Pub Date : 2026-01-27Epub Date: 2025-12-15DOI: 10.1128/msphere.00674-25
Eisha Pandey, Shivani Mishra, Aastha Varshney, Saman Habib, Satish Mishra
DNA ligases are a fundamental class of enzymes required for DNA replication and repair. They catalyze the formation of phosphodiester bonds, specifically at single-strand breaks in double-stranded DNA. The nuclear genome of malaria parasites encodes a single DNA ligase that is likely involved in nuclear and organellar DNA replication and repair. DNA ligase I from Plasmodium falciparum (PfLig1) has been biochemically characterized and shown to possess nick-sealing activity. However, its localization and function in the three genome-containing compartments-the nucleus, apicoplast, and mitochondrion-of the malaria parasites remain unknown. Here, we found that Lig1 is located primarily in the nucleus in both human and rodent malaria parasites throughout the parasite life cycle. Furthermore, we detected its presence in organelles via a chromatin immunoprecipitation-PCR assay. Our attempts to disrupt Plasmodium berghei Lig1 (PbLig1) in the blood stages have failed, indicating that the gene is likely essential. Next, we used an Flp/FRT-based conditional mutagenesis system that silences gene function in sporozoites. We demonstrated that PbLig1 is essential for parasite liver-stage development. Sporozoites lacking PbLig1 invade hepatocytes but arrest growth during mid-liver-stage development. PbLig1 cKO parasites undergo limited nuclear division and present a reduced DNA content that fails to increase beyond mid-liver stage of development. These data suggest that Lig1 is an essential enzyme for parasite blood- and liver-stage development.IMPORTANCEUnlike mammalian cells that possess multiple DNA ligases, the malaria parasite's nuclear genome encodes a single DNA ligase. This single DNA ligase is likely involved in both DNA replication and DNA repair. However, the importance of parasite DNA ligase remains largely unknown. Here, we show that Plasmodium Lig1 is primarily found within the nucleus, but it also exhibits a distribution across parasite organelles. Knockout of PbLig1 in sporozoites abolishes parasite liver-stage development, preventing the formation of hepatic merozoites and ultimately blocking the transition from the liver to the blood stage of infection. More specifically, PbLig1 is essential for nuclear division during hepatic schizogony. These findings enhance our understanding of the role of DNA ligase I in malaria parasite liver-stage development.
{"title":"<i>Plasmodium</i> DNA ligase I is essential for parasite blood- and liver-stage development.","authors":"Eisha Pandey, Shivani Mishra, Aastha Varshney, Saman Habib, Satish Mishra","doi":"10.1128/msphere.00674-25","DOIUrl":"10.1128/msphere.00674-25","url":null,"abstract":"<p><p>DNA ligases are a fundamental class of enzymes required for DNA replication and repair. They catalyze the formation of phosphodiester bonds, specifically at single-strand breaks in double-stranded DNA. The nuclear genome of malaria parasites encodes a single DNA ligase that is likely involved in nuclear and organellar DNA replication and repair. DNA ligase I from <i>Plasmodium falciparum</i> (<i>Pf</i>Lig1) has been biochemically characterized and shown to possess nick-sealing activity. However, its localization and function in the three genome-containing compartments-the nucleus, apicoplast, and mitochondrion-of the malaria parasites remain unknown. Here, we found that Lig1 is located primarily in the nucleus in both human and rodent malaria parasites throughout the parasite life cycle. Furthermore, we detected its presence in organelles via a chromatin immunoprecipitation-PCR assay. Our attempts to disrupt <i>Plasmodium berghei</i> Lig1 (<i>Pb</i>Lig1) in the blood stages have failed, indicating that the gene is likely essential. Next, we used an Flp/FRT-based conditional mutagenesis system that silences gene function in sporozoites. We demonstrated that <i>Pb</i>Lig1 is essential for parasite liver-stage development. Sporozoites lacking <i>Pb</i>Lig1 invade hepatocytes but arrest growth during mid-liver-stage development. <i>Pb</i>Lig1 cKO parasites undergo limited nuclear division and present a reduced DNA content that fails to increase beyond mid-liver stage of development. These data suggest that Lig1 is an essential enzyme for parasite blood- and liver-stage development.IMPORTANCEUnlike mammalian cells that possess multiple DNA ligases, the malaria parasite's nuclear genome encodes a single DNA ligase. This single DNA ligase is likely involved in both DNA replication and DNA repair. However, the importance of parasite DNA ligase remains largely unknown. Here, we show that <i>Plasmodium</i> Lig1 is primarily found within the nucleus, but it also exhibits a distribution across parasite organelles. Knockout of <i>Pb</i>Lig1 in sporozoites abolishes parasite liver-stage development, preventing the formation of hepatic merozoites and ultimately blocking the transition from the liver to the blood stage of infection. More specifically, <i>Pb</i>Lig1 is essential for nuclear division during hepatic schizogony. These findings enhance our understanding of the role of DNA ligase I in malaria parasite liver-stage development.</p>","PeriodicalId":19052,"journal":{"name":"mSphere","volume":" ","pages":"e0067425"},"PeriodicalIF":3.1,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145757161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In immunosuppressed humans with oropharyngeal candidiasis (OPC) and in mice with experimental OPC, Candida albicans infection is associated with a bacterial imbalance characterized by significantly reduced oral microbiome diversity and the expansion of enterococcal and streptococcal species, which may exacerbate oral mucosal pathology. In this study, we applied an unbiased genome-wide transcriptomic profiling approach to shed further mechanistic light on the role of indigenous enterococcal communities in mucosal infection in a mouse model of cancer chemotherapy-associated OPC. Transcriptomic profiling of tongue tissues revealed a wide-ranging, barrier-compromising molecular activity of resident enterococci that explains the previously observed attenuation of fungal mucosal invasion with antibiotic treatment in this mouse model. Mechanistically, we validated the pathogenic potential of resident bacteria by showing that enterococci isolated from mice with OPC produce hydrogen peroxide (H2O2) and induce oral epithelial cell death through apoptosis and necrosis in vitro. We also discovered that C. albicans increased enterococcal H2O2 production. These findings uncover a novel mechanism of pathogenic synergy between C. albicans and Enterococcus faecalis, which may be responsible for increased epithelial barrier damage and mucosal invasion by C. albicans hyphae during cancer chemotherapy.
Importance: Chemotherapy-induced mucosal barrier injury and immune suppression increase susceptibility to oropharyngeal candidiasis (OPC), a debilitating fungal infection. Our study uncovers a previously unknown pathogenic interaction between Candida albicans and Enterococcus faecalis, by showing that indigenous enterococci produce H2O2, which contributes to oral epithelial cell death during fungal infection. By integrating transcriptomics with functional assays, we demonstrate that enterococci compromise epithelial integrity independently of fungal burdens, highlighting the role of the bacterial microbiota in driving tissue damage. These findings emphasize the need to consider bacterial-fungal interactions in managing OPC and suggest that targeting the microbial crosstalk could be a promising adjunctive strategy in immunocompromised hosts.
