Functional disruption of peroxiredoxin by bismuth antiulcer drugs attenuates Helicobacter pylori survival
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Bismuth drugs have been used clinically to treat infections from Helicobacter pylori, a pathogen that is strongly related to gastrointestinal diseases even stomach cancer. Despite extensive studies, the mechanisms of action of bismuth drugs are not fully understood. Alkyl hydroperoxide reductase subunit C (AhpC) is the most abundant 2-cysteine peroxiredoxin, crucial for H. pylori survival in the host by defense of oxidative stress. Herein we show that a Bi(III) antiulcer drug (CBS) binds to the highly conserved cysteine residues (Cys49 and Cys169) with a dissociation constant (K d) of Bi(III) to AhpC of 3.0 (±1.0) × 10−24 M. Significantly the interaction of CBS with AhpC disrupts the peroxiredoxin and chaperone activities of the enzyme both in vitro and in bacterial cells, leading to attenuated bacterial survival. Moreover, using a home-made fluorescent probe, we demonstrate that Bi(III) also perturbs AhpC relocation between the cytoplasm and membrane region in decomposing the exogenous ROS. Our study suggests that disruption of redox homeostasis by bismuth drugs via interaction with key enzymes such as AhpC contributes to their antimicrobial activity.
KeywordsBismuth drug Enzyme Oxidative stress Peroxiredoxin Molecular mechanism
Antimicrobial resistance is on the rise which posts huge threats on public health. Re-use of antimicrobial metal ions, e.g., Ag+ and Bi3+ has received renewed attention due to their potentials in killing multidrug-resistant bacteria  and in improving the cure rates of infections from resistant strains . Bismuth drugs including colloidal bismuth subcitrate (CBS) and ranitidine bismuth citrate (RBC) have been widely used clinically to treat gastrointestinal disorder and Helicobacter pylori infection . H. pylori, a Gram-negative bacterium, is closely associated with gastrointestinal diseases including gastritis, peptic ulcer, and even gastric cancer [4, 5, 6, 7]. Combination of bismuth drugs with antibiotics either as triple or quadruple therapies have been suggested as the first-line therapy and importantly exhibit excellent success rates in eradiation of H. pylori even for antibiotic resistance strains [8, 9, 10]. Despite being used clinically for over decades, the mechanism of action of bismuth drugs still remains elusive. Much attention has been previously devoted to understanding how bismuth interferes with nickel homeostasis [5, 11, 12, 13, 14, 15], owing to the importance of nickel-containing enzymes, e.g., urease and [Ni, Fe] hydrogenase for its survival and pathogenesis. Recent metalloproteomics studies reveal that the identified bismuth-binding proteins are involved in multiple biological pathways [16, 17], indicative of multi-targeted mechanism of action of the drugs.
Defense of oxidative stress is crucial for H. pylori survival in the host as bacterial infection could induce inflammatory response, resulting in oxidative burst, which accumulates in the stomach and rapidly eliminates the bacterium if without a comprehensive defensive system. Deficiency in the defensive system of H. pylori could finally lead to substantial impairment of the bacterial viability and colonization . To counter oxidative stress, H. pylori has developed a range of methods including expression of antioxidant enzymes such as superoxide dismutase (SOD), catalase (Kat) and alkyl hydroperoxide reductase subunit C (AhpC) . AhpC, sometimes also called the thiol-specific antioxidant (TsaA), from H. pylori is a member of ubiquitous 2-cysteine peroxiredoxins family with a molecular weight of 26 kDa, and protects H. pylori from oxidative damages originated from hydrogen peroxide (H2O2), peroxynitrite and a wide range of organic hydroperoxides through peroxidase activity [19, 20]. It is highly expressed as the most abundant antioxidant protein for decomposing H2O2 and organic peroxides and is essential for the survival and growth of H. pylori [21, 22]. A high expression level of AhpC is noted in H. pylori isolated from gastric cancer patients . Like those yeast and human peroxiredoxins, H. pylori AhpC can also act as a molecular chaperone for prevention of protein misfolding as well as assisting the refolding of denatured proteins under oxidative stress [20, 24, 25].
