 to 567) could not be modeled due to the high flexibility of these regions. In contrast, the equivalent extracellular loops were present in the structure of Ab-PiuA, perhaps due to the presence of a phosphate ion that coordinated with Glu73 of NL1, Asp303 of L4, Arg316 of β8, and His697 of L11. Structural comparison of Pa-PiuA and Ab-PiuA (root mean square deviations [RMSD] of 1.3 Å for 616 aligned C-α atoms) showed differences in the lengths and positions of several extracellular loops (Fig. 4; see Fig. S1 in the supplemental material). Ab-PiuA contained additional amino acids in loops L7 and L9, but fewer in L6 and L8 than Pa-PiuA. Strikingly, loop L7 of Ab-PiuA folded inside the barrel close to the top of the plug domain (Fig. 4; see Fig. S1 in the supplemental material). A mutant protein with five amino acids (EGGNP; positions 73 to 76) deleted from loop NL1 was generated in PiuA from P. aeruginosa. When expressed in strain PAO1, the NL1 deletion mutant was unable to confer hypersusceptibility to BAL30072, as observed with the PiuA wild-type protein (Table 3). We conclude that loop NL-1 is likely involved in the initial binding of BAL30072 in PiuA.

FIG 4.

FIG 4

Putative binding sites in PiuA of P. aeruginosa and A. baumannii and PirA of A. baumannii. The color scheme is the same as that in Fig. 3. The phosphate ion present in the Ab-PiuA structure is colored orange and red, and residues Asp303 and Glu73, which coordinate it, are represented as green and white sticks.

Comparison with other TBDRs showed that the closest structural relatives of PiuA are the pyochelin (FptA) and pyoverdine (FpvA) receptors of P. aeruginosa (37, 38), with an RMSD of 1.84 Å (567 aligned C-α atoms) and 1.99 Å (555 aligned C-α atoms), respectively, and the E. coli ferrichrome iron receptor FhuA, with an RMSD of 1.83 Å (600 aligned C-α atoms) (39, 40) (see Fig. S1 in the supplemental material).

As for PiuA, the extracellular loops of PirA from P. aeruginosa were highly flexible, and the structural analysis of Pa-PirA was focused on the structure of PirA from A. baumannii, where these loops where experimentally located. PirA was similar to the ferric enterobactin receptor FepA of E. coli (41), with an RMSD of 1.09 Å (618 aligned C-α atoms), as expected from the elevated sequence similarity (51% amino acid identity) (see Fig. S1 in the supplemental material). This is consistent with a previous report identifying PirA of P. aeruginosa as a secondary transporter of ferric enterobactin (36).

Selection of A. baumannii mutants with decreased susceptibility to BAL30072.

We investigated the possibility of resistance emergence in A. baumannii. Colonies of strains 307-0294 and ATCC 19606 able to grow in the presence of BAL30072 concentrations of 4 or 8 μg/ml were obtained at frequencies of 7 × 10−8 to 7 × 10−9. After determining their susceptibility profiles, we selected colonies that presented increased MICs of BAL30072 and MC-1 but unchanged MICs of ATM. Mutations in such colonies are expected to affect mechanisms specific to the siderophore-drug conjugate. Three out of 6 clones (R4, R5, and R6) obtained with strain 307-0294 and none of the 8 clones tested from strain ATCC 19606 fulfilled this criterion (Table 4). Therefore, clones R4, R5, and R6 were selected for further analysis and submitted to whole-genome sequencing. Mapping of the reads on the genome of strain 307-0294 revealed a single but distinct mutation in each of the three strains. Mutant R4 had acquired a frameshift mutation (insertion of A at position 9) in the exbD3 gene, while mutations in clones R5 (deletion of A at position 319) and R6 (insertion of A at position 243) resulted in frameshift mutations in the tonB3 gene (Table 4). Interestingly, the tonB3 gene, but not the tonB1 and tonB2 genes (see Fig. S2 in the supplemental material), has recently been shown to be induced under iron-limiting conditions (42). The TonB3-ExbB3-ExbD3 system could therefore be a likely candidate for providing energy to PiuA and PirA siderophore receptors in A. baumannii.

TABLE 4.

Susceptibilities of A. baumannii mutants selected on BAL30072

Strain MIC (mg/liter)
Mutationa
BAL30072 MC-1 ATM
307-0294 0.25 1 32 WT
307-0294-R4 >8 >8 16 ExbD3 (Q4fs)
307-0294-R5 >8 >8 16 TonB3 (K106fs)
307-0294-R6 >8 >8 16 TonB3 (K80fs)
a

fs, frameshift; WT, wild type.

