ABSTRACT
Mobile genetic elements such as conjugative plasmids play a key role in the acquisition of antibiotic resistance by pathogenic bacteria. Resistance genes on plasmids can be transferred between bacteria using specialized conjugation machinery. Acinetobacter baumannii, the most common bacterium associated with nosocomial infections, harbors a large conjugative plasmid that encodes a type IV secretion system (T4SS). Feng et al. recently found that the A. baumannii T4SS is specialized for plasmid transfer, suggesting that it may be involved in multidrug resistance (Z. Feng, L. Wang, Q. Guan, X. Chu, and Z.-Q. Luo, mBio e02276-23, 2023, https://doi.org/10.1128/mbio.02276-23), T4SS-encoding genes are shown to be controlled by a versatile GacA/S two-component regulatory system. GacA/S is also found to regulate genes involved in central metabolism. The coordinated regulation of metabolism and plasmid conjugation may be a bacterial strategy for adapting to selective pressure from antibiotics.
KEYWORDS: Plasmid conjugation, type IV secretion system, Dot/Icm, antibiotic resistance, GacA/S two component system, bacterial metabolism, Legionella pneumophila, Acinetobacter baumannii
COMMENTARY
Hospital-acquired infections with opportunistic microorganisms are a global public health threat. Bacterial pathogens in the genus Acinetobacter are commonly involved in nosocomial infections. The gram-negative bacterium Acinetobacter baumannii is widely associated with multidrug resistance (MDR), which poses a serious challenge to clinical treatment (1). A. baumannii harbors a large, self-transmissible plasmid and small mobilizable plasmids. The large conjugative plasmid (LCP) encodes genes required for MDR (2), promoting the spread of infection. Feng et al. (3) found that the A. baumannii type IV secretion system (T4SS) encoded on the LCP plays an important role in plasmid transfer.
T4SSs are key players in bacterial pathogenicity. They include diverse translocation machinery consisting of two subfamilies: (i) DNA conjugation systems and (ii) bacterial protein translocators. Legionella pneumophila, a causative agent of acute pneumonia, Legionnaires’ disease, possesses dot/icm genes in two separate loci that encode component proteins of a T4SS essential for the translocation of bacterial effector proteins into the host cell cytosol (4) (Fig. 1). L. pneumophila Dot/Icm proteins have limited but significant sequence similarities to conjugation systems such as the Agrobacterium VirB/D4 and Escherichia coli plasmid R388 (4–6). While the L. pneumophila Dot/Icm system can transfer both proteins and DNA substrates (7, 8), however, the biological significance of the latter remains unknown.
Fig 1.

Roles of Dot/Icm T4SSs during L. pneumophila (A) and A. baumannii (B) infection. (A) The L. pneumophila Dot/Icm system translocates a large array of effector proteins into the host cell cytosol. The orchestrated enzymatic activities of these proteins modify host cell systems and enable bacteria to build a replicative niche. (B) The A. baumannii Dot/Icm system appears to function as plasmid transfer machinery. The system is encoded on the LCP and is transcriptionally regulated by the GacA/S two-component system. In response to unidentified environmental signals, GacA/S upregulates the expression of the dot/icm genes, enhancing the efficiency of plasmid transfer. As a versatile regulator, GacA/S also controls the expression of genes involved in the tricarboxylic acid (TCA) cycle. The coordinated regulation of bacterial metabolism and plasmid transfer mediated by the Dot/Icm system is thought to optimize the dissemination of bacteria harboring plasmids that encode MDR genes. This illustration was created using BioRender.com.
Genetic studies have revealed that genes on the A. baumannii LCPs encode protein orthologs of L. pneumophila Dot/Icm proteins (9, 10). In contrast to the L. pneumophila Dot/Icm system, however, the A. baumannii (Ab) Dot/Icm system functions as conjugation machinery, aiding in the dissemination of the LCP and mobilizable plasmids (3). Since the LCP carries genes required for antibiotic resistance, the Dot/Icm T4SS is thought to play an important role in pathogen spread by mediating the transfer of the MDR plasmid. Ab dot/icm gene expression is regulated by the GacA/S two-component system (TCS; 3), indicating that this system is needed to promote the efficient transfer of plasmids via the Ab T4SS (Fig. 1).
TCSs control diverse biological processes required to reprogram microbial physiology in response to environmental cues. Multiple TCSs are involved in regulating the virulence of L. pneumophila (11), of which PmrA/B (12, 13) and CpxR/A (14, 15) function as direct regulators of dot/icm genes and Dot/Icm translocated effector proteins. While the L. pneumophila LetA/S, an ortholog of GacA/S, impacts several bacterial traits (16), its involvement in regulating Dot/Icm T4SS remains unknown.