We have previously mined the putative protein targets of bismuth drugs by various metalloproteomic approaches [16, 17, 26]. AhpC was identified as one of the bismuth-binding proteins in H. pylori . Herein, we carried out detailed in vitro and in vivo studies on the interaction of a bismuth drug (CBS) with AhpC and evaluated the biological consequence of such an interaction. We show that Bi(III) binds to the conserved cysteine residues, and in vitro study reveals that binding of Bi(III) disrupts both peroxidase and chaperon activity of AhpC. Furthermore, inhibition of AhpC activity by Bi(III) attenuated bacterial growth under oxidative stress. Using home-made fluorescent probe, bismuth perturbation of stress-induced protein translocation of AhpC is also observed. The study indicates that AhpC serves as an important target of bismuth drugs.
Materials and methods
Construction of expression plasmids
The ahpC gene was amplified from H. pylori 26695 genomic DNA by polymerase chain reaction (PCR) using KOD DNA polymerase and the primer pair AhpC_F/AhpC_R as shown in Table S1. PCR product was purified using Illustra GFX PCR DNA and Gel Band Purification Kit (GE Healthcare). After digestion by corresponding restriction endonucleases (New England Biolabs), the fragment of ahpC was ligated into pET-28a vector to obtain the plasmid pET-AhpC. Plasmids pET-AhpC-C49A and pET-AhpC-C169A were generated by Phusion Site-Directed Mutagenesis Kit (New England Biolabs) using primer pairs AhpC_C49A_F/AhpC_C169A_R and AhpC_C169A_F/AhpC_C169A_R, respectively, while pET-AhpC served as the template. The primer pair AhpC_C49A_F/AhpC_C49A_R was used for constructing the plasmid pET-AhpC-C49C169A, using pET-AhpC-C169A as the template.
Protein expression and purification
Plasmid pET-AhpC (and pET-AhpC-C49A and pET-AhpC-C169A and pET-AhpC-C49C169A) were transformed into E. coli BL21(DE3). The overnight culture was 1:100 subcultured into fresh LB medium in the presence of 50 μg/mL kanamycin. Bacteria were grown at 37 °C until OD600 was about 0.6. Protein expression was induced at 25 °C overnight using 0.2 mM IPTG. Bacteria were harvested by centrifugation at 4000g for 30 min at 4 °C and were resuspended in 20 mM Tris–HCl, pH 7.4, 300 mM NaCl containing 20 mM imidazole supplemented with 1 mM PMSF.
Cells were lysed by sonication, after which the lysate was centrifuged at 4 °C at 10,000g for 30 min and was applied to HisTrap HP column (GE Healthcare) pre-equilibrated with the same Tris buffer. Tris buffers containing 20 and 50 mM imidazole were used to remove weakly bound impurities while Tris buffer with 300 mM imidazole was used for elution. Fractions were collected and subjected to analysis by 12% sodium dodecyl sulfate–polyacrylamide gel electrophoresis (SDS-PAGE). The peak fraction was buffer exchanged with 20 mM Tris–HCl, pH 7.6, 120 mM NaCl for thrombin cleavage of His-tag on AhpC and its variants. Thrombin cleavage was carried out at 16 °C for an overnight and the cleavage product was purified by HisTrap HP column and then subjected to further purification by HiLoad 16/60 Superdex 200 prep grade (GE Healthcare) using 20 mM Tris–HCl, pH 7.4, 300 mM NaCl. The peak fractions were pooled and concentrated by Amicon Ultra-15 centrifugal filter unit (Millipore). BCA Protein Assay Kit (Novagen) was used to determine the protein concentration and MALDI-TOF MS was used to validate the identity of the purified protein.
Interaction between Bi(III) and AhpC and its mutants by UV–Vis Spectroscopy
Analysis of oligomerization state
Analytical Tricorn Superdex 75 10/300 GL column (GE Healthcare) was used to examine the oligomerization state of AhpC and Bi-bound AhpC. The column was calibrated with Gel Filtration Calibration Kit—Low Molecular Weight (GE Healthcare) prior to analysis. AhpC (50 μM) was prepared in HEPES buffer [10 mM HEPES, 100 mM NaCl, pH 7.4] while the Bi-bound AhpC was prepared by incubating AhpC (50 μM) with Bi(III) (up to 2 molar equivalents) for 2 h at 37 °C. The column was equilibrated with the same HEPES buffer and analysis was performed at 4 °C at a flow rate of 0.5 mL/min with a detector to monitor the absorbance at 280 nm.