{"title":"<i>Enterococcus faecalis</i> induces H₂O₂-mediated epithelial cell death and enhances <i>Candida albicans</i> virulence in oropharyngeal candidiasis.","authors":"Roberto Vazquez-Munoz, Amit Ranjan, Martinna Bertolini, Angela Thompson, Pegah Mosharaf Ghahfarokhy, Alannah Harnden, Clarissa J Nobile, Takanori Sobue, Paola Vera-Licona, Anna Dongari-Bagtzoglou","doi":"10.1128/msphere.00822-25","DOIUrl":"10.1128/msphere.00822-25","url":null,"abstract":"<p><p>In immunosuppressed humans with oropharyngeal candidiasis (OPC) and in mice with experimental OPC, <i>Candida albicans</i> infection is associated with a bacterial imbalance characterized by significantly reduced oral microbiome diversity and the expansion of enterococcal and streptococcal species, which may exacerbate oral mucosal pathology. In this study, we applied an unbiased genome-wide transcriptomic profiling approach to shed further mechanistic light on the role of indigenous enterococcal communities in mucosal infection in a mouse model of cancer chemotherapy-associated OPC. Transcriptomic profiling of tongue tissues revealed a wide-ranging, barrier-compromising molecular activity of resident enterococci that explains the previously observed attenuation of fungal mucosal invasion with antibiotic treatment in this mouse model. Mechanistically, we validated the pathogenic potential of resident bacteria by showing that enterococci isolated from mice with OPC produce hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) and induce oral epithelial cell death through apoptosis and necrosis <i>in vitro</i>. We also discovered that <i>C. albicans</i> increased enterococcal H<sub>2</sub>O<sub>2</sub> production. These findings uncover a novel mechanism of pathogenic synergy between <i>C. albicans</i> and <i>Enterococcus faecalis,</i> which may be responsible for increased epithelial barrier damage and mucosal invasion by <i>C. albicans</i> hyphae during cancer chemotherapy.</p><p><strong>Importance: </strong>Chemotherapy-induced mucosal barrier injury and immune suppression increase susceptibility to oropharyngeal candidiasis (OPC), a debilitating fungal infection. Our study uncovers a previously unknown pathogenic interaction between <i>Candida albicans</i> and <i>Enterococcus faecalis</i>, by showing that indigenous enterococci produce H<sub>2</sub>O<sub>2</sub>, which contributes to oral epithelial cell death during fungal infection. By integrating transcriptomics with functional assays, we demonstrate that enterococci compromise epithelial integrity independently of fungal burdens, highlighting the role of the bacterial microbiota in driving tissue damage. These findings emphasize the need to consider bacterial-fungal interactions in managing OPC and suggest that targeting the microbial crosstalk could be a promising adjunctive strategy in immunocompromised hosts.</p>","PeriodicalId":19052,"journal":{"name":"mSphere","volume":" ","pages":"e0082225"},"PeriodicalIF":3.1,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12838318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145864092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-23Epub Date: 2025-11-24DOI: 10.1128/msphere.00127-25
Charlotte Estampes, Jenna Fix, Julien Sourimant, Priscila Sutto-Ortiz, Charles-Adrien Richard, Etienne Decroly, Marie Galloux, Jean-François Eléouët
<p><p>Human respiratory syncytial virus (HRSV) is a main cause of acute lower respiratory tract infections in infants, the elderly, and immunocompromised patients. Although vaccines have recently been approved for the elderly and for pregnant women, there is no curative treatment for HRSV. HRSV replicates in the cytoplasm of infected cells, and transcription and replication of the viral genome depend on the viral RNA polymerase complex, which recruits cellular factors for RNA synthesis. Among them, the eukaryotic translation elongation factor 1A (eEF1A) was previously shown to be critical for HRSV replication. eEF1A activity can be inhibited by plitidepsin (Aplidin), a cyclopeptide extracted from the ascidian Aplidium albicans, which was shown to be highly potent against SARS-CoV-2, with a 50% inhibitory concentration (IC<sub>90</sub>) of 0.70 to 1.62 nM depending on the cell line. Here, we investigated whether plitidepsin could also inhibit HRSV replication. We found that plitidepsin inhibited HRSV replication with an IC<sub>50</sub> of ≈3 nM in cell cultures. However, further investigation revealed that plitidepsin has pleiotropic effects, affecting the translation of both cellular and viral proteins in a similar manner. Overall, our results show that plitidepsin blocks cellular translation and indicate that plitidepsin can induce a proteasome-mediated degradation of eEF1A, depending on the cell line, also showing the dependence of HRSV replication on cellular factors, such as eEF1A. These results thus highlight an original mechanism of action of plitidepsin on eEF1A, which renders the use of this compound for antiviral therapy very risky.</p><p><strong>Importance: </strong>Respiratory syncytial virus (RSV) is the main cause of bronchiolitis in infants and the elderly. Although some recent advances have been made, in particular vaccines for pregnant women and the elderly, or a new and efficient monoclonal prophylactic antibody for newborns, there is no curative treatment for human respiratory syncytial virus (HRSV). Previous works suggested that a natural compound extracted from a marine organism, plitidepsin, was capable of inhibiting virus replication, in particular SARS-CoV-2. Because the target of plitidepsin has been identified as the cellular protein eukaryotic translation elongation factor 1A (eEF1A) that brings tRNA-aa to the ribosome, and because it was published that RSV needs eEF1A, we tested plitidepsin against RSV. During this work, by using a non-radioactive pulse-chase labeling of protein synthesis, we found that plitidepsin blocks cellular translation with no specificity for the virus. We also observed that eEF1A was degraded after plitidepsin treatment in the BHK21-derived BSRT7 cell line, and that this degradation was inhibited by a proteasome inhibitor. However, this was not observed with Human HEp-2 or simian Vero E6 cell lines. So, we think that our results are new and original and that this information should be useful for
{"title":"Can plitidepsin be used as an antiviral against RSV?","authors":"Charlotte Estampes, Jenna Fix, Julien Sourimant, Priscila Sutto-Ortiz, Charles-Adrien Richard, Etienne Decroly, Marie Galloux, Jean-François Eléouët","doi":"10.1128/msphere.00127-25","DOIUrl":"10.1128/msphere.00127-25","url":null,"abstract":"<p><p>Human respiratory syncytial virus (HRSV) is a main cause of acute lower respiratory tract infections in infants, the elderly, and immunocompromised patients. Although vaccines have recently been approved for the elderly and for pregnant women, there is no curative treatment for HRSV. HRSV replicates in the cytoplasm of infected cells, and transcription and replication of the viral genome depend on the viral RNA polymerase complex, which recruits cellular factors for RNA synthesis. Among them, the eukaryotic translation elongation factor 1A (eEF1A) was previously shown to be critical for HRSV replication. eEF1A activity can be inhibited by plitidepsin (Aplidin), a cyclopeptide extracted from the ascidian Aplidium albicans, which was shown to be highly potent against SARS-CoV-2, with a 50% inhibitory concentration (IC<sub>90</sub>) of 0.70 to 1.62 nM depending on the cell line. Here, we investigated whether plitidepsin could also inhibit HRSV replication. We found that plitidepsin inhibited HRSV replication with an IC<sub>50</sub> of ≈3 nM in cell cultures. However, further investigation revealed that plitidepsin has pleiotropic effects, affecting the translation of both cellular and viral proteins in a similar manner. Overall, our results show that plitidepsin blocks cellular translation and indicate that plitidepsin can induce a proteasome-mediated degradation of eEF1A, depending on the cell line, also showing the dependence of HRSV replication on cellular factors, such as eEF1A. These results thus highlight an original mechanism of action of plitidepsin on eEF1A, which renders the use of this compound for antiviral therapy very risky.