Novel β-Lactamase bla_ARL in Staphylococcus arlettae

Novel β-lactamase bla_ARL on the chromosome of S. arlettae SAN1670.The whole-genome sequence of S. arlettae SAN1670 was obtained by using Illumina MiSeq technology and reagent kit v 2 (Illumina, Inc., San Diego, CA) at the Labormedizinisches Zentrum Risch, Liebefeld-Bern, Switzerland. Reads were assembled into contigs with Geneious version R9.1.5 (13). TBLASTn analysis (http://www.ncbi.nlm.nih.gov/blast/ ) of the contigs generated revealed a distantly related blaZ homolog on a 145-kb contig (GenBank accession number KY363215 ). This blaZ homolog was named bla_ARL, where bla defines the gene and ARL is the enzyme, in accordance with the nomenclature used for other β-lactamases (14). The 849-bp bla_ARL gene encodes a 282-amino-acid protein containing the consensus pattern for the β-lactamase class A active site (PS00146) defined in the Prosite database (15). The active-site serine present in all class A, C, and D β-lactamases was identified at position 63 of the ARL enzyme. The bla_ARL gene was preceded by two regulatory genes, blaI_ARL and blaR1_ARL, transcribed in the opposite direction, forming a β-lactamase operon similar to blaI-blaR1-blaZ. This operon had 55% overall nucleotide sequence identity with Tn552 (GenBank accession number X52734 ) (11) and is expected to be responsible for inducible bla_ARL expression in S. arlettae SAN1670. Analysis of a 50-kb region on each side of the bla_ARL gene identified genes belonging to the core genome of staphylococci such as xprI, pbuX, guaA, and guaB, which are involved in purine metabolism, as well as rpsR, rpsF, and ssb, which encode ribosomal proteins and a single-strand DNA-binding protein. The absence of transposases or recombinases within this region indicates that bla_ARL is stably integrated into the chromosome.

Identification of bla homologs in staphylococci.A search for ARL enzyme homology in all of the available staphylococcal sequences in the NCBI GenBank database showed that the bla_ARL gene was also present in shotgun genomes of S. arlettae strains CVD059 (GenBank accession number ALWK01000016 ) (16) and EGD-HP3 (GenBank accession number AVOQ01000023 ). These bla_ARL genes were 99.5% identical and had 94% nucleotide sequence identity and 97% amino acid sequence identity with bla_ARL of SAN1670. Alignment of bla_ARL with blaZ of S. aureus NCTC 9789 (GenBank accession number X52734 ) (11) resulted in only 59% nucleotide sequence identity between the genes and 48% amino acid sequence identity between the β-lactamases ARL and PC1 encoded by blaZ. The PC1 enzyme is widespread in staphylococci and was identified in 27 different species (Fig. 1). Additional putative β-lactamases containing the class A consensus pattern (PS00146) were also detected. Four of these β-lactamases were found in the class E mec gene complex and clustered into a group with 67 to 71% amino acid sequence identity with PC1 and 46 to 49% amino acid sequence identity with ARL (Fig. 1). The other eight uncharacterized β-lactamases were unrelated and had 47 to 67% amino acid sequence identity with PC1 and 47 to 56% amino acid sequence identity with ARL (Fig. 1). These putative β-lactamases were unique to the species they belonged to, and none of them were preceded by the regulatory genes blaI and blaR1, such as in blaZ and bla_ARL operon.

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FIG 1

Phylogenetic tree of β-lactamases encoded by staphylococci. Evolutionary analysis was performed for amino acid sequences by the unweighted pair group method using average linkages in MEGA7. Evolutionary distances were computed by the Poisson correction method and were measured as the number of amino acid substitutions per site. The percentages of amino acid and nucleotide sequence identity between bla_ARL and other β-lactamases were determined by sequence alignment with Clustal Omega (http://www.ebi.ac.uk/Tools/msa/clustalo/ ). Roman numerals indicate β-lactamase groups as follows: I, blaZ; II, bla_ARL; III, β-lactamases of the class E mec gene complex; IV, group of diverse uncharacterized β-lactamases.

