International Journal of Molecular Sciences Review Two Component Regulatory Systems and Antibiotic Resistance in Gram-Negative Pathogens Anjali Y. Bhagirath 1,†, Yanqi Li 1,†, Rakesh Patidar 2 , Katherine Yerex 1, Xiaoxue Ma 1, Ayush Kumar 2,* and Kangmin Duan 1,3,* 1 Department of Oral Biology, Rady Faculty of Health Sciences, University of Manitoba, 780 Bannatyne Ave, Winnipeg, MB R3E 0J9, Canada;
[email protected] (A.Y.B.);
[email protected] (Y.L.);
[email protected] (K.Y.);
[email protected] (X.M.) 2 Department of Microbiology, Faculty of Sciences, University of Manitoba, Winnipeg, MB R3E 0J9, Canada;
[email protected] 3 Department of Medical Microbiology & Infectious Diseases, Rady Faculty of Health Sciences, University of Manitoba, 780 Bannatyne Ave, Winnipeg, MB R3E 0J9, Canada * Correspondence:
[email protected] (A.K.);
[email protected] (K.D.) † Authors have contributed equally to this work. Received: 18 February 2019; Accepted: 8 April 2019; Published: 10 April 2019 Abstract: Gram-negative pathogens such as Klebsiella pneumoniae, Acinetobacter baumannii, and Pseudomonas aeruginosa are the leading cause of nosocomial infections throughout the world. One commonality shared among these pathogens is their ubiquitous presence, robust host-colonization and most importantly, resistance to antibiotics. A significant number of two-component systems (TCSs) exist in these pathogens, which are involved in regulation of gene expression in response to environmental signals such as antibiotic exposure. While the development of antimicrobial resistance is a complex phenomenon, it has been shown that TCSs are involved in sensing antibiotics and regulating genes associated with antibiotic resistance. In this review, we aim to interpret current knowledge about the signaling mechanisms of TCSs in these three pathogenic bacteria.