</p><p><strong>Importance: </strong>Respiratory syncytial virus (RSV) is the main cause of bronchiolitis in infants and the elderly. Although some recent advances have been made, in particular vaccines for pregnant women and the elderly, or a new and efficient monoclonal prophylactic antibody for newborns, there is no curative treatment for human respiratory syncytial virus (HRSV). Previous works suggested that a natural compound extracted from a marine organism, plitidepsin, was capable of inhibiting virus replication, in particular SARS-CoV-2. Because the target of plitidepsin has been identified as the cellular protein eukaryotic translation elongation factor 1A (eEF1A) that brings tRNA-aa to the ribosome, and because it was published that RSV needs eEF1A, we tested plitidepsin against RSV. During this work, by using a non-radioactive pulse-chase labeling of protein synthesis, we found that plitidepsin blocks cellular translation with no specificity for the virus. We also observed that eEF1A was degraded after plitidepsin treatment in the BHK21-derived BSRT7 cell line, and that this degradation was inhibited by a proteasome inhibitor. However, this was not observed with Human HEp-2 or simian Vero E6 cell lines. So, we think that our results are new and original and that this information should be useful for","PeriodicalId":19052,"journal":{"name":"mSphere","volume":" ","pages":"e0012725"},"PeriodicalIF":3.1,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12724346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145588312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-23Epub Date: 2025-11-28DOI: 10.1128/msphere.00504-25
Trevor Penix, Jenna Favazza, Jason W Rosch, Hannah M Rowe
Synergy between influenza A virus (IAV) and Streptococcus pneumoniae is a long-recognized and clinically important problem. Recent work has demonstrated that IAV particles can directly bind to the bacterial surface and that bacterial-viral complexes exhibit enhanced bacterial colonization and invasive disease, increased viral environmental survival leading to increased efficacy of airborne transmission, and enhanced vaccine response to both pathogens over simultaneous co-infection without direct interactions. However, the molecule(s) responsible for mediating the direct interaction are yet to be characterized. In this study, we demonstrate that the broadly conserved Gram-positive bacterial cell wall glycan lipoteichoic acid (LTA) is one of the molecules that can mediate this interaction. This interaction between viral particles and bacterial cell-envelope glycans is also demonstrated in interactions between enteric viruses and enteric bacteria, suggesting a conserved mechanism of trans-kingdom interactions. We show that LTA will compete for binding between IAV and S. pneumoniae, that disruption of genes responsible for LTA presentation at the cell surface will reduce viral binding, and that viral neuraminidase can bind LTA. This work adds to the growing body of literature on direct bacterial-viral interactions between human-associated bacteria and pathogenic viruses and can provide novel insights into the lethal synergy of influenza-pneumococcal co-infections.IMPORTANCECo-infection between influenza A virus (IAV) and Streptococcus pneumoniae leads to severe disease. Recently, it was demonstrated that IAV particles can bind to the surface of bacterial cells and that direct interactions will enhance both bacterial and viral pathogenesis as well as immune responses to each pathogen. However, it is unclear what bacterial and viral components are responsible for the interaction. We demonstrate that a carbohydrate component of the bacterial cell wall can bind to IAV particles. This is similar to direct interactions observed between enteric viruses and cell wall components of enteric bacteria. This work adds to the body of knowledge about trans-kingdom interactions between human-associated bacteria and human pathogenic viruses, as well as providing novel insights into the serious clinical problem of influenza-pneumococcal synergy.
{"title":"Lipoteichoic acid mediates binding of <i>Streptococcus pneumoniae</i> and influenza A virus.","authors":"Trevor Penix, Jenna Favazza, Jason W Rosch, Hannah M Rowe","doi":"10.1128/msphere.00504-25","DOIUrl":"10.1128/msphere.00504-25","url":null,"abstract":"<p><p>Synergy between influenza A virus (IAV) and <i>Streptococcus pneumoniae</i> is a long-recognized and clinically important problem. Recent work has demonstrated that IAV particles can directly bind to the bacterial surface and that bacterial-viral complexes exhibit enhanced bacterial colonization and invasive disease, increased viral environmental survival leading to increased efficacy of airborne transmission, and enhanced vaccine response to both pathogens over simultaneous co-infection without direct interactions. However, the molecule(s) responsible for mediating the direct interaction are yet to be characterized. In this study, we demonstrate that the broadly conserved Gram-positive bacterial cell wall glycan lipoteichoic acid (LTA) is one of the molecules that can mediate this interaction. This interaction between viral particles and bacterial cell-envelope glycans is also demonstrated in interactions between enteric viruses and enteric bacteria, suggesting a conserved mechanism of trans-kingdom interactions. We show that LTA will compete for binding between IAV and <i>S. pneumoniae</i>, that disruption of genes responsible for LTA presentation at the cell surface will reduce viral binding, and that viral neuraminidase can bind LTA. This work adds to the growing body of literature on direct bacterial-viral interactions between human-associated bacteria and pathogenic viruses and can provide novel insights into the lethal synergy of influenza-pneumococcal co-infections.IMPORTANCECo-infection between influenza A virus (IAV) and <i>Streptococcus pneumoniae</i> leads to severe disease. Recently, it was demonstrated that IAV particles can bind to the surface of bacterial cells and that direct interactions will enhance both bacterial and viral pathogenesis as well as immune responses to each pathogen. However, it is unclear what bacterial and viral components are responsible for the interaction. We demonstrate that a carbohydrate component of the bacterial cell wall can bind to IAV particles. This is similar to direct interactions observed between enteric viruses and cell wall components of enteric bacteria. This work adds to the body of knowledge about trans-kingdom interactions between human-associated bacteria and human pathogenic viruses, as well as providing novel insights into the serious clinical problem of influenza-pneumococcal synergy.</p>","PeriodicalId":19052,"journal":{"name":"mSphere","volume":" ","pages":"e0050425"},"PeriodicalIF":3.1,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12724309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145636586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-23Epub Date: 2025-11-25DOI: 10.1128/msphere.00704-25
Jie Sheng, Hao Lan, Xinru Wang, Jiayao Yao, Yueyue Hu, Jingyi Guo, Longjie Zhou, Xinyan Tang, Haotian Xu, Yunsong Yu, Xi Li, Xinhong Han