Decreased growth rates of spontaneous exbD3 and tonB3 mutants of A. baumannii.

We observed that the spontaneous mutants R4, R5, and R6 formed slightly smaller colonies than the wild type when grown on lysogeny broth (LB) agar plates. To assess whether the mutations in the energy-transducing TonB3 system impose a fitness cost, we compared the growth of the mutants to that of the wild-type strain in Mueller-Hinton (MH) broth. As shown in Fig. 5, the tonB3 (R5 and R6) and exbD3 (R4) mutants were characterized by a longer lag phase and a lower final cell density after 20 h growth than the wild type. When the growth medium was supplemented with Fe(II)Cl2 at a final concentration of 20 μM, the growth phenotype of mutants R4 to R6 could be restored to reach nearly wild-type levels. The data suggest that TonB3-ExbB3-ExbD3 is important for siderophore-mediated Fe3+ acquisition and that the fitness of such mutants is likely to be severely decreased in vivo, where iron availability is limited.

FIG 5.

FIG 5

Growth of spontaneous mutants with decreased susceptibility to BAL30072. The strains were grown in MH broth (MHB) with or without Fe(II)Cl2 supplementation (20 μM final concentration). Growth was followed in a plate reader with regular OD600 readings. The data represent the average OD600 value for duplicate cultures. Experiments were repeated on three different occasions, yielding similar results. Data from one representative experiment are shown. The OD600 values, measured after 18 h for each of the three mutants, were statistically different from that of the wild type (Student t test; P < 0.05) in the absence, but not in the presence, of iron, as indicated by asterisks (top).

DISCUSSION

In this study, we have identified two siderophore receptors, termed Ab-PiuA and Ab-PirA, that are very likely involved in transport of the siderophore-monosulfactam conjugates BAL30072 and MC-1 into A. baumannii. The numbers of TBDRs found in different strains of A. baumannii range from 21 to 27 (compared to 35 in P. aeruginosa) (26). The close phylogenetic relationship between Acinetobacter and Pseudomonas prompted us to search in A. baumannii for orthologues of the previously identified TonB-dependent receptors PiuA and PirA from P. aeruginosa (15, 31). For each of these proteins, we identified one orthologue (>40% amino acid identity). The highest similarity was found within the putative substrate binding sites located in the N-terminal regions of the TBDRs (Fig. 2).

A transcriptome analysis performed in A. baumannii strain ATCC 17978 recently showed that expression of both piuA and pirA is induced under iron-limiting conditions (33). A. baumannii strains harbor at least three distinct siderophore clusters, one of them being the acinetobactin biosynthesis operon. However, neither PiuA nor PirA is part of these clusters. This suggests that the two TBDRs are likely involved in the uptake of xenosiderophores, although the substrate(s) of PiuA has not been identified. The closest orthologue of PiuA in E. coli is Fiu (35% amino acid identity), a TBDR also involved in the uptake of cephalosporins conjugated to catechol siderophores (12, 13).

PirA is an orthologue of the enterobactin receptor FepA in E. coli (51% amino acid identity). Enterobactin is a tricatechol siderophore produced by several enterobacterial species. However, the FepA receptor does not seem to play a role in the transport of catechol-based siderophore-drug conjugates in E. coli (12, 13), but it can transport beta-lactams linked to enterobactin (43, 44).

It is assumed in the design philosophy that BAL30072 interacts with the siderophore receptors PiuA and PirA in a manner similar to that of their natural siderophores. However, the structures of the loops differ between the orthologous proteins from the two organisms. There are even larger differences between the loop structures of PirA and PiuA (see Fig. S1 in the supplemental material). Since the natural siderophores of PiuA and PirA are not known, we rely on comparisons with known complexes to inform us as to the recognition elements. The binding site of known siderophore receptors is in general formed by loops NL1, NL2, and NL3 of the plug domain and loops L3, L7, and L11 and strands β7, β8, and β9 of the β-barrel (Fig. 2) (37, 39, 45).