Evaluation of ROS level by FOX assay
FOX assay was performed using hydrogen peroxide (H2O2), tert-butyl hydroperoxide (t-BuOOH) and cumene hydroperoxide (PhC(CH3)2OOH) to evaluate the peroxiredoxin activity of AhpC and its mutants according to a previously reported protocol with some modifications . In brief, each assay mixture consists of AhpC (or its mutants) (pre-reduced by excess tris(2-carboxyethyl)phosphine, (TCEP), 2.0 μM in H2O2 reaction or 2.5 μM in t-BuOOH and PhC(CH3)2OOH), different ROS species (H2O2, t-BuOOH or PhC(CH3)2OOH; 0–200 μM) in PBS buffer in the presence of DTT (100 μM) for evaluating the multiple turnover efficiency of AhpC. To evaluate the effect of Bi(III) on the peroxiredoxin activity of AhpC and its mutants, AhpC (or its mutants) (pre-reduced with TCEP) was incubated with CBS (5 molar equivalents) at 37 °C for 15 min prior to FOX assay.
FOX working reagent was prepared by mixing FOX reagent A (25 mM ferrous ammonium sulfate in 2.5 M H2SO4) and FOX reagent B (100 mM d-sorbitol, 125 μM xylenol orange in ddH2O) in 1:100. Reaction was carried out at 37 °C and quenched by transferring the reaction mixture (10 μL) to FOX working reagent (200 μL) in 96-well plate at different time intervals. Samples were then incubated at room temperature for at least 30 min prior to the record of the absorbance at 570 nm. The concentration of ROS species was estimated from the standard calibration curves of the three ROS species. The results of triplicates were averaged and the activities of Bi(III)-treated AhpC and its mutants were normalized against that of the samples without incubation with Bi(III) ions for each ROS species individually.
To study the effect of Bi(III) on the enzyme kinetics of AhpC, the reaction rate of AhpC with or without incubation with CBS was measured at 1-min interval in the presence of varying concentrations of the three ROS species ranging from 0 to 200 μM. The reaction rates were plotted against the concentrations of ROS species added, the parameters of enzyme kinetic (Michaelis constant, K m; turnover number, k cat and catalytic efficiency, k cat/K m) were determined from the non-linear curve fitting using Michaelis–Menten equation in GraphPad Prism.
To understand the effect of antimicrobial on the oxidative defense of bacteria, H. pylori strain 26695 and clinical isolate A30651 were cultured (with and without the supplement of 10 or 20 μg/mL CBS) and were harvested. Cell lysate was obtained by sonication and FOX assay was performed using tert-butyl hydroperoxide (t-BuOOH) as the ROS substrate.
Refolding and reactivation of denatured citrate synthase by AhpC
Chaperonin-assisted refolding of citrate synthase was used to analyze the effect of Bi(III) on the chaperone activity of AhpC. Citrate synthase refolding and reactivation assay was performed according to previous reports [29, 30]. In brief, citrate synthase (as 3.2 M (NH4)2SO4 suspension, pH 7.0 upon received) was first prepared according to the recommended protocol of the manufacturer (Sigma). It was then denatured in denaturing buffer (20 mM potassium phosphate, pH 7.4, 6 M guanidine hydrochloride, 3 mM DTT, 2 mM EDTA) at room temperature for 90 min. The concentration of denatured citrate synthase was determined by monitoring UV absorption at 280 nm with extinction coefficient of citrate synthase of 8900 M−1 cm−1.
AhpC (100 μM) was pre-treated with 10 mM H2O2 at 37 °C for overnight with or without the addition of CBS (1, 2 or 5 molar equivalents) at 37 °C for an hour. Renaturation of citrate synthase was performed by the addition of denatured citrate synthase to refolding reaction mixture (10 mM MgCl2 and 1 mM oxaloacetic acid in 20 mM potassium phosphate, pH 7.4) in the presence of equimolar amounts of H2O2-treated AhpC or Bi-bound AhpC. AhpC-dependent citrate synthase refolding assay was carried out at 37 °C and the absorbance at 500 nm was monitored on Varioskan Flash Multimode Reader (Thermo Fisher) until the curve reached a plateau.