<p><p>Carbapenem-resistant <i>Escherichia coli</i> (CREC), particularly strains producing New Delhi metallo-β-lactamase-9 (NDM-9), pose a growing threat as agents of nosocomial infections. Despite their emergence since 2013, a comprehensive global phylogeographic and genetic characterization of <i>bla</i><sub>NDM-9</sub>-carrying CREC is lacking. Through 7 years (2018-2024) of surveillance of CREC strains in a tertiary hospital, we obtained seven <i>bla</i><sub>NDM-9</sub>-carrying CREC. Antimicrobial susceptibility testing, conjugative transfer experiments, whole-genome sequencing (WGS), and fitness analysis were performed. Publicly available genomes of <i>bla</i><sub>NDM-9</sub>-carrying CREC from NCBI (curated by July 2025) were integrated for global analysis. All seven <i>bla</i><sub>NDM-9</sub>-carrying CREC exhibited resistance to most antimicrobials tested, except colistin. WGS revealed diverse <i>bla</i><sub>NDM-9</sub>-carrying plasmid types (IncB/O/K/Z, IncHI2, IncFIB, and IncC) and sequence types of strains (ST156 predominant). Key mobile genetic elements IS<i>26</i> and IS<i>CR1</i> facilitated <i>bla</i><sub>NDM-9</sub> dissemination. Plasmid structural analysis traced the evolution of the IncB/O/K/Z plasmid, revealing potential intra-hospital persistence and spread. Carriage of <i>bla</i><sub>NDM-9</sub>-carrying plasmid imposed a significant fitness cost. Global analysis (<i>n</i> = 203 isolates) demonstrated high genetic diversity (56 STs), with ST156 (20.1%) being the most prevalent. Spatially, isolates were concentrated in Asia (China: 85.2%). Primary isolation sources were humans (39.4%) and chickens (34.9%), with a notable shift toward human predominance since 2016. Our findings elucidate the critical role of specific mobile elements in transmission, highlight the significant burden in China, document a shift toward human-associated isolates, and identify ST156 as a globally prevalent lineage. We emphasized the necessity of intensified surveillance to track the dissemination of <i>bla</i><sub>NDM-9</sub>-carrying CREC.IMPORTANCEThis study provides the first integrative geographic and genomic epidemiology analysis of <i>bla</i><sub>NDM-9</sub>-carrying carbapenem-resistant <i>Escherichia coli</i> (CREC). Our 7-year surveillance and genomic analysis revealed critical insights into the genetic characteristics and transmission dynamics of CREC carrying <i>bla</i><sub>NDM-9</sub>. The identification of mobile genetic elements, such as IS<i>26</i> and IS<i>CR1</i>, underscores their role in the horizontal transfer of resistance genes, facilitating the spread of <i>bla</i><sub>NDM-9</sub>. Furthermore, given the high frequency of <i>bla</i><sub>NDM-9</sub>-carrying CREC in China and its likelihood of spreading clonally in hospitals, there is an immediate need to intensify surveillance efforts. Adopting a One Health perspective, our study highlights the interconnected antimicrobial resistance risks spanning human, animal, and environm
{"title":"Global geographic and genomic epidemiology analysis of carbapenem-resistant <i>Escherichia coli</i> carrying <i>bla</i><sub>NDM-9</sub>.","authors":"Jie Sheng, Hao Lan, Xinru Wang, Jiayao Yao, Yueyue Hu, Jingyi Guo, Longjie Zhou, Xinyan Tang, Haotian Xu, Yunsong Yu, Xi Li, Xinhong Han","doi":"10.1128/msphere.00704-25","DOIUrl":"10.1128/msphere.00704-25","url":null,"abstract":"<p><p>Carbapenem-resistant <i>Escherichia coli</i> (CREC), particularly strains producing New Delhi metallo-β-lactamase-9 (NDM-9), pose a growing threat as agents of nosocomial infections. Despite their emergence since 2013, a comprehensive global phylogeographic and genetic characterization of <i>bla</i><sub>NDM-9</sub>-carrying CREC is lacking. Through 7 years (2018-2024) of surveillance of CREC strains in a tertiary hospital, we obtained seven <i>bla</i><sub>NDM-9</sub>-carrying CREC. Antimicrobial susceptibility testing, conjugative transfer experiments, whole-genome sequencing (WGS), and fitness analysis were performed. Publicly available genomes of <i>bla</i><sub>NDM-9</sub>-carrying CREC from NCBI (curated by July 2025) were integrated for global analysis. All seven <i>bla</i><sub>NDM-9</sub>-carrying CREC exhibited resistance to most antimicrobials tested, except colistin. WGS revealed diverse <i>bla</i><sub>NDM-9</sub>-carrying plasmid types (IncB/O/K/Z, IncHI2, IncFIB, and IncC) and sequence types of strains (ST156 predominant). Key mobile genetic elements IS<i>26</i> and IS<i>CR1</i> facilitated <i>bla</i><sub>NDM-9</sub> dissemination. Plasmid structural analysis traced the evolution of the IncB/O/K/Z plasmid, revealing potential intra-hospital persistence and spread. Carriage of <i>bla</i><sub>NDM-9</sub>-carrying plasmid imposed a significant fitness cost. Global analysis (<i>n</i> = 203 isolates) demonstrated high genetic diversity (56 STs), with ST156 (20.1%) being the most prevalent. Spatially, isolates were concentrated in Asia (China: 85.2%). Primary isolation sources were humans (39.4%) and chickens (34.9%), with a notable shift toward human predominance since 2016. Our findings elucidate the critical role of specific mobile elements in transmission, highlight the significant burden in China, document a shift toward human-associated isolates, and identify ST156 as a globally prevalent lineage. We emphasized the necessity of intensified surveillance to track the dissemination of <i>bla</i><sub>NDM-9</sub>-carrying CREC.IMPORTANCEThis study provides the first integrative geographic and genomic epidemiology analysis of <i>bla</i><sub>NDM-9</sub>-carrying carbapenem-resistant <i>Escherichia coli</i> (CREC). Our 7-year surveillance and genomic analysis revealed critical insights into the genetic characteristics and transmission dynamics of CREC carrying <i>bla</i><sub>NDM-9</sub>. The identification of mobile genetic elements, such as IS<i>26</i> and IS<i>CR1</i>, underscores their role in the horizontal transfer of resistance genes, facilitating the spread of <i>bla</i><sub>NDM-9</sub>. Furthermore, given the high frequency of <i>bla</i><sub>NDM-9</sub>-carrying CREC in China and its likelihood of spreading clonally in hospitals, there is an immediate need to intensify surveillance efforts. Adopting a One Health perspective, our study highlights the interconnected antimicrobial resistance risks spanning human, animal, and environm","PeriodicalId":19052,"journal":{"name":"mSphere","volume":" ","pages":"e0070425"},"PeriodicalIF":3.1,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12724373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145605179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-23Epub Date: 2025-12-02DOI: 10.1128/msphere.00745-25
Agnes Thora Arnadottir, Sigurlaug Skirnisdottir, Stephen Knobloch, Karla F Corral-Jara, Alexandra Maria Klonowski, Ingibjorg Gunnarsdottir, Viggo Thor Marteinsson
The infant gut microbiome plays a critical role in the early development of the immune system, brain function, metabolism, and defense against pathogens. However, data from underrepresented populations, like Iceland, with its distinct dietary and lifestyle habits, remain limited. This paper presents the initial findings from the Icelandic Diet and the Infant Gut Microbiome Development (IceGut) study. Fecal samples were collected at multiple time points, representing 328 unique study identifiers, with one to five samples per child, from before the introduction of solid foods up to 5 years of age, and postpartum samples from 214 mothers. Microbial composition and predicted functional potential were assessed using 16S rRNA gene sequencing. Children in the cohort followed typical gut microbiome maturation, but at 1 year of age, they showed a notably higher relative abundance of Blautia than reported in comparable cohorts. This time point marked a transition in both taxonomic composition and predicted functional gene counts. By 5 years, the children had higher observed richness than their mothers but lower Shannon and Simpson diversities. At 2 and 5 years, and in the mothers, samples positive for archaea had significantly higher alpha diversity than samples that tested negative for archaea. Mothers with gestational diabetes mellitus (GDM) exhibited a higher relative abundance of Blautia but a lower alpha diversity. The variance in offspring gut microbiome explained by maternal GDM became progressively stronger over time, being significant at the age of 5 and explaining 2.5% of the variance.
