Carbohydrate Polymers 157 (2017) 146–155
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Carbohydrate Polymers
journal homepage: www.elsevier.com/locate/carbpol
Development of in vitro resistance to chitosan is related to changes in
cell envelope structure of Staphylococcus aureus
Dina Raafat
a,∗
, Nicole Leib
a
, Miriam Wilmes
a
, Patrice Franc ¸ ois
b
, Jacques Schrenzel
b
,
Hans-Georg Sahl
a
a
Institute for Medical Microbiology, Immunology and Parasitology (IMMIP), Pharmaceutical Microbiology Unit, University of Bonn, D-53115 Bonn,
Germany
b
Genomic Research Laboratory, Division of Infectious Diseases, University of Geneva Hospitals, CH-1211 Geneva, Switzerland
article info
Article history:
Received 22 July 2016
Received in revised form
23 September 2016
Accepted 23 September 2016
Available online 26 September 2016
Keywords:
Chitosan
Antibiotic resistance
Phospholipids analysis
Microarray analysis
abstract
The bacterial cell envelope is believed to be a principal target for initiating the staphylocidal pathway
of chitosan. The present study was therefore designed to investigate possible changes in cell surface
phenotypes related to the in vitro chitosan resistance development in the laboratory strain S. aureus
SG511-Berlin.
Following a serial passage experiment, a stable chitosan-resistant variant (CRV) was identified, exhibit-
ing >50-fold reduction in its sensitivity towards chitosan. Our analyses of the CRV identified phenotypic
and genotypic features that readily distinguished it from its chitosan-susceptible parental strain, includ-
ing: (i) a lower overall negative cell surface charge; (ii) cross-resistance to a number of antimicrobial
agents; (iii) major alterations in cell envelope structure, cellular bioenergetics and metabolism (based on
transcriptional profiling); and (iv) a repaired sensor histidine kinase GraS. Our data therefore suggest a
close nexus between changes in cell envelope properties with the in vitro chitosan-resistant phenotype
in S. aureus SG511-Berlin.
© 2016 Elsevier Ltd. All rights reserved.
1. Introduction
Chitosan is a linear high molecular weight heteropolysac-
charide, consisting of N-acetyl-d-glucosamine and d-glucosamine
units, linked together by ˇ-(1 → 4) glycosidic bonds; it is pro-
duced from chitin by exhaustive alkaline deacetylation (Kumar,
2000). Since the relative amount of the two monosaccharides may
vary, the term chitosan usually refers to a family of copolymers
with various fractions of acetylated units (Singla & Chawla, 2001;
Abbreviations: AMP, antimicrobial peptide; CAMHB, cation-adjusted
Mueller–Hinton II broth; CL, cardiolipin; CRV, chitosan-resistant variant; FDR,
False Discovery Rate; HMG-CoA, Hydroxymethylglutaryl-CoA; L-PG, lysyl-
phosphotidylglycerol; MBC, minimum bactericidal concentration; MIC, minimum
inhibitory concentration; OD, optical density; ORF, Open Reading Frame; PG, phos-
phatidylglycerol; PL, phospholipid; RT, room temperature; TCRS, two-component
regulatory system; TEM, Transmission electron microscope; WT, wild-type.
∗
Corresponding author. Present address: Institute of Immunology and Trans-
fusion Medicine, Immunology Department, University Medicine Greifswald, F.
Sauerbruch-Straße DZ 7, D-17475 Greifswald, Germany.
E-mail addresses: dina.raafat@uni-greifswald.de, dina raafat@yahoo.com
(D. Raafat), Nicole.Leib1@gmx.de (N. Leib), mwilmes@uni-bonn.de (M. Wilmes),
patrice.francois@genomic.ch (P. Franc ¸ ois), jacques.schrenzel@hcuge.ch
(J. Schrenzel), hgsahl@uni-bonn.de (H.-G. Sahl).
Tharanathan & Kittur, 2003). In contrast to most of the naturally-
occurring polysaccharides, chitosan is an example of a highly basic
polysaccharide with a high charge density. Its unique chemical
structure, combined with its physico-chemical and biological char-
acteristics, allow for a wide range of applications ranging from
pharmaceutical, cosmetic, medical, food and textile to agricultural
applications (Raafat & Sahl, 2009).
Recent developments in the field of biomaterials have led to a
renewed interest in this biopolymer, especially with an increas-
ing number of publications describing the antimicrobial potentials
of chitosan and its derivatives against filamentous fungi, yeasts
and bacteria (Champer et al., 2013; Galván Márquez et al., 2013).
It is generally assumed that the polycationic nature of chitosan
contributes to its interaction with anionic microbial cell surface
components, resulting in random multiple detrimental events
which may each contribute to the overall efficacy (Je & Kim, 2006;
Raafat, Bargen, von Haas, & Sahl, 2008; Torr, Chittenden, Franich,
& Kreber, 2005; Zakrzewska, Boorsma, Brul, Hellingwerf, & Klis,
2005). Our previous data clearly indicate that the initial contact
between chitosan and the negatively-charged cell wall polymers
(teichoic acids) is indeed driven by electrostatic interactions. This
leads to impairment and destabilization of membrane function
with subsequent leakage of cellular components, and ultimately to
http://dx.doi.org/10.1016/j.carbpol.2016.09.075
0144-8617/© 2016 Elsevier Ltd. All rights reserved.