Bacterial resistance to antibiotics poses a serious worldwide public health problem due to the high morbidity and mortality caused by infectious diseases. Most hospital-onset infections are associated with methicillin-resistant Staphylococcus aureus (MRSA) strains that have acquired multiple drug resistance to -lactam antibiotics. In a response to antimicrobial stress, nearly all clinical MRSA isolates produce -lactamase (BlaZ) and a penicillin-binding protein with low affinity for -lactam antibiotics (PBP2a, also known as PBP2 or MecA). Both effectors are regulated by homologous signal transduction systems consisting of a sensor/transducer and a transcriptional repressor. MecI (methicillin repressor) blocks mecA but also blaZ transcription and that of itself and the co-transcribed sensor/transducer. The structure of MecI in complex with a cognate operator doublestranded DNA reveals a homodimeric arrangement with a novel C-terminal spiral staircase dimerization domain responsible for dimer integrity. Each protomer interacts with the DNA major groove through a winged helix DNA-binding domain and specifically recognizes the nucleotide sequence 5-Gua-Thy-Ade-X-Thy-3. This results in an unusual convex bending of the DNA helix. The structure of this first molecular determinant of methicillin resistance in complex with its target DNA provides insights into its regulatory mechanism and paves the way for new antimicrobial strategies against MRSA.
Prevotella intermedia is a major periodontopathogen contributing to human gingivitis and periodontitis. Such pathogens release proteases as virulence factors that cause deterrence of host defenses and tissue destruction. A new cysteine protease from the cysteine-histidine-dyad class, interpain A, was studied in its zymogenic and self-processed mature forms. The latter consists of a bivalved moiety made up by two subdomains. In the structure of a catalytic cysteine-to-alanine zymogen variant, the right subdomain interacts with an unusual prodomain, thus contributing to latency. Unlike the catalytic cysteine residue, already in its competent conformation in the zymogen, the catalytic histidine is swung out from its active conformation and trapped in a cage shaped by a backing helix, a zymogenic hairpin, and a latency flap in the zymogen. Dramatic rearrangement of up to 20 Å of these elements triggered by a tryptophan switch occurs during activation and accounts for a new activation mechanism for proteolytic enzymes. These findings can be extrapolated to related potentially pathogenic cysteine proteases such as Streprococcus pyogenes SpeB and Porphyromonas gingivalis periodontain. Periodontal disease (PD)5 affects the tissues that surround and support the teeth and may lead to loosening and eventual loss of teeth if untreated. It is caused by bacteria and affects mildly 90% and severely 10% of the population worldwide (1, 2). In addition, symptoms of PD appear in a series of systemic diseases due to its inflammatory and infective character (2, 3). Present day treatment and curettage of severe PD includes the mechanical cleansing of the affected area and is efficient in general. However, it is costly, time consuming, and painful and needs frequent repetition. In addition, it may entail the indiscriminate usage of antibiotics, which contributes to the spread of antibiotic-resistant strains (2, 4). Consequently, there is a need for innovative and specific therapeutic approaches against PD.Prevotella intermedia is a major bacterial periodontal pathogen in humans together with Porphyromonas gingivalis, among others (5, 6). Such bacteria colonize the gingival crevice and produce virulence factors that cause disease. Bacterial infection leads to the bacterial secretion or induction of host overproduction of proteolytic enzymes such as bacterial collagenases, matrix metalloproteases, and serine and cysteine proteases (CPs) (2, 7, 8). These proteases destroy host tissue and compromise host defenses. In addition, proteases may give rise to fibrinolytic activity and inactivate components of the bloodcoagulation cascade such as the protease inhibitors, ␣ 1 -proteinase inhibitor and ␣ 2 -macroglobulin. Proteolysis further covers alimentary requirements, because most of bacterial nutrition is obtained from degraded periodontal tissue and tissue fluid (9).Most studies on the bacterial proteolytic armamentarium in PD have been performed with P. gingivalis (9). In contrast, the factors governing P. intermedia infection, a black-pig...
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