Title Page Discovery of Genes Encoding a Streptolysin S-Like Toxin

Title Page Discovery of Genes Encoding a Streptolysin S-Like Toxin

bioRxiv preprint doi: https://doi.org/10.1101/752204; this version posted August 31, 2019. The copyright holder for this preprint (which was not certified by peer review) is the author/funder. All rights reserved. No reuse allowed without permission. 1 Title Page 2 Discovery of genes encoding a Streptolysin S-like toxin biosynthetic cluster in a 3 select highly pathogenic methicillin resistant Staphylococcus aureus JKD6159 4 strain 5 Trevor Kane *1, Katelyn E. Carothers*+ 2,5, Yunjuan Bao3, Won-Sik Yeo4, Taeok Bae4, 6 Claudia Park2, Francisco R. Fields2, Henry M. Vu2, Daniel E. Hammers2, Jessica N. 7 Ross2, Victoria A. Ploplis3, Francis J. Castellino3, Shaun W. Lee 2,3,5 8 1Present address, Kraig Biocraft Laboratories, Inc. 9 2Department of Biological Sciences, University of Notre Dame, Notre Dame. 10 3W. M. Keck Center for Transgene Research, University of Notre Dame, Notre Dame, 11 IN 12 4School of Medicine, Indiana University, Gary, IN 13 5Eck Institute for Global Health, University of Notre Dame, Notre Dame, IN 14 * Contributed equally to work 15 + Corresponding author: [email protected] 16 17 18 19 1 bioRxiv preprint doi: https://doi.org/10.1101/752204; this version posted August 31, 2019. The copyright holder for this preprint (which was not certified by peer review) is the author/funder. All rights reserved. No reuse allowed without permission. 20 Abstract 21 22 Background: Staphylococcus aureus (S. aureus) is a major human pathogen owing to 23 its arsenal of virulence factors, as well as its acquisition of multi-antibiotic resistance. 24 Here we report the identification of a Streptolysin S (SLS) like biosynthetic gene cluster 25 in a highly virulent community-acquired methicillin resistant S. aureus (MRSA) isolate, 26 JKD6159. Examination of the SLS-like gene cluster in JKD6159 shows significant 27 homology and gene organization to the SLS-associated biosynthetic gene (sag) cluster 28 responsible for the production of the major hemolysin SLS in Group A Streptococcus. 29 Results: We took a comprehensive approach to elucidating the putative role of the sag 30 gene cluster in JKD6159 by constructing a mutant in which one of the biosynthesis 31 genes (sagB homologue) was deleted in the parent JKD6159 strain. Assays to evaluate 32 bacterial gene regulation, biofilm formation, antimicrobial activity, as well as complete 33 host cell response profile and comparative in vivo infections in Balb/Cj mice were 34 conducted. 35 Conclusions: Although no significant phenotypic changes were observed in our 36 assays, we postulate that the SLS-like toxin produced by this strain of S. aureus may be 37 a highly specialized virulence factor utilized in specific environments for selective 38 advantage; studies to better understand the role of this newly discovered virulence 39 factor in S. aureus warrant further investigation. 40 Keywords: Staphylococcus aureus, Streptolysin S, bacteriocins, biosynthetic gene 41 cluster 2 bioRxiv preprint doi: https://doi.org/10.1101/752204; this version posted August 31, 2019. The copyright holder for this preprint (which was not certified by peer review) is the author/funder. All rights reserved. No reuse allowed without permission. 42 Background 43 44 Staphylococcus aureus (S. aureus) is a pathogenic bacterium that is capable of causing 45 severe human diseases including skin infections, pneumonia, and blood sepsis [1–4]. 46 Of particular concern is the ability of S. aureus to acquire resistance to antibiotics. S. 47 aureus presents as resistant to the frontline β-lactam antibiotic methicillin in roughly half 48 of all infections in the United States [5]. Based on where the infection is acquired, 49 methicillin-resistant S. aureus (MRSA) is classified as community acquired MRSA (CA- 50 MRSA) or hospital acquired MRSA (HA-MRSA), accounting for some 84% and 16%, 51 respectively, of clinical isolates in the United States [4]. CA-MRSA tends to be highly 52 virulent and can produce toxins that are exclusive to CA-MRSA such as Panton 53 Valentine leucocidin [6]. S. aureus typically encodes a wide range of virulence factors 54 including protein A, enterotoxins, and α-toxin among others. This work examines S. 55 aureus JKD6159, a highly virulent strain of CA-MRSA from Australia. The JKD6159 56 strain has become the dominant strain of MRSA found in Australia despite the initial 57 isolation of the strain only 15 years ago [7, 8]. Our initial bioinformatic survey of this CA- 58 MRSA strain indicated that this strain possesses a biosynthetic gene cluster 59 homologous to the Streptolysin S associated gene (sag) cluster found in a related 60 human pathogen, Group A Streptococcus (GAS). The sag cluster in GAS encodes the 61 biosynthetic machinery required for production of Streptolysin S (SLS), a potent 62 hemolysin and a major virulence factor in GAS pathogenesis [9, 10]. 