细菌耐药质粒的IV型分泌系统及质粒依赖性噬菌体研究进展*

刘自豪, 李俊, 吉星, 魏瑞成, 王冉, 赵延胜, 何涛

中国生物工程杂志 ›› 2024, Vol. 44 ›› Issue (8) : 155-164.

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中国生物工程杂志 ›› 2024, Vol. 44 ›› Issue (8) : 155-164. DOI: 10.13523/j.cb.2312014
综述

细菌耐药质粒的IV型分泌系统及质粒依赖性噬菌体研究进展*

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Advances in the Type IV Secretion System of Antimicrobial Resistant Plasmids and Plasmid-dependent Phages

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摘要

细菌耐药性已被认为是21世纪人类健康面临的重要威胁之一。接合转移是耐药基因在细菌群落中(尤其是肠杆菌科细菌)水平转移的最重要途径。IV型分泌系统(T4SS)是一个大分子转运系统,由IV型偶联蛋白、内膜复合体、外膜复合体和接合性菌毛组成,T4SS在耐药质粒的接合转移中起关键作用。近年来以质粒编码的T4SS为靶标的细菌耐药性防控新策略不断兴起,就耐药质粒的T4SS分类、结构和分布以及靶向T4SS的质粒依赖性噬菌体(PDBs)进行综述,并提出基于PDBs的耐药性防控策略,以期为耐药性传播的防控提供新思路。

Abstract

Antimicrobial resistance has been recognized as a major threat to human health in the 21st century. Conjugation is the most important pathway for the horizontal gene transfer of antimicrobial resistance genes in bacterial communities, especially among Enterobacteriaceae. The type IV secretion system (T4SS) plays a key role in the bacterial conjugation process. T4SS is a macromolecular transport system, which includes a type IV-coupled protein, an inner membrane complex, an outer membrane complex and a conjugative pilus. In recent years, targeting at T4SS has emerged as a novel strategy to combat antimicrobial resistance. In this review, we mainly summarize the research progress on the plasmid-dependent bacteriophages, especially T4SS-targeting phages.

关键词

细菌耐药性 / 质粒 / 接合转移 / IV型分泌系统 / 噬菌体

Key words

Antimicrobial resistance / Plasmid Conjugation / Type IV secretion systems / Bacteriophages

引用本文

导出引用
刘自豪, 李俊, 吉星, . 细菌耐药质粒的IV型分泌系统及质粒依赖性噬菌体研究进展*[J]. 中国生物工程杂志, 2024, 44(8): 155-164 https://doi.org/10.13523/j.cb.2312014
LIU Zihao, LI Jun, JI Xing, et al. Advances in the Type IV Secretion System of Antimicrobial Resistant Plasmids and Plasmid-dependent Phages[J]. China Biotechnology, 2024, 44(8): 155-164 https://doi.org/10.13523/j.cb.2312014
中图分类号: Q939.48   
抗菌药物耐药性(antimicrobial resistance,AMR)被认为是21世纪人类健康所面临的重要威胁。多重耐药(multidrug resistance,MDR)基因在世界各地的广泛传播,给临床抗感染治疗带来严峻挑战。截至目前,由细菌耐药性引起的疾病发生率和死亡率已明显上升,并造成巨大经济损失[1-2]。世界卫生组织数据显示,全球范围内每年约70万人死于耐药细菌引起的感染性疾病,如不能有效遏制此现象,到2050年这一数值将增至1 000万人[3-5]
肠杆菌科细菌是人类和动物肠道的正常微生物菌群,同时它们也是耐药基因的重要储存库。近年来肠杆菌科细菌的耐药率急剧上升,受到广泛关注。肠杆菌科细菌在人和动物肠道内极易将耐药基因通过质粒或其他可移动遗传元件(如转座子和整合子等)向同一菌种或不同菌种的肠杆菌科细菌转移,因此肠杆菌科细菌的耐药性受到广泛关注。
细菌耐药基因水平转移的方式主要有三种:接合转移、转化和转导。其中接合转移是肠杆菌科细菌耐药基因水平传播的主要方式,接合转移最主要的功能基因元件是接合性质粒上携带的IV型分泌系统(type IV secretion system, T4SS)。T4SS是一种跨膜的多亚单位复合物,参与细菌接合转移过程,传递耐药及毒力基因,也可以分泌效应蛋白通过细菌细胞膜及真核宿主细胞膜,与细菌致病性密切相关。近年在T4SS的系统分类、亚基结构、底物对接和转运途径等方面取得了重要研究进展。此外,以T4SS为靶标的细菌耐药性防控新策略不断兴起,本文就质粒依赖性噬菌体(PDBs),特别是T4SS靶向型噬菌体的研究进展进行综述。

1 T4SS分类

1.1 基于功能的分类方法

Cascales和Christie[6]根据T4SS功能将其分为“接合转移型”、“DNA摄取和释放型”及“效应物转运器型”三种类型。“接合转移型”相关的T4SS介导供体菌DNA以接触依赖的方式转移到其他细菌中[7],该类型T4SS在肠杆菌科细菌的耐药质粒上广泛存在,进而介导耐药质粒的水平传播和扩散,目前发现的肠杆菌科细菌质粒上的T4SS均只发挥接合转移功能。“DNA摄取和释放型”相关的T4SS不依赖与靶细胞的接触,该类型T4SS主要用于与细胞外环境交换DNA。例如,幽门螺杆菌的ComB型 T4SS与细菌的感受态状态形成有关,淋病奈瑟菌的Tra-F型T4SS发挥了DNA释放作用[8-9]。“效应物转运器型”T4SS将效应物(如效应蛋白)传递至靶细胞中,进而在细菌与宿主的互作过程中发挥作用。例如,幽门螺杆菌致病岛编码的T4SS与慢性胃炎、消化性溃疡,甚至癌症的发病机制密切相关[10]

1.2 基于结构同源性的分类方法

基于T4SS基因组成和结构同源性,Christie和Lawley将T4SS分为IVA、IVB及其他类型[11],见表1。IVA型T4SS与根癌农杆菌(Agrobacterium tumefaciens)T4SS的VirB1-B12/VirD4 亚基同源性较高[12],典型的VirB1-B12/VirD4 T4SS见于肠杆菌科质粒R388、pKM101、RP4等[13]。IVB型由25个以上亚基组成,以嗜肺军团菌(Legionella pneumophila)和贝氏柯克斯菌(Coxiella burnetii)的Dot/Icm型 T4SS为代表[14],与此同源的肠杆菌科细菌T4SS有大肠杆菌的pEK204质粒(NC_013120)、肺炎克雷伯菌的pCTXM360质粒(NC_011641)等。在此基础上,欧竑宇等将存在于基因岛(GIs)上的接合性T4SS定义为IVC型,包括ICEHin1056、SPI-7、PAPI和pKLC102等[15],同时将介导革兰氏阳性菌耐药/毒力质粒水平转移的T4SS归类为IVD型[11]。值得注意的是,Smillie等[16]提出的另一种分类方案将IVC型和IVD型分别命名为GI(基因岛)型和GP(革兰氏阳性菌)型。
表1 基于结构同源性的T4SS分类系统

Table 1 T4SS classification schemes based on homology

T4SS分类法I T4SS分类法II 亚基名称 功能
IVA F Tra-F 接合作用、DNA释放
P VirB 接合作用、效应物转运
Trb 接合作用
Trw 接合作用、附着于细胞
Ptl 效应物转运
Lvh 接合作用
ComB DNA摄取
Cjp 病毒感染
Cag 效应物转运
MagB 接合作用
IVB I Tra-I 接合作用
Dot/cm 效应物转运
IVC/ G - Tfc 接合作用
IVD/ GP - Prg/pcf 接合作用
Orf-p 接合作用
Ydd 接合作用
Tcp 接合作用
Orf-Tn 接合作用、效应物转运

1.3 基于典型质粒分型的分类方法

2003年,Lawley等[17]基于质粒不相容性(Inc)分型,将IncF型质粒[以F质粒(NC_002483)为代表]携带的T4SS称为F亚型、将IncP型质粒(以RP4质粒为代表)携带的T4SS称为 P 亚型、将IncI型质粒(以R64质粒为代表)携带的T4SS称为I亚型[17]。迄今为止发现的所有F型和P型T4SS都属于IVA型(与根癌农杆菌VirB/VirD系统同源性较高),而所有I型T4SS都属于IVB型(与嗜肺军团菌Dot/Icm系统同源性较高)。其中P型T4SS是组成和结构最简化的T4SS,该系统亚基的命名方式多样,其中肠杆菌科细菌T4SS亚基常见的命名为VirB、Trb和Trw,代表性质粒包括RP4(IncPK;铜绿假单胞菌)、R751(IncPL;产气克雷伯菌)、pKM101(IncN;鼠伤寒沙门菌)和R388(IncW;大肠杆菌)等。F型T4SS包含了一系列IncF型质粒上的接合转移系统,该系统的亚基以Tra命名,包括TraA (pilin)、TraB、TraK (secretin-like)、TraV (lipoprotein)、TraC (NTPase)、TraE、TraL和TraG (N-terminal region)等[17],分别对应IncP型质粒RP4编码的TrbC、TrbI、TrbG、TrbH、TrbE、TrbJ、TrbD和TrbL亚基。I型T4SS目前报道较少,以IncI1型质粒R64为代表,该质粒的T4SS与肺炎杆菌的毒力因子运输系统具有较高同源性[18]

