Bacterial Immunity: An adaptable defense
Many bacteria use a system known as CRISPR-Cas to defend themselves against infection by viruses called phages. This system protects the bacterial cell by taking a short length of DNA from the phage and inserting this 'spacer' into its own genome. If the bacterial cell becomes re-infected, the spacer allows the cell to recognize the phage and stop it from replicating by cutting and destroying its DNA. Bacteria with these spacers survive infections and pass their spacers on to their progeny, creating a population that is resistant to the phage.
Phage populations, however, can also adapt and evade bacterial CRISPR-Cas systems. For example, if a phage develops a random mutation in the region targeted by the spacer, it may become undetectable by CRISPR-Cas, leaving it free to replicate and infect other cells (Barrangou et al., 2007; Deveau et al., 2008). Bacteria can combat these phages by creating multiple spacers that target different regions of the phage genome (van Houte et al., 2016; Figure 1). However, previous studies have shown that bacteria rarely acquire multiple spacers (Heler et al., 2015). Now, in eLife, Nora Pyenson and Luciano Marraffini from the Rockefeller University report that the number of spacers each bacterial cell acquires depends on its local environment (Pyenson and Marraffini, 2020).
Bacteria grown in liquid culture rarely have multiple spacers. Pyenson and Marraffini hypothesized that this is because bacterial cells move more freely when in this environment and are thus able to work together to defend themselves (Figure 1, left). This limits the need for individual cells to have multiple spacers in order to be protected. To test this theory, Pyenson and Marraffini investigated what happens to infected bacteria that are grown on a solid medium where cell movement is restricted. They found that most cells died, but those that acquired resistance formed separate colonies. Further experiments showed that compared to bacteria grown in liquid culture, bacterial cells in the resistant colonies had often acquired multiple spacers and were able to fight off phages with other mutations (Figure 1, right).
However, it still remained unclear what drives bacteria to acquire multiple spacers. It was previously shown that acquiring an initial spacer can drive the addition of subsequent spacers through a process called priming (Datsenko et al., 2012; Nussenzweig et al., 2019). Pyenson and Marraffini found that a disproportionate number of second spacers were taken from DNA regions located close to the initial spacer, which is a hallmark of priming. This suggests that priming enables immobile bacteria to survive mutated phages that have escaped detection by allowing the bacteria to create multiple spacers.
Cells in these resistant colonies arranged themselves into unusually shaped sectors, with the number and type of spacers present varying between cells in each sector. It seems that when bacteria are immobilized, individual cells within the colony must acquire more spacers to resist infection by the mutated phage (Figure 1, right). The new multi-spacer cells then outgrow the rest of the colony, forming these unusually shaped sectors. These findings suggest that bacteria cooperate and share the spacer load in a liquid environment. On a solid surface, on the other hand, the bacteria are more independent, and if a cell becomes immune to a mutated phage, it will form a new colony sector with its progeny.
In nature, bacteria are often attached to surfaces. For example, some bacteria live at the bottom of bodies of water, and these bacterial communities may be regularly targeted by phages (Tuson and Weibel, 2013). Bacteria also gather on biological surfaces when preparing to invade other organisms. For example, the bacteria Streptococcus preferentially bind and form colonies on mucus membrane surfaces in the human body before infecting epithelial cells (Beachey, 1981). The study by Pyenson and Marraffini reveals how different types of environments may influence the way that bacteria and phages respond to each other and synchronously evolve over time.
CRISPR-Cas systems are exceptionally diverse and use a variety of mechanisms to defend bacteria against infection. Further experiments studying these systems in a variety of environmental contexts will be important to help explain the diverse mechanisms of CRISPR-Cas systems.
References
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Bacterial adherence: adhesin-receptor interactions mediating the attachment of bacteria to mucosal surfaceJournal of Infectious Diseases 143:325–345.https://doi.org/10.1093/infdis/143.3.325
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Phage response to CRISPR-encoded resistance in Streptococcus thermophilusJournal of Bacteriology 190:1390–1400.https://doi.org/10.1128/JB.01412-07
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© 2020, Schelling and Sashital
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Further reading
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- Microbiology and Infectious Disease
Because of high mutation rates, viruses constantly adapt to new environments. When propagated in cell lines, certain viruses acquire positively charged amino acids on their surface proteins, enabling them to utilize negatively charged heparan sulfate (HS) as an attachment receptor. In this study, we used enterovirus A71 (EV-A71) as model and demonstrated that unlike the parental MP4 variant, the cell-adapted strong HS-binder MP4-97R/167G does not require acidification for uncoating and releases its genome in the neutral or weakly acidic environment of early endosomes. We experimentally confirmed that this pH-independent entry is not associated with the use of HS as an attachment receptor but rather with compromised capsid stability. We then extended these findings to another HS-dependent strain. In summary, our data indicate that acquisition of capsid mutations conferring affinity for HS come together with decreased capsid stability and allow EV-A71 to enter the cell via a pH-independent pathway. This pH-independent entry mechanism boosts viral replication in cell lines but may prove deleterious in vivo, especially for enteric viruses crossing the acidic gastric environment before reaching their primary replication site, the intestine. Our study thus provides new insight into the mechanisms underlying the in vivo attenuation of HS-binding EV-A71 strains. Not only are these viruses hindered in tissues rich in HS due to viral trapping, as generally accepted, but our research reveals that their diminished capsid stability further contributes to attenuation in vivo. This underscores the complex relationship between HS-binding, capsid stability, and viral fitness, where increased replication in cell lines coincides with attenuation in harsh in vivo environments like the gastrointestinal tract.
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- Medicine
- Microbiology and Infectious Disease
Background:
Under which conditions antibiotic combination therapy decelerates rather than accelerates resistance evolution is not well understood. We examined the effect of combining antibiotics on within-patient resistance development across various bacterial pathogens and antibiotics.
Methods:
We searched CENTRAL, EMBASE, and PubMed for (quasi)-randomised controlled trials (RCTs) published from database inception to 24 November 2022. Trials comparing antibiotic treatments with different numbers of antibiotics were included. Patients were considered to have acquired resistance if, at the follow-up culture, a resistant bacterium (as defined by the study authors) was detected that had not been present in the baseline culture. We combined results using a random effects model and performed meta-regression and stratified analyses. The trials’ risk of bias was assessed with the Cochrane tool.
Results:
42 trials were eligible and 29, including 5054 patients, qualified for statistical analysis. In most trials, resistance development was not the primary outcome and studies lacked power. The combined odds ratio for the acquisition of resistance comparing the group with the higher number of antibiotics with the comparison group was 1.23 (95% CI 0.68–2.25), with substantial between-study heterogeneity (I2=77%). We identified tentative evidence for potential beneficial or detrimental effects of antibiotic combination therapy for specific pathogens or medical conditions.
Conclusions:
The evidence for combining a higher number of antibiotics compared to fewer from RCTs is scarce and overall compatible with both benefit or harm. Trials powered to detect differences in resistance development or well-designed observational studies are required to clarify the impact of combination therapy on resistance.
Funding:
Support from the Swiss National Science Foundation (grant 310030B_176401 (SB, BS, CW), grant 32FP30-174281 (ME), grant 324730_207957 (RDK)) and from the National Institute of Allergy and Infectious Diseases (NIAID, cooperative agreement AI069924 (ME)) is gratefully acknowledged.