Biochemical Journal: this is an Accepted Manuscript, not the final Version of Record. You are
encouraged to use the Version of Record that, when published, will replace this version. The most
up-to-date version is available at http://dx.doi.org/10.1042/BCJ20160696. Please cite using the DOI
10.1042/BCJ20160696
BIOCHEMICAL JOURNAL
ACCEPTED MANUSCRIPT
The HemQ coprohaem decarboxylase generates reactive oxygen
species: implications for the evolution of classical haem biosynthesis
Charlie Hobbs, Harry A. Dailey and Mark Shepherd
Cite as Biochemical Journal (2016) DOI: 10.1042/BCJ20160696
Copyright 2016 The Author(s).
Use of open access articles is permitted based on the terms of the specific Creative Commons Licence under which the
article is published. Archiving of non-open access articles is permitted in accordance with the Archiving Policy of Portland Press
(http://www.portlandpresspublishing.com/content/open-access-policy#Archiving).
Use of open access articles is permitted based on the terms of the specific Creative Commons Licence under
which the article is published. Archiving of non-open access articles is permitted in accordance with the
Archiving Policy of Portland Press (
http://www.portlandpresspublishing.com/content/open-access-policy#Archiving).
ACCEPTED MANUSCRIPT
Bacteria require a haem biosynthetic pathway for the assembly of a variety of protein complexes
including cytochromes, peroxidases, globins, and catalase. Haem is synthesised via a series of
tetrapyrrole intermediates including non-metallated porphyrins such as protoporphyrin IX, which is
well-known to generate reactive oxygen species (ROS) in the presence of light and
oxygen. Staphylococcus aureus has an ancient haem biosynthetic pathway that proceeds via the
formation of coproporphyrin III, a less reactive porphyrin. Herein, we demonstrate for the first time
that HemY of S. aureus is able to generate both protoporphyrin IX and coproporphyrin III, and that
the terminal enzyme of this pathway, HemQ, can stimulate the generation of protoporphyrin IX (but
not coproporphyrin III). Assays with hydrogen peroxide, horseradish peroxidase, superoxide
dismutase, and catalase confirm that this stimulatory effect is mediated by superoxide. Structural
modelling reveals that HemQ enzymes do not possess the structural attributes that are common to
peroxidases that form compound I [FeIV=O]+, which taken together with the superoxide data leaves
Fenton chemistry as a likely route for the superoxide-mediated stimulation of protoporphyrinogen
IX oxidase activity of HemY. This generation of toxic free radicals could explain why HemQ enzymes
have not been identified in organisms that synthesise haem via the classical protoporphyrin IX
pathway. This work has implications for the divergent evolution of haem biosynthesis in ancestral
microorganisms and provides new structural and mechanistic insights into a recently discovered
oxidative decarboxylase reaction.
7KH+HP4FRSURKDHPGHFDUER[\ODVHJHQHUDWHVUHDFWLYHR[\JHQVSHFLHVLPSOLFDWLRQV
IRUWKHHYROXWLRQRIFODVVLFDOKDHPELRV\QWKHVLV
&KDUOLH+REEV+DUU\$'DLOH\ÁDQG0DUN6KHSKHUG
6FKRRORI%LRVFLHQFHV8QLYHUVLW\RI.HQW&DQWHUEXU\&71-8QLWHG.LQJGRP
%LRPHGLFDODQG+HDOWK6FLHQFHV,QVWLWXWHDQG'HSDUWPHQWVRIÁ0LFURELRORJ\DQG
%LRFKHPLVWU\DQG0ROHFXODU%LRORJ\8QLYHUVLW\RI*HRUJLD$WKHQV*$
7RZKRPFRUUHVSRQGHQFHVKRXOGEHDGGUHVVHG
0DUN6KHSKHUG
06KHSKHUG#NHQWDFXN
6FKRRORI%LRVFLHQFHV
8QLYHUVLW\RI.HQW