2 T4SS的结构

T4SS为多亚基跨膜结构,最小的T4SS由12个保守“核心”亚基组成,其他复杂T4SS是由保守的“核心”亚基加上其他系统特异性亚基组装而成,从而拓宽了其功能[19]。以根癌农杆菌T4SS为例[13],将组成T4SS的12个亚基命名为VirB1~VirB11和VirD4,以上亚基组成了能量中心、内膜复合物(IMC)、外膜复合物(OMCC)和菌毛4个模块[20]。其中VirD4、VirB4和VirB11 3个ATP酶构成T4SS的能量中心,它们位于T4SS跨膜运输通道的底部。IMC主要位于细菌内膜上,由VirB3、VirB6、VirB8和VirB10的羧基端组成[21]。OMCC位于细菌外膜上,主要由VirB7、VirB9和VirB10的氨基端组成[22]。菌毛结构是由数量较多的VriB2亚单位和少部分VirB5亚单位组成的跨膜分泌通道[23],该通道从细菌内膜延伸跨过外膜通向胞外环境。
肠杆菌科细菌的T4SS结构组成与根癌农杆菌大体相似但是又有所差异,目前通过单粒子电子显微镜和晶体学解析了多个质粒的T4SS结构,包括大肠杆菌的pEC-L46质粒(F型、IVA)、R388质粒(P型、IVA)、pKM101质粒(P型、IVA)和沙门菌的R64(I型、IVB)等[24-29]。以R388质粒编码的T4SS复合物为模型,该类型T4SS也包括IMC和OMCC,其中IMC为六聚体结构,大小为1.32 MDa,直径为295 Å,由6个原二聚体组成,每个原二聚体包括1个VirB3(又称TrwM)、2个VirB4(又称TrwK)和3个VirB8(又称TrwG)的N端尾巴[25]。OMCC由嵌入外膜的O层和位于周质内下方的I层组成。O层由全长VirB7和VirB10、VirB9的C端结构组成,I层由这些蛋白质的N端结构组成[25]

3 T4SS在肠杆菌科细菌质粒中的分布

在肠杆菌科细菌质粒中,同一类型的T4SS有可能位于不同Inc型质粒上。在大肠杆菌中,F型T4SS在Inc FII、Inc FIB、Inc A/C2及其他10多种杂交Inc型(如IncFIA-IncFIC-IncFIB、IncHI2A-RepA-IncHI2和IncFIA-IncFII等)质粒被发现;P型T4SS主要位于IncPα、IncX1、IncI2、IncN、IncN2和IncW等质粒;I型T4SS较为罕见,其所在的质粒类型有IncB/O/K/Z、IncI1和IncFIB(AP001918)-IncB/O/K/Z等。在肺炎克雷伯菌中,F型T4SS主要位于IncFII-IncFIB(K)、IncHI2-RepA-IncHI2A、Col156-IncFII(pRSB107)-IncFIA-IncFIB(AP001918)、IncFII、IncFII-IncR和IncFII-IncFIB(pQil)等质粒。P型T4SS主要由IncN和IncFII型质粒携带,I型T4SSs仅发现于Inc L/M质粒。沙门菌中,F型T4SS被报道存在于 IncA / C2、IncFII、IncHI1B-IncHI1A、IncFIB、IncFIB-IncFII、IncHI1A-IncHI1B-IncFIA (HI1)和IncHI1B-IncHI1A-IncFIA型质粒,P型T4SS存在于 pSL483、IncW、IncN、IncX1、IncFII (S)-IncX1和IncFIB (K)等质粒。对于其他肠杆菌科细菌如肠杆菌属、变形杆菌属和志贺菌属,质粒上报道的T4SS较少,T4SS介导的接合功能有待进一步验证。

4 基于质粒依赖噬菌体(PDBs)的细菌耐药性控制策略

质粒是抗菌药耐药(AMR)基因传播的重要载体,临床上常见的重要耐药基因,如碳青霉烯酶耐药基因(blaNDM和blaKPC等)[30]、黏菌素耐药基因 mcr-1[31]和替加环素耐药基因[tet(X4)和 tmexCD1-toprJ1等][32]常位于质粒,携带AMR的质粒通过接合在不同细菌间转移,导致AMR在全球广泛传播和扩散。由于T4SS在耐药质粒的接合转移中发挥关键作用,因此,通过抑制T4SS介导的质粒接合转移的策略是清除细菌群体中AMR基因从而阻断AMR传播的有效手段[33]。近年来,许多新靶向AMR质粒的耐药性控制策略应运而生,包括多种天然产物、小分子化合物和部分纳米材料等,如脂肪酸类及其衍生物、亚水杨基酰肼类及其衍生物、磷酸化多糖类抗生素(黄霉素)、拟肽类化合物和硫化纳米零价铁。除此之外,自然界中还存在一些质粒依赖性噬菌体(plasmid-dependent phages,PDBs),可识别特异性质粒载体,进而对耐药质粒在环境中的传播产生抑制作用。
噬菌体是细菌的重要寄生体,存在于所有环境中[34]。生物界中约有1031数量级的噬菌体,约为细菌数量的10倍[35]。近年来,由于抗生素耐药性问题,噬菌体治疗再次兴起,有望成为解决耐药性危机的有效途径之一[36]。然而,噬菌体侵染宿主范围通常非常狭窄,并且对耐药菌没有选择性,使得传统治疗方法难以有效控制耐药菌的传播和扩散。噬菌体生命周期的第一步是附着在细菌表面的受体上[37],细菌受体包括外膜蛋白、脂多糖(LPS)、磷壁酸、荚膜多糖、鞭毛和菌毛[38]。性菌毛(或接合性菌毛)是接合性质粒T4SS表达的跨膜运输通道,可以介导耐药质粒DNA的跨宿主传播(图1A),性菌毛的胞外部分可作为噬菌体受体被PDBs识别进而裂解,因此PDBs可感染携带特定接合性质粒的耐药细菌[39]。由于接合性质粒是肠杆菌科细菌中AMR基因的主要传播载体,所以PDBs可通过选择性杀死携带AMR质粒的细菌,进而阻断AMR质粒向共生细菌和致病菌株转移(图1B)。同时,PDBs疗法可以克服噬菌体抗性带来的不利情况,因为T4SS相关结构基因突变有可能导致AMR质粒的接合能力丧失或质粒丢失,进而阻断耐药质粒传播(图1C)。
图1 质粒依赖性噬菌体与宿主细菌互作机制

A: 质粒编码的T4SS在供体和受体菌株之间介导 AMR 质粒的接合转移 B:质粒依赖性噬菌体可以靶向 T4SS 的性菌毛尖端或两侧,从而杀死携带 AMR 质粒的细菌(包括供体菌和接合转移子) C: 质粒依赖性噬菌体的选择性压力可能会导致供体菌株中 AMR 质粒丢失或T4SS相关结构基因突变

Fig.1 Interaction of PDBs with bacterial host

A: T4SS encoded on plasmid mediated the conjugation of AMR plasmid between the bacterial host and recipient B: The PDBs bind to the tips or sides of sex pilus of T4SS, and lysed the AMR-plasmid-carrying bacteria including the plasmid donor and transconjugants C: The selection of PDBs may lead to the loss of AMR plasmid or the mutation of T4SS-encoding genes

Full size|PPT slide

5 质粒依赖性噬菌体

噬菌体是地球上最丰富和多样的生物体。然而,目前报道的PDBs却很少。截至目前,已鉴定的PDBs仅有31个(表2),占全部已报道噬菌体总数的极小部分(约0.3%)[35]。新型PDBs的分离比较困难,因为细菌上的性菌毛数量较少(1~4个/细胞),且有时并不持续表达[40]。此外,大多数噬菌体受体为细菌表面的非菌毛成分(如外膜蛋白、LPS和荚膜多糖等),这将对PDBs的分离产生很大干扰。目前鉴定到的PDBs主要分为3个家族,分别为复层噬菌体科(Tectiviridae)、光滑噬菌体科(Leviviridae)和丝状噬菌体科(Inoviridae)[39]。除这3个家族外,还有一个未分类的PDB,即噬菌体J[41],它可以感染携带IncJ、IncC和IncD型质粒的大肠杆菌,能形成噬菌斑,但斑块非常模糊,且大小不一,不能在携带这些质粒的鼠伤寒沙门菌株上繁殖和形成斑块。噬菌体J吸附细菌的位点是性菌毛的两侧。
表2 质粒依赖性噬菌体

Table 2 Examples of plasmid-dependent bacteriophages

科属 噬菌体 形态 大小/nm 基因组 靶向的质粒 宿主 质粒不相容性 吸附位点
复层噬菌体科 PRD1 二十面体外壳含膜 65 dsDNA RP4 大肠杆菌
鼠伤寒沙门菌
假单胞菌
IncPɑ
(IncN、IncW)
配对复合体尖端,
性菌毛
光滑噬菌体科 二十面体外壳 20~28 ssRNA
SR pPPLS∷Tn5 大肠杆菌 IncS、IncFV 粗柔性菌毛
C-1 RA1 鼠伤寒沙门氏菌 IncC 粗柔性菌毛根部
D R711b(26℃)(1) 大肠杆菌 IncD 粗柔性菌毛尖端
pilHɑ R478(26℃)(2)
/pHH1508a
大肠杆菌 IncHI/IncHII 粗柔性菌毛根部
Hgal1 R478(26℃)(3) 大肠杆菌 IncH
R621a 大肠杆菌 IncI1/IncB 细柔性菌毛根部
M RIP69 大肠杆菌 IncM 硬质菌毛根部
PRR1 RP4、R1822 假单胞菌 IncP 硬质菌毛根部
t R402(30℃)(4) 大肠杆菌 IncT 菌毛两侧
MS2 大肠杆菌 IncF 菌毛两侧
大肠杆菌 IncF 菌毛两侧
丝状噬菌体科 丝状 6~10 ×
700~1 500
ssDNA
f1 F 大肠杆菌 IncFI-V 粗柔性菌毛尖端
SF pPLS∷Tn5 大肠杆菌 IncS、IncFI-V、IncD 粗柔性菌毛尖端
C-2 P-lacj 鼠伤寒沙门菌 IncC 菌毛两侧
If1 R64drd11 大肠杆菌 IncI 细柔性菌毛尖端
PR64FS R64drd11 肠杆菌 IncI 细柔性菌毛尖端
I2-2 R721 大肠杆菌 IncI2 硬质菌毛尖端
IKe N3 大肠杆菌 IncN、IncI2
IncP-1
硬质菌毛尖端
X R6K 大肠杆菌 IncX (IncI2、IncM、
IncN、IncP-1、
IncW)
菌毛尖端
X-2 R6K 大肠杆菌 IncX 粗柔性菌毛尖端
Pf3 RP1 铜绿假单胞杆菌 IncP-1 菌毛两侧
tf-1 pIN25(30℃)(5) 大肠杆菌 IncT 粗柔性菌毛尖端
M13 大肠杆菌 IncF 菌毛尖端
AE2 肠杆菌 IncF
dA 肠杆菌 IncF
Ec9 肠杆菌 IncF
fd 大肠杆菌 IncF
HR 大肠杆菌 IncF
ZJ/2 大肠杆菌 IncF
未定义
J 40 R997 大肠杆菌 IncJ、IncC、IncD 菌毛两侧
注:(1)~(5)为质粒携带菌的培养温度,在此温度下可形成裂解斑
Note: (1)-(5)indicated the incubation temperature of plasmid-carrying bacteria and the lytic plaque could be seen at the corresponding temperature

