Tran My, Hernandez Viera Angel J, Tran Patricia Q, Nilsen Erick D, Tran Lily, Mo Charlie Y
Department of Bacteriology, University of Wisconsin-Madison, Madison, United States.
Elife. 2025 Jul 10;13:RP102743. doi: 10.7554/eLife.102743.
Bacteriophage (phage) therapy is a promising means to combat drug-resistant bacterial pathogens. Infection by phage can select for mutations in bacterial populations that confer resistance against phage infection. However, resistance against phage can yield evolutionary trade-offs of biomedical relevance. Here, we report the discovery that infection by certain staphylococcal phages sensitizes different strains of methicillin-resistant (MRSA) to β-lactams, a class of antibiotics against which MRSA is typically resistant. MRSA cells that survive infection by these phages display significant reductions in minimal inhibitory concentration against different β-lactams compared to uninfected bacteria. Transcriptomic profiling reveals that these evolved MRSA strains possess highly modulated transcriptional profiles, where numerous genes involved in virulence are downregulated. Phage-treated MRSA exhibited attenuated virulence phenotypes in the form of reduced hemolysis and clumping. Despite sharing similar phenotypes, whole-sequencing analysis revealed that the different MRSA strains evolved unique genetic profiles during infection. These results suggest complex evolutionary trajectories in MRSA during phage predation and open up new possibilities to reduce drug resistance and virulence in MRSA infections.
噬菌体疗法是对抗耐药性细菌病原体的一种有前景的手段。噬菌体感染可在细菌群体中选择出赋予针对噬菌体感染抗性的突变。然而,对噬菌体的抗性可能会产生具有生物医学相关性的进化权衡。在此,我们报告了一项发现,即某些葡萄球菌噬菌体感染会使不同菌株的耐甲氧西林金黄色葡萄球菌(MRSA)对β-内酰胺类抗生素敏感,而MRSA通常对这类抗生素具有抗性。与未感染的细菌相比,在这些噬菌体感染中存活下来的MRSA细胞对不同β-内酰胺类抗生素的最低抑菌浓度显著降低。转录组分析表明,这些进化后的MRSA菌株具有高度调节的转录谱特征,其中许多与毒力相关的基因表达下调。经噬菌体处理的MRSA表现出以溶血和聚集减少形式的毒力减弱表型。尽管具有相似的表型,但全基因组测序分析表明,不同的MRSA菌株在感染过程中进化出了独特的基因特征。这些结果表明MRSA在噬菌体捕食过程中具有复杂的进化轨迹,并为降低MRSA感染中的耐药性和毒力开辟了新的可能性。