dPreviously, we identified a single nucleotide mutation in the promoter (mutp) of the fluoride antiporter-coding genes in a naturally fluoride-resistant Streptococcus mutans strain. Here, we studied the role of this mutation in a defined genetic background. The results confirmed that this mutation alone confers fluoride resistance on S. mutans, as shown by growth and lactic acid production assays. This resistance was explained by constitutively higher mutp promoter activity and upregulation of the fluoride antiporter-coding genes.
Fluoride is highly abundant in nature and is extensively used in oral hygiene products (1, 2). At high concentrations, it can be bactericidal. Due to the extensive use of fluoride, many microorganisms have developed resistance to fluoride (3). Recent studies revealed that a conserved fluoride antiporter protein (CrcB) mediates microbial fluoride resistance by exporting fluoride ions (F Ϫ ) to maintain a low F Ϫ level in the cell (4, 5). The expression of the fluoride antiporter genes can be regulated by fluoride-sensing riboswitches (4). However, these riboswitches are absent in microorganisms such as Streptococcus mutans and staphylococci (4). Little is known about the regulation of the fluoride antiporter genes in these microorganisms.In a previous study, we compared the genome sequence of a naturally selected fluoride-resistant S. mutans strain to that of a fluoride-sensitive strain using whole-genome shotgun sequencing and discovered a single nucleotide mutation (Ϫ44A¡C) located in the promoter of two tandem genes coding for the fluoride antiporters (6). The expression of these genes was 10-fold higher in the fluoride-resistant strain than in the fluoride-sensitive strain. Although this evidence indicated that this mutation is involved in the expression regulation of the fluoride antiporters, it is uncertain whether this mutation alone causes fluoride resistance, since an additional seven mutations were found in the genome comparison. Thus, we aimed to investigate the role of this single nucleotide mutation in the fluoride resistance of S. mutans in a defined genomic environment. The promoter containing this mutation is referred to as mutp.We constructed a clean mutp mutant from S. mutans strain UA159 using site-directed mutagenesis and an unlabeled gene replacement system (7). The successful introduction of the base change, Ϫ44A¡C, in mutp was confirmed by Sanger sequencing. The corresponding mutant strain was designated UF35 and char-