&DQWHUEXU\
.HQW&71-
8QLWHG.LQJGRP
7HO
3DJH+HDGLQJ7LWOH3RUSK\ULQRJHQR[LGDWLRQE\+HP<+HP4RIS. aureus
$%675$&7
%DFWHULD UHTXLUH D KDHP ELRV\QWKHWLF SDWKZD\ IRU WKH DVVHPEO\ RI D YDULHW\ RI SURWHLQ
FRPSOH[HV LQFOXGLQJ F\WRFKURPHV SHUR[LGDVHV JORELQV DQG FDWDODVH +DHP LV V\QWKHVLVHG
YLD D VHULHV RI WHWUDS\UUROH LQWHUPHGLDWHV LQFOXGLQJ QRQPHWDOODWHG SRUSK\ULQV VXFK DV
SURWRSRUSK\ULQ ,; ZKLFK LV ZHOONQRZQ WR JHQHUDWH UHDFWLYH R[\JHQ VSHFLHV 526 LQ WKH
SUHVHQFH RI OLJKW DQG R[\JHQ Staphylococcus aureus KDV DQ DQFLHQW KDHP ELRV\QWKHWLF
SDWKZD\ WKDW SURFHHGV YLD WKH IRUPDWLRQ RI FRSURSRUSK\ULQ ,,, D OHVV UHDFWLYH SRUSK\ULQ
+HUHLQ ZH GHPRQVWUDWH IRU WKH ILUVW WLPH WKDW +HP< RI S. aureus LV DEOH WR JHQHUDWH ERWK
SURWRSRUSK\ULQ ,; DQG FRSURSRUSK\ULQ ,,, DQG WKDW WKH WHUPLQDO HQ]\PH RI WKLV SDWKZD\
+HP4 FDQ VWLPXODWH WKH JHQHUDWLRQ RI SURWRSRUSK\ULQ ,; EXW QRW FRSURSRUSK\ULQ ,,,
$VVD\V ZLWK K\GURJHQ SHUR[LGH KRUVHUDGLVK SHUR[LGDVH VXSHUR[LGH GLVPXWDVH DQG FDWDODVH
FRQILUP WKDW WKLV VWLPXODWRU\ HIIHFW LV PHGLDWHG E\ VXSHUR[LGH 6WUXFWXUDO PRGHOOLQJ UHYHDOV
WKDW+HP4HQ]\PHVGRQRWSRVVHVVWKHVWUXFWXUDODWWULEXWHVWKDWDUHFRPPRQWRSHUR[LGDVHV
WKDWIRUPFRPSRXQG,>)H,9 2@ZKLFKWDNHQWRJHWKHUZLWKWKHVXSHUR[LGHGDWDOHDYHV)HQWRQ
FKHPLVWU\DVDOLNHO\URXWHIRUWKHVXSHUR[LGHPHGLDWHGVWLPXODWLRQRISURWRSRUSK\ULQRJHQ,;
R[LGDVH DFWLYLW\RI+HP<7KLVJHQHUDWLRQ RI WR[LF IUHHUDGLFDOV FRXOGH[SODLQZK\ +HP4
HQ]\PHV KDYH QRW EHHQ LGHQWLILHG LQ RUJDQLVPV WKDW V\QWKHVLVH KDHP YLD WKH FODVVLFDO
SURWRSRUSK\ULQ,;SDWKZD\7KLVZRUNKDVLPSOLFDWLRQVIRUWKHGLYHUJHQWHYROXWLRQRIKDHP
ELRV\QWKHVLV LQ DQFHVWUDO PLFURRUJDQLVPV DQG SURYLGHV QHZ VWUXFWXUDO DQG PHFKDQLVWLF
LQVLJKWVLQWRDUHFHQWO\GLVFRYHUHGR[LGDWLYHGHFDUER[\ODVHUHDFWLRQ
.(<:25'6&RSURSRUSK\ULQRJHQSURWRSRUSK\ULQRJHQKDHPELRV\QWKHVLV
6800$5< 67$7(0(17 7KLV VWXG\ FKDUDFWHULVHV DQ LQWHUDFWLRQ EHWZHHQ HQ]\PHV RI
FODVVLFDODQGFRSURSRUSK\ULQGHSHQGHQWKDHPELRV\QWKHVLVWKDWLVPHGLDWHGE\WR[LFUHDFWLYH
R[\JHQ VSHFLHV 7KLV ILQGLQJ KDV LPSRUWDQW LPSOLFDWLRQV IRU ZK\ HYROXWLRQ KDV QRW IDYRUHG
PLFURRRUJDQLVPVWKDWV\QWKHVLVHKDHPYLDERWKURXWHV
,1752'8&7,21
+DHP LV DQ LPSRUWDQW FRIDFWRU UHTXLUHG IRU D YDULHW\ RI IXQFWLRQV LQFOXGLQJ WKH WUDQVSRUW RI
R[\JHQDQGFDUERQGLR[LGHLQPXOWLFHOOXODURUJDQLVPVF\WRFKURPHPHGLDWHGHOHFWURQWUDQVIHU
LQ UHVSLUDWRU\ FKDLQV DQG GHWR[LILFDWLRQ RI QLWULF R[LGH E\ EDFWHULDO JORELQ SURWHLQV ,Q
DGGLWLRQSHUR[LGDVHVFDWDODVHVDQGF\WRFKURPH3VDOVRXWLOLVHKDHPDVDFRIDFWRU8QWLO
UHFHQWO\LWZDVJHQHUDOO\DFFHSWHGWKDWWKHWHUPLQDOVWDJHVRIKDHPV\QWKHVLVZHUHFDWDO\VHG
E\IRXUHQ]\PDWLFVWHSVYLDDSDWKZD\IURPXURSRUSK\ULQRJHQ,,,HQGLQJLQWKHLQVHUWLRQRI
IHUURXV LURQ ,Q WKH VR FDOOHG FODVVLFDO SDWKZD\ XURSRUSK\ULQRJHQ ,,, XQGHUJRHV
GHFDUER[\ODWLRQ WR IRUP FRSURSRUSK\ULQRJHQ ZKHUHE\ DFHW\O VLGH FKDLQV DUH FRQYHUWHG WR
PHWK\OJURXSVZLWKFRQFRPLWDQWUHOHDVHRI&2&RSURSRUSK\ULQRJHQ,,,LVWKHQFRQYHUWHGWR
SURWRSRUSK\ULQRJHQ ,; YLD DQ R[LGDWLYH GHFDUER[\ODWLRQ UHDFWLRQ WKDW UHPRYHV FDUER[\O
JURXSV IURP WKH SURSLRQDWHV RQ ULQJV $ DQG % OHDYLQJ YLQ\O VXEVWLWXHQWV 7KHUH DUH WZR
DOWHUQDWLYHHQ]\PHVWKDWFDQFDWDO\VHWKLVSURFHVV+HP)DQG+HP17KHUHDFWLRQLQYROYLQJ
+HP)LVR[\JHQGHSHQGHQWZLWKPROHFXODUR[\JHQEHLQJXVHGDVWKHILQDOHOHFWURQDFFHSWRU
7KLVIRUPRIFRSURSRUSK\ULQRJHQR[LGDVHLVPDLQO\IRXQGLQHXNDU\RWLFRUJDQLVPVZKHUHDV
WKH+HP1HQ]\PHWKDWLVIRXQGLQPDQ\*UDPQHJDWLYHEDFWHULDLVR[\JHQLQGHSHQGHQW>@
7KHSHQXOWLPDWHVWHSLQWKHV\QWKHVLVRIKDHPYLDWKLVSDWKZD\LVWKHVL[HOHFWURQR[LGDWLRQRI
SURWRSRUSK\ULQRJHQ,;WRSURWRSRUSK\ULQ,;E\SURWRSRUSK\ULQRJHQ,;R[LGDVHDOVRNQRZQ