Signaling networks involving the GacA/S TCS have been extensively assessed in Pseudomonas (17). GacA/S globally impacts the Pseudomonas aeruginosa transcriptome and metabolome, significantly affecting the transcription of about 15% of its genes (18). GacA/S also regulates the production of secondary metabolites in various bacteria (17) and the expression of various genes including those encoding key metabolic enzymes. A recent study found that nutrient compounds, such as succinate, fumarate, malate, and oxaloacetate, can induce the expression of Ab dot/icm genes even if they have no effect on bacterial growth (3). The GacA/S system plays a role in regulating the expression of genes associated with metabolic pathways in which succinate and malate are involved (3). Using the larvae of Galleria mellonella, a model organism for evaluating infection with various bacterial pathogens including P. aeruginosa (19), the GacA/S system was shown to be required for A. baumannii virulence (3).
The involvement of TCA cycle intermediates in the induction of A. baumannii metabolic genes indicates that a positive circuit is likely involved in increasing nutrient conditions in these bacteria. The Dot/Icm system is composed of more than 20 proteins. Both constructing the system architecture and transferring substrates are energy-consuming processes (20). The co-regulation of dot/icm and metabolic genes by the TCS could be a strategy by which A. baumannii organizes its bacterial systems. Metabolically favorable conditions are likely required for A. baumannii to disseminate the MDR plasmid and assure its proliferation in the presence of competing bacteria.
Interestingly, the type VI secretion system (T6SS) encoded by the A. baumannii chromosome limits LCP dissemination through conjugation (10). This is shown by the ability of T6SSs to kill neighboring bacteria, thereby preventing them from being recipients of plasmid conjugation. To aid successful conjugation, the LCP encodes TetR transcriptional regulators that suppress the T6SS of the Ab host (2). Ab T4SS-mediated regulation of plasmid dissemination restricts T6SS activity and ensures successful bacterial spread and the acquisition of antibiotic resistance.
The signal that activates the GacA/S system to induce the Ab T4SS has not yet been identified. In general, nutrient conditions and other environmental states define bacterial behavior using TCSs. GacA/S TCS is a global regulator of bacterial physiology, including the production of secondary metabolites, regulation of secretion systems, regulation of bacterial motility, and production of quorum-sensing molecules (17). Antibiotic resistance is acquired through communication between bacteria that reside in complex environments, such as human organs, to which they need to adapt. Future studies are required to define whether and how the Ab T4SS impacts bacterial virulence in environments in which they are exposed to antibiotics.
Research by Feng et al. has expanded our knowledge of the biological roles of the Dot/Icm T4SS and provided a novel example of the fine-tuned networks of bacterial physiology and virulence on which TCSs act as central hubs. Further study of the mechanisms by which bacterial conjugation systems are regulated could inform the development of treatments that target and manipulate these systems.
ACKNOWLEDGMENTS
I would like to thank Hiroki Nagai and Tomoe Kitao for their valuable discussions on the manuscript.
My work was supported by the Takeda Science Foundation.
The views expressed in this article do not necessarily reflect the views of the journal or of ASM.
Contributor Information
Tomoko Kubori, Email: kubori.tomoko.j0@f.gifu-u.ac.jp.