5.1 复层噬菌体科

复层噬菌体科家族中目前只鉴定到一种类型的噬菌体,主要是PRD1和PRD1-like噬菌体(如PR3、PR4、PR5、PR722和L7等),该类噬菌体的基因组为双链DNA。PRD1 (GenBank号:NC_001421.2)是最早发现的复层噬菌体科PDB。PRD1病毒粒子由二十面体蛋白外壳(约60 nm)、一个蛋白质脂膜和位于脂质膜内部的基因组DNA组成[42]。PRD1基因组是线形双链DNA分子,大小为14 927 bp,含有110 bp反向末端重复和病毒编码的蛋白质P8共价连接每个5'端。PRD1基因组编码了20多个蛋白质,负责复制(P1、P8)、衣壳(P3、P30)、顶点(P2、P5、P16、P31)、DNA包装(P6、P9、P20、P22)、DNA 运输(P11、P18、P32、P34)、宿主裂解(P7、P14、P15、P35)和拼接(P10、P17)等相关功能[43]。PRD1可感染携带P型T4SS质粒的多种革兰氏阴性菌,如大肠杆菌、沙门菌和铜绿假单胞菌等,以上细菌的P型T4SS可由IncP型质粒(如PR1和RP4)、IncW型质粒(如R388)和IncN不兼容性质粒(如R15、R46和N3)编码[44]。突变分析表明,典型IncP质粒RP4编码的T4SS的TrbC、TrbE和TrbL亚基的突变能影响PRD1对宿主菌的吸附[45]。PRD1噬菌体在RP4阳性鼠伤寒沙门菌和大肠杆菌表面分别有大约50个和20个受体,因此该噬菌体对鼠伤寒沙门菌的裂解能力更好。除了PRD1噬菌体外,还发现了6种与PRD1噬菌体具有较高同源性的PRD1-like噬菌体,包括PR3(AY848685)、PR4(NC_007451)、PR5(AY848687)、PR722(AY441783)和L17(AY848684)。尽管以上噬菌体分离自不同地域,如PRD1(美国, 1974)、PR3和PR4(澳大利亚,1974)、PR5(加拿大,1978)、 L17(英国,1970)和PR772(南非,1979),但噬菌体基因组大小相近(PR3:14 937 bp;PR4:14 954 bp;PR5:14 939 bp;PR772:14 946 bp;L17:14 935 bp),它们与PRD1噬菌体基因组的核苷酸同源性在93.10%~98.33%。近来,来自美国的科学家报道从波士顿环境样本中分离到了51种PRD1-like噬菌体,以上噬菌体与PRD1基因组的同源性在82.5%~99%,推测PRD1-like噬菌体的基因组存在多样性。

5.2 光滑噬菌体科

光滑噬菌体科包括MS2和Qβ(识别IncF质粒)、C-1(识别IncC质粒)、D(识别IncD质粒)、Hgal1(识别IncH质粒)、Iɑ(识别IncI1 质粒)、M(识别IncM质粒)、pilHɑ(识别IncHI和IncHII质粒)、PRR1(识别IncP质粒)、SR(识别IncS 和 IncFV质粒)和t(识别IncT 质粒)。光滑噬体科PDBs的基因组为单链线性RNA(ssRNA),因此对RNase敏感。光滑噬体科PDBs的基因组长度为3 400~4 200 bp,颗粒大小为20~28 nm。通过透射电子显微镜观察,噬菌体呈二十面体衣壳形态,其吸附部位(受体)位于质粒T4SS编码的性菌毛侧面。
噬菌体MS2是光滑噬体科PDB的典型代表,也是最小的RNA病毒。MS2的ssRNA基因组为3.5 kb,仅编码4种蛋白质。(1)Mat蛋白:用于识别寄主;(2)Coat:形成衣壳;(3)L蛋白:裂解作用;(4)Rep:RNA依赖的RNA复制酶的病毒亚基[46]。MS2通过Mat蛋白吸附在F菌毛侧面[46],MS2感染会触发细菌F菌毛脱落。MS2基因组进入宿主细胞质需要F质粒编码的偶联蛋白TraD,它位于F型T4SS的细胞质入口[46]。MS2病毒样颗粒被开发为一种新型递送系统,使其适合靶向蛋白质外壳并定向递送RNA或DNA、表位肽和药物,并有望用于新诊断、疫苗和治疗方式的开发[47]
噬菌体C-1、Hgal1和PRR1的基因组同源性较高,C-1噬菌体首次从南非比勒陀利亚的污水样本中分离,它吸附宿主菌的部位为IncC型质粒编码的菌毛[48]。C-1最初是从携带IncC质粒的鼠伤寒沙门菌分离出来的,它也能在携带IncC型质粒的奇异变形杆菌和黏质沙雷菌株上形成噬菌斑。然而,C-1不能裂解大多数携带IncC型质粒的大肠杆菌。噬菌体Hgal1从爱尔兰的污水样本中分离出来,专一识别携带IncH型质粒的大肠杆菌[49]。噬菌体PRR1可识别携带IncP质粒(如RP4和R1822)的铜绿假单胞菌,其识别部位为IncP质粒表达的菌毛[50]。噬菌体D可特异性识别携带IncD型质粒的大肠杆菌K12、鼠伤寒沙门菌、摩根变形杆菌和产酸克雷伯菌,其吸附部位为IncD质粒编码的菌毛侧面[51]。噬菌体t最初是从南非比勒陀利亚的污水中分离出来的[52],它感染携带IncT型质粒的大肠杆菌和鼠伤寒沙门菌。噬菌体pilHa可吸附在携带IncHI和IncHII质粒的细菌菌毛上[53]。噬菌体D、pilHɑ和Hgal1在26℃对宿主菌具有裂解效果,而在37℃不能形成噬菌斑。噬菌体Iα首次从非洲的污水样本中分离到,它可以特异性吸附到大肠杆菌K12和鼠伤寒沙门菌LT2携带的IncI型质粒编码的菌毛上[54]

5.3 丝状噬菌体科

该类噬菌体包括M13(识别IncF质粒),C-2(识别IncC质粒),If1(识别IncI质粒),Ike(识别IncN、IncP-1和IncI2质粒),X(识别IncX、IncI2、IncM、IncN、IncP-1和IncW质粒),X-2(识别IncX质粒),Pf3(识别IncP-1),SF(识别IncS、IncFI-V和IncD质粒),tf-1(识别IncT质粒),AE2、dA、Ec9、f1、fd、HR和ZJ/2(识别IncF质粒),I2-2(识别IncI2质粒)和PR64FS(识别IncI质粒)。丝状噬菌体是一组无囊膜的细菌病毒,具有独特的形态,直径为65~70 Å,长度为800~2 000 nm。该类噬菌体基因组为单链环状DNA(ssDNA),长度为6 000-12 000 bp,丝状噬菌体识别靶细菌时容易吸附到质粒T4SS所编码的性菌毛顶端或侧面,因此以上部位有可能为噬菌体识别细菌的受体。
M13是Ff类丝状噬菌体的代表。它与携带IncF质粒的细菌特异结合,并与质粒编码的F型菌毛尖端结合[55]。通过菌毛收缩,M13被拉近到细菌表面并与膜相关蛋白复合物TolQRA相互作用[56]。M13不裂解细菌宿主,但持续分泌噬菌体颗粒,在小规模培养中效价可达到每毫升1013[57]。M13已成为生物技术中重要的操作工具,基于M13的展示技术提供了一种简单筛选特异性蛋白质的方法,如展示抗原筛选理想的抗体[58]。噬菌体X是一种广宿主型丝状噬菌体,它可识别多种不兼容型质粒[59],包括IncX、IncI2、IncM、IncN、IncP-1、IncU和IncW。噬菌体X可裂解携带IncX质粒R6K的大肠杆菌、鼠伤寒沙门菌和黏质沙雷菌,但不能裂解携带R6K的奇异变形杆菌、摩根变形杆菌或产碱普罗威登斯菌。1988年分离出另一种丝状噬菌体X-2,该噬菌体也可以裂解携带IncX质粒R6K的大肠杆菌、鼠伤寒沙门菌和黏质沙雷菌[60]。噬菌体I2-2是另外一种广宿主丝状噬菌体,它的裂解谱与噬菌体X相似,但是两者的血清学特征不同。