DV 332 $V ZLWK WKH FRSURSRUSK\ULQRJHQ R[LGDVH UHDFWLRQ WKHUH DUH R[\JHQGHSHQGHQW DQG
R[\JHQLQGHSHQGHQW332HQ]\PHV7KHR[\JHQGHSHQGHQWUHDFWLRQZKLFKLVFDWDO\VHGE\WKH
+HP< HQ]\PH XVHV R[\JHQ IRU WKH WHUPLQDO HOHFWURQ DFFHSWRU ZKHUHDV WKH R[\JHQ
LQGHSHQGHQW+HP*DQG+HP-HQ]\PHVVKXWWOHWKHHOHFWURQVLQWRWKHUHVSLUDWRU\FKDLQ>@
)LQDOO\ D IHUURXV LURQ LV LQVHUWHG LQWR SURWRSRUSK\ULQ ,; E\ WKH WHUPLQDO HQ]\PH RI WKH
SDWKZD\IHUURFKHODWDVH
$Q DOWHUQDWLYH SDWKZD\ IRU KDHP ELRV\QWKHVLV ZDV GLVFRYHUHG UHFHQWO\ WKDW SURGXFHV
KDHP via D VLURKDHP SUHFXUVRU >@ ZKLFK KDV QRZ EHHQ REVHUYHG LQ VXOSKDWH UHGXFLQJ
EDFWHULD DQG PHWKDQRJHQLF DUFKDHD >@ 0RUH UHFHQWO\ D WKLUG FRSURSRUSK\ULQGHSHQGHQW
SDWKZD\ KDV EHHQ LGHQWLILHG LQ *UDPSRVLWLYH EDFWHULD > @ ZKHUHE\ FRSURSRUSK\ULQRJHQ
,,,LVFRQYHUWHGWRSURWRKDHPYLDFRSURSRUSK\ULQ,,,DQG)HFRSURSRUSK\ULQ,,,LQWHUPHGLDWHV
7KLVSDWKZD\)LJEOXHURXWHKDVEHHQUHSRUWHGWREHPRUHZLGHO\GLVWULEXWHGDQGROGHU
WKDQ WKH FODVVLFDO SURWRSRUSK\ULQ ,; SDWKZD\ )LJ UHG URXWH SUHGDWLQJ R[\JHQLF
SKRWRV\QWKHVLV >@ ,W KDV ORQJ EHHQ NQRZQ WKDW FHUWDLQ *UDPSRVLWLYHV VXFK DV S. aureus
DFFXPXODWH FRSURSRUSK\ULQ ,,, DQG QRW SURWRSRUSK\ULQ ,; >@ ,QWHUHVWLQJO\ WKH HQ]\PH
+HP< IURP Bacillus subtilis KDV EHHQ VKRZQ WR R[LGLVH ERWK FRSURSRUSK\ULQRJHQ ,,, DQG
SURWRSRUSK\ULQRJHQ,;>@)XUWKHUVWXGLHVUHSRUWHGWKDWDKDHPELQGLQJSURWHLQ+HP4
WKDW LV UHTXLUHG IRU WKH WHUPLQDO VWHSV RI KDHP V\QWKHVLV LQ VSHFLHV RI $FWLQREDFWHULD DQG
)LUPLFXWHV KDG SHUR[LGDVH DQG FDWDODVH DFWLYLW\ DQG FRXOG VWLPXODWH WKH R[LGDWLRQ RI
SURWRSRUSK\ULQ,;E\+HP<>@S. aureushemQPXWDQWVZHUHWKHQVKRZQWRDFFXPXODWH
FRSURSRUSK\ULQ ,,, DQG WKH +HP4 HQ]\PH ZDV UHSRUWHG WR O\VH KDHP LQ WKH SUHVHQFH RI
SHUR[LGHFKORULWH>@6WUXFWXUDODQDO\VHVWKHQFRQILUPHGWKH+HP4IDPLO\RISURWHLQVWREH
GLVWLQFWIURPWKHRULJLQDODVVLJQPHQWWRWKHIDPLO\RIFKORULWHGLVPXWDVHHQ]\PHV>@WKHVH
GLIIHUHQFHV GHILQHG E\ YDULDWLRQV LQ FRQVHUYHG SUR[LPDOGLVWDO SRFNHW UHVLGXHV >@
+RZHYHU DQ RYHUOD\ RI FKORULWH GLVPXWDVH FRRUGLQDWHV ZLWK WKH FU\VWDO VWUXFWXUH RI DSR
+HP4IURPListeria monocytogenesUHYHDOHGWKHFKORULWHGLVPXWDVHKDHPGRFNVQHDWO\LQWKH
+HP4 DFWLYH VLWH FOHIW >@ 7KH WUXH in vivo UROH IRU +HP4 ZDV UHYHDOHG LQ ZKHQ
+HP4 ZDV FRQILUPHG WR FDWDO\VH WKH GHFDUER[\ODWLRQ RI FRSURKDHP IRU WKH QRQFDQRQLFDO
FRSURSRUSK\ULQGHSHQGHQW SDWKZD\ > @ %RQD ILGH FRSURSRUSK\ULQRJHQ R[LGDVHV ZHUH
VKRZQWREHDEVHQWLQ$FWLQREDFWHULDDQG)LUPLFXWHVH[SODLQLQJWKHODFNRISURWRSRUSK\ULQ,;
LQ WKHVH RUJDQLVPV REVHUYHG RYHU IRXU GHFDGHV HDUOLHU >@ 7KH ODFN RI D IXQFWLRQDO
FRSURSRUSK\ULQRJHQR[LGDVHLQS. aureusZDVWKHQYDOLGDWHGE\UHSRUWRIDODFNRIDFWLYLW\IRU
WKHSXULILHG +HP1 SURWHLQ>@ZKLFKDSSHDUVWRKDYH EHHQ PLVDQQRWDWHG>@)LQDOO\WKH
+HP4UHDFWLRQZDVODWHUVKRZQWRSURFHHGYLDDQXQXVXDOSHUR[LGHGHSHQGHQWUHDFWLRQYLDD
KDUGHURKDHP,,,LQWHUPHGLDWH>@DQG)01KDVDOVREHHQVKRZQWREHDQHIIHFWLYHHOHFWURQ
DFFHSWRU>@
7KHFXUUHQWVWXG\VHHNVWRLQYHVWLJDWHPHFKDQLVPVWKDWKDYHGULYHQWKHHYROXWLRQRI
WKHFODVVLFDOSURWRSRUSK\ULQ,;GHSHQGHQWSDWKZD\SUHVHQWLQSURWHREDFWHULDDQGHXNDU\RWHV
6LQFH WKH +HP4 FRPSRQHQW RI WKH FRSURSURSK\ULQ SDWKZD\ KDV EHHQ LGHQWLILHG LQ
HYROXWLRQDULO\ HDUO\EUDQFKLQJ $FLGREDFWHULD DQG 3ODQFWRP\FHV DQG WUDQVLWLRQDO
'HLQRFRFFXV7KHUPXVJURXSGLGHUPSK\OD>@LWLVKLJKO\OLNHO\WKDWWKLVSDWKZD\
LV DQ HYROXWLRQDU\ SUHFXUVRU WR WKH FODVVLFDO SURWRSRUSK\ULQ ,; SDWKZD\ +RZHYHU WKH
SUHVHQFH RI D QRQIXQFWLRQDO +HP1 KRPRORJXH LQ WKH YDVW PDMRULW\ RI
)LUPLFXWHV$FWLQREDFWHULD>@WKHLGHQWLILFDWLRQRIhemFJHQHVLQDVPDOOSURSRUWLRQRIWKHVH