Importance: This study provides the first comprehensive analysis of gut microbiome development in Icelandic children, covering the time from before the introduction of solid foods to 5 years of age. Although the overall developmental patterns of the gut microbiome in Icelandic children were similar to what has been seen in other studies, interesting differences were observed, such as a higher abundance of Blautia at an earlier age compared to other study populations. Higher alpha diversity in archaeal-positive samples, both in mothers and in children at the ages of 2 and 5, compared with archaeal-negative samples seen in the present study, is worth further investigation. Additionally, the study suggests a potential role of maternal and perinatal factors, particularly GDM, which was not evident until the age of 5 years, emphasizing the necessity of long-term studies.
{"title":"Results from the IceGut study: tracking the gut microbiome development from mothers and infants up to five years of age.","authors":"Agnes Thora Arnadottir, Sigurlaug Skirnisdottir, Stephen Knobloch, Karla F Corral-Jara, Alexandra Maria Klonowski, Ingibjorg Gunnarsdottir, Viggo Thor Marteinsson","doi":"10.1128/msphere.00745-25","DOIUrl":"10.1128/msphere.00745-25","url":null,"abstract":"<p><p>The infant gut microbiome plays a critical role in the early development of the immune system, brain function, metabolism, and defense against pathogens. However, data from underrepresented populations, like Iceland, with its distinct dietary and lifestyle habits, remain limited. This paper presents the initial findings from the Icelandic Diet and the Infant Gut Microbiome Development (IceGut) study. Fecal samples were collected at multiple time points, representing 328 unique study identifiers, with one to five samples per child, from before the introduction of solid foods up to 5 years of age, and postpartum samples from 214 mothers. Microbial composition and predicted functional potential were assessed using 16S rRNA gene sequencing. Children in the cohort followed typical gut microbiome maturation, but at 1 year of age, they showed a notably higher relative abundance of <i>Blautia</i> than reported in comparable cohorts. This time point marked a transition in both taxonomic composition and predicted functional gene counts. By 5 years, the children had higher observed richness than their mothers but lower Shannon and Simpson diversities. At 2 and 5 years, and in the mothers, samples positive for archaea had significantly higher alpha diversity than samples that tested negative for archaea. Mothers with gestational diabetes mellitus (GDM) exhibited a higher relative abundance of <i>Blautia</i> but a lower alpha diversity. The variance in offspring gut microbiome explained by maternal GDM became progressively stronger over time, being significant at the age of 5 and explaining 2.5% of the variance.</p><p><strong>Importance: </strong>This study provides the first comprehensive analysis of gut microbiome development in Icelandic children, covering the time from before the introduction of solid foods to 5 years of age. Although the overall developmental patterns of the gut microbiome in Icelandic children were similar to what has been seen in other studies, interesting differences were observed, such as a higher abundance of <i>Blautia</i> at an earlier age compared to other study populations. Higher alpha diversity in archaeal-positive samples, both in mothers and in children at the ages of 2 and 5, compared with archaeal-negative samples seen in the present study, is worth further investigation. Additionally, the study suggests a potential role of maternal and perinatal factors, particularly GDM, which was not evident until the age of 5 years, emphasizing the necessity of long-term studies.</p>","PeriodicalId":19052,"journal":{"name":"mSphere","volume":" ","pages":"e0074525"},"PeriodicalIF":3.1,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12724365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145655237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-23Epub Date: 2025-12-04DOI: 10.1128/msphere.00506-25
Adeline Supandy, Emma G Mills, Kyong T Fam, Ryan K Shields, Howard C Hang, Daria Van Tyne
Enterococcus faecium is a member of the human gut microbiota that has evolved into a problematic nosocomial pathogen and a leading cause of infections in hospitalized patients. Treatment of E. faecium infections is complicated by antibiotic resistance, making it important to understand resistance mechanisms and their broader consequences in this pathogen. Here, we explored the collateral effects of rifampin resistance-associated mutations in the E. faecium RNA polymerase β-subunit (RpoB). Of 14,384 publicly available E. faecium genomes, nearly one-third carried a mutation in the rifampin resistance-determining region (RRDR) of RpoB. In a local population of 710 E. faecium clinical isolates collected from patients at a single hospital, we found significant associations between the presence of RRDR mutations and prior exposure to rifamycin antibiotics, as well as associations between RRDR mutations and altered daptomycin susceptibility. To investigate the phenotypic impacts of RRDR mutations, we generated and studied four isogenic strains with distinct RRDR mutations (Q473K, G482D, H486Y, and S491L) that overlapped with clinical isolate variants. Transcriptomic and phenotypic analyses revealed allele-specific effects on E. faecium gene expression, growth dynamics, antibiotic susceptibility, isopropanol tolerance, and cell wall physiology. One frequently observed mutation, H486Y, caused minimal transcriptional changes and enhanced bacterial fitness under antibiotic stress. In contrast, the S491L mutation induced extensive transcriptional changes and slowed bacterial growth but also conferred increased isopropanol tolerance, potentially enhancing bacterial survival on hospital surfaces. Overall, our findings highlight the multifaceted impacts of RRDR mutations in shaping E. faecium physiology and antibiotic resistance, two important features of this hospital-associated pathogen.IMPORTANCEUnderstanding how antimicrobial resistance affects bacterial physiology is critical for developing effective therapeutics against bacterial infections. In this study, we found that rifampin resistance-associated mutations in RpoB are widespread in Enterococcus faecium, a leading multidrug-resistant pathogen. By studying isogenic wild-type and RpoB mutant strains, we discovered that RpoB mutations, although conferring resistance to rifampin, have distinct allele-specific effects on other bacterial phenotypes. Some of these collateral effects appear to promote E. faecium resistance to antibiotics and survival in the hospital environment, raising questions about the selective pressures driving their emergence. Overall, our study underscores the importance of examining the collateral effects of resistance-associated mutations in multidrug-resistant pathogens, which could help mitigate their persistence and spread among vulnerable patients.