The closest structural homologues of PiuA are FptA, FpvA, and FhuA, and their complexes with cognate siderophores show a cluster of aromatic and positively charged residues (Fig. 4). The side chains of Tyr239 on loop L3 of Pa-PiuA and Trp298 in β7 of Ab-PiuA have positions similar to those of Trp362 in FpvA and Met271 in FptA, both involved in siderophore binding. Tyrosines 307 and 296 on loop β7 of Pa-PiuA and Ab-PiuA occupy positions equivalent to those of FpvA Trp391 and FhuA Tyr116. A positively charged residue on β8 (Lys329 for Pa-PiuA and Arg316 for Ab-PiuA) is in the same position as the side chain of Lys344 in FhuA. Trp498, present in loop L7 of Ab-PiuA, occupies the same volume as Tyr231 and Phe115 in NL3 of FpvA and FhuA, respectively. A tyrosine-histidine couple (residues 694 and 697 in Ab-PiuA and 697 and 700 in Pa-PiuA) is superimposed with Phe795 and Tyr796 in FpvA and Phe704 and Tyr707 in FhuA. We note that a phosphate ion is found in the Ab-PiuA structure, where it is coordinated by Arg316 and His697. There are important differences, however, between Pa-PiuA and Ab-PiuA. In particular, loops NL2 and NL3 are shorter in Pa-PiuA, while NL1 extends above the plug domain of Ab-PiuA (Fig. 3). Consequently, NL1 in Ab-PiuA would clash with the siderophore location seen in FpvA, FptA, and FhuA (see Fig. S1 in the supplemental material). This may reflect a genuine difference with a functional consequence or simply an inactive conformation.

Although there is no structure for the siderophore complex of FepA from E. coli, several binding and mutation studies have been reported (46–48). These studies suggest a biphasic binding kinetic with an initial binding site in the loop extremities and a secondary site deeper inside the barrel leading to the translocation. Loops L2, L4, L7, L8, L10, and L11 were found to be involved in the binding of ferric enterobactin (41, 49). These loops are different in structure and sequence from those found in PirA, consistent with the observation that FepA does not transport BAL30072. Interestingly, it also indicates that PirA, which can recognize enterobactin, may use a different constellation of residues than FepA. The presumed second binding site, on top of the plug domain, is highly conserved between the two PirAs and FepA. Deletion of loop NL1 or NL3 in FepA or mutation of the conserved Trp101 in NL3 (corresponding to Trp111 and Trp110 in Ab-PirA and Pa-PirA) drastically decreased the uptake of ferric enterobactin (48, 49). Other key residues known to be important in FepA are Tyr260 of L3 (262 in Ab-PirA and 264 in Pa-PirA), Arg316 on β7 (Ab-PirA R320 and Pa-PirA R321), and Tyr478 of L7 (Ab-PirA Tyr478 and Pa-PirA Tyr479), which are conserved in PirA. As in FepA, loops L3, L4, L7, and L10 cover the top of the barrel, making the plug domain less accessible than for the other TBDRs.

TBDRs interact with the cytoplasmic-membrane protein TonB, which transmits energy derived from the proton gradient to the receptor via interaction with the N-terminal TonB box, to drive substrate transport (see Fig. S2 in the supplemental material). A. baumannii harbors three distinct chromosomally encoded TonB systems, among which TonB3-ExbB3-ExbD3 was recently shown to be iron regulated (42). Spontaneous resistant clones able to grow on >4 mg/liter of BAL30072 carried frameshift mutations in tonB3 or exbD3 (see Fig. S2 in the supplemental material). It is therefore highly likely that the TonB3-ExbB3-ExbD3 system interacts with PiuA and PirA to provide the energy for the uptake of BAL30072 and MC-1. Of note, the MICs of BAL30072 for the tonB3 and exbD3 mutants were higher than those for the individual TBDR piuA and pirA mutants or the pirA-piuA double mutant (compare the values in Tables 2 and 4). Although the strain backgrounds are different (ATCC 19606 versus 307-0294), it suggests that additional TBDRs could be involved in transport of siderophore-drug conjugates in A. baumannii strain 307-0294. This assumption would also explain the selection of exbD3 and tonB3 mutants at 4 mg/liter of BAL30072, which display higher MICs than the individual pirA and piuA mutants in strain ATCC 19606.