IDPLOLHV >@ DQG GHPRQVWUDWLRQV WKDW *UDPSRVLWLYH +HP< HQ]\PHV FDQ R[LGLVH ERWK
SURWRSRUSK\ULQRJHQ ,; DQG FRSURSRSK\ULQRJHQ ,,, > @ DOO VXJJHVW WKDW DQFHVWUDO
VSHFLHV RI )LUPLFXWHV$FWLQREDFWHULD PD\ KDYH RQFH SURGXFHG ERWK FRSURSRUSK\ULQ ,,, DQG
SURWRSRUSK\ULQ,; LQWHUPHGLDWHV 7KHUHSRUWHGODFN RI SURWRSRUSK\ULQ,;LQ $FWLQREDFWHULD
DQG)LUPLFXWHV>@LQGLFDWHVWKDW+HP4FDQQRWFRQYHUWFRSURSRUSK\ULQ,,,WRSURWRSRUSK\ULQ
,;ZKLFKLVFRQVLVWHQWZLWKWKHUHTXLUHPHQWIRUD PHWDOODWHGSRUSK\ULQWRSDUWLFLSDWHLQWKH
SHUR[LGHGHSHQGHQW+HP4PHFKDQLVP>@
+HQFH RQH SODXVLEOH URXWH IRU WKH SURWRSRUSK\ULQGHSHQGHQW SDWKZD\ WR KDYH
HYROYHG LV L WKH QHFHVVDU\ DSSHDUDQFH RI +HP1+HP) HQ]\PHV WKDW GHFDUER[\ODWH
FRSURSRUSK\ULQRJHQ,,,WRSURWRSRUSK\ULQRJHQ,;LLHPHUJHQFHRI+HP<YDULDQWVWKDWFDQ
R[LGLVH ERWK FRSURSRUSK\ULQRJHQ ,,, and SURWRSRUSK\ULQRJHQ ,; LLL HPHUJHQFH RI +HP+
IHUURFKHODWDVHVWKDWFDQFDWDO\VHLURQLQVHUWLRQLQWRFRSURSRUSK\ULQ,,,andSURWRSRUSK\ULQ,;
DQGILQDOO\LYORVVRI)HFRSURSRUSK\ULQ,,,GHFDUER[\ODVHV+HP4$KE'6LQFHWKHUHLVD
UHTXLUHPHQWIRUKDHPRUDVLJQLILFDQWJURZWKDGYDQWDJHWRV\QWKHVLVLQJLWLQPRVWRUJDQLVPV
WKDWKDYHDIXQFWLRQDOKDHPELRV\QWKHWLFSDWKZD\LWLVSODXVLEOHWKDWWKHSURWRSRUSK\ULQDQG
FRSURSRUSK\ULQGHSHQGHQWSDWKZD\VFRH[LVWHGEHIRUHWKHSURWRSRUSK\ULQGHSHQGHQWSDWKZD\
FDPHWRSUHGRPLQDWHLQSURWHREDFWHULDDQGHXNDU\RWHV)ROORZLQJWKLVEUDQFKLQJHYHQWPDMRU
FODGHV KDYH VRPH LQWHUHVWLQJ FKDUDFWHULVWLFV +HP4$KE' HQ]\PHV DUH ODUJHO\ DEVHQW IURP
SURWHREDFWHULDO VSHFLHV WKDW R[LGLVH SURWRSRUSK\LQRJHQ YLD WKH FODVVLFDO SDWKZD\ DQG
)LUPLFXWHV$FWLQREDFWHULD SRVVHVV +HP4$KE' HQ]\PHV \HW GR QRW R[LGLVH
SURWRSRUSK\ULQRJHQ ,; WR SURWRSRUSK\ULQ ,; 7KLV H[FOXVLYH SUHVHQFH RI D FODVVLFDO or D
FRSURSURSK\ULQGHSHQGHQWKDHPSDWKZD\LVSDUWLFXODUO\LQWULJXLQJLQOLJKWRIGHPRQVWUDWLRQV
WKDW+HP4VWLPXODWHVSURWRSRUSK\ULQRJHQR[LGDWLRQE\Propionibacterium acnes+HP<>@
6LQFH +HP4 RI S. aureus GHFDUER[\ODWHV )HFRSURSRUSK\ULQ ,,, YLD D SHUR[LGHGHSHQGHQW
PHFKDQLVP >@ LW ZDV K\SRWKHVLVHG WKDW WKDW UDGLFDO JHQHUDWLRQ E\ +HP4 KDV D JUHDWHU
LPSDFWXSRQSURWRSRUSK\ULQRJHQR[LGDWLRQFRPSDUHGWRFRSURSRUSK\ULQRJHQR[LGDWLRQ)LJ
UHVXOWLQJ LQ WKH JHQHUDWLRQ RI UHDFWLYH R[\JHQ VSHFLHV WKDW DUH WR[LF WR WKH FHOO ,W ZDV
WKHUHIRUH RI LQWHUHVW WR UHHYDOXDWH VXEVWUDWH VSHFLILFLW\ LQ S. aureus +HP< DQG WR H[DPLQH
KRZWKHOLNHO\FRH[LVWHQFHRI+HP<DQG+HP4LQIOXHQFHGIOX[WKURXJKWKHSURWRSRUSK\ULQ
,;FODVVLFDODQGFRSURSRUSK\ULQ,,,SDWKZD\V+HUHLQZHLQYHVWLJDWHWKLVDQFHVWUDOSURFHVV
LQ WHUPV RI KRZ D FRPELQDWLRQ RI PHWDOORSRUSK\ULQERXQG +HP4 DQG K\GURJHQ SHUR[LGH
LQIOXHQFHVWKHR[LGDWLRQRISRUSK\ULQRJHQLQWHUPHGLDWHVLQERWKSDWKZD\V)LJ
(;3(5,0(17$/352&('85(6
3URWHLQSXULILFDWLRQ
5HFRPELQDQW S. aureus +HP< DQG +HP4 SURWHLQV ZHUH RYHUH[SUHVVHG DQG SXULILHG
HVVHQWLDOO\DVUHSRUWHGSUHYLRXVO\IRURWKHU+HP<SURWHLQV>@E. coli%/S/\V6FHOOV
ZHUH WUDQVIRUPHG ZLWK S(7DS. aureus hemY >@ DQG S(7ES. aureus hemQ >@ DQG
VWDUWHU FXOWXUHV ZHUHJURZQ RYHUQLJKW DW R&DQG USP%DIIOHGIODVNV/ FRQWDLQLQJ
/%/ZHUHLQRFXODWHGDQGLQFXEDWHGDWR&DQGUSPXQWLODQ2'RIKDGEHHQ
UHDFKHG DQG P0 ,37* DQG JP/ ULERIODYLQ ZHUH DGGHG DW WKLV SRLQW &XOWXUHV
ZHUHWKHQJURZQIRUKDW R&DQGUSP&HOOVIURP/FXOWXUHVZHUHKDUYHVWHGE\
FHQWULIXJDWLRQ DQG UHVXVSHQGHG LQ EXIIHU P0 7ULV0236 S+ P0 .&O 7ZHHQ YY FRQWDLQLQJ PJP/ SKHQ\OPHWK\OVXOIRQ\O IOXRULGH 306) VRQLFDWHG RQ
LFHIRU[VDQGFHQWULIXJHGDW[JPLQWRUHPRYHPHPEUDQHVDQGLQVROXEOH
SURWHLQV 7KH VXSHUQDWDQW ZDV DSSOLHG WR FREDOWFKHODWH FROXPQV P/ EHG YROXPH WKDW
ZHUH VXEVHTXHQWO\ ZDVKHG ZLWK FROXPQ YROXPHV RI EXIIHU DQG D IXUWKHU YROXPHV RI