{"title":"Allele-specific effects of mutations in the rifampin resistance-determining region (RRDR) of RpoB on physiology and antibiotic resistance in <i>Enterococcus faecium</i>.","authors":"Adeline Supandy, Emma G Mills, Kyong T Fam, Ryan K Shields, Howard C Hang, Daria Van Tyne","doi":"10.1128/msphere.00506-25","DOIUrl":"10.1128/msphere.00506-25","url":null,"abstract":"<p><p><i>Enterococcus faecium</i> is a member of the human gut microbiota that has evolved into a problematic nosocomial pathogen and a leading cause of infections in hospitalized patients. Treatment of <i>E. faecium</i> infections is complicated by antibiotic resistance, making it important to understand resistance mechanisms and their broader consequences in this pathogen. Here, we explored the collateral effects of rifampin resistance-associated mutations in the <i>E. faecium</i> RNA polymerase β-subunit (RpoB). Of 14,384 publicly available <i>E. faecium</i> genomes, nearly one-third carried a mutation in the rifampin resistance-determining region (RRDR) of RpoB. In a local population of 710 <i>E. faecium</i> clinical isolates collected from patients at a single hospital, we found significant associations between the presence of RRDR mutations and prior exposure to rifamycin antibiotics, as well as associations between RRDR mutations and altered daptomycin susceptibility. To investigate the phenotypic impacts of RRDR mutations, we generated and studied four isogenic strains with distinct RRDR mutations (Q473K, G482D, H486Y, and S491L) that overlapped with clinical isolate variants. Transcriptomic and phenotypic analyses revealed allele-specific effects on <i>E. faecium</i> gene expression, growth dynamics, antibiotic susceptibility, isopropanol tolerance, and cell wall physiology. One frequently observed mutation, H486Y, caused minimal transcriptional changes and enhanced bacterial fitness under antibiotic stress. In contrast, the S491L mutation induced extensive transcriptional changes and slowed bacterial growth but also conferred increased isopropanol tolerance, potentially enhancing bacterial survival on hospital surfaces. Overall, our findings highlight the multifaceted impacts of RRDR mutations in shaping <i>E. faecium</i> physiology and antibiotic resistance, two important features of this hospital-associated pathogen.IMPORTANCEUnderstanding how antimicrobial resistance affects bacterial physiology is critical for developing effective therapeutics against bacterial infections. In this study, we found that rifampin resistance-associated mutations in RpoB are widespread in <i>Enterococcus faecium,</i> a leading multidrug-resistant pathogen. By studying isogenic wild-type and RpoB mutant strains, we discovered that RpoB mutations, although conferring resistance to rifampin, have distinct allele-specific effects on other bacterial phenotypes. Some of these collateral effects appear to promote <i>E. faecium</i> resistance to antibiotics and survival in the hospital environment, raising questions about the selective pressures driving their emergence. Overall, our study underscores the importance of examining the collateral effects of resistance-associated mutations in multidrug-resistant pathogens, which could help mitigate their persistence and spread among vulnerable patients.</p>","PeriodicalId":19052,"journal":{"name":"mSphere","volume":" ","pages":"e0050625"},"PeriodicalIF":3.1,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12724266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145669062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-23Epub Date: 2025-11-13DOI: 10.1128/msphere.00746-25
Kun Wang, Xujie Cui, Xiangyang Zhang, Jiachen Zheng, Xiaocui Ling, Yunfan Zhang, Pengbo Yu, Boyan Lv, Weihui Li
Nucleoid-associated proteins (NAPs) are essential in bacteria for maintaining nucleoid architecture and regulating the expression of target genes. Although some NAPs have been well studied in certain bacterial species, their specific functions and regulatory mechanisms remain poorly characterized in mycobacteria. In this study, we identified NapR as a novel nucleoid-associated protein in mycobacteria. We showed that NapR, which is highly conserved among mycobacteria, binds DNA and modulates DNA topology through bridging. Furthermore, we demonstrated that NapR acts as a positive transcriptional regulator of the ggr gene, which encodes geranylgeranyl reductase, thus regulating bacterial antioxidant defense. By controlling ggr expression, NapR modulates the level of intracellular ROS and influences the antioxidant capacity of mycobacteria. This study identifies NapR as a novel nucleoid-associated protein and defines a specific regulatory pathway involved in mycobacterial antioxidant defense, providing new insights into the mechanisms of the bacterial oxidative stress response.IMPORTANCEAs important global regulatory factors, nucleoid-associated proteins (NAPs) can help bacteria adapt to environmental stress, such as oxidative stress. However, the regulatory mechanism of NAPs in mycobacterial antioxidant defense is largely unclear and remains to be explored. Here, we identify NapR as a novel nucleoid-associated protein that modulates DNA topology by bridging. We revealed the regulatory effect of NapR on mycobacterial antioxidant defense. NapR positively regulates the expression of the geranylgeranyl reductase-encoding gene ggr. In addition, the ability of NapR to regulate the levels of intracellular ROS relies on ggr, ultimately leading to the antioxidant defense of Mycobacterium smegmatis. Our findings identify a new member of the NAP family and contribute to understanding the mechanisms of bacterial antioxidant defense.