Expression of bla_ARL in S. aureus.To prove the functionality of the novel β-lactamase of S. arlettae, the bla_ARL gene was cloned with and without the regulator genes blaI_ARL and blaR1_ARL from SAN1670 and expressed in S. aureus RN4220. The entire blaI_ARL-blaR1_ARL-bla_ARL operon was amplified with primers blaR1_M1670-XhoI-F and bla_M1670-PstI-R (see Table S1 in the supplemental material for the primers and PCR conditions used). The resulting fragment was cloned into the XhoI and PstI restriction sites of the S. aureus-Escherichia coli shuttle vector pTSSCm (17) to generate plasmid pSAN01. The bla_ARL gene alone was amplified with primers bla_M1670-NdeI-F and bla_M1670-SpeI-R (see Table S1) and inserted downstream of the type 1 capsule gene 1A promoter (P_cap) of pBUS1-P_cap-HC (17) to generate plasmid pSAN02. Plasmids pSAN01 and pSAN02 were transformed into E. coli DH5α and selected for tetracycline resistance (10 µg/ml) encoded on the vectors. Sanger sequencing confirmed the correct bla_ARL operon sequence in pSAN01; therefore, the plasmid was electroporated into RN4220 (18). However, nonsense mutations were observed at the 5′ end of the bla_ARL gene in all of the pSAN02 plasmids sequenced, indicating that constitutive β-lactamase expression could be deleterious to E. coli. To reverse the mutation in bla_ARL from pSAN02, QuikChange site-directed mutagenesis was performed directly in S. aureus RN4220. A missing thymidine (T) in the T stretch at gene positions 10 to 15 in a faulty plasmid was introduced by PCR (Phusion Hot Start II High-Fidelity DNA Polymerase; Thermo Fisher Scientific, Waltham, MA) with overlapping primers mut_M1670-F (5′-GGTTTATCATATGAAAAAGTTTTTTACTATCTTTGTCTTACTCTG) and mut_M1670-R (5′-CTTTTTCATATGATAAACCTCCTATTTTCCTTTCTTGTTTTC) (the T stretch is italic, and the start codon of bla_ARL is bold) (19). The reaction product was treated with the DpnI restriction enzyme and directly electroporated into RN4220 cells to obtain plasmid pSAN02mut. Sequencing of the mutagenized plasmid in RN4220 clones confirmed the correct sequence of bla_ARL. Furthermore, pSAN02mut isolated from RN4220 could not be transformed into E. coli, confirming that the constitutive expression of bla_ARL from P_cap is not compatible with E. coli.

The production of a functional β-lactamase by S. aureus RN4220 containing pSAN01 and pSAN02mut was demonstrated by a positive nitrocefin test on BBL DrySlide nitrocefin (Becton, Dickinson and Company, Franklin Lakes, NJ) and by increased resistance to penicillin (Table 1) but not to other β-lactams, including ceftriaxone, cefaclor, cefepime, cefixime, cefuroxime, ertapenem, cefepime, cefotaxime, imipenem, ceftazidime, and temocillin. MICs were determined by microdilution in cation-adjusted BBL Mueller-Hinton II Broth (Becton, Dickinson and Company) with EUST, HPB1, and EUVSEC2 Sensititre Plates (Thermo Fisher Scientific) in accordance with CLSI guidelines (20).

The MICs of both penicillin and ampicillin were higher for RN4220/pSAN02mut expressing bla_ARL constitutively than for RN4220/pSAN01 containing bla_ARL regulated by blaI_ARL and blaR1_ARL (Table 1). Higher MICs of the cephalosporin cefoxitin and the carbapenem meropenem, with a 2-fold increase, were also observed with pSAN02mut. This is likely to be a side effect of overproduction of ARL, a protein that can bind β-lactams. It is unlikely that ARL can hydrolyze these β-lactam rings since class A β-lactamases like PC1 are primarily penicillinases and are not expected to have any cephalosporinase or carbapenemase activity (21). Absence of carbapenemase activity was confirmed with the Blue-Carba test (22).

Distribution of bla_ARL in S. arlettae.Ten additional S. arlettae strains from different origins were tested for β-lactam resistance (Table 1). All displayed decreased susceptibility to penicillin with a MIC above the CLSI resistance breakpoints (20). Production of β-lactamase by the nitrocefin slide method was also observed in all of the strains except SAN2420, which was negative in this test. All strains were positive for bla_ARL by PCR with primers blaARL-F (5′-CTATCTTTGTCTTACTCTGTGT) and blaARL-R (5′-GCMTGACGTGCTGCTTGTGC) (see Table S1). Analysis of the bla_ARL region by PCR and Sanger sequencing revealed an intact blaI_ARL-blaR1_ARL-bla_ARL operon. The operon was located between open reading frames encoding a MaoC-like domain-containing protein and a peptide ABC transporter permease, the same as in the sequenced strains SAN1670, CVD059, and EGD-HP3 (see Table S1). The blaI_ARL-blaR1_ARL-bla_ARL operon sequences of the 10 S. arlettae strains have 88 to 100% nucleotide sequence identity with that of SAN1670.

The universal presence of bla_ARL in all of the tested S. arlettae strains from different sources suggests intrinsic penicillin resistance in this species. The blaI_ARL-blaR1_ARL-bla_ARL operon seems to be a stable part of the core genome and not to be associated with any recombinase. However, the location between guaA and rpsR, integration hot spots for genomic islands (23, 24), suggests a potential for bla_ARL mobilization. In addition, diverse proteins containing typical β-lactamase motifs appear to be present in many different Staphylococcus species. They lack the antirepressor blaR1 and repressor blaI genes, and their role in β-lactam resistance is unclear. Our data propose a broader genetic analysis of penicillin-resistant staphylococci that do not contain blaZ. They also show that the presence of a functional β-lactamase in S. arlettae is presumable and jeopardizing penicillin treatment. The identification of the pathogen, as well as antimicrobial susceptibility testing, is therefore necessary for correct and effective therapy.

Accession number(s).The sequence of the bla_ARL-containing contig of S. arlettae SAN1670 has been deposited in the GenBank database under accession number KY363215 . The sequence of the blaI_ARL-blaR1_ARL-bla_ARL operon of S. arlettae strain ILRI338 has been deposited under accession number KY464892 , and those of strains CCUG 50677, BM242, CCUG 32416, CSKR33, SAN1988, SAN2420, SAN2677, SAN2690, and CCUG 33610 have been deposited under accession numbers KY363206 to KY363214 , respectively.