Abstract

Bacterial resistance to antibiotics poses a serious worldwide public health problem due to the high morbidity and mortality caused by infectious diseases. Most hospital-onset infections are associated with methicillin-resistant Staphylococcus aureus (MRSA) strains that have acquired multiple drug resistance to beta-lactam antibiotics. In a response to antimicrobial stress, nearly all clinical MRSA isolates produce beta-lactamase (BlaZ) and a penicillin-binding protein with low affinity for beta-lactam antibiotics (PBP2a, also known as PBP2' or MecA). Both effectors are regulated by homologous signal transduction systems consisting of a sensor/transducer and a transcriptional repressor. MecI (methicillin repressor) blocks mecA but also blaZ transcription and that of itself and the co-transcribed sensor/transducer. The structure of MecI in complex with a cognate operator double-stranded DNA reveals a homodimeric arrangement with a novel C-terminal spiral staircase dimerization domain responsible for dimer integrity. Each protomer interacts with the DNA major groove through a winged helix DNA-binding domain and specifically recognizes the nucleotide sequence 5'-Gua-Thy-Ade-X-Thy-3'. This results in an unusual convex bending of the DNA helix. The structure of this first molecular determinant of methicillin resistance in complex with its target DNA provides insights into its regulatory mechanism and paves the way for new antimicrobial strategies against MRSA.

Highlights

  • Bacterial resistance to antibiotics poses a serious worldwide public health problem due to the high morbidity and mortality caused by infectious diseases

  • Most hospital-onset infections are associated with methicillin-resistant Staphylococcus aureus (MRSA) strains that have acquired multiple drug resistance to ␤-lactam antibiotics

  • Resistance of pathogens to chemotherapy is a natural biological phenomenon. It appeared at the very start of the antimicrobial era before antibiotics were introduced into clinical practice, as early as 1917 [1, 2]

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Summary

MecI REPRESSOR IN COMPLEX WITH ITS OPERATOR*

In a response to antimicrobial stress, most clinical MRSA isolates produce ␤-lactamase (BlaZ) and a penicillin-binding protein with low affinity for ␤-lactam antibiotics (PBP2a, known as PBP2؅ or MecA). Both effectors are regulated by homologous signal transduction systems consisting of a sensor/transducer and a transcriptional repressor. Methicillin-resistant S. aureus (MRSA) appeared less than 1 year after methicillin was brought into the clinic [4] This resistance is generally accompanied by reduced sensitivity to several other BLAs, including carbapenams, monobactams, and natural and semisynthetic cephalosporins and to aminoglycosides and macrolides. Its is assisted by other factors in modulating the optimized MRSA phenotype [7, 8]

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EXPERIMENTAL PROCEDURES
RESULTS AND DISCUSSION
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