5.4 PDBs的体外和体内抗菌活性

尽管PDBs的发现已经超过50年,但关于PDBs在AMR传播防控方面的研究较少。PDBs在自然环境中的存在可能会促进耐药质粒、噬菌体和细菌宿主共同演化[39]。由于AMR质粒编码的接合性菌毛能被特定PDBs识别和裂解,因此PDBs在环境中存在有利于无AMR质粒的细菌亚群生长,从而使整个细菌群体的耐药性降低。尽管可能会出现PDB抗性菌株,但这些菌株的抗性机制大部分涉及AMR质粒丢失或质粒接合菌毛关键部位突变,因此PDB抗性菌株可能会丧失耐药性或耐药质粒的接合转移能力。2011年,Jalasvuori等 [61]测试了PRD1噬菌体对典型接合型质粒的体外选择作用。通过将携带RP4(IncP型)和RN3(IncN型)的大肠杆菌和沙门菌在PRD1存在下培养10天,发现耐药菌比例在第10天时迅速下降到总细菌数的5%左右,并且产生了部分PRD1抗性菌株,其抗性机制是耐药质粒丢失。同时产生了少量携带耐药质粒的PRD1抗性菌株,该菌株的生长能力显著低于不携带耐药质粒的抗性菌株,并且耐药质粒也丧失了接合转移能力。该研究小组进一步验证,即使细菌暴露于抗生素选择压力下,PRD1也能显著减少RP4质粒在细菌群落中的水平传播。另外一项体外研究表明,在体外引入丝状噬菌体MS2(IncF质粒特异性噬菌体),导致大肠杆菌和鼠伤寒沙门菌丢失相应的耐药质粒,同时MS2也可阻止耐药质粒在细菌之间的接合转移过程[62]。除了限制AMR质粒的接合转移外,PDBs还可用于控制或消除细菌生物膜。2011年,May等[63]报道,噬菌体f1可以完全抑制大肠杆菌的生物膜形成,而且在生物膜形成早期阶段加入噬菌体,其抑制效果最好。
关于PDBs在体内抑制AMR传播的报道有限。2019年,Colom等[62]的研究表明MS2可以在体外和幼鸡肠道内使目标质粒在肠炎沙门菌中的丢失超过80%(无抗生素选择性压力条件下)。进一步研究表明:(1)当噬菌体和接合性菌毛之间接触充分时,可以实现良好的体外和体内杀菌效果;(2)不携带质粒的噬菌体抗性菌生长能力高于质粒突变株;(3)噬菌体抗性菌株传播耐药质粒的能力显著降低。Mikonranta等[64]通过使用昆虫肠道模型,发现当同时使用抗生素时,PRD1疗法不能减少昆虫肠道中AMR的丰度。然而,它可以通过降低耐药菌的总体负荷来缓解疾病。总的来说,与体外试验相比,体内复杂环境可能会降低PRD1的治疗效果。由于噬菌体代谢动力学或动物机体免疫系统对噬菌体的影响,PDBs的体内抗耐药菌传播效力需要更多的研究和探索。

6 结论

鉴于质粒在传播耐药基因方面发挥重要作用以及T4SS是耐药质粒传播的关键遗传元件,对耐药质粒T4SS具有识别作用的PDBs可能成为遏制耐药质粒传播的有效手段。然而,截至目前,PDBs在防控耐药基因传播方面的应用潜力还没有被充分挖掘。未来研究可从以下几个方面进行尝试:(1)通过培养组学和宏基因组学技术挖掘和分离出更多PDBs, 进而评价PDBs在噬菌体界和微生物界的生物学地位和进化意义。(2)阐明PDBs对携带特定AMR质粒细菌的识别机制,该机制的阐明有利于设计和开发更为广谱和高效的耐药质粒靶向性PDB。(3)评估不同PDBs在体内(尤其是宿主肠道内)消除AMR质粒的效果以及对宿主免疫系统或肠道正常菌群的影响,进而开发出一种可以阻断AMR质粒体内传播的有效手段。