Activities of the renatured citrate synthase were assessed by its catalytic efficiency on the condensation reaction of acetyl-CoA and oxaloacetic acid. The enzymatic assay was initiated by adding 40 μL of refolding mixture to the reaction buffer consisting of 400 μM oxaloacetic acid, 160 μM acetyl-CoA in 20 mM potassium phosphate, pH 7.4. The assay was performed at room temperature and the absorbance at 233 nm, owing to the disappearance of acetyl-CoA, was recorded on Varioskan Flash Multimode Reader (Thermo Fisher) until the curve reached a plateau. The effect of Bi(III) on the chaperone activity of AhpC was normalized against the activity of the bismuth-untreated AhpC. The enzymatic activity of the denatured citrate synthase in the absence of AhpC (or spontaneous refolding) was used as the negative control.
Evaluation of tolerance towards oxidative stress by AhpC in E. coli
To understand the effect of Bi(III) on the antioxidant activity of AhpC in the bacterium, overnight cultures of E. coli wild-type K12 strain BW 25113 (WT)  and its ahpC knockout strain JW0598 from KEIO collection (KO)  were prepared in LB medium. The overnight cultures of the two strains were washed in M9 minimal medium for three times and were treated with CBS (50 μM) in M9 minimal medium at 37 °C for 4 h. The OD600 of the cultures was then adjusted to 0.1–0.2 using fresh M9 minimal medium (with or without the supplement of 50 μM CBS). Bacterial cultures were incubated with various concentrations of tert-butyl hydroperoxide (t-BuOOH, 0, 0.5, 1, 2, 5 mM) at 37 °C for 30 min. Cells were washed with M9 minimal medium and were resuspended in fresh M9 minimal medium for growth at 37 °C for 20 h, after which the cell densities were recorded. The growth of wild type (WT), Bi(III)-treated wild type (WT + Bi) and ahpC knock-out strains (KO) at different concentrations of t-BuOOH was normalized against that of the corresponding samples with t-BuOOH treatment.
For analysis of growth rate of the bacterium when subjected to oxidative stress (in the absence or presence of CBS), CBS (50 μM) was supplemented (in M9 minimal medium) to the culture of the WT and KO strains at 37 °C for 4 h, whose OD600 were then adjusted to be 0.1–0.2 with fresh M9 minimal medium (with or without the supplement of 50 μM CBS). t-BuOOH (5 mM) was added to culture medium and cells were treated for 30 min at 37 °C, then washed and resuspended in fresh M9 minimal medium for growth at 37 °C. Cell densities at different time intervals (0, 2, 6, 10, 20 h) were measured to evaluate the effect of Bi(III) ions on the bacterial growth under oxidative stress.
Helicobacter pylori culture
Helicobacter pylori strain 26695 and a clinical isolate strain A30651 were cultured on Columbia agar base in the presence of 7% laked horse blood (Oxoid) and H. pylori selective supplement Dent (Oxoid) at 37 °C under microaerobic condition using Campygen 2.5L (Oxoid) for 3 days. The bacteria were then inoculated to Brucella broth with 1.4% β-cyclodextrin at 37 °C with agitation for an overnight without or with the supplement of CBS (10 or 20 μg/mL). To prepare the cell lysate, cells were harvested and washed with PBS (pH 7.4) for three times and then lysed by sonication.
Allelic exchange for mutagenesis in H. pylori
aphA-3-NP-rev: 5′-TCCCCCGGGTCATTATTCCCTCC AGGTACTAAAACAATTCATC-3′
dAhpC-Up-For (XbaI): GGGGGTCTAGA GATCACTGCTCATGGATTTAA
dAhpC-Up-Rev (BamHI): GGGGGGATCC ATCGTAACTCCTTAAGTGTTTT
dAhpC-Down-For (EcoRI): GGGGGGAATTC TCGGCTTAATTCTTTTAACCAA
dAhpC-Down-Rev (KpnI): GGGGGGTACC TAAAATCTTAAAGGCTCCACATG
The DNA fragments were inserted into the up- and down-stream of the nonpolar aphA-3 gene cassette in pBS-NP-AphA3(-), respectively, generating the nonpolar mutagenesis plasmid pBS-NP-AphA3(-)-dAhpC. The in vivo knock-out mutagenesis was achieved by standard homologous recombination for H. pylori .
