Cicatiello, Annunziata Gaetana (2016) Characterization of Neisseria meningitidis rifampicin resistant strains: highlight on molecular mechanisms underlying the phenotypic traits associated with the RpoB H553Y substitution. [Tesi di dottorato]

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Item Type: Tesi di dottorato
Resource language: English
Title: Characterization of Neisseria meningitidis rifampicin resistant strains: highlight on molecular mechanisms underlying the phenotypic traits associated with the RpoB H553Y substitution
Creators:
Creators
Email
Cicatiello, Annunziata Gaetana
annunziatagaetana.cicatiello2@unina.it
Date: 2016
Number of Pages: 120
Institution: Università degli Studi di Napoli Federico II
Department: Medicina Molecolare e Biotecnologie Mediche
Scuola di dottorato: Medicina molecolare
Dottorato: Patologia e fisiopatologia molecolare
Ciclo di dottorato: 28
Coordinatore del Corso di dottorato:
nome
email
Avvedimento, Vittorio Enrico
vittorioenrico.avvedimento@unina.it
Tutor:
nome
email
Salvatore, Paola
UNSPECIFIED
Date: 2016
Number of Pages: 120
Keywords: rifampicin; resistance; Neisseria meningitidis
Settori scientifico-disciplinari del MIUR: Area 06 - Scienze mediche > MED/07 - Microbiologia e microbiologia clinica
Date Deposited: 13 Apr 2016 10:42
Last Modified: 21 Nov 2016 11:03
URI: http://www.fedoa.unina.it/id/eprint/10869

Collection description

Rifampicin chemoprophylaxis against Neisseria meningitidis infections led to the onset of rifampicin resistance in clinical isolates harboring point mutations in the rpoB gene, coding for the RNA polymerase β chain. These resistant strains are rare in medical practice, suggesting their decreased fitness in the human host. In this study, we isolated rifampicin-resistant rpoB mutants from hypervirulent serogroup C strain 93/4286 and analyzed their different properties, including the ability to grow and survive in different culture media and in differentiated THP-1 human monocytes and to compete with the wild-type strain in vitro. Our results demonstrate that different rpoB mutations (H553Y, H553R and S549F) may have different effects, ranging from low- to high-cost, on bacterial fitness in vitro. Moreover, we found that the S549F mutation confers temperature sensitivity, possibly explaining why it is observed very rarely in clinical isolates. Comparative high-throughput RNA sequencing analysis of bacteria grown in chemically defined medium demonstrated that the low-cost H553Y substitution resulted in global transcriptional changes that functionally mimic the stringent response. Interestingly, many virulence-associated genes, including those coding for meningococcal type IV pili, porin A, adhesins/invasins, IgA protease, two-partner secretion system HrpA/HrpB, enzymes involved in resistance to oxidative injury, lipooligosaccharide sialylation, and capsular polysaccharide biosynthesis, were down regulated in the H553Y mutant compared to their level of regulation in the wild-type strain. These data might account for the reduced capacity of H553Y mutant to grow and survive in differentiated THP-1 cells and explain the rarity of this mutant in clinical isolates.

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