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Type IV secretion systems (T4SSs) are versatile multiprotein nanomachines spanning the entire cell envelope in Gram-negative and Gram-positive bacteria. They play important roles through the contact-dependent secretion of effector molecules into eukaryotic hosts and conjugative transfer of mobile DNA elements as well as contact-independent exchange of DNA with the extracellular milieu. In the last few years, many details on the molecular mechanisms of T4SSs have been elucidated. Exciting structures of T4SS complexes from Escherichia coli plasmids R388 and pKM101, Helicobacter pylori and Legionella pneumophila have been solved. The structure of the F-pilus was also reported and surprisingly revealed a filament composed of pilin subunits in 1:1 stoichiometry with phospholipid molecules. Many new T4SSs have been identified and characterized, underscoring the structural and functional diversity of this secretion superfamily. Complex regulatory circuits also have been shown to control T4SS machine production in response to host cell physiological status or a quorum of bacterial recipient cells in the vicinity. Here, we summarize recent advances in our knowledge of 'paradigmatic' and emerging systems, and further explore how new basic insights are aiding in the design of strategies aimed at suppressing T4SS functions in bacterial infections and spread of antimicrobial resistances.© 2017 John Wiley & Sons Ltd.
[11]
Bi D X, Liu L M, Tai C, et al. SecReT4: a web-based bacterial type IV secretion system resource. Nucleic Acids Research, 2013, 41(Database issue): D660-D665.
[12]
Christie P J, Atmakuri K, Krishnamoorthy V, et al. Biogenesis, architecture, and function of bacterial type IV secretion systems. Annual Review of Microbiology, 2005, 59: 451-485.
Type IV secretion (T4S) systems are ancestrally related to bacterial conjugation machines. These systems assemble as a translocation channel, and often also as a surface filament or protein adhesin, at the envelopes of Gram-negative and Gram-positive bacteria. These organelles mediate the transfer of DNA and protein substrates to phylogenetically diverse prokaryotic and eukaryotic target cells. Many basic features of T4S are known, including structures of machine subunits, steps of machine assembly, substrates and substrate recognition mechanisms, and cellular consequences of substrate translocation. A recent advancement also has enabled definition of the translocation route for a DNA substrate through a T4S system of a Gram-negative bacterium. This review emphasizes the dynamics of assembly and function of model conjugation systems and the Agrobacterium tumefaciens VirB/D4 T4S system. We also summarize salient features of the increasingly studied effector translocator systems of mammalian pathogens.
[13]
Alvarez-Martinez C E, Christie P J. Biological diversity of prokaryotic type IV secretion systems. Microbiology and Molecular Biology Reviews, 2009, 73(4): 775-808.
Type IV secretion systems (T4SS) translocate DNA and protein substrates across prokaryotic cell envelopes generally by a mechanism requiring direct contact with a target cell. Three types of T4SS have been described: (i) conjugation systems, operationally defined as machines that translocate DNA substrates intercellularly by a contact-dependent process; (ii) effector translocator systems, functioning to deliver proteins or other macromolecules to eukaryotic target cells; and (iii) DNA release/uptake systems, which translocate DNA to or from the extracellular milieu. Studies of a few paradigmatic systems, notably the conjugation systems of plasmids F, R388, RP4, and pKM101 and the Agrobacterium tumefaciens VirB/VirD4 system, have supplied important insights into the structure, function, and mechanism of action of type IV secretion machines. Information on these systems is updated, with emphasis on recent exciting structural advances. An underappreciated feature of T4SS, most notably of the conjugation subfamily, is that they are widely distributed among many species of gram-negative and -positive bacteria, wall-less bacteria, and the Archaea. Conjugation-mediated lateral gene transfer has shaped the genomes of most if not all prokaryotes over evolutionary time and also contributed in the short term to the dissemination of antibiotic resistance and other virulence traits among medically important pathogens. How have these machines adapted to function across envelopes of distantly related microorganisms? A survey of T4SS functioning in phylogenetically diverse species highlights the biological complexity of these translocation systems and identifies common mechanistic themes as well as novel adaptations for specialized purposes relating to the modulation of the donor-target cell interaction.
[14]
Sexton J A, Vogel J P. Type IVB secretion by intracellular pathogens. Traffic, 2002, 3(3): 178-185.
A growing number of pathogens are being found to possess specialized secretion systems which they use in various ways to subvert host defenses. One class, called type IV, are defined as having homology to the conjugal transfer systems of naturally occurring plasmids. It has been proposed that pathogens with type IV secretion systems have acquired and adapted the conjugal transfer systems of plasmids and now use them to export toxins. Several well-characterized intracellular pathogens, including Legionella pneumophila, Coxiella burnetii, Brucella abortus, and Rickettsia prowazekii, contain type IV systems which are known or suspected to be of critical importance in their ability to cause disease. Specifically, these systems are believed to be the key factors determining intracellular fate, and thus the ability to replicate and cause disease.
[15]
Juhas M, Crook D W, Dimopoulou I D, et al. Novel type IV secretion system involved in propagation of genomic islands. Journal of Bacteriology, 2007, 189(3): 761-771.
Type IV secretion systems (T4SSs) mediate horizontal gene transfer, thus contributing to genome plasticity, evolution of infectious pathogens, and dissemination of antibiotic resistance and other virulence traits. A gene cluster of the Haemophilus influenzae genomic island ICEHin1056 has been identified as a T4SS involved in the propagation of genomic islands. This T4SS is novel and evolutionarily distant from the previously described systems. Mutation analysis showed that inactivation of key genes of this system resulted in a loss of phenotypic traits provided by a T4SS. Seven of 10 mutants with a mutation in this T4SS did not express the type IV secretion pilus. Correspondingly, disruption of the genes resulted in up to 100,000-fold reductions in conjugation frequencies compared to those of the parent strain. Moreover, the expression of this T4SS was found to be positively regulated by one of its components, the tfc24 gene. We concluded that this gene cluster represents a novel family of T4SSs involved in propagation of genomic islands.
[16]
Smillie C, Garcillán-Barcia M P, Francia M V, et al. Mobility of plasmids. Microbiology and Molecular Biology Reviews, 2010, 74(3): 434-452.
Plasmids are key vectors of horizontal gene transfer and essential genetic engineering tools. They code for genes involved in many aspects of microbial biology, including detoxication, virulence, ecological interactions, and antibiotic resistance. While many studies have decorticated the mechanisms of mobility in model plasmids, the identification and characterization of plasmid mobility from genome data are unexplored. By reviewing the available data and literature, we established a computational protocol to identify and classify conjugation and mobilization genetic modules in 1,730 plasmids. This allowed the accurate classification of proteobacterial conjugative or mobilizable systems in a combination of four mating pair formation and six relaxase families. The available evidence suggests that half of the plasmids are nonmobilizable and that half of the remaining plasmids are conjugative. Some conjugative systems are much more abundant than others and preferably associated with some clades or plasmid sizes. Most very large plasmids are nonmobilizable, with evidence of ongoing domestication into secondary chromosomes. The evolution of conjugation elements shows ancient divergence between mobility systems, with relaxases and type IV coupling proteins (T4CPs) often following separate paths from type IV secretion systems. Phylogenetic patterns of mobility proteins are consistent with the phylogeny of the host prokaryotes, suggesting that plasmid mobility is in general circumscribed within large clades. Our survey suggests the existence of unsuspected new relaxases in archaea and new conjugation systems in cyanobacteria and actinobacteria. Few genes, e.g., T4CPs, relaxases, and VirB4, are at the core of plasmid conjugation, and together with accessory genes, they have evolved into specific systems adapted to specific physiological and ecological contexts.
[17]
Lawley T D, Klimke W A, Gubbins M J, et al. F factor conjugation is a true type IV secretion system. FEMS Microbiology Letters, 2003, 224(1): 1-15.
The F sex factor of Escherichia coli is a paradigm for bacterial conjugation and its transfer (tra) region represents a subset of the type IV secretion system (T4SS) family. The F tra region encodes eight of the 10 highly conserved (core) gene products of T4SS including TraAF (pilin), the TraBF, -KF (secretin-like), -VF (lipoprotein) and TraCF (NTPase), -EF, -LF and TraGF (N-terminal region) which correspond to TrbCP, -IP, -GP, -HP, -EP, -JP, DP and TrbLP, respectively, of the P-type T4SS exemplified by the IncP plasmid RP4. F lacks homologs of TrbBP (NTPase) and TrbFP but contains a cluster of genes encoding proteins essential for F conjugation (TraFF, -HF, -UF, -WF, the C-terminal region of TraGF, and TrbCF) that are hallmarks of F-like T4SS. These extra genes have been implicated in phenotypes that are characteristic of F-like systems including pilus retraction and mating pair stabilization. F-like T4SS systems have been found on many conjugative plasmids and in genetic islands on bacterial chromosomes. Although few systems have been studied in detail, F-like T4SS appear to be involved in the transfer of DNA only whereas P- and I-type systems appear to transport protein or nucleoprotein complexes. This review examines the similarities and differences among the T4SS, especially F- and P-like systems, and summarizes the properties of the F transfer region gene products.
[18]
Christie P J. The mosaic type IV secretion systems. EcoSal Plus, 2016, 7(1). DOI: 10.1128/ecosalplus.ESP-0020-2015.
[19]
Costa T R D, Harb L, Khara P, et al. Type IV secretion systems: advances in structure, function, and activation. Molecular Microbiology, 2021, 115(3): 436-452.
[20]
Ripoll-Rozada J, Zunzunegui S, de la Cruz F, et al. Functional interactions of VirB 11 traffic ATPases with VirB4 and VirD4 molecular motors in type IV secretion systems. Journal of Bacteriology, 2013, 195(18): 4195-4201.
Pilus biogenesis and substrate transport by type IV secretion systems require energy, which is provided by three molecular motors localized at the base of the secretion channel. One of these motors, VirB11, belongs to the superfamily of traffic ATPases, which includes members of the type II secretion system and the type IV pilus and archaeal flagellar assembly apparatus. Here, we report the functional interactions between TrwD, the VirB11 homolog of the conjugative plasmid R388, and TrwK and TrwB, the motors involved in pilus biogenesis and DNA transport, respectively. Although these interactions remained standing upon replacement of the traffic ATPase by a homolog from a phylogenetically related conjugative system, namely, TraG of plasmid pKM101, this homolog could not replace the TrwD function for DNA transfer. This result suggests that VirB11 works as a switch between pilus biogenesis and DNA transport and reinforces a mechanistic model in which VirB11 proteins act as traffic ATPases by regulating both events in type IV secretion systems.
[21]
Christie P J, Whitaker N, González-Rivera C. Mechanism and structure of the bacterial type IV secretion systems. Biochimica et Biophysica Acta, 2014, 1843(8): 1578-1591.