Confocal imaging of AhpC-overexpressing E. coli
To monitor the cellular localization of AhpC in AhpC-overexpressing E. coli upon different treatment (in the presence of CBS or excess ROS or both), Ni–NTA-AC was applied to track the intracellular AhpC (encoded with a His-tag) in E. coli cells according to previous reports with some modifications [36, 37]. Overexpression of His-tagged AhpC in E. coli BL21(DE3) was done as described in the previous section, with or without addition of CBS (50 μM) during protein expression. Then a representative of ROS, e.g., t-BuOOH (2 mM) was added to the bacterial culture at 37 °C for 5 h, after which the cells were collected by centrifugation, followed by washing with PBS buffer (pH 7.4) for three times. The cell pellet was resuspended in PBS buffer and was incubated with Ni-NTA-AC (100 μM) at 37 °C for 30 min. Cells were washed with PBS buffer for three times prior to fixation using 4% paraformaldehyde in PBS buffer at room condition for 15 min. Fixation was quenched by removal of paraformaldehyde by centrifugation and the cells were washed with PBS buffer thoroughly for three times. For staining the cell membrane of the bacteria, cells were incubated with BODIPY 558/568® C12 (Life Technologies) at room condition for 15 min, followed by washing with PBS buffer for three times. OD600 of the bacterial samples was adjusted to 0.2–0.3 by PBS prior to analysis by Carl Zeiss LSM700 inverted confocal microscopy with 63× 1.40NA oil objective and excitation with the 405 nm laser for Ni-NTA-AC and the 555 nm laser for the lipid probe BODIPY® stain.
Results and discussion
In vitro characterization of bismuth binding to AhpC
AhpC possesses two cysteine residues in the active site with different reactivity towards the enzyme substrates, ROS . To examine whether the cysteine residues possess asymmetric reactivity towards Bi(III), a single or double point mutation of cysteine residues to alanine (C49A and C169A) were carried out by site-directed mutagenesis. As shown in Fig. 1b and S1A-B, similar UV absorbance changes at 350 nm with the molar ratios of [Bi(NTA)]/[protein] were observed when Bi(III) was titrated to AhpC-C49A or AhpC-C169A, and the binding stoichiometries of Bi(III) to both AhpC-C49A and AhpC-C169A were identical to that of the wild-type AhpC although only half of absorbance changes at 350 nm were observed. In contrast, negligible increases in UV absorbance at 350 nm were observed for AhpC-C49C169A (Fig. 1b and S1C) under identical conditions, suggesting that both Cys49 and Cys169 of AhpC were involved in the binding of Bi(III) without substantial difference in their reactivity.
Subsequently, the oligomerization states of AhpC upon Bi(III) binding was analyzed by analytical gel filtration chromatography. In the presence of excess amounts of tris(2-carboxyethyl)phosphine (TCEP), AhpC was eluted as a major peak at 14.4 mL, corresponding to the molecular weight of ca. 44 kDa, indicating that AhpC exists predominately as a dimer (Fig. 1c). Upon the addition of one molar equivalent of Bi(III), a new peak appeared at ~12.1 mL, corresponding to a high oligomeric state of the protein, accompanied by significant decrease in the intensity of the peak at 14.4 mL. Incubation of two molar equivalents of Bi(III) led to almost completely disappearance of the protein dimeric peak, indicative of the presence of multimeric AhpC upon Bi(III) binding (Fig. 1c).
