Browsing by Author "Singh, Kavindra V."

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    Antimicrobial sensing coupled with cell membrane remodeling mediates antibiotic resistance and virulence in Enterococcus faecalis
    (National Academy of Sciences, 2019) Khan, Ayesha; Davlieva, Milya; Panesso, Diana; Rincon, Sandra; Miller, William R.; Diaz, Lorena; Reyes, Jinnethe; Cruz, Melissa R.; Pemberton, Orville; Nguyen, April H.; Siegel, Sara D.; Planet, Paul J.; Narechania, Apurva; Latorre, Mauricio; Rios, Rafael; Singh, Kavindra V.; Ton-That, Hung; Garsin, Danielle A.; Tran, Truc T.; Shamoo, Yousif; Arias, Cesar A.
    Bacteria have developed several evolutionary strategies to protect their cell membranes (CMs) from the attack of antibiotics and antimicrobial peptides (AMPs) produced by the innate immune system, including remodeling of phospholipid content and localization. Multidrug-resistant Enterococcus faecalis, an opportunistic human pathogen, evolves resistance to the lipopeptide daptomycin and AMPs by diverting the antibiotic away from critical septal targets using CM anionic phospholipid redistribution. The LiaFSR stress response system regulates this CM remodeling via the LiaR response regulator by a previously unknown mechanism. Here, we characterize a LiaR-regulated protein, LiaX, that senses daptomycin or AMPs and triggers protective CM remodeling. LiaX is surface exposed, and in daptomycin-resistant clinical strains, both LiaX and the N-terminal domain alone are released into the extracellular milieu. The N-terminal domain of LiaX binds daptomycin and AMPs (such as human LL-37) and functions as an extracellular sentinel that activates the cell envelope stress response. The C-terminal domain of LiaX plays a role in inhibiting the LiaFSR system, and when this domain is absent, it leads to activation of anionic phospholipid redistribution. Strains that exhibit LiaX-mediated CM remodeling and AMP resistance show enhanced virulence in the Caenorhabditis elegans model, an effect that is abolished in animals lacking an innate immune pathway crucial for producing AMPs. In conclusion, we report a mechanism of antibiotic and AMP resistance that couples bacterial stress sensing to major changes in CM architecture, ultimately also affecting host–pathogen interactions.
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    Development and Characterization of High-Throughput Caenorhabditis elegans – Enterococcus faecium Infection Model
    (Frontiers Media S.A., 2021) Revtovich, Alexey V.; Tjahjono, Elissa; Singh, Kavindra V.; Hanson, Blake M.; Murray, Barbara E.; Kirienko, Natalia V.
    The genus Enterococcus includes two Gram-positive pathogens of particular clinical relevance: E. fae-calis and E. faecium. Infections with each of these pathogens are becoming more frequent, particular-ly in the case of hospital-acquired infections. Like most other bacterial species of clinical importance, antimicrobial resistance (and, specifically, multi-drug resistance) is an increasing threat, with both species considered to be of particular importance by the World Health Organization and the US Cen-ters for Disease Control. The threat of antimicrobial resistance is exacerbated by the staggering dif-ference in the speeds of development for the discovery and development of the antimicrobials versus resistance mechanisms . In the search for alternative strategies, modulation of host-pathogen interac-tions in general, and virulence inhibition in particular, has drawn substantial attention. Unfortunately, these approaches require a fairly comprehensive understanding of virulence determinants. This re-quirement is complicated by the fact that enterococcal infection models generally require vertebrates, making them slow, expensive, and ethically problematic, particularly when considering the thousands of animals that would be needed for the early stages of experimentation. To address this problem, we developed the first high-throughput C. elegans–E. faecium infection model involving host death. Im-portantly, this model recapitulates many key aspects of murine peritonitis models, including utilizing similar virulence determinants. Additionally, host death is independent of peroxide production, un-like other E. faecium–C. elegans virulence models, which allows the assessment of other virulence factors. Using this system, we analyzed a panel of lab strains with deletions of targeted virulence fac-tors. Although removal of certain virulence factors (e.g., Δfms15) was sufficient to affect virulence alone, multiple deletions were generally required to affect pathogenesis, suggesting that host-pathogen interactions are multifactorial. These data were corroborated by genomic analysis of select-ed isolates with high and low levels of virulence. We anticipate that this platform will be useful for identifying new treatments for E. faecium infection.