The bacterial type IV secretion systems (T4SSs) translocate DNA and protein substrates to bacterial or eukaryotic target cells generally by a mechanism dependent on direct cell-to-cell contact. The T4SSs encompass two large subfamilies, the conjugation systems and the effector translocators. The conjugation systems mediate interbacterial DNA transfer and are responsible for the rapid dissemination of antibiotic resistance genes and virulence determinants in clinical settings. The effector translocators are used by many Gram-negative bacterial pathogens for delivery of potentially hundreds of virulence proteins to eukaryotic cells for modulation of different physiological processes during infection. Recently, there has been considerable progress in defining the structures of T4SS machine subunits and large machine subassemblies. Additionally, the nature of substrate translocation sequences and the contributions of accessory proteins to substrate docking with the translocation channel have been elucidated. A DNA translocation route through the Agrobacterium tumefaciens VirB/VirD4 system was defined, and both intracellular (DNA ligand, ATP energy) and extracellular (phage binding) signals were shown to activate type IV-dependent translocation. Finally, phylogenetic studies have shed light on the evolution and distribution of T4SSs, and complementary structure-function studies of diverse systems have identified adaptations tailored for novel functions in pathogenic settings. This review summarizes the recent progress in our understanding of the architecture and mechanism of action of these fascinating machines, with emphasis on the 'archetypal' A. tumefaciens VirB/VirD4 T4SS and related conjugation systems. This article is part of a Special Issue entitled: Protein trafficking and secretion in bacteria. Guest Editors: Anastassios Economou and Ross Dalbey. Copyright © 2013 Elsevier B.V. All rights reserved.
[22]
Chandran V, Fronzes R, Duquerroy S, et al. Structure of the outer membrane complex of a type IV secretion system. Nature, 2009, 462: 1011-1015.
[23]
Backert S, Fronzes R, Waksman G. VirB2 and VirB5 proteins: specialized adhesins in bacterial type-IV secretion systems? Trends in Microbiology, 2008, 16(9): 409-413.
Many type-IV secretion systems (T4SSs) of plant and human pathogens assemble a pilus used to inject virulence molecules (effectors) into host target cells. The T4SS of Agrobacterium tumefaciens consists of VirB1-VirB11 and VirD4 proteins. Whether targeting of T4SSs to the host requires a T4SS-adhesin that specifically engages host receptors for delivery of effectors has, until recently, remained unclear. Recent data of Agrobacterium and Helicobacter indicate that two classes of T4SS components, VirB2 and VirB5, might function as adhesins that mediate host-cell targeting through binding to specific host receptors. Here, we discuss this important issue and recent progress in the field.
[24]
Khara P, Song L Q, Christie P J, et al. In situ visualization of the pKM101-encoded type IV secretion system reveals a highly symmetric ATPase energy center. mBio, 2021, 12(5): e0246521.
[25]
Macé K, Vadakkepat A K, Redzej A, et al. Cryo-EM structure of a type IV secretion system. Nature, 2022, 607: 191-196.
[26]
Stockner T, Plugariu C, Koraimann G, et al. Solution structure of the DNA-binding domain of TraM. Biochemistry, 2001, 40(11): 3370-3377.
The solution structure of the DNA-binding domain of the TraM protein, an essential component of the DNA transfer machinery of the conjugative resistance plasmid R1, is presented. The structure has been determined using homonuclear 2-dimensional NMR spectroscopy as well as 15N labeled heteronuclear 2- and 3-dimensional NMR spectroscopy. It turns out that the solution structure of the DNA binding domain of the TraM protein is globular and dominantly helical. The very first amino acids of the N-terminus are unstructured.
[27]
Kuroda T, Kubori T, Thanh Bui X, et al. Molecular and structural analysis of Legionella DotI gives insights into an inner membrane complex essential for type IV secretion. Scientific Reports, 2015, 5: 10912.
[28]
Rehman S, Li Y G, Schmitt A, et al. Enterococcal PcfF is a ribbon-Helix-Helix protein that recruits the relaxase PcfG through binding and bending of the oriT sequence. Frontiers in Microbiology, 2019, 10: 958.
The conjugative plasmid pCF10 from encodes a Type 4 Secretion System required for plasmid transfer. The accessory factor PcfF and relaxase PcfG initiate pCF10 transfer by forming the catalytically active relaxosome at the plasmid's origin-of-transfer () sequence. Here, we report the crystal structure of the homo-dimeric PcfF, composed of an N-terminal DNA binding Ribbon-Helix-Helix (RHH) domain and a C-terminal stalk domain. We identified key residues in the RHH domain that are responsible for binding pCF10's sequence, and further showed that PcfF bends the DNA upon binding. By mutational analysis and pull-down experiments, we identified residues in the stalk domain that contribute to interaction with PcfG. PcfF variant proteins defective in or PcfG binding attenuated plasmid transfer, but also suggested that intrinsic or extrinsic factors might modulate relaxosome assembly. We propose that PcfF initiates relaxosome assembly by binding and inducing DNA bending, which serves to recruit PcfG as well as extrinsic factors necessary for optimal plasmid processing and engagement with the pCF10 transfer machine.
[29]
Schmitt A, Jiang K, Camacho M I, et al. PrgB promotes aggregation, biofilm formation, and conjugation through DNA binding and compaction. Molecular Microbiology, 2018, 109(3): 291-305.
Gram-positive bacteria deploy type IV secretion systems (T4SSs) to facilitate horizontal gene transfer. The T4SSs of Gram-positive bacteria rely on surface adhesins as opposed to conjugative pili to facilitate mating. Enterococcus faecalis PrgB is a surface adhesin that promotes mating pair formation and robust biofilm development in an extracellular DNA (eDNA) dependent manner. Here, we report the structure of the adhesin domain of PrgB. The adhesin domain binds and compacts DNA in vitro. In vivo PrgB deleted of its adhesin domain does not support cellular aggregation, biofilm development and conjugative DNA transfer. PrgB also binds lipoteichoic acid (LTA), which competes with DNA binding. We propose that PrgB binding and compaction of eDNA facilitates cell aggregation and plays an important role in establishment of early biofilms in mono- or polyspecies settings. Within these biofilms, PrgB mediates formation and stabilization of direct cell-cell contacts through alternative binding of cell-bound LTA, which in turn promotes establishment of productive mating junctions and efficient intra- or inter-species T4SS-mediated gene transfer.© 2018 John Wiley & Sons Ltd.
[30]
Nordmann P, Poirel L, Walsh T R, et al. The emerging NDM carbapenemases. Trends in Microbiology, 2011, 19(12): 588-595.
Carbapenems were the last β-lactams retaining near-universal anti-Gram-negative activity, but carbapenemases are spreading, conferring resistance. New Delhi metallo-β-lactamase (NDM) enzymes are the latest carbapenemases to be recognized and since 2008 have been reported worldwide, mostly in bacteria from patients epidemiologically linked to the Indian subcontinent, where they occur widely in hospital and community infections, and also in contaminated urban water. The main type is NDM-1, but minor variants occur. NDM enzymes are present largely in Enterobacteriaceae, but also in non-fermenters and Vibrionaceae. Dissemination predominantly involves transfer of the blaNDM-1 gene among promiscuous plasmids and clonal outbreaks. Bacteria with NDM-1 are typically resistant to nearly all antibiotics, and reliable detection and surveillance are crucial.Crown Copyright © 2011. Published by Elsevier Ltd. All rights reserved.
[31]
Nang S C, Li J, Velkov T. The rise and spread of mcr plasmid-mediated polymyxin resistance. Critical Reviews in Microbiology, 2019, 45(2): 131-161.
Polymyxins are important lipopeptide antibiotics that serve as the last-line defense against multidrug-resistant (MDR) Gram-negative bacterial infections. Worryingly, the clinical utility of polymyxins is currently facing a serious threat with the global dissemination of, plasmid-mediated polymyxin resistance. The first plasmid-mediated polymyxin resistance gene, termed as was identified in China in November 2015. Following its discovery, isolates carrying, mainly and less commonly to, have been reported across Asia, Africa, Europe, North America, South America and Oceania. This review covers the epidemiological, microbiological and genomics aspects of this emerging threat to global human health. The has been identified in various species of Gram-negative bacteria including,,,,,,,,,,, and species from animal, meat, food product, environment and human sources. More alarmingly is the detection of in extended-spectrum-β-lactamases- and carbapenemases-producing bacteria. The can be carried by different plasmids, demonstrating the high diversity of plasmid reservoirs. Our review analyses the current knowledge on the emergence of -mediated polymyxin resistance.
[32]
Zhang S Q, Wen J F, Wang Y W, et al. Dissemination and prevalence of plasmid-mediated high-level tigecycline resistance gene Tet (X4). Frontiers in Microbiology, 2022, 13: 969769.
[33]
Boudaher E, Shaffer C L. Inhibiting bacterial secretion systems in the fight against antibiotic resistance. MedChemComm, 2019, 10(5): 682-692.
Antimicrobial resistance is a mounting global health crisis that threatens a resurgence of life-threatening bacterial infections. Despite intensive drug discovery efforts, the rate of antimicrobial resistance outpaces the discovery of new antibiotic agents. One of the major mechanisms driving the rapid propagation of antibiotic resistance is bacterial conjugation mediated by the versatile type IV secretion system (T4SS). The search for therapeutic compounds that prevent the spread of antibiotic resistance T4SS-dependent mechanisms has identified several promising molecular scaffolds that disrupt resistance determinant dissemination. In this brief review, we highlight the progress and potential of conjugation inhibitors and anti-virulence compounds that target diverse T4SS machineries. These studies provide a solid foundation for the future development of potent, dual-purpose molecular scaffolds that can be used as biochemical tools to probe type IV secretion mechanisms and target bacterial conjugation in clinical settings to prevent the dissemination of antibiotic resistance throughout microbial populations.This journal is © The Royal Society of Chemistry 2019.
[34]
Harada L K, Silva E C, Campos W F, et al. Biotechnological applications of bacteriophages: state of the art. Microbiological Research, 2018, 212-213: 38-58.
[35]
Dion M B, Oechslin F, Moineau S. Phage diversity, genomics and phylogeny. Nature Reviews Microbiology, 2020, 18: 125-138.
Recent advances in viral metagenomics have enabled the rapid discovery of an unprecedented catalogue of phages in numerous environments, from the human gut to the deep ocean. Although these advances have expanded our understanding of phage genomic diversity, they also revealed that we have only scratched the surface in the discovery of novel viruses. Yet, despite the remarkable diversity of phages at the nucleotide sequence level, the structural proteins that form viral particles show strong similarities and conservation. Phages are uniquely interconnected from an evolutionary perspective and undergo multiple events of genetic exchange in response to the selective pressure of their hosts, which drives their diversity. In this Review, we explore phage diversity at the structural, genomic and community levels as well as the complex evolutionary relationships between phages, moulded by the mosaicity of their genomes.
[36]
Golkar Z, Bagasra O, Pace D G. Bacteriophage therapy: a potential solution for the antibiotic resistance crisis. Journal of Infection in Developing Countries, 2014, 8(2): 129-136.