The A. baumannii tonB3 and exbD3 mutants selected in strain 307-0294 on BAL30072 showed decreased growth rates under iron-limiting conditions. A similar growth impairment under iron deficiency was reported by Zimbler et al. for tonB1 and tonB2 deletion mutants of strain ATCC 19606 (42). Since the authors of the study could not generate a tonB3 deletion mutant by homologous recombination, the growth phenotype could not be assessed, and the authors concluded the TonB3-ExbB3-ExbD3 system was essential in A. baumannii. Whether this was due to the experimental conditions or to differences in strain backgrounds is unclear. Supplementation with iron could restore the growth defects in their tonB1 and tonB2 mutants (42), as well as in our spontaneous tonB3 and exbD3 mutants of strain 307-0294 (Fig. 5). It remains to be determined if tonB1 and tonB2 mutants also show altered susceptibilities to siderophore-drug conjugates. Altogether, the data suggest that tonB mutants, if selected in vivo, would be impaired in their fitness and probably also be less virulent in the patient, where iron availability is limited.

Both endogenous and heterologous overexpression of Ab-PiuA and Ab-PirA conferred increased susceptibility to both BAL30072 and MC-1 on P. aeruginosa strain PAO1 (Table 3). This establishes the ability of these two proteins to transport the two antibiotics; moreover, it indicates that the amounts of PiuA and PirA expressed in PAO1 are probably the bottleneck for the transport of siderophore-drug conjugates, rather than the availability of the TonB-ExbB/ExbD systems. There must be mutual recognition between the C-terminal part of the cytoplasmic-membrane protein TonB in P. aeruginosa and the TonB box located in the N-terminal domains of PirA and PiuA from A. baumannii. In P. aeruginosa, the energy coupling to iron-transporting TBDRs is mediated by TonB1 (50), while our data suggest that TonB3 is the equivalent protein in A. baumannii. However, TonB1 (P. aeruginosa) and TonB3 (A. baumannii) show only limited amino acid sequence identity. The TonB3 domain of A. baumannii displayed the highest sequence similarity to the C-terminal regions of TolA (amino acids [aa] 277 to 322; 48% identity) and TonB2 (aa 178 to 223; 39% identity) of P. aeruginosa. These domains are located in the periplasm and are thought to interact with the corresponding TBDR in the outer membrane (51). Which TonB protein of P. aeruginosa is interacting with PiuA and PirA from A. baumannii remains to be determined. To our knowledge, this is the first report on heterologous complementation between TonB-dependent receptors in Gram-negative nonfermenters.

In summary, the previously uncharacterized TBDRs PiuA and PirA are the major uptake systems for the siderophore-drug conjugates BAL30072 and MC-1 in A. baumannii. Despite their overall similar crystal structures, differences in the external loops of the plug domain could be important for substrate selectivity. We obtained evidence for heterologous recognition between a TonB protein(s) of P. aeruginosa and TBDRs of A. baumannii. Our study highlights the potential of siderophore-drug conjugates as an efficient strategy to increase antimicrobial transport into Gram-negative bacteria.

MATERIALS AND METHODS

Bacterial strains and growth conditions.

The strains and plasmids used in this study are listed in Table 1, and the primers used are shown in Table S1 in the supplemental material. A. baumannii strains were grown in double-strength yeast tryptone (dYT) broth and E. coli and P. aeruginosa in LB at 37°C with shaking (220 rpm). E. coli XL-1 Blue and DH10B were used as cloning hosts. E. coli ST18 was the donor strain for biparental matings, requiring supplementation with 50 μg/ml 5-aminolevulinic acid. Gentamicin (25 μg/ml) or kanamycin (25 μg/ml) was added for plasmid-carrying strains. MIC determinations were performed in MH broth according to CLSI guidelines (52) and were repeated on at least three different occasions.

Mutant selection and growth assay.

Spontaneous mutants of the fully sequenced A. baumannii strain 307-0294 were selected on LB agar plates supplemented with BAL30072. Individual colonies were picked and grown in the absence of antibiotic. MICs were determined, and strains with decreased susceptibility to BAL30072 were retained for further analysis. The growth of mutant strains was performed in microtiter plates in a total volume of 200 μl. Strains were grown for 7 h in LB with shaking (250 rpm) at 37°C. Cultures were diluted to an optical density at 600 nm (OD600) of 0.015, and 4 μl was inoculated into 196 μl of MH broth. Growth was followed in a BioTek Synergy 1 plate reader at 37°C with shaking for 1 min before hourly measurement of the optical density at 600 nm. The growth curves represent the average OD600 values for duplicate cultures.

PCR amplifications and DNA modifications.