63 The Streptolysin S-associated gene (sag) cluster was initially identified by Nizet and 64 colleagues using transposon mutagenesis in GAS [9, 10]. The operon responsible for 3 bioRxiv preprint doi: https://doi.org/10.1101/752204; this version posted August 31, 2019. The copyright holder for this preprint (which was not certified by peer review) is the author/funder. All rights reserved. No reuse allowed without permission. 65 SLS production was found to consist of nine genes that when disrupted individually 66 resulted in the loss of the hemolytic phenotype [9]. SLS is the most well-studied 67 member of a family of post-translationally modified peptides known as linear azole 68 containing peptides (LAPs) [11–13]. These peptides are ribosomally synthesized and 69 subsequently post-translationally modified via the installation of azole heterocycles on 70 cysteine, serine, or threonine residues [12]. Peptides in the LAP family demonstrate a 71 range of functions, including toxins such as SLS, and antimicrobial peptides such as 72 Microcin B17 [9, 10, 14]. 73 Although SLS has long been studied as a major lysin of red blood cells, recent studies 74 have demonstrated that SLS may have specific and multiple cellular targets [15–20]. 75 SLS has been identified as major contributing factor in successful translocation of 76 Group A Streptococcus across the epithelial barrier during the early stages of infection 77 [17]. Specifically, SLS facilitated breakdown of intracellular junctions through 78 recruitment of the cysteine protease calpain, which cleaves host proteins such as 79 occludin and E-cadherin [17]. SLS has also been implicated in the induction of 80 programmed cell death in macrophages and neutrophils as well as inhibition of 81 neutrophil recruitment during infection [18–20]. SLS has also been shown to induce 82 several specific host cell signaling changes in human keratinocytes. Infection of HaCaT 83 cells with wild-type and SLS-deficient GAS results in differential phosphorylation of p38 84 MAPK and NF-κB [15]. These recent insights into additional roles for pore-forming 85 hemolysins highlight the potential contribution of SLS and SLS-like toxins in bacterial 86 pathogenesis at the cellular level under conditions that more closely mimic the infection 87 process. 4 bioRxiv preprint doi: https://doi.org/10.1101/752204; this version posted August 31, 2019. The copyright holder for this preprint (which was not certified by peer review) is the author/funder. All rights reserved. No reuse allowed without permission. 88 Following our initial discovery of a sag-like biosynthetic gene cluster in a highly virulent 89 methicillin resistant strain of S. aureus JKD6159, we assessed a possible role of the 90 sag-like gene cluster in this S. aureus isolate, by using a comprehensive series of tests 91 to evaluate a potential functional role for this genetic cluster using the wt and a genetic 92 mutant of JKD6159 where the SLS-like biosynthetic gene sagB was inactivated. The wt 93 JKD6159 strain and the sagB isogenic mutant displayed no significant differences in 94 hemolysis, antibacterial activity, biofilm formation, host cytotoxicity or in vivo pathology. 95 However, we noted changes in host cell signaling profiles between wt and the sagB 96 mutant using a cell culture infection model, as well as differences in proteomic profiles 97 between wt JKD6159 strain and the sagB isogenic mutants. We propose that further 98 studies are needed to better define context-dependent conditions under which the SLS- 99 like toxin will contribute to S. aureus pathogenesis and fitness in this highly virulent 100 patient isolate. 101 102 103 104 105 106 107 108 5 bioRxiv preprint doi: https://doi.org/10.1101/752204; this version posted August 31, 2019. The copyright holder for this preprint (which was not certified by peer review) is the author/funder. All rights reserved. No reuse allowed without permission. 109 Results 110 111 Identification of the sag cluster in S. aureus JKD6159 112 To identify the presence of a sag-like biosynthetic gene cluster in possible methicillin 113 resistant strain human isolates of S. aureus, the gene and protein sequence from GAS 114 strain M1 sagB were used to query non-redundant gene or protein sequences in NCBI 115 using BLAST. We observed a match on the S. aureus strain JKD6159 containing a sag 116 cluster with architecture similar to the sag cluster in GAS (Figure 1A). The gene cluster 117 observed in the S. aureus strain contained all of the components of the sag cluster as 118 found in GAS including the sagB, sagC, and sagD modifying enzymes as well as ABC 119 transporters (Figure 1A). We also observed several putative small open reading frames 120 in the vicinity of the modifying genes that could serve as the protoxin gene (Figure 1A). 121 Analysis of the GC content in the gene cluster indicates it was likely horizontally 122 acquired and integrated between the gnd gene and the gloxalase gene (Figure 1B).

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