The emergence of multiple drug-resistant bacteria has prompted interest in alternatives to conventional antimicrobials. One of the possible replacement options for antibiotics is the use of bacteriophages as antimicrobial agents. Phage therapy is an important alternative to antibiotics in the current era of drug-resistant pathogens. Bacteriophages have played an important role in the expansion of molecular biology and have been used as antibacterial agents since 1966. In this review, we describe a brief history of bacteriophages and clinical studies on their use in bacterial disease prophylaxis and therapy. We discuss the advantages and disadvantages of bacteriophages as therapeutic agents in this regard.
[37]
Olszak T, Latka A, Roszniowski B, et al. Phage life cycles behind bacterial biodiversity. Current Medicinal Chemistry, 2017, 24(36): 3987-4001.
Bacteriophages (phages or bacterial viruses) are the most abundant biological entities in our planet; their influence reaches far beyond the microorganisms they parasitize. Phages are present in every environment and shape up every bacterial population in both active and passive ways. They participate in the circulation of organic matter and drive the evolution of microorganisms by horizontal gene transfer at unprecedented scales. The mass flow of genetic information in the microbial world influences the biosphere and poses challenges for science and medicine. The genetic flow, however, depends on the fate of the viral DNA injected into the bacterial cell. The archetypal notion of phages only engaging in predatorprey relationships is slowly fading. Because of their varied development cycles, environmental conditions, and the diversity of microorganisms they parasitize, phages form a dense and highly complex web of dependencies, which has important consequences for life on Earth. The sophisticated phage-bacteria interplay includes both aggressive action (bacterial lysis) and "diplomatic negotiations" (prophage domestication). Here, we review the most important mechanisms of interactions between phages and bacteria and their evolutionary consequences influencing their biodiversity.Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.
[38]
Bertozzi Silva J, Storms Z, Sauvageau D. Host receptors for bacteriophage adsorption. FEMS Microbiology Letters, 2016, 363(4): fnw002.
[39]
Penttinen R, Given C, Jalasvuori M. Indirect selection against antibiotic resistance via specialized plasmid-dependent bacteriophages. Microorganisms, 2021, 9(2): 280.
[40]
Arutyunov D, Frost L S. F conjugation: back to the beginning. Plasmid, 2013, 70(1): 18-32.
Bacterial conjugation as mediated by the F plasmid has been a topic of study for the past 65 years. Early research focused on events that occur on the cell surface including the pilus and its phages, recipient cell receptors, mating pair formation and its prevention via surface or entry exclusion. This short review is a reminder of the progress made in those days that will hopefully kindle renewed interest in these subjects as we approach a complete understanding of the mechanism of conjugation.Copyright © 2013 Elsevier Inc. All rights reserved.
[41]
Bradley D E, Sirgel F A, Coetzee J N, et al. Phages C-2 and J: IncC and IncJ plasmid-dependent phages, respectively. Journal of General Microbiology, 1982, 128(10): 2485-2498.
Phages C-2 and J were isolated from sewage. Phage C-2 was filamentous and formed plaques on Salmonella typhimurium strains carrying various C plasmids. It also plated on Proteus mirabilis and Serratia marcescens strains carrying particular C plasmids, but failed to form plaques on lines of Escherichia coli K12 strains harbouring most of these plasmids, although in all cases, phage multiplication on the strains was demonstrated. No phage increase occurred in any strain which lacked a C plasmid or contained plasmids of other incompatibility groups. The phage was sensitive to chloroform and, unlike other filamentous bacterial viruses, adsorbed to shafts of conjugative pili. It had a disc-like structure at the end which attached to the pilus. Phage C-2 had a buoyant density of 1. 30 g cm-3 and a single-stranded circular DNA genome of 3. 0 MDal. Phage J had an hexagonal head with an inter-apical distance of 40 nm and a short noncontractile tail. It was resistant to chloroform and diethyl ether. The phage formed plaques or propagated on E. coli strains harbouring some IncC plasmids and all IncJ and IncD plasmids tested. The phage did not form plaques but propagated on P. mirabilis and Ser. marcescens strains carrying these plasmids. It did not plate or propagate on S. typhimurium strains harbouring the plasmids. The plaques were very hazy and variable in size. The phage attached sparsely, at a site which appeared to be located at the base of the tail, to sides of conjugative pili.
[42]
Abrescia N G A, Cockburn J J B, Grimes J M, et al. Insights into assembly from structural analysis of bacteriophage PRD1. Nature, 2004, 432: 68-74.
[43]
Grahn A M, Caldentey J, Bamford J K, et al. Stable packaging of phage PRD 1 DNA requires adsorption protein P2, which binds to the IncP plasmid-encoded conjugative transfer complex. Journal of Bacteriology, 1999, 181(21): 6689-6696.
The double-stranded DNA bacteriophage PRD1 uses an IncP plasmid-encoded conjugal transfer complex as a receptor. Plasmid functions in the PRD1 life cycle are restricted to phage adsorption and DNA entry. A single phage structural protein, P2, located at the fivefold capsid vertices, is responsible for PRD1 attachment to its host. The purified recombinant adsorption protein was judged to be monomeric by gel filtration, rate zonal centrifugation, analytical ultracentrifugation, and chemical cross-linking. It binds to its receptor with an apparent K(d) of 0.20 nM, and this binding prevents phage adsorption. P2-deficient particles are unstable and spontaneously release the DNA with concomitant formation of the tail-like structure originating from the phage membrane. We envisage the DNA to be packaged through one vertex, but the presence of P2 on the other vertices suggests a mechanism whereby the injection vertex is determined by P2 binding to the receptor.
[44]
Olsen R H, Siak J S, Gray R H. Characteristics of PRD1, a plasmid-dependent broad host range DNA bacteriophage. Journal of Virology, 1974, 14(3): 689-699.
Several distinctive properties of PRD1, an icosahedral plasmid-dependent phage, are described. The drug-resistance plasmid-dependent host range of PRD1 extends beyond the P incompatibility group and includes gram-negative bacteria containing plasmids of incompatibility groups N and W. PRD1 phage will infect pseudomonads and Enterobacteriaceae containing either a P or W incompatibility group plasmid. PRD1 adsorbs to the cell wall of R(+) bacteria and thus its infectivity indicates cell wall alterations by these drug-resistance plasmid groups. PRD1 nucleic acid is duplex DNA with an estimated molecular weight of 24 x 10(6). The appearance of PRD1 in electron micrographs is suggestive of lipid content in addition to its buoyant density of 1.348 in CsCl and its sensitivity to chloroform. The latent period of PRD1 varies with the R(+) host bacterial strain used for growth of the phage.
[45]
Grahn A M, Haase J, Lanka E, et al. Assembly of a functional phage PRD 1 receptor depends on 11 genes of the IncP plasmid mating pair formation complex. Journal of Bacteriology, 1997, 179(15): 4733-4740.
PRD1, a lipid-containing double-stranded DNA bacteriophage, uses the mating pair formation (Mpf) complex encoded by conjugative IncP plasmids as a receptor. Functions responsible for conjugative transfer of IncP plasmids are encoded by two distinct regions, Tra1 and Tra2. Ten Tra2 region gene products (TrbB to TrbL) and one from the Tra1 region (TraF) form the Mpf complex. We carried out a mutational analysis of the PRD1 receptor complex proteins by isolating spontaneous PRD1-resistant mutants. The mutations were distributed among the trb genes in the Tra2 region and accumulated predominantly in three genes, trbC, trbE, and trbL. Three of 307 phage-resistant mutants were weakly transfer proficient. Mutations causing a phage adsorption-deficient, transfer-positive phenotype were analyzed by sequencing.
[46]
Duyvesteyn H M E, Santos-Pérez I, Peccati F, et al. Bacteriophage PRD1 as a nanoscaffold for drug loading. Nanoscale, 2021, 13(47): 19875-19883.
Viruses are very attractive biomaterials owing to their capability as nanocarriers of genetic material. Efforts have been made to functionalize self-assembling viral protein capsids on their exterior or interior to selectively take up different payloads. PRD1 is a double-stranded DNA bacteriophage comprising an icosahedral protein outer capsid and an inner lipidic vesicle. Here, we report the three-dimensional structure of PRD1 in complex with the antipsychotic drug chlorpromazine (CPZ) by cryo-electron microscopy. We show that the jellyrolls of the viral major capsid protein P3, protruding outwards from the capsid shell, serve as scaffolds for loading heterocyclic CPZ molecules. Additional X-ray studies and molecular dynamics simulations show the binding modes and organization of CPZ molecules when complexed with P3 only and onto the virion surface. Collectively, we provide a proof of concept for the possible use of the lattice-like organisation and the quasi-symmetric morphology of virus capsomers for loading heterocyclic drugs with defined properties.
[47]
Fu Y, Li J M. A novel delivery platform based on Bacteriophage MS2 virus-like particles. Virus Research, 2016, 211: 9-16.
Our objective here is to review the novel delivery platform based on Bacteriophage MS2 virus-like particles (VLPs), including introduction to their structure, their potential as a delivery platform, and their expected use in medicine and other fields. Bacteriophage MS2 VLPs are nanoparticles devoid of viral genetic material and can self-assemble from the coat protein into an icosahedral capsid. As a novel delivery platform, they possess numerous features that make them suitable and attractive for targeted delivery of RNAs or DNAs, epitope peptides, and drugs within the protein capsid. In short, as a novel delivery platform, MS2 VLPs are suitable for delivery of targeted agents and hold promise for use in diagnostics, vaccines, and therapeutic modalities. Copyright © 2015 Elsevier B.V. All rights reserved.
[48]
Sirgel F A, Coetzee W F. Characteristics and classification of incC group plasmid-dependent phage C-1. Intervirology, 1983, 20(2-3): 155-158.
Incompatibility group C plasmid-specific bacteriophage C-1 has a buoyant density of 1.43 g/cm3, a sedimentation coefficient of 80-82S, and a molecular weight of 4 x 10(6). It contains approximately 33% nucleic acid, which has been identified as linear single-stranded RNA of molecular weight (1.3 +/- 0.1) x 10(6). These characteristics, in conjunction with particle morphology and resistance to chloroform and diethyl ether, suggest that phage C-1 belongs to the Leviviridae group of phages.
[49]
Maher D, Sherburne R, Taylor D E. Bacteriophages for incompatibility group H plasmids: morphological and growth characteristics. Plasmid, 1991, 26(2): 141-146.
Two independently isolated temperature-sensitive bacteriophage that are specific for enterobacterial hosts harboring HI and HII plasmids were characterized to determine if any identifiable differences existed between them. The traits examined included adsorption pattern of phage to H pili, bacteriophage size, sensitivity to chloroform, RNA strandedness, reaction with F-specific antiphage serum, virion protein pattern, temperature range of lytic ability, and plaque morphology. No differences between the phages were observed for any of the features analyzed. Ecological questions on the origin and maintenance of temperature-sensitive phages are discussed.
[50]
Olsen R H, Thomas D D. Characteristics and purification of PRR1, an RNA phage specific for the broad host range Pseudomonas R1822 drug resistance plasmid. Journal of Virology, 1973, 12(6): 1560-1567.
[51]
Coetzee J N, Bradley D E, Lecatsas G, et al. Bacteriophage D: an IncD group plasmid-specific phage. Journal of General Microbiology, 1985, 131(12): 3375-3383.