EXIIHUFRQWDLQLQJP0LPLGD]ROH7KHSXULILHGSURWHLQVZHUHHOXWHGZLWKEXIIHUFRQWDLQLQJ
P0 LPLGD]ROH DQG FRQFHQWUDWHG WR P/ 7KH LPLGD]ROH ZDV VXEVHTXHQWO\ UHPRYHG
XVLQJ 3' GHVDOWLQJ FROXPQV *(+HDOWKFDUH +DHP DQG SRUSK\ULQERXQG GHULYDWLYHV RI
+HP< DQG +HP4 ZHUH SXULILHG IROORZLQJ DGGLWLRQ RI WHWUDS\UUROHV SULRU WR DIILQLW\
FKURPDWRJUDSK\ DQG WKH ERXQG OLJDQGV ZHUH YHULILHG E\ DEVRUSWLRQ VSHFWURVFRS\ 3URWHLQ
FRQFHQWUDWLRQVZHUHGHWHUPLQHGVSHFWURSKRWRPHWULFDOO\XVLQJD0DUNZHOODVVD\>@
7HWUDS\UUROHSUHSDUDWLRQ
PJRISURWRSRUSK\ULQ,;ZDVVROXELOVHGZLWKGURSVRIDPPRQLXPK\GUR[LGHDQGRU
FRSURSRUSK\ULQ,,,ZDVVROXELOLVHGZLWKDIHZGURSVRI'0627KHVHSRUSK\ULQVZHUHWKHQ
GLVVROYHGLQP/RIIUHVKO\SUHSDUHGP0.2+FRQWDLQLQJHWKDQRO7KLVZDVWKHQ
GLOXWHGZLWKP/RIP0.2+VROXWLRQ6RGLXPDPDOJDPZDVSUHSDUHGDVSUHYLRXVO\
GHVFULEHG >@ E\ PL[LQJ J RI VRGLXP PHWDO ZLWK J RI PHUFXU\ XQGHU D VWUHDP RI
QLWURJHQLQDIXPHKRRG7KHKRWDPDOJDPZDVFRROHGWRURRPWHPSHUDWXUHEURNHQLQWR
FPSLHFHVDQGVWRUHGXQGHUQLWURJHQIRUXSWRRQHZHHN,PPHGLDWHO\SULRUWRXVHJRI
DPDOJDPZDVSXOYHUL]HGWRZLWKDPRUWDUDQGSHVWOHDQGWUDQVIHUUHGWRDIODVNXQGHUQLWURJHQ
LQWKHGDUN7KHP/VROXWLRQRISRUSK\ULQZDVWUDQVIHUUHGWRWKHIODVN7KHIODVNZDVVHDOHG
DQGVKDNHQXQWLOWKHVROXWLRQEHFDPHFRORXUOHVVPDNLQJVXUHWRYHQWDQ\HYROYHGJDV7KHS+
ZDVDGMXVWHGWRS+XVLQJDVROXWLRQRI002367KHUHVXOWDQWSRUSK\ULQRJHQVROXWLRQ
SURWRRUFRSURZDVILOWHUHGXVLQJDPV\ULQJHILOWHUSODFHGLQWKHGDUNXQGHUQLWURJHQ
DQGXVHGLPPHGLDWHO\
+DHPLQ SRZGHU 6LJPD ZDV VROXELOLVHG LQ '062 )OXND DQG ZDV VXEVHTXHQWO\
GLOXWHG LQ ZDWHU 3URWRKDHP ,; VROXWLRQV ZHUH TXDQWLILHG XVLQJ D S\ULGLQH KDHPRFKURPH
DVVD\>@E\PL[LQJLQDUDWLRZLWKDVROXWLRQFRQWDLQLQJ0S\ULGLQH6LJPDDQG
0 1D2+ 5HGXFHG VRGLXP GLWKLRQLWH minus R[LGLVHG SRWDVVLXP IHUULF\DQLGH GLIIHUHQFH
VSHFWUD ZHUH UHFRUGHG DQG KDHP FRQFHQWUDWLRQV ZHUH GHWHUPLQHG XVLQJ DQ H[WLQFWLRQ
FRHIILFLHQWRI ڙP0FP>@
$VVD\RISURWRSRUSK\ULQRJHQR[LGDVHDQGFRSURSRUSK\ULQRJHQR[LGDVHDFWLYLWLHV
+HP<DFWLYLW\ZDVDVVD\HGXVLQJDFRQWLQXRXVDVVD\HVVHQWLDOO\DVGHVFULEHGSUHYLRXVO\>@
332 DFWLYLW\ ZDV PRQLWRUHG XVLQJ D FRQWLQXRXV DVVD\ via WKH GHWHFWLRQ RI SRUSK\ULQ
IOXRUHVFHQFH7KLVZDVSHUIRUPHGRQD)/82VWDU237,0$SODWHUHDGHUXVLQJH[FLWDWLRQDQG
HPLVVLRQZDYHOHQJWKVRIQPDQGQPUHVSHFWLYHO\
7KHLQVWUXPHQWZDVFDOLEUDWHGZLWKNQRZQFRQFHQWUDWLRQV RISURWRSRUSK\ULQ,;DQG
FRSURSRUSK\ULQ ,,, $Q RSDTXH FOHDU ERWWRP ZHOO SODWH ZDV XVHG IRU WKH DVVD\V 7KH
UHDFWLRQ PL[WXUHV ZHUH SUHLQFXEDWHG DW R& LQ WKH GDUN IRU PLQ 7KH UHDFWLRQV ZHUH
VWDUWHG E\ WKH DGGLWLRQ RI +HP< 0 ZKLFK ZDV DOVR SUHLQFXEDWHG DW R& DQG WKH
HYROXWLRQRISRUSK\ULQZDVPRQLWRUHGIRUPLQ7KHQRQHQ]\PDWLFUDWHVZHUHGHWHUPLQHG
FRQFRPLWDQWO\ DQG ZHUH VXEVHTXHQWO\ VXEWUDFWHG 7KH WRWDO YROXPH RI WKH UHDFWLRQ PL[WXUH
ZDV / DQG FRQWDLQHG P0 1D+32 S+ 7ZHHQ YY 7KH
FRQFHQWUDWLRQ RI SRUSK\ULQRJHQ VXEVWUDWH ZDV GHWHUPLQHG UHWURVSHFWLYHO\ DIWHU WKH FRPSOHWH
DXWRR[LGDWLRQ RI WKH VWRFN VROXWLRQ WR WKH SRUSK\ULQ SURGXFW ZKLFK ZDV TXDQWLILHG
VSHFWURSKRWRPHWULFDOO\([WLQFWLRQFRHIILFLHQWVIRUSURWRSRUSK\ULQ,;DQGFRSURSURSK\ULQ,,,
ZHUH ڙP0FP LQ 1 +&O DQG ڙP0FP LQ 1 +&O
UHVSHFWLYHO\>@+53XQLWVPJDQG62'XQLWVPJZHUHREWDLQHGIURP
6LJPDDQGZHUHLQFOXGHGLQWKHDVVD\VDWFRQFHQWUDWLRQVLQGLFDWHGLQWKHILJXUHOHJHQGV
6WUXFWXUDOPRGHOOLQJ
6WUXFWXUDO PRGHOOLQJ ZDV SHUIRUPHG IRU +HP4 HQ]\PHV XVLQJ WKH 5DSWRU; VHUYHU DW WKH
8QLYHUVLW\ RI &KLFDJR > @ 0RGHOV IRU +HP4 IURP S. aureus 6D+HP4 DQG P. acnes
+HP+4 UHVLGXHV 3D+HP4 ZHUH JHQHUDWHG XVLQJ WKH FU\VWDO VWUXFWXUH RI +HP4
IURPThermus thermophilus9'+>@DVDWHPSODWHĮFDUERQ506'YDOXHVIRU6D+HP4
DQG3D+HP4ZHUHcDQGcUHVSHFWLYHO\6WUXFWXUDOPRGHOOLQJIRU+HP4IURPM.