PCR primers are listed in Table S1 in the supplemental material. All primer sequences were based on the genome of A. baumannii ATCC 19606. Screening PCRs were carried out using the DreamTaq DNA polymerase (Thermo Scientific), in accordance with the manufacturer's instructions and the optimized annealing temperature for each primer set. For screening PCRs, bacterial cells were boiled at 95°C for 5 min and subsequently pelleted at 13,000 rpm for 1 min. Phusion DNA polymerase (Thermo Scientific) was used for high-fidelity PCRs (supplemented with 5% dimethyl sulfoxide [DMSO]). Restriction digestions were performed using Thermo Scientific restriction enzymes, according to the manufacturer's instructions, at the appropriate temperature. All ligation reactions were carried out at room temperature using Thermo Scientific T4 DNA ligase. DNA purifications were performed using either the GeneJet PCR purification or the GeneJet gel extraction kit (Thermo Scientific), following the manufacturer's instructions.

Construction of pirA and piuA knockout mutants in A. baumannii.

The generation of unmarked knockout mutants was based on the protocol described by Hoang et al. (53). Briefly, DNA fragments of 500 to 700 bp were PCR amplified using primer pairs A1/A2 and B1/B2, respectively (see Table S1 in the supplemental material). For deletion of pirA, the up- and downstream regions flanking the gene were PCR amplified. For knockout of piuA, the amplified fragments were located in the 5′ and 3′ regions of the genes. After amplification, the obtained A and B fragments were gel purified, and approximately 40 ng of each fragment was used in a PCR fusion with primers A1 and B2, which share an 18-bp homologous region. The resulting fusion products were gel purified and further cloned into the suicide vectors pEX18Gm, via HindIII/EcoRI restriction sites (pirA), and pEX18Km, via SalI/EcoRI (piuA). The cloned knockout fragments were verified by sequencing. The replacement vectors were mobilized into A. baumannii via biparental conjugation, and the generation of the unmarked mutants was carried out as previously described (54). In order to confirm a gene deletion, locus-specific primers (out1 and out2) that bind up- and downstream of the gene were designed and used for amplification of the knockout region. Sequencing of the obtained PCR fragments confirmed successful deletion of the genes.

Construction of expression plasmids.

The piuA and pirA coding regions were amplified by PCR from genomic DNA of P. aeruginosa reference strain PAO1. The piuA coding region was amplified with primers piuA-Xba and piuA-Hind and cloned as a 2,540-bp XbaI-HindIII DNA fragment into the expression vector pIApX2, yielding plasmid ppiuA1.1. Deletions of residues 73 to 76 from loop NL1 (ppiuAΔL1.1) were constructed with a modified protocol of the QuikChange method (55) using primers piuA-Δ1 and piuA-Δ2. The pirA coding region was amplified as a 2,498-bp DNA fragment obtained with primers pirA-Bam and pirA-Hind2 (see Table S1 in the supplemental material). The PCR product was digested by BamHI and HindIII and cloned into pIApX2, yielding plasmid ppirA1.1. The coding regions of piuA (A1S_0474) and pirA (A1S_0980) were amplified by PCR from genomic DNA of A. baumannii strain 307-0294 (provided by T. A. Russo, SUNY, Buffalo, NY, USA), using primers listed in Table S1 in the supplemental material. The 2,436-bp-long piuA fragment was digested with EcoRI and PstI and ligated to the EcoRI- and PstI-cleaved vector pEX1.8, yielding plasmid ppiuA-Ab6.3. The 2,557-bp-long pirA fragment was cleaved with XbaI and PstI and ligated to plasmid pIApX2 cleaved with the same restriction enzymes, yielding plasmid ppirA-Ab4.1. The plasmids were transferred into P. aeruginosa by electroporation. The piuA gene of A. baumannii (piuA-Ab) was further subcloned by BamHI-PstI digestion into the A. baumannii expression vector pBAV1K-5T-gfp (56) (kindly provided by G. Wilharm, Robert Koch Institut, Werningerode, Germany), yielding plasmid ppiuA-Ab7.1. The piuA-Ab gene was further subcloned by XbaI-PstI digestion into pBAV1K-5T-gfp, yielding plasmid ppirA-Ab3.1. The PCR conditions were as follows: denaturation at 95°C for 2 min, followed by 27 cycles of 95°C for 20 s, 57°C for 30 s, and 72°C for 2 min and a final extension at 72°C for 4 min. Plasmids were introduced into P. aeruginosa and A. baumannii by electroporation. Plasmid-containing colonies were selected on LB agar supplemented with carbenicillin at 200 mg/liter (P. aeruginosa) or kanamycin at 50 mg/liter (A. baumannii).

