# Novel Mechanisms of Beta-lactam Resistance in Staph Aureus

> **NIH NIH R01** · UNIVERSITY OF MARYLAND BALTIMORE · 2021 · $653,716

## Abstract

Abstract
We have identified a novel mode of high-level, broad-spectrum β-lactam resistance in S. aureus that is not
mediated by PBP2a, the penicillin-binding protein (PBP) that confers methicillin resistance. PBP4, a non-
essential PBP, and GdpP, the only known phosphodiesterase (PDE) that mediates cyclic-di-adenosine-mono-
phosphate (CDA) degradation, have critical roles in this type of resistance. Mutations that enhance PBP4's
ability to make a highly cross-linked bacterial cell wall and loss-of-function mutations in GdpP are the genetic
basis responsible for this uncanonical resistance. The highly cross-linked cell wall formation is driven either
independently or cooperatively by two distinct biochemical features of PBP4, a) structural changes in its protein
due to missense mutations and b) its overexpression due to mutations in its promoter region.
 The loss-of-function mutations in GdpP result in elevated concentrations of CDA in bacterial cells. CDA
is a newly discovered cell-signaling second messenger in bacteria which acts as an allosteric regulator by
binding to its effectors (proteins and RNAs). CDA broadly affects gene expression and controls GdpP related
β-lactam resistant phenotypes in a concentration dependent manner, suggesting that it is the deterministic
factor in resistance. However, the precise role(s) of CDA in mediating β-lactam resistance as well as other
vital processes of S. aureus is currently unknown.
 These functional alterations of PBP4 and GdpP likely come at the cost of bacterial virulence due to
depletion of cell wall associated proteins and attenuated production of cytolysins, respectively. This indicates a
unique yin-yang relationship between two key pathogenic factors of S. aureus, β-lactam resistance and
virulence. We will investigate the fundamental basis of the functional changes in PBP4 and GdpP that lead to
resistance and their impact on bacterial virulence. Aim 1: To determine the mechanism of PBP4-mediated
β-lactam resistance and the role of PBP4 in cell wall composition. The relative contribution of PBP4
missense and promoter mutations on cell wall synthesis will be evaluated biochemically and structurally. The
mechanism(s) that control pbp4 expression will be investigated to identify regulator(s) and to determine how
they confer PBP4-mediated β-lactam resistance. PBP4's role on bacterial cell surface associated virulence
factor expression will be determined. Aim 2: To define the role of cyclic-di-adenosine-mono-phosphate
(CDA) signaling in S. aureus. Genetic and chemical proteomic approaches will be taken to identify CDA
mediator/s in the bacteria that are responsible for β-lactam resistance and virulence defect. Finally, our
preliminary data suggest the presence of a novel CDA specific phosphodiesterase in S. aureus besides GdpP.
We will identify this novel phosphodiesterase. The proposed research will advance knowledge of basic cellular
processes in S. aureus.

## Key facts

- **NIH application ID:** 10078841
- **Project number:** 5R01AI100291-09
- **Recipient organization:** UNIVERSITY OF MARYLAND BALTIMORE
- **Principal Investigator:** Som Chatterjee
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $653,716
- **Award type:** 5
- **Project period:** 2012-08-01 → 2023-12-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10078841

## Citation

> US National Institutes of Health, RePORTER application 10078841, Novel Mechanisms of Beta-lactam Resistance in Staph Aureus (5R01AI100291-09). Retrieved via AI Analytics 2026-05-21 from https://api.ai-analytics.org/grant/nih/10078841. Licensed CC0.

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