tuberculosis 0W+HP4 ZDV SHUIRUPHG XVLQJ WKH FU\VWDO VWUXFWXUH RI +HP4 IURP Listeria
monocytogenes::6>@DVWKHPRVWVXLWDEOHWHPSODWHĮFDUERQ506' c7R
PRGHODKDHPFRIDFWRULQWKHELQGLQJFOHIWVWKHĮFDUERQDWRPVRIWKHFORVHO\UHODWHGFKORULWH
GLVPXWDVHIURPCandidatus 1LWURVSLUDGHIOXYLL11>@ZHUHVXSHUSRVHG506'YDOXHV
IRU6D+HP43D+HP4DQG0W+HP4ZHUHccDQGcUHVSHFWLYHO\
5(68/76
S. aureus +HP< FDWDO\VHV WKH R[LGDWLRQ RI ERWK SURWRSRUSK\ULQRJHQ ,; DQG
FRSURSRUSK\ULQRJHQ,,,
+HP< HQ]\PHV IURP B. subtilis D )LUPLFXWH P. acnes, and M. tuberculosis ERWK
$FWLQREDFWHULD DQG KDYH SUHYLRXVO\ EHHQ VKRZQ WR FDWDO\VH WKH R[LGDWLRQ RI ERWK
SURWRSRUSK\ULQRJHQ,;DQGFRSURSRUSK\ULQRJHQ,,,>@VXSSRUWLQJWKHK\SRWKHVLVWKDW
WKHFODVVLFDOKDHPSDWKZD\HYROYHGIURPWKHFRSURSRUSK\ULQGHSHQGHQWURXWH+HQFHLWZDV
RILQWHUHVWWRLQYHVWLJDWHLIWKHVXEVWUDWHVSHFLILFLW\RI+HP<IURPS. aureusD)LUPLFXWHZDV
FRQVLVWHQW ZLWK WKHVH ILQGLQJV 2XU NLQHWLF DQDO\VHV UHYHDOHG kFDW YDOXHV RI DQG
PLQIRUSURWRSRUSK\ULQRJHQ,;DQGFRSURSRUSK\ULQRJHQ,,,UHVSHFWLYHO\)LJ
7KHKPIRUFRSURSRUSK\ULQRJHQ,,,ZDVGHWHUPLQHGWREH0ZKHUHDVWKHKPIRU
SURWRSRUSK\ULQRJHQ,;LVOLNHO\WREHORZHUWKDQWKLVEXWFRXOGQRWEHDFFXUDWHO\GHWHUPLQHG
GXHWRGHWHFWLRQFRQVWUDLQWVDWORZVXEVWUDWHFRQFHQWUDWLRQV
+DHPERXQG +HP4 VWLPXODWHV +HP<PHGLDWHG R[LGDWLRQ RI SURWRSRUSK\ULQRJHQ EXW
QRWFRSURSRUSK\ULQRJHQ,,,
$ PDMRU IRFXV RI WKLV VWXG\ ZDV WR LQYHVWLJDWH ZK\ WKH FODVVLFDO SDWKZD\ DQG FRSRUSK\ULQ
GHSHQGHQW SDWKZD\V GR QRW FRH[LVW 2QH K\SRWKHVLV LV WKDW KDHPERXQG +HP4 SURGXFHV
WR[LF IUHH UDGLFDOV LQ WKH SUHVHQFH RI SURWRSRUSK\ULQ ,; DQG SHUR[LGH ZKHUHDV WKH OHVV
UHDFWLYH FRSURSRUSK\ULQ ,,, SURGXFW ZLOO QRW VXSSRUW WKLV UDGLFDO JHQHUDWLRQ 7KHUH LV D
SUHFHGHQW IRU WKLV DV WKH JHQHUDWLRQ RI VXSHUR[LGH E\ F\WRFKURPH c KDV SUHYLRXVO\ EHHQ
VKRZQ WR VWLPXODWH WKH R[LGDWLRQ RI SURWRSRUSK\ULQRJHQ ,; E\ D HXNDU\RWLF +HP< HQ]\PH
>@ :H WKHUHIRUH DLPHG WR WHVW WKH K\SRWKHVLV WKDW DQ\ VWLPXODWLRQ RI +HP<FDWDO\VHG
SURWRSRUSK\ULQRJHQ R[LGDWLRQ E\ KDHPORDGHG +HP4 DV REVHUYHG SUHYLRXVO\ IRU P. acnes
+HP<+HP4 >@ FRXOG RQO\ EH REVHUYHG ZKHQ SURWRSRUSK\ULQ ,; LV D UHDFWLRQ SURGXFW
DQG QRW FRSURSRUSK\ULQ ,,, DQG +HP4 LV VSHFLILFDOO\ ELQGLQJ LW¶V KDHP SURGXFW 2XU GDWD
GHPRQVWUDWH WKDW WKH SUHVHQFH RI KDHPORDGHG +HP4 LQFUHDVHG WKH kFDW IRU
SURWRSRUSK\ULQRJHQ R[LGDWLRQ E\ IROG )LJ ZKHUHDV WKH VDPH H[SHULPHQW ZKHQ
FRSURSRUSK\ULQRJHQ,,,ZDVXVHGDVDVXEVWUDWH\LHOGHGQRVLJQLILFDQWLQFUHDVHLQDFWLYLW\LQ
WKH SUHVHQFH RI +HP4 7R VXSSRUW WKH K\SRWKHVLV WKDW SHUR[LGDVH W\SH FKHPLVWU\ RI +HP4
ZDV FRQWULEXWLQJ WR WKLV UDWH VWLPXODWLRQ +HP< ZDV DVVD\HG LQWKH SUHVHQFH RI +HP4 WKDW
ZDVORDGHGZLWKERXQGKDHPSURWRSRUSK\ULQ,;DQGFRSURSRUSK\ULQ,,,)LJ7KHVHGDWD
