Synthetic lethal compound combinations reveal a fundamental connection between wall teichoic acid and peptidoglycan biosyntheses in staphylococcus aureus

Jennifer Campbell, Atul K. Singh, John P. Santa Maria, Younghoon Kim, Stephanie Brown, Jonathan G. Swoboda, Eleftherios Mylonakis, Brian J. Wilkinson, Suzanne Walker

Research output: Contribution to journalArticlepeer-review

211 Scopus citations

Abstract

Methicillin resistance in Staphylococcus aureus depends on the production of mecA, which encodes penicillin-binding protein 2A (PBP2A), an acquired peptidoglycan transpeptidase (TP) with reduced susceptibility to I-lactam antibiotics. PBP2A cross-links nascent peptidoglycan when the native TPs are inhibited by I-lactams. Although mecA expression is essential for I-lactam resistance, it is not sufficient. Here we show that blocking the expression of wall teichoic acids (WTAs) by inhibiting the first enzyme in the pathway, TarO, sensitizes methicillin-resistant S. aureus (MRSA) strains to I-lactams even though the I-lactam-resistant transpeptidase, PBP2A, is still expressed. The dramatic synergy between TarO inhibitors and I-lactams is noteworthy not simply because strategies to overcome MRSA are desperately needed but because neither TarO nor the activities of the native TPs are essential in MRSA strains. The "synthetic lethality" of inhibiting TarO and the native TPs suggests a functional connection between ongoing WTA expression and peptidoglycan assembly in S. aureus. Indeed, transmission electron microscopy shows that S. aureus cells blocked in WTA synthesis have extensive defects in septation and cell separation, indicating dysregulated cell wall assembly and degradation. Our studies imply that WTAs play a fundamental role in S. aureus cell division and raise the possibility that synthetic lethal compound combinations may have therapeutic utility for overcoming antibiotic-resistant bacterial infections.

Original languageEnglish (US)
Pages (from-to)106-116
Number of pages11
JournalACS Chemical Biology
Volume6
Issue number1
DOIs
StatePublished - Jan 21 2011

ASJC Scopus subject areas

  • Biochemistry
  • Molecular Medicine

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