The existence of the plasmid incompatibility group D was reaffirmed as a result of compatibility experiments done on plasmids R687, R711b, R778b and R840 which were previously tentatively accepted as constituting the group. The group was further delineated by the isolation of a phage, phage D, which adsorbed specifically to IncD plasmid-encoded pili produced by Escherichia coli K12 strains and strains of Salmonella typhimurium, Proteus morganii and Klebsiella oxytoca harbouring one of these plasmids. Plaque formation, like that of phage pilH alpha, was temperature sensitive in that plaques formed at 26 degrees C but not at 37 degrees C. Plaques were fairly clear, regular in outline and varied from pinpoint to about 1.5 mm in diameter on E. coli hosts where plaques were detected, but on the other hosts the plaques were more turbid and often irregular in outline. The phage did not plate (or propagate) on IncD plasmid-carrying strains of Providencia alcalifaciens, Providencia stuartii or Serratia marcescens. The phage had an isometric hexagonal outline with a diameter of about 27 nm. It contained RNA and resembled two other RNA-containing phages, M and pilH alpha, by being sensitive to chloroform. It adsorbed to the sides of the very distal ends of the shafts of IncD plasmid-coded pili.
[52]
Bradley D E, Coetzee J N, Bothma T, et al. Phage t: a group T plasmid-dependent bacteriophage. Journal of General Microbiology, 1981, 126(2): 397-403.
Phage t was isolated from sewage from Pretoria. It formed plaques only on Escherichia coli and Salmonella typhimurium strains that carried plasmids belonging to incompatibility group T. Five of six group T plasmids permitted visible lysis of R+ host strains. There was no visible lysis of E. coli J53-2 or S. typhimurium LT2trpA8 carrying the T plasmid Rts1 although the strains supported phage growth as indicated by at least a 10-fold increase in phage titre. The latter strains transferred the plasmid at high frequency to E. coli strain CSH2 and the resulting transconjugants plated the phage. Proteus mirabilis strain PM5006(R402) failed to support phage growth although it transferred the plasmid and concomitant phage sensitivity to E. coli J53-2. The phage was hexagonal in outline, RNA-containing, resistant to chloroform and adsorbed to the shafts of pili determined by T plasmids.
[53]
Coetzee J N, Bradley D E, Fleming J, et al. Phage pilH alpha: a phage which adsorbs to IncHI and IncHII plasmid-coded pili. Journal of General Microbiology, 1985, 131(5): 1115-1121.
Phage pilH alpha was specific for bacterial strains, of various genera, harbouring plasmids of the HI and HII incompatibility groups. Plaque formation was temperature sensitive in that plaques formed at 26 degrees C but not at 37 degrees C. Plaques were fairly clear, irregular in outline and varied from pin point to about 2 mm in diameter on all hosts where plaques were detected. The phage had an isometric hexagonal outline with a diameter of 25 nm. It contained RNA but differed from all but one other plasmid-dependent RNA phage by being sensitive to chloroform. It adsorbed along the length of the shafts of IncHI and HII plasmid-coded pili.
[54]
Coetzee J N, Bradley D E, Hedges R W. Phages I alpha and I2-2: IncI plasmid-dependent bacteriophages. Journal of General Microbiology, 1982, 128(11): 2797-2804.
Phage I alpha was isolated from sewage from Windhoek, South West Africa. It formed relatively clear plaques about 2 mm in diameter, on sensitive strains of Escherichia coli K12 and Salmonella typhimurium LT2. The phage had an hexagonal outline with a diameter of about 24 nm, contained RNA and was resistant to chloroform. Phage I alpha formed plaques or propagated only on organisms carrying I1 plasmids or the I gamma plasmid R621a. The efficiency of plating was higher on E. coli than on S. typhimurium hosts. The phage adsorbed along the length of shafts of I1 pili. Phage I2-2 was isolated from Pretoria sewage. It was a filamentous virus and individual virions varied considerably in length. Phage I2-2 formed turbid plaques which varied from pin point to about 1 mm in diameter on all hosts. It was resistant to RNAase and sensitive to chloroform. Phage I2-2 had a spectrum of activity limited to strains harbouring I2 plasmids but the adsorption site could not be demonstrated. The phage was not related serologically to phages Ifl or PR64FS.
[55]
O’Callaghan R, Bradley R, Paranchych W. The effect of M13 phage infection upon the F pili of E. coli. Virology, 1973, 54(1): 220-229.
[56]
Sun T P, Webster R E. Fii, a bacterial locus required for filamentous phage infection and its relation to colicin-tolerant tolA and tolB. Journal of Bacteriology, 1986, 165(1): 107-115.
We describe mutations in a new bacterial locus, designated fii, which do not allow the filamentous bacteriophage f1 to infect bacteria harboring the F plasmid. Mutations at this locus do not affect the ability of F plasmid-containing bacteria to undergo conjugation or be infected by the F plasmid-specific RNA phage f2. The filamentous phage can still adsorb to the F sex pilus, but the DNA is unable to enter the bacteria. All fii mutants become tolerant to colicins E1, E2, and E3. Strains with amber mutations in fii also are unable to plaque P1, even though they can be infected with this phage. Mutations in fii also prevent infection of bacteria harboring the N plasmid by the filamentous bacteriophage IKe. The fii locus maps adjacent to tolA, mutants of which demonstrate tolerance to high levels of the E and K colicins. The three genes tolA, tolB, and fii are shown to reside on a 4.3-kilobase fragment of the Escherichia coli chromosome. Each gene has been cloned into a chimeric plasmid and shown to complement, in trans, mutations at the corresponding chromosomal locus. Studies in maxicells show that the product of fii appears to be a 24-kilodalton protein which copurifies with the cell envelope. The product of tolA has been identified tentatively as a 51-kilodalton protein. Data from cloning, Tn5 mutagenesis, and P1 transduction studies are consistent with the gene order sucA-fii-tolA-tolB-aroG near 17 min on the E. coli map.
[57]
Marvin D A, Symmons M F, Straus S K. Structure and assembly of filamentous bacteriophages. Progress in Biophysics and Molecular Biology, 2014, 114(2): 80-122.
[58]
Warner C M, Barker N, Lee S W, et al. M13 bacteriophage production for large-scale applications. Bioprocess and Biosystems Engineering, 2014, 37(10): 2067-2072.
Bacteriophage materials have the potential to revolutionize medicine, energy production and storage, agriculture, solar cells, optics and many other fields. To fulfill these needs, this study examined critical process parameters during phage propagation to increase phage production capability. A representative scale-down system was created in tube spin reactors to allow parallel experimentation with single- and multi-variable analysis. Temperature, harvest time, media composition, feed regime, bacteriophage, and bacteria concentration were analyzed in the scale-down system. Temperature, media composition, and feeding regimens were found to affect phage production more than other factors. Temperature affected bacterial growth and phage production inversely. Multi-variate analysis identified an optimal parameter space which provided a significant improvement over the base line method. This method should be useful in scaled production of bacteriophage for biotechnology.
[59]
Bradley D E, Coetzee J N, Bothma T, et al. Phage X: a plasmid-dependent, broad host range, filamentous bacterial virus. Journal of General Microbiology, 1981, 126(2): 389-396.
Phage X was isolated from sewage as plating on Escherichia coli or Salmonella typhimurium strains harbouring the incompatibility group X plasmid R6K. It also plated on a strain of Serratia marcescens carrying this plasmid. It failed to form plaques on Proteus mirabilis, P. morganii or Providencia alcalifaciens harbouring R6K, but did multiply on them. No phage increase occurred with homologous R- strains. Phage X also plated or registered an increase in titre on E. coli or S. typhimurium strains carrying various plasmids of incompatibility groups M, N, P-1, U or W as well as the unassigned plasmid R775. It adsorbed to pili determined by a group P-10 plasmid in a Pseudomonas aeruginosa strain but did not multiply on this organism. The phage was filamentous and curly, resistant to ribonuclease and diethyl ether and sensitive to chloroform. It adsorbed to the tips of pili.
[60]
Coetzee J N, Bradley D E, du Toit L, et al. Bacteriophage X-2: a filamentous phage lysing IncX-plasmid-harbouring bacterial strains. Journal of General Microbiology, 1988, 134(9): 2535-2541.
Phage X-2, a filamentous rod about 950 nm in length, was isolated from sewage as plating on strains of Escherichia coli, Salmonella typhimurium or Serratia marcescens carrying either the IncX plasmid R6K, or the unique plasmid R775. Phage X-2 differs morphologically from a previously described very broad host range filamentous phage X which also lyses plasmid R6K-carrying strains and the phages differ in their resistance to inactivation by diethyl ether. Phage X-2 is serologically unrelated to phage X and the X-like phages IKe and I2-2. The adsorption site of the phage on the plasmid-bearing strains could not be determined but evidence implicating conjugative pili is presented.
[61]
Jalasvuori M, Friman V P, Nieminen A, et al. Bacteriophage selection against a plasmid-encoded sex apparatus leads to the loss of antibiotic-resistance plasmids. Biology Letters, 2011, 7(6): 902-905.
Antibiotic-resistance genes are often carried by conjugative plasmids, which spread within and between bacterial species. It has long been recognized that some viruses of bacteria (bacteriophage; phage) have evolved to infect and kill plasmid-harbouring cells. This raises a question: can phages cause the loss of plasmid-associated antibiotic resistance by selecting for plasmid-free bacteria, or can bacteria or plasmids evolve resistance to phages in other ways? Here, we show that multiple antibiotic-resistance genes containing plasmids are stably maintained in both Escherichia coli and Salmonella enterica in the absence of phages, while plasmid-dependent phage PRD1 causes a dramatic reduction in the frequency of antibiotic-resistant bacteria. The loss of antibiotic resistance in cells initially harbouring RP4 plasmid was shown to result from evolution of phage resistance where bacterial cells expelled their plasmid (and hence the suitable receptor for phages). Phages also selected for a low frequency of plasmid-containing, phage-resistant bacteria, presumably as a result of modification of the plasmid-encoded receptor. However, these double-resistant mutants had a growth cost compared with phage-resistant but antibiotic-susceptible mutants and were unable to conjugate. These results suggest that bacteriophages could play a significant role in restricting the spread of plasmid-encoded antibiotic resistance.
[62]
Colom J, Batista D, Baig A, et al. Sex pilus specific bacteriophage to drive bacterial population towards antibiotic sensitivity. Scientific Reports, 2019, 9: 12616.
Antimicrobial resistance (AMR) is now a major global problem largely resulting from the overuse of antibiotics in humans and livestock. In some AMR bacteria, resistance is encoded by conjugative plasmids expressing sex-pili that can readily spread resistance through bacterial populations. The aim of this study was to use sex pilus-specific (SPS) phage to reduce the carriage of AMR plasmids. Here, we demonstrate that SPS phage can kill AMR Escherichia coli and select for AMR plasmid loss in vitro. For the first time, we also demonstrate that SPS phage can both prevent the spread of AMR Salmonella Enteritidis infection in chickens and shift the bacterial population towards antibiotic sensitivity.
[63]
May T, Tsuruta K, Okabe S. Exposure of conjugative plasmid carrying Escherichia coli biofilms to male-specific bacteriophages. The ISME Journal, 2011, 5(4): 771-775.
[64]
Mikonranta L, Buckling A, Jalasvuori M, et al. Targeting antibiotic resistant bacteria with phage reduces bacterial density in an insect host. Biology Letters, 2019, 15(3): 20180895.

致谢

近期为本刊审稿的专家(按拼音首字母排列):

陈义宝 戴 林 单 刚 邓 禹 樊粉霞 范建华 范少锋 冯 峰 冯 婕 干 宁

顾敬敏 韩 静 姜 晖 姜 韬 乐 率 李登峰 李锦铨 李 明 李平平 李 伟

梁书利 林东强 刘 龙 刘 涛 卢曙光 栾广信 马迎飞 孟 洁 牟海津 倪士峰

秦金红 佘群新 宋 浩 童贻刚 王 福 王国增 王静雪 王 娜 王世伟 王 巍

王永军 魏子贡 校海霞 谢慧芳 谢建平 信丰学 徐 慧 薛 华 严亚贤 颜丙花

杨 航 尹焕才 张 灿 张德玖 张 炜 张学礼 赵 钦 赵肃清 赵祥伟 赵砚彬

周 俊 周 昕 朱金根

基金

* 十四五国家重点研发项目(2022YFD1800400)
江苏省农业科学院探索性颠覆性创新项目(ZX(21)1224)

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