{"title":"NapR, a novel nucleoid-associated protein, regulates antioxidant defense in mycobacteria.","authors":"Kun Wang, Xujie Cui, Xiangyang Zhang, Jiachen Zheng, Xiaocui Ling, Yunfan Zhang, Pengbo Yu, Boyan Lv, Weihui Li","doi":"10.1128/msphere.00746-25","DOIUrl":"10.1128/msphere.00746-25","url":null,"abstract":"<p><p>Nucleoid-associated proteins (NAPs) are essential in bacteria for maintaining nucleoid architecture and regulating the expression of target genes. Although some NAPs have been well studied in certain bacterial species, their specific functions and regulatory mechanisms remain poorly characterized in mycobacteria. In this study, we identified NapR as a novel nucleoid-associated protein in mycobacteria. We showed that NapR, which is highly conserved among mycobacteria, binds DNA and modulates DNA topology through bridging. Furthermore, we demonstrated that NapR acts as a positive transcriptional regulator of the <i>ggr</i> gene, which encodes geranylgeranyl reductase, thus regulating bacterial antioxidant defense. By controlling <i>ggr</i> expression, NapR modulates the level of intracellular ROS and influences the antioxidant capacity of mycobacteria. This study identifies NapR as a novel nucleoid-associated protein and defines a specific regulatory pathway involved in mycobacterial antioxidant defense, providing new insights into the mechanisms of the bacterial oxidative stress response.IMPORTANCEAs important global regulatory factors, nucleoid-associated proteins (NAPs) can help bacteria adapt to environmental stress, such as oxidative stress. However, the regulatory mechanism of NAPs in mycobacterial antioxidant defense is largely unclear and remains to be explored. Here, we identify NapR as a novel nucleoid-associated protein that modulates DNA topology by bridging. We revealed the regulatory effect of NapR on mycobacterial antioxidant defense. NapR positively regulates the expression of the geranylgeranyl reductase-encoding gene <i>ggr</i>. In addition, the ability of NapR to regulate the levels of intracellular ROS relies on <i>ggr</i>, ultimately leading to the antioxidant defense of <i>Mycobacterium smegmatis</i>. Our findings identify a new member of the NAP family and contribute to understanding the mechanisms of bacterial antioxidant defense.</p>","PeriodicalId":19052,"journal":{"name":"mSphere","volume":"10 12","pages":"e0074625"},"PeriodicalIF":3.1,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12724333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145810683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-23Epub Date: 2025-11-24DOI: 10.1128/msphere.00445-25
Madeleine M Russell, Andrea Sosa-Moreno, Lixin Zhang, Sarah S Comstock
The emergence of pathogens resistant to antimicrobials has become a forefront concern for clinicians and patients alike. Antimicrobial resistance (AMR) is exacerbated by the misuse and overuse of antibiotics. Pregnant women and their infants are an important area of focus, as antibiotic use during this vulnerable period of development may generate reservoirs of AMR genes, which would contribute to future risk. Identifying the extent of antibiotic use and its association with ARG composition and persistence within this window is crucial. We sought to characterize the gut resistomes of 3-month-old infants (n = 212) and pregnant women in their third trimester (n = 99) to assess ARG burden in these populations. For a subset of women and their infants (n = 33 pairs), we explored overlap of ARG. Preliminary analyses demonstrated that pregnant women and infants had markedly different resistome communities and identified other environmental and demographic characteristics to be associated with univariate differences in infant ARG composition. When controlling for the race of the mother, infant diet, and infant antibiotic exposure since birth, delivery by cesarean section was associated with increased diversity of ARG relative to the diversity of ARG in the samples from vaginally born infants. Cesarean-born infants had increased richness of aminoglycoside ARG and increased diversity of beta-lactamase and tetracycline ARG relative to vaginally born infants. Furthermore, infants consuming any formula had increased overall richness and diversity of ARG in multivariate analyses. This study provides further insight into how diet and method of delivery are associated with resistome composition within the first 3 months of infant microbiome development.IMPORTANCEPregnancy and the first 3 months of life are vulnerable periods for antibiotic exposure and subsequent development of antimicrobial resistance (AMR). AMR is an increasingly worrisome problem for global public health. The full repertoire of AMR genes present in the gut collectively is referred to as the resistome. Herein, the associations between a variety of demographic and environmental factors, including race of the pregnant women, sex of the infant, mode of delivery, amount of breast milk consumed in infant diet, and antibiotic exposure during the first 3 months of life, with resistome composition are reported. Infants consuming any formula had a greater richness and diversity of ARG overall, and cesarean-born infants had greater diversity of ARG within their resistomes. These findings give insight into the early seeding of the infant resistome, which is crucial to understanding how the resistome develops throughout life.
{"title":"Associations of diet, race, and other environmental factors with antimicrobial resistance genes in the gut bacterial communities of pregnant women and 3-month-old infants.","authors":"Madeleine M Russell, Andrea Sosa-Moreno, Lixin Zhang, Sarah S Comstock","doi":"10.1128/msphere.00445-25","DOIUrl":"10.1128/msphere.00445-25","url":null,"abstract":"<p><p>The emergence of pathogens resistant to antimicrobials has become a forefront concern for clinicians and patients alike. Antimicrobial resistance (AMR) is exacerbated by the misuse and overuse of antibiotics. Pregnant women and their infants are an important area of focus, as antibiotic use during this vulnerable period of development may generate reservoirs of AMR genes, which would contribute to future risk. Identifying the extent of antibiotic use and its association with ARG composition and persistence within this window is crucial. We sought to characterize the gut resistomes of 3-month-old infants (<i>n</i> = 212) and pregnant women in their third trimester (<i>n</i> = 99) to assess ARG burden in these populations. For a subset of women and their infants (<i>n</i> = 33 pairs), we explored overlap of ARG. Preliminary analyses demonstrated that pregnant women and infants had markedly different resistome communities and identified other environmental and demographic characteristics to be associated with univariate differences in infant ARG composition. When controlling for the race of the mother, infant diet, and infant antibiotic exposure since birth, delivery by cesarean section was associated with increased diversity of ARG relative to the diversity of ARG in the samples from vaginally born infants. Cesarean-born infants had increased richness of aminoglycoside ARG and increased diversity of beta-lactamase and tetracycline ARG relative to vaginally born infants. Furthermore, infants consuming any formula had increased overall richness and diversity of ARG in multivariate analyses. This study provides further insight into how diet and method of delivery are associated with resistome composition within the first 3 months of infant microbiome development.<b>IMPORTANCE</b>Pregnancy and the first 3 months of life are vulnerable periods for antibiotic exposure and subsequent development of antimicrobial resistance (AMR). AMR is an increasingly worrisome problem for global public health. The full repertoire of AMR genes present in the gut collectively is referred to as the resistome. Herein, the associations between a variety of demographic and environmental factors, including race of the pregnant women, sex of the infant, mode of delivery, amount of breast milk consumed in infant diet, and antibiotic exposure during the first 3 months of life, with resistome composition are reported. Infants consuming any formula had a greater richness and diversity of ARG overall, and cesarean-born infants had greater diversity of ARG within their resistomes. These findings give insight into the early seeding of the infant resistome, which is crucial to understanding how the resistome develops throughout life.</p>","PeriodicalId":19052,"journal":{"name":"mSphere","volume":" ","pages":"e0044525"},"PeriodicalIF":3.1,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12724134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145588201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-23Epub Date: 2025-12-03DOI: 10.1128/msphere.00418-25