GHPRQVWUDWH WKDW RQO\ KDHP ERXQG +HP4 VWLPXODWHV WKH +HP< UHDFWLRQ VXJJHVWLQJ WKH
LQYROYHPHQWRISHUR[LGDVHOLNHFKHPLVWU\LQWKLVUDWHVWLPXODWLRQ
+\GURJHQ SHUR[LGH SDUWLFLSDWHV LQ WKH +HP4PHGLDWHG VWLPXODWLRQ RI
SURWRSRUSK\ULQRJHQ,;R[LGDWLRQYLDWKHJHQHUDWLRQRIVXSHUR[LGH
:HK\SRWKHVLVHGWKDWK\GURJHQSHUR[LGHSURGXFHGGXULQJ+HP<FDWDO\VLVZDVSDUWLFLSDWLQJ
LQ WKH +HP4PHGLDWHG UDWH VWLPXODWLRQ 7R FRQILUP WKH LQYROYHPHQW RI K\GURJHQ SHUR[LGH
+HP<FDWDO\VHG SURWRSRUSK\ULQRJHQ,;R[LGDWLRQZDVDVVD\HGLQWKHSUHVHQFHDQGDEVHQFH
RI KDHPORDGHG +HP4 DW YDULRXV FRQFHQWUDWLRQV RI SHUR[LGH )LJ $ ,Q WKH DEVHQFH RI
+HP4SHUR[LGHHOLFLWHGDJUDGXDOGHFUHDVHLQDFWLYLW\ZKHUHDVLQWKHSUHVHQFHRI+HP4WKH
SHUR[LGH FDXVHG D VLJQLILFDQW VWLPXODWLRQ RI SURWRSRUSK\ULQRJHQ ,; R[LGDWLRQ 7KH VDPH
H[SHULPHQWZDVSHUIRUPHGZLWKFRSURSRUSK\ULQRJHQ,,,DVDVXEVWUDWHDQGSHUR[LGHGLGQRW
HOLFLWDQ\FKDQJHVLQ+HP<FDWDO\VLVLQWKHSUHVHQFHRUDEVHQFHRI+HP4)LJ%7RWHVW
WKHK\SRWKHVLVWKDWSHUR[LGDVHFKHPLVWU\ZDVLQYROYHGLQWKH+HP4PHGLDWHGVWLPXODWLRQRI
+HP< SURWRSRUSK\ULQRJHQ ,; R[LGDWLRQ ZDV PHDVXUHG LQ WKH SUHVHQFH RI KRUVHUDGLVK
SHUR[LGDVH+53)LJZKLFKGHPRQVWUDWHGWKHVDPHSDWWHUQRIUDWHVWLPXODWLRQDVKDHP
ORDGHG +HP4 LH RQO\ ZKHQ SURWRSRUSK\ULQRJHQ ,; ZDV XVHG DV D VXEVWUDWH 7R FRQILUP
WKDW VXSHUR[LGH JHQHUDWLRQ ZDV LQYROYHG LQ WKH +HP4PHGLDWHG VWLPXODWLRQ RI +HP<
SURWRSRUSK\ULQRJHQ,;R[LGDWLRQZDVPHDVXUHGLQWKHSUHVHQFHRIVXSHUR[LGHGLVPXWDVH)LJ
ZKLFK FRPSOHWHO\ DEURJDWHG WKH VWLPXODWRU\ HIIHFW RI +53 6LQFH H[RJHQRXV SHUR[LGH
FDXVHG VRPH LQKLELWLRQ RI +HP< LQ WKH DEVHQFH RI +HP4 )LJ $ LW ZDV QHFHVVDU\ WR
YHULI\WKDWWKH+53VWLPXODWRU\DIIHFWZDVQRWGXHWRremovalRISHUR[LGH7KHSUHVHQFHRI
FDWDODVHLQ+HP<DVVD\VGLGQRWHOLFLWDVWLPXODWRU\HIIHFW)LJFRQILUPLQJWKDWSHUR[LGH
UHPRYDO ZDV QRW UHVSRQVLEOH IRU WKH VWLPXODWLRQ RI +HP<FDWDO\VHG SURWRSRUSK\ULQRJHQ ,;
R[LGDWLRQ
+HP4HQ]\PHVSRVVHVVDKDHPHQYLURQPHQWWKDWLVGLVWLQFWIURPFODVVLFDOSHUR[LGDVHV
+HP4 HQ]\PHV KDYH UHFHQWO\ EHHQ UHSRUWHG WR ODFN D K\GURJHQERQGLQJ QHWZRUN LQ WKH
SUR[LPDO KDHPELQGLQJ SRFNHW WKDW LV SUHVHQW LQ FORVHO\UHODWHG FKORULWH GLVPXWDVH HQ]\PHV
> @ 6XFK IHDWXUHV DUH FRPPRQ LQ SHUR[LGDVHOLNH HQ]\PHV WKDW LQGXFH LPLGD]RODWH
FKDUDFWHUXSRQWKHD[LDOKLVWLGLQHOLJDQGWKDWLVLPSRUWDQWLQFDWDO\VLQJWKH22ERQGFOHDYDJH
UHDFWLRQ RI KDHPERXQG SHUR[LGHV YLD WKH ZHOONQRZQ µSXVK SXOO´ PRGHO >@ WR VWDELOLVH
KLJKHUR[LGDWLRQVWDWHVRIWKHKDHPLURQGXULQJWKHSHUR[LGDVHFDWDO\WLFF\FOH6LQFH+HP4
KDVUHFHQWO\EHHQUHSRUWHGWRSURFHHGYLDDSHUR[LGHGHSHQGHQWUHDFWLRQ>@DQGWKHFXUUHQW
GDWDVXSSRUWWKHJHQHUDWLRQRIVXSHUR[LGHE\+HP4LWZDVRILQWHUHVWWRUHYLVLWWKHVWUXFWXUDO
FRPSRQHQWVRIWKHKDHPELQGLQJFOHIW)XUWKHUPRUHSUHYLRXVVWUXFWXUDODQDO\VHVRQ+HP4
W\SH HQ]\PHV KDYH RYHUORRNHG WKH PHPEHUV RI WKLV IDPLO\ WKDW KDYH EHHQ NLQHWLFDOO\