Cloning, overexpression, and purification of PiuA and PirA from P. aeruginosa and A. baumannii.

The positions of the signal peptide cleavage sites of the proteins were predicted with Signal P4.0 (57). The coding sequence of the mature protein Pa-PiuA (PA4514) was amplified from PAO1 genomic DNA using primer pairs Pa-PiuA-F/Pa-PiuA-R (see Table S1 in the supplemental material) and Pfu DNA polymerase. The PCR product was digested by BspHI and EagI restriction enzymes and cloned into vector pET20b using restriction enzymes NcoI and EagI so that the protein was expressed with a PelB signal sequence for the outer membrane localization and a noncleavable C-terminal His6 tag. Codon-optimized Pa-PirA (PA0931) with a C-terminal, noncleavable His6 tag was purchased from DNA2.0 and inserted into vector pET20b using HindIII and EcoRV restriction sites.

The coding sequences of the mature proteins Ab-PiuA and Ab-PirA were amplified by PCR from A. baumannii strain ATCC 19606 using KOD DNA polymerase (Novagen) and the primer pairs Ab-PiuA-F/Ab-PiuA-R and Ab-PirA-F/Ab-PirA-R (see Table S1 in the supplemental material). Both genes were cloned with an N-terminal tobacco etch virus (TEV) protease-cleavable His7 tag in vector pTAMAHISTEV using NcoI and BamHI restriction sites. The pTAMAHISTEV expression vector was obtained by replacing the PelB signal peptide of plasmid pEPELBHISTEV (courtesy of Huanting Liu, University of St Andrews, St Andrews, United Kingdom) with the TamA signal peptide, as described by Liu et al. (58).

Proteins were overexpressed in E. coli strain C43(DE3) or BL21(DE3). Cells were grown at 37°C in LB medium containing 100 mg/liter ampicillin to an OD600 of 0.7 and then induced with 0.4 mM isopropyl-β-d-thiogalactopyranoside (IPTG) at 25°C overnight.

For Pa-PiuA and Pa-PirA, harvested cells were resuspended in lysis buffer (50 mM sodium phosphate, pH 7.5, 250 mM NaCl, 10% glycerol, 100 μg/ml lysozyme, and 20 μg/ml DNase). The cells were lysed by two passages through a cell disruptor at 30,000 lb/in2 (Constant Systems). Unbroken cells were removed by centrifugation (20 min at 10,000 × g), and membrane fractions were isolated by ultracentrifugation (100,000 × g; 1 h). The supernatant was discarded, and inner membrane proteins were solubilized in buffer 1 (50 mM sodium phosphate, pH 7.5, 250 mM NaCl, 10% glycerol, and 1% [wt/vol] N-lauroylsarkosine [Sigma]). The insoluble outer membrane fraction was isolated by ultracentrifugation (100,000 × g; 1 h), and outer membrane proteins were solubilized in buffer 2 (50 mM sodium phosphate, pH 8, 250 mM NaCl, and 7% [vol/vol] octylpolyoxyethylene [octylPOE] [Bachem]). Insoluble material was removed by ultracentrifugation (100,000 × g; 1 h). The supernatant was applied to a charged Histrap nickel-sepharose high-performance column (GE Healthcare) equilibrated with 1% (vol/vol) octylPOE, 250 mM NaCl, 10 mM imidazole, and 50 mM sodium phosphate, pH 8, and washed with the same buffer containing 15 mM imidazole. Protein was eluted with a linear gradient of imidazole (5 to 150 mM). Fractions containing the protein were pooled; dialyzed against 50 mM Tris, pH 8.4, and 1% octylPOE; loaded on an anion exchange column (Resource Q [GE Healthcare]) equilibrated with the dialysis buffer; and eluted with a linear gradient of 0 to 600 mM NaCl over 12 column volumes. Fractions were pooled and loaded on a Superdex S200 gel filtration column (GE Healthcare) equilibrated with 10 mM Tris, pH 8, 150 mM NaCl, and 0.45% (vol/vol) n-octyltetraoxyethylene (C8E4) (Bachem). Protein fractions were pooled and concentrated to 8 mg/ml.