Nancy E. Freitag, University of Illinois Chicago, Chicago, Illinois, USA
REFERENCES
- 1. Dijkshoorn L, Nemec A, Seifert H. 2007. An increasing threat in hospitals: multidrug-resistant Acinetobacter baumannii. Nat Rev Microbiol 5:939–951. doi: 10.1038/nrmicro1789 [DOI] [PubMed] [Google Scholar]
- 2. Weber BS, Ly PM, Irwin JN, Pukatzki S, Feldman MF. 2015. A multidrug resistance plasmid contains the molecular switch for type VI secretion in Acinetobacter baumannii. Proc Natl Acad Sci U S A 112:9442–9447. doi: 10.1073/pnas.1502966112 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3. Feng Z, Wang L, Guan Q, Chu X, Luo Z-Q. 2023. Acinetobacter baumannii coordinates central metabolism, plasmid dissemination, and virulence by sensing nutrient availability. mBio:e02276-23. doi: 10.1128/mbio.02276-23 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4. Nagai H, Kubori T. 2011. Type IVB secretion systems of legionella and other gram-negative bacteria. Front Microbiol 2:136. doi: 10.3389/fmicb.2011.00136 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5. Costa TRD, Harb L, Khara P, Zeng L, Hu B, Christie PJ. 2021. Type IV secretion systems: advances in structure, function, and activation. Mol Microbiol 115:436–452. doi: 10.1111/mmi.14670 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6. Kubori T, Nagai H. 2016. The type IVB secretion system: an enigmatic chimera. Curr Opin Microbiol 29:22–29. doi: 10.1016/j.mib.2015.10.001 [DOI] [PubMed] [Google Scholar]
- 7. Segal G, Purcell M, Shuman HA. 1998. Host cell killing and bacterial conjugation require overlapping sets of genes within a 22-KB region of the Legionella pneumophila genome. Proc Natl Acad Sci U S A 95:1669–1674. doi: 10.1073/pnas.95.4.1669 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8. Vogel J, Andrews HL, Wong SK, Isberg RR. 1998. Conjugative transfer by the virulence system of Legionella pneumophila. Science 279:873–876. doi: 10.1126/science.279.5352.873 [DOI] [PubMed] [Google Scholar]
- 9. Smith MG, Gianoulis TA, Pukatzki S, Mekalanos JJ, Ornston LN, Gerstein M, Snyder M. 2007. New insights into Acinetobacter baumannii pathogenesis revealed by high-density pyrosequencing and transposon mutagenesis. Genes Dev 21:601–614. doi: 10.1101/gad.1510307 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10. Di Venanzio G, Moon KH, Weber BS, Lopez J, Ly PM, Potter RF, Dantas G, Feldman MF. 2019. Multidrug-resistant plasmids repress chromosomally encoded T6SS to enable their dissemination. Proc Natl Acad Sci U S A 116:1378–1383. doi: 10.1073/pnas.1812557116 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11. Hochstrasser R, Hilbi H. 2017. Intra-species and inter-kingdom signaling of Legionella pneumophila. Front Microbiol 8:79. doi: 10.3389/fmicb.2017.00079 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12. Zusman T, Aloni G, Halperin E, Kotzer H, Degtyar E, Feldman M, Segal G. 2007. The response regulator PmrA is a major regulator of the icm/dOT type IV secretion system in Legionella pneumophila and Coxiella burnetii. Mol Microbiol 63:1508–1523. doi: 10.1111/j.1365-2958.2007.05604.x [DOI] [PubMed] [Google Scholar]
- 13. Al-Khodor S, Kalachikov S, Morozova I, Price CT, Abu Kwaik Y. 2009. The PmrA/PmrB two-component system of Legionella pneumophila is a global regulator required for intracellular replication within macrophages and protozoa. Infect Immun 77:374–386. doi: 10.1128/IAI.01081-08 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14. Gal-Mor O, Segal G. 2003. Identification of CpxR as a positive regulator of icm and dot virulence genes of Legionella pneumophila. J Bacteriol 185:4908–4919. doi: 10.1128/JB.185.16.4908-4919.2003 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15. Altman E, Segal G. 2008. The response regulator CpxR directly regulates expression of several Legionella pneumophila icm/dot components as well as new translocated substrates. J Bacteriol 190:1985–1996. doi: 10.1128/JB.01493-07 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16. Edwards RL, Jules M, Sahr T, Buchrieser C, Swanson MS. 2010. The Legionella pneumophila LetA/letS two-component system exhibits Rheostat-like behavior. Infect Immun 78:2571–2583. doi: 10.1128/IAI.01107-09 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17. Song H, Li Y, Wang Y. 2023. Two-component system GacS/GacA, a global response regulator of bacterial physiological behaviors. Engineering Microbiology 3:100051. doi: 10.1016/j.engmic.2022.100051 [DOI] [Google Scholar]
- 18. Wei X, Huang X, Tang L, Wu D, Xu Y. 2013. Global control of GacA in secondary metabolism, primary metabolism, secretion systems, and motility in the rhizobacterium Pseudomonas aeruginosa M18. J Bacteriol 195:3387–3400. doi: 10.1128/JB.00214-13 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19. Miyata S, Casey M, Frank DW, Ausubel FM, Drenkard E. 2003. Use of the Galleria mellonella caterpillar as a model host to study the role of the type III secretion system in Pseudomonas aeruginosa pathogenesis. Infect Immun 71:2404–2413. doi: 10.1128/IAI.71.5.2404-2413.2003 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20. Wallden K, Rivera-Calzada A, Waksman G. 2010. Type IV secretion systems: versatility and diversity in function. Cell Microbiol 12:1203–1212. doi: 10.1111/j.1462-5822.2010.01499.x [DOI] [PMC free article] [PubMed] [Google Scholar]
