Abstract

ABSTRACTThe conjugation of siderophores to antimicrobial molecules is an attractive strategy to overcome the low outer membrane permeability of Gram-negative bacteria. In this Trojan horse approach, the transport of drug conjugates is redirected via TonB-dependent receptors (TBDR), which are involved in the uptake of essential nutrients, including iron. Previous reports have demonstrated the involvement of the TBDRs PiuA and PirA from Pseudomonas aeruginosa and their orthologues in Acinetobacter baumannii in the uptake of siderophore-beta-lactam drug conjugates. By in silico screening, we further identified a PiuA orthologue, termed PiuD, present in clinical isolates, including strain LESB58. The piuD gene in LESB58 is located at the same genetic locus as piuA in strain PAO1. PiuD has a similar crystal structure as PiuA and is involved in the transport of the siderophore-drug conjugates BAL30072, MC-1, and cefiderocol in strain LESB58. To screen for additional siderophore-drug uptake systems, we overexpressed 28 of the 34 TBDRs of strain PAO1 and identified PfuA, OptE, OptJ, and the pyochelin receptor FptA as novel TBDRs conferring increased susceptibility to siderophore-drug conjugates. The existence of a TBDR repertoire in P. aeruginosa able to transport siderophore-drug molecules potentially decreases the likelihood of resistance emergence during therapy.

Highlights

  • The conjugation of siderophores to antimicrobial molecules is an attractive strategy to overcome the low outer membrane permeability of Gram-negative bacteria

  • We suspected that other TonB-dependent receptors (TBDRs) might be present in these strains or that their expression differs with respect to the PAO1 reference strain

  • We performed an in silico screen for PiuA orthologues in the P. aeruginosa genome database, and we expressed from plasmids 28 of the 34 TBDRs of PAO1

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Summary

Introduction

The conjugation of siderophores to antimicrobial molecules is an attractive strategy to overcome the low outer membrane permeability of Gram-negative bacteria In this Trojan horse approach, the transport of drug conjugates is redirected via TonB-dependent receptors (TBDR), which are involved in the uptake of essential nutrients, including iron. We performed an in silico screen for PiuA orthologues in the P. aeruginosa genome database, and we expressed from plasmids 28 of the 34 TBDRs of PAO1 This enabled us to identify a novel TBDR, termed PiuD, sharing 60% amino acid identity with PiuA, as well as five additional TBDRs of PAO1, potentially involved in the uptake of three different siderophore-drug conjugates, including the most recent catechol-based compound, cefiderocol [21]

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