Rebekka Rolfsnes Hovd, Åsmund Kaupang, Pål Rongved, Geir Kildahl-Andersen, Knut Tormodssønn Hylland, Ragnar Hovland, Ole Andreas Løchen Økstad, Hanne Cecilie Winther-Larsen, Christopher Frøhlich
<p><p>β-Lactam/β-lactamase inhibitor combinations have significantly improved treatment outcomes for infections caused by serine β-lactamase (SBL)-producing pathogens. However, the continued emergence and spread of metallo-β-lactamases (MBLs), for which no clinically approved inhibitors currently exist, poses a serious threat to the long-term effectiveness of β-lactam-based therapies. To bridge this therapeutic gap, the boronic acid transition state analog, taniborbactam (Venatorx Pharmaceuticals), was developed, targeting SBLs and widespread MBLs such as NDM-1 and VIM-2. However, taniborbactam-escape variants have been detected among various MBL enzymes, including members of the NDM and IMP families. Here, we explored whether covalently combining two complementary inhibitor structures, a boronic acid transition state analog and a dipicolyl ethylenediamine-based metal chelator, can restore β-lactam susceptibility in MBL-producing bacterial strains, including taniborbactam-escape variants. APC24-7 successfully sensitized clinical isolates of SBL- and MBL-producing <i>Klebsiella pneumoniae</i> and <i>Escherichia coli</i> to meropenem. While APC24-7 demonstrated similarities in resensitization behavior to taniborbactam against a wide range of isogenic <i>E. coli</i> expressing single SBLs, APC24-7 reversed NDM-9- or IMP-26-mediated meropenem resistance more efficiently. To investigate the potential role of the chelator motif in the MBL inhibition of APC24-7, susceptibility tests were conducted with an excess of exogenous Zn²<sup>+</sup>. APC24-7-mediated resensitization remained unaffected in the presence of Zn²<sup>+</sup> for strains producing NDM-1 and VIM-2. However, its ability to reverse NDM-9- and IMP-26-mediated meropenem resistance was attenuated upon Zn²<sup>+</sup> supplementation. These findings demonstrate that combining functionally complementary chemical structures, such as chelators and boronic acids, can aid in expanding the resensitization ability of existing β-lactamase inhibitors.IMPORTANCEThe ability of bacteria such as <i>Klebsiella pneumoniae</i> and <i>Escherichia coli</i> to circumvent antimicrobial chemotherapy has become a global public health crisis. The high prevalence of β-lactamase enzymes capable of rendering our most prescribed antibiotics, the β-lactams (BLs) inactive, has left us with few available treatment options against infections caused by these bacteria. The use of small molecules that inhibit especially serine β-lactamases has substantially prolonged the lifetime of BL antibiotics. Yet, most clinically available inhibitors either do not possess or have limited ability to reverse resistance conferred by metallo-β-lactamase (MBL) enzymes. Combining chelator and transition state analog technology, our hybrid compound restores the effectiveness of BL antibiotics in cases of resistance conferred by both serine β-lactamases (SBLs) and MBLs. Our approach of covalently combining a chelator with an existing SBL inhib
{"title":"APC24-7, a covalent combination of boronic acid and chelator moieties, restores β-lactam efficiency against metallo-β-lactamase-producers.","authors":"Rebekka Rolfsnes Hovd, Åsmund Kaupang, Pål Rongved, Geir Kildahl-Andersen, Knut Tormodssønn Hylland, Ragnar Hovland, Ole Andreas Løchen Økstad, Hanne Cecilie Winther-Larsen, Christopher Frøhlich","doi":"10.1128/msphere.00418-25","DOIUrl":"10.1128/msphere.00418-25","url":null,"abstract":"<p><p>β-Lactam/β-lactamase inhibitor combinations have significantly improved treatment outcomes for infections caused by serine β-lactamase (SBL)-producing pathogens. However, the continued emergence and spread of metallo-β-lactamases (MBLs), for which no clinically approved inhibitors currently exist, poses a serious threat to the long-term effectiveness of β-lactam-based therapies. To bridge this therapeutic gap, the boronic acid transition state analog, taniborbactam (Venatorx Pharmaceuticals), was developed, targeting SBLs and widespread MBLs such as NDM-1 and VIM-2. However, taniborbactam-escape variants have been detected among various MBL enzymes, including members of the NDM and IMP families. Here, we explored whether covalently combining two complementary inhibitor structures, a boronic acid transition state analog and a dipicolyl ethylenediamine-based metal chelator, can restore β-lactam susceptibility in MBL-producing bacterial strains, including taniborbactam-escape variants. APC24-7 successfully sensitized clinical isolates of SBL- and MBL-producing <i>Klebsiella pneumoniae</i> and <i>Escherichia coli</i> to meropenem. While APC24-7 demonstrated similarities in resensitization behavior to taniborbactam against a wide range of isogenic <i>E. coli</i> expressing single SBLs, APC24-7 reversed NDM-9- or IMP-26-mediated meropenem resistance more efficiently. To investigate the potential role of the chelator motif in the MBL inhibition of APC24-7, susceptibility tests were conducted with an excess of exogenous Zn²<sup>+</sup>. APC24-7-mediated resensitization remained unaffected in the presence of Zn²<sup>+</sup> for strains producing NDM-1 and VIM-2. However, its ability to reverse NDM-9- and IMP-26-mediated meropenem resistance was attenuated upon Zn²<sup>+</sup> supplementation. These findings demonstrate that combining functionally complementary chemical structures, such as chelators and boronic acids, can aid in expanding the resensitization ability of existing β-lactamase inhibitors.IMPORTANCEThe ability of bacteria such as <i>Klebsiella pneumoniae</i> and <i>Escherichia coli</i> to circumvent antimicrobial chemotherapy has become a global public health crisis. The high prevalence of β-lactamase enzymes capable of rendering our most prescribed antibiotics, the β-lactams (BLs) inactive, has left us with few available treatment options against infections caused by these bacteria. The use of small molecules that inhibit especially serine β-lactamases has substantially prolonged the lifetime of BL antibiotics. Yet, most clinically available inhibitors either do not possess or have limited ability to reverse resistance conferred by metallo-β-lactamase (MBL) enzymes. Combining chelator and transition state analog technology, our hybrid compound restores the effectiveness of BL antibiotics in cases of resistance conferred by both serine β-lactamases (SBLs) and MBLs. Our approach of covalently combining a chelator with an existing SBL inhib","PeriodicalId":19052,"journal":{"name":"mSphere","volume":" ","pages":"e0041825"},"PeriodicalIF":3.1,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12724231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145669069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}