Abstract

Rifampicin, which inhibits bacterial RNA polymerase, provides one of the most effective treatments for tuberculosis. Inhibition of the transcription termination factor Rho is used to treat some bacterial infections, but its importance varies across bacteria. Here we show that Rho of Mycobacterium tuberculosis functions to both define the 3′ ends of mRNAs and silence substantial fragments of the genome. Brief inactivation of Rho affects over 500 transcripts enriched for genes of foreign DNA elements and bacterial virulence factors. Prolonged inactivation of Rho causes extensive pervasive transcription, a genome-wide increase in antisense transcripts, and a rapid loss of viability of replicating and non-replicating M. tuberculosis in vitro and during acute and chronic infection in mice. Collectively, these data suggest that inhibition of Rho may provide an alternative strategy to treat tuberculosis with an efficacy similar to inhibition of RNA polymerase.

Highlights

  • Rifampicin, which inhibits bacterial RNA polymerase, provides one of the most effective treatments for tuberculosis

  • TB caused by M. tuberculosis that is resistant to INH and RIF is classified as multidrug-resistant, irrespectively of resistance to other drugs, because of the importance of INH and RIF for TB chemotherapy

  • We inactivated the wild type (WT) copy of rho by homologous recombination. This yielded M. tuberculosis Drho::Prhorho, which contains a single copy of rho, integrated into attachment site of the phage L5 (attL5)

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Summary

Introduction

Rifampicin, which inhibits bacterial RNA polymerase, provides one of the most effective treatments for tuberculosis. Inhibition of the transcription termination factor Rho is used to treat some bacterial infections, but its importance varies across bacteria. Prolonged inactivation of Rho causes extensive pervasive transcription, a genome-wide increase in antisense transcripts, and a rapid loss of viability of replicating and non-replicating M. tuberculosis in vitro and during acute and chronic infection in mice. These data suggest that inhibition of Rho may provide an alternative strategy to treat tuberculosis with an efficacy similar to inhibition of RNA polymerase. Rho of M. tuberculosis is predicted to be essential for growth[24,25], but is poorly inhibited by BCM (ref. 26), which suggests that targeting mycobacterial Rho could allow development of genus-specific antibiotics

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