The expression and initial purification steps for Ab-PiuA and Ab-PirA were the same as for Pa-PiuA and Pa-PirA. After applying them to a first immobilized-metal affinity chromatography (IMAC) column, imidazole was removed by dialysis (50 mM Tris, pH 8, 250 mM NaCl, 10% glycerol, 2 mM mercaptoethanol, and 1% octylPOE) before adding TEV protease to cleave the His7 tag. The protein was applied to a second IMAC column, followed by Superdex S200 gel filtration chromatography (GE Healthcare) (10 mM Tris, pH 8, 150 mM NaCl, 0.45% C8E4). The protein fractions were pooled and concentrated to 10 mg/ml.

Crystallization and structure determination.

Crystals of Pa-PiuA appeared at 20°C after several days by mixing 1 μl of protein solution (8 mg/ml) with 1 μl of reservoir solution containing 32% polyethylene glycol (PEG) 400, 0.05 M Tris, pH 8.5, 0.05 M sodium sulfate, and 0.05 M lithium chloride. Pa-PirA crystals were obtained at 20°C by mixing 1.5 μl of the protein solution (7.5 mg/ml) containing 2.5 mM n-dodecylphosphocholine (Anatrace) with 1 μl of reservoir solution containing 17% PEG 3350, 0.2 M magnesium chloride, 0.1 M Tris, pH 7. The crystals were frozen with the same solution containing 25% PEG 400.

Crystals of Ab-PiuA appeared at 20°C after several days by mixing 1 μl of protein solution (10 mg/ml) with 1 μl of reservoir solution containing 1 M diammonium hydrogen phosphate, 0.1 M sodium acetate, pH 4.6. The crystals were cryoprotected by supplementing the mother liquor with 30% sucrose. Prior to crystallization, Fe3+-enterobactin was added to Ab-PirA at a final concentration of 1 mM before loading on a Superdex S200. Ab-PirA crystals appeared a week after mixing at 20°C 1 μl of protein solution (7 mg/ml) with 1 μl of reservoir solution containing 16% PEG 8000, 0.15 M magnesium sulfate, and 0.1 M bicine, pH 9.

Data were collected at beamlines IO4 and IO3 at the Diamond Light Source, Oxfordshire, United Kingdom, and ID14-4 at European Synchrotron Radiation Facility (ESRF). Data were processed with XIA2 (59–63). The structure of Pa-PiuA was solved by molecular replacement using the coordinates of FhuA (Protein Data Bank [PDB] code 2FCP) (39) as a model with the program PHASER (64). The structure of Ab-PiuA was solved using Pa-PiuA coordinates, and the structures of Pa-PirA and Ab-PirA were solved using FepA coordinates (PDB code 1FEP) (41). Models were adjusted with COOT (65), and refinement was carried out using REFMAC in the CCP4 program suite with TLS parameters (66). The final refinement statistics are given in Table S2 in the supplemental material. The quality of all structures was checked with MOLPROBITY (67). Figures were drawn using PyMOL (version 1.8; Schrödinger, LLC).

Whole-genome sequencing.

Samples were sequenced on an Illumina MiSeq V2 instrument. Assembly and analysis were performed off instrument using CLCBio Genomics Workbench v 6.5 (Cambridge, MA). Detection of single nucleotide polymorphisms (SNPs)/indels was accomplished through mapping to a parent reference assembly using the same parameters. Quality-based SNPs were detected at a minimum frequency of 80% using default criteria and verified by examination of de novo assembly. Annotation of parental strains was accomplished through ORF calling using Prodigal software and BLAST analysis at NCBI for regions of interest. Sequence analyses were performed using the BLAST algorithm on genomic data provided by the MIST2.2 database (mistdb.com).

Accession number(s).

Atomic coordinates and structure factors have been deposited in the Protein Data Bank (accession no. 5FOK, 5FP2, 5FP1, and 5FR8).

Supplementary Material

Supplemental material

ACKNOWLEDGMENTS

We are grateful to R. A. Alm and S. Mills from Astra Zeneca (Waltham, MA, USA), who performed the whole-genome sequencing of the A. baumannii mutants.

The research leading to these results was conducted as part of the Translocation consortium and has received support from the Innovative Medicines Joint Undertaking under grant agreement 115525, resources which are composed of financial contribution from the European Union's seventh framework program (FP7/2007-2013) and EFPIA companies in kind contribution.

Footnotes

Supplemental material for this article may be found at https://doi.org/10.1128/AAC.02531-16.

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