Bi(III) drug inhibits antioxidant activity of AhpC
It has been demonstrated that the two conserved cysteines in peroxiredoxin family participate in the decomposition of ROS with the N-terminal cysteine being the peroxidatic residue to directly react with ROS; whereas the C-terminal cysteine being resolving cysteine for recycling the oxidized enzyme . Such a differentiated reactivity of the two cysteine residues towards ROS has also been reported for AhpC . We, therefore, investigated the effects of Bi(III) on enzymatic activity of the individual cysteine mutants of AhpC to examine the potential disparity of cysteine residues. The AhpC mutants AhpC-C49A and AhpC-C169A (pre-reduced by TCEP) were incubated with CBS for 15 min prior to FOX assay analysis. The activities of the untreated proteins were set at 100% for normalization. The overall inhibitory effects of CBS on both AhpC mutants against the three oxidants (each at 200 µM), i.e., H2O2, t-BuOOH and PhC(CH3)2OOH, are shown in Figures S2B and S1C. The inhibitory effect of CBS on AhpC-C49A was less pronounced than that on AhpC-C169A, suggesting that Bi(III) exerts greater effect on Cys49 than on Cys169.
Bi(III) drug interrupts chaperone activity of AhpC
It has been demonstrated previously that AhpC acts as a peroxide reductase to reduce organic hydroperoxides as well as a molecular chaperone to prevent protein misfolding under oxidative stress via shifting its molecular weight from low-molecular oligomers to high-molecular weight complex [20, 44]. The effects of Bi(III) (as CBS) on chaperone activity of AhpC was evaluated according to previous reports [29, 30]. AhpC pre-reduced by TCEP was incubated with or without (as a control) CBS prior to H2O2 treatment. Since it has been previously reported that the chaperone activity of AhpC was attributed to the hyperoxidation-induced shift to higher oligomeric state, presence of higher order oligomer of AhpC due to hyperoxidation was confirmed by native PAGE prior to chaperone activity assay (data not shown). These solutions were then mixed with denatured citrate synthase (dCS) and the ability of AhpC or Bi-AhpC to refold citrate synthase to its native state was examined by monitoring the decrease of UV absorbance at 233 nm owing to its interaction with acetyl-CoA. The UV absorbance at 500 nm attributable to improper refolding of citrate synthase was also monitored [29, 30]. As shown in Fig. 2d, e, mixing denatured citrate synthase with H2O2-treated Bi-AhpC led to much higher absorbance at 500 nm than that with H2O2-treated AhpC, indicative of higher degree aggregation of citrate synthase in the presence of H2O2-treated Bi-AhpC. This is in line with the enzymatic assay of citrate synthase (Fig. 2e), a less extent of restoration of functional citrate synthase manifested by the drop of UV absorbance at 233 nm was observed for H2O2-treated Bi-AhpC than H2O2-treated AhpC. Based on the normalized activities (Fig. 2f), in the presence of equimolar amounts of CBS, the chaperone activity of H2O2-treated AhpC dropped by about 40%, and further 20% reduction in its chaperon activity was observed in the presence of 5 molar equivalents of Bi(III), where ca. 20% of citrate synthase activity was re-stored (Fig. 2f), similar to the background of spontaneous self-refolding of denatured citrate synthase . Thus, CBS abolishes the capability of AhpC on salvage of excessive unfolded proteins resulted from severe oxidative stress, which is likely to be lethal to the pathogen.
