Staphylococcus aureus inactivates daptomycin by releasing membrane phospholipids
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Accepted version
Supporting information
Author(s)
Type
Journal Article
Abstract
Daptomycin is a bactericidal antibiotic of last resort for serious infections caused by methicillin-resistant Staphylococcus aureus (MRSA)1,2. Although resistance is rare, treatment failure can occur in more than 20% of cases3,4 and so there is a pressing need to identify and mitigate factors that contribute to poor therapeutic outcomes. Here, we show that loss of the Agr quorum-sensing system, which frequently occurs in clinical isolates, enhances S. aureus survival during daptomycin treatment. Wild-type S. aureus was killed rapidly by daptomycin, but Agr-defective mutants survived antibiotic exposure by releasing membrane phospholipids, which bound and inactivated the antibiotic. Although wild-type bacteria also released phospholipid in response to daptomycin, Agr-triggered secretion of small cytolytic toxins, known as phenol soluble modulins, prevented antibiotic inactivation. Phospholipid shedding by S. aureus occurred via an active process and was inhibited by the β-lactam antibiotic oxacillin, which slowed inactivation of daptomycin and enhanced bacterial killing. In conclusion, S. aureus possesses a transient defence mechanism that protects against daptomycin, which can be compromised by Agr-triggered toxin production or an existing therapeutic antibiotic.
Date Issued
2016-10-24
Date Acceptance
2016-09-07
Citation
Nature Microbiology, 2016, 2, pp.1-8
ISSN
2058-5276
Publisher
Nature Publishing Group
Start Page
1
End Page
8
Journal / Book Title
Nature Microbiology
Volume
2
Copyright Statement
© 2016 Macmillan Publishers Limited, part of Springer Nature. All rights reserved
Sponsor
Wellcome Trust
Medical Research Council (MRC)
Biotechnology and Biological Sciences Research Council (BBSRC)
Wellcome Trust
Identifier
https://www.nature.com/articles/nmicrobiol2016194
Grant Number
107660/Z/15/Z
MR/J006874/1B
BB/I001492/1
100958/Z/13/Z
Subjects
MRSA
Daptomycin
Antibiotic
Antibiotic resistance
Infection
Publication Status
Published
Article Number
16194
Date Publish Online
2016-10-24