Inhibition of AhpC activities by Bi(III) reduces bacterial tolerance to oxidative stress and attenuates bacterial growth
The bacterial growth for the WT, KO strains with and without CBS treatment under the stress of 5 mM t-BuOOH was also monitored at different time intervals. Under the condition used, the growth of WT was not perturbed by t-BuOOH or CBS alone as reflected by the similar cell density owing to its antioxidant defending system (Fig. 3b). In contrast, its growth was significantly retarded when treated with 50 µM CBS under the stress of 5 mM t-BuOOH (Fig. 3b). This indicates that Bi(III) might inhibit the activity of antioxidant enzymes including AhpC and reduce tolerance towards ROS as Bi(III) exhibits no antimicrobial activity against E. coli. Interestingly, the KO and Bi-treated KO strains exhibited a similar trend in defective growth upon exposure to 5 mM t-BuOOH (Fig. 3c), indicating that Bi(III) exerts negligible effect on E. coli growth once ahpC gene is deleted. Under the stress of 5 mM t-BuOOH, the activities of antioxidants in E. coli dropped with the addition of increasing amounts of Bi(III) and leveled off at 5 µM CBS, where ca. 40% activity was reduced (Fig. 3d). Similarly, deletion of ahpC in E. coli resulted in drop of the activity by ca. 50% (Fig. 3e). To further examine the role of AhpC in ROS tolerance in bacteria, ahpC gene was complemented to the KO strain by transforming a plasmid expressing HpAhpC protein. As shown in Fig. 3e, the activity of antioxidant in ahpC-complemented KO strain (KO + AhpC) recovered to ca. 90% of that for the WT. However, addition of Bi(III) to ahpC-complemented KO strain led to the activity dropped by ca. 40% (KO + AhpC + Bi), which is comparable to those of the WT + Bi and the KO strain (Fig. 3e). Taken together, we demonstrate that under oxidative stress, supplementation of CBS to the bacterial culture medium resulted in reduced bacterial growth and ROS tolerance, which is attributable to the inhibition of AhpC activity by Bi(III) and the role of AhpC might not be compensated by other ROS scavengers. It has been shown previously that the lethality of bactericidal antibiotics is enhanced by an increase in ROS level while deficiency in AhpC raised the sensitivity of bacteria towards ampicillin, kanamycin and norfloxacin . Therefore, supplementation of Bi(III) drugs to bacterial culture medium is likely equivalent to “silencing” of ahpC gene in protein expression context.
Bi(III) drugs restrains intracellular dynamic translocation of AhpC
Upon addition of 2 mM t-BuOOH, intense blue fluorescence on the inner membrane was observed under identical conditions, roughly colocalized with the membrane probe BODIPY® (emitted at 569 nm) (Fig. 5c), indicative of translocation of AhpC from cytoplasm to the cell membrane under ROS stress, in agreement with a previous report that AhpC as a peroxide reductase is generally located on the bacterial membrane . When the E. coli cells were treated with 50 µM Bi(III) (as CBS) prior to the addition of Ni-NTA-AC (100 µM), we observed blue fluorescence evenly distributed in cytosolic region of the bacterium (Fig. 5b). Surprisingly, exposure of the Bi(III)-treated E. coli cells to 2 mM t-BuOOH led to a fluorescence pattern similar to that of only Bi(III)-treated cells, but different from that of the Bi(III)-untreated group (Fig. 5c), implicating no translocation of AhpC to the membrane region upon exposure to ROS (Fig. 5d). Clearly, binding of Bi(III) to AhpC restrains the intracellular translocation of AhpC under oxidative stress, possibly due to the disturbance of oligomeric state of AhpC in bacteria.
We have demonstrated that Bi(III) binds to the conserved cysteine residues of AhpC, which serves as one of the essential peroxide reductases in H. pylori. Subsequent in vitro studies reveal that binding of Bi(III) to AhpC disrupts both its antioxidant and chaperone activities. Using E. coli as a model system, we show that deletion of ahpC gene led to a similar consequence as treatment of bismuth to the bacterium under oxidative stress, leading to significant attenuation of bacterial growth. Indeed, the antioxidant activity was reduced by bismuth drugs in H. pylori. Moreover, upon exposure to ROS, bismuth drugs perturb AhpC dynamic translocation between cytosolic and membrane region, which could be crucial for executing its biological functions. The multiple inhibitory effects of bismuth drugs on peroxiredoxins might result in interruption of various cellular processes, including oxidative defense, protecting proteins from misfolding under environmental stress and cellular signaling, which are necessary for the bacterial survival and pathogenesis [20, 47, 48]. Therefore, AhpC might serve as an important target for the development of antimicrobial agents.
This work was supported by the Research Grants of Council of Hong Kong (703913, 17304614, 17305415, 17333616), Livzon Pharmaceutical Group, the University of Hong Kong (for an emerging Strategic Research Theme on Integrative Biology). We thank the assistance of Li Ka Shing Faculty of Medicine Faculty Core Facility, The University of Hong Kong. We thank Prof. Patrick Chiu Yat Woo (Department of Microbiology, LKS Faculty of Medicine) for his generous offer of clinical isolate of H. pylori strain. We thank Dr. Ligang Hu for his helpful comments and suggestions and Dr. Yau-Tsz Lai for suggestions on microscopic analysis.
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