FKDUDFWHUL]HGDQGYHULILHGWREHbona fide +HP4HQ]\PHV>@+HQFHVWUXFWXUDOPRGHOVIRU
+HP4 HQ]\PHV IURP S. aureus P. acnes DQG M. tuberculosis ZHUH JHQHUDWHG XVLQJ WKH
5DSWRU; VHUYHU > @ DQG WKH KDHP FRIDFWRU IURP WKH FORVHO\ UHODWHG FKORULWH GLVPXWDVH
IURPCandidatus 1LWURVSLUDGHIOXYLL3'%LG 11>@)LJ+ZDVRYHUODLG)LJ$&
6LPLODUO\ DSRSURWHLQ FU\VWDO VWUXFWXUHV IRU HQ]\PHV WKDW KDYH EHHQ DVVLJQHG WR WKH ZHUH
RYHUODLGZLWKWKHKDHPFRIDFWRUIURP117KHVHLQFOXGH9'+IURPT. thermophilus>@
77 IURP Bacillus stearothermophilus ::6 IURP L. monocytogenes >@ DQG '7=
IURPThermoplasma acidophilum)LJ'*
,QLWLDO FRPSDULVRQV RI WKH GLVWDO SRFNHWV FRQILUP WKDW +HP4 HQ]\PHV ODFN WKH
FRQVHUYHGDUJLQLQHWKDWLVFRPPRQWRFKORULWHGLVPXWDVHVHJ5LQ11WKLVSRVLWLRQ
LVODEHOOHGLQUHGLQ)LJ$+DQGLVPRVWFRPPRQO\RFFXSLHGE\DJOXWDPLQHUHVLGXHHJ
4LQS. aureus +HP4DOWKRXJKWKLVVLGHFKDLQLVQRWQHFHVVDU\IRUWKHGHFDUER[\ODWLRQRI
)HFRSURSRUSK\ULQ,,,DVHYLGHQFHGE\DODQLQHUHVLGXHVLQDWWKLVSRVLWLRQIRU+HP4PRGHOV
IRU P. acnes DQG M. tuberculosis )LJ %& $ PXOWLSOH VHTXHQFH DOLJQPHQW )LJ ,
KLJKOLJKWVDFRQVHUYHGW\URVLQH<LQS. aureus+HP4DWWKHSHULSKHU\RIWKHGLVWDOFOHIW
RI+HP4HQ]\PHVODEHOOHGLQEOXHLQ)LJ$+DQGDQDGMDFHQWSUROLQHWKDWLVDOVRIXOO\
FRQVHUYHG3LQS. aureus+HP4$QRWKHUQRWDEOHREVHUYDWLRQLVDFRQVHUYHGWU\SWRSKDQ
UHVLGXHDGMDFHQWWRWKHKDHPSURSLRQDWHVLQ)LJODEHOOHGLQJUHHQLQ)LJ$+DOWKRXJK
WKLV UHVLGXH LV D SKHQ\ODODQLQH LQ '7= 7KHUH DUH QR IXOO\FRQVHUYHG UHVLGXHV LQ FORVH
SUR[LPLW\WRWKHXELTXLWRXVD[LDOKLVWLGLQHLQWKHSUR[LPDOSRFNHWIRU+HP4IDPLO\PHPEHUV
DOWKRXJKDO\VLQHDUJLQLQHUHVLGXHLVSUHVHQW.LQS. aureus+HP4ODEHOOHGLQSXUSOHLQ
)LJ $+ WKDW FRXOG SRWHQWLDOO\ VWDELOLVH KDHP SURSLRQDWHV RU FRQWULEXWH WR D SUR[LPDO
K\GURJHQERQGLQJQHWZRUNDVLQ11DOEHLWYLDZDWHUPROHFXOHV7RJDLQJUHDWHULQVLJKWV
LQWR VLGHFKDLQ UHTXLUHPHQWV LQ DQG DURXQG WKH KDHPELQGLQJ FOHIW UHVLGXHV WKDW DUH IXOO\ RU
IXQFWLRQDOO\ FRQVHUYHG LQ WKH +HP4 IDPLO\ ZHUH LGHQWLILHG DVWHULVNV RQ )LJ , DQG
GLVSOD\HGRQ WKH PRGHORI S. aureus+HP4 )LJ 7KLVDQDO\VLV UHYHDOHG IXOO\FRQVHUYHG
WU\SWRSKDQW\URVLQH SDLU EXULHG GHHS LQ WKH FOHIW )LJ :< DQG IXOO\ FRQVHUYHG
DUJLQLQHUHVLGXHVDWRSSRVLWHHQGVRIWKHGLVWDOSRFNHW)LJ55,QDGGLWLRQDIXOO\
FRQVHUYHGJOXWDPDWHUHVLGXHLVDGMDFHQWWRWKHFRQVHUYHGWU\SWRSKDQ)LJ(:LQ
WKH GLVWDO FOHIW 7KHVH REVHUYDWLRQV SURYLGH LQVLJKWV LQWR WKHUHTXLUHG PDFKLQHU\IRU +HP4
PHGLDWHGGHFDUER[\ODWLRQRI)HFRSURSURSK\ULQ,,,DQGDOVRKDYHLPSOLFDWLRQVIRUWKHDELOLW\
RI +HP4 HQ]\PHV WR JHQHUDWH UDGLFDOV WKDW SDUWLFLSDWH LQ WKH R[LGDWLRQ RI SRUSK\ULQRJHQ
LQWHUPHGLDWHV
',6&866,21
7KLV ZRUN H[DPLQHV WKH K\SRWKHVHV WKDW S. aureus +HP< FDQ SDUWLFLSDWH LQ ERWK WKH
FRSURSRUSK\ULQGHSHQGHQW DQG FODVVLFDO SDWKZD\V DQG WKDW WKH JHQHUDWLRQ RI 526 E\ WKH
+HP4 HQ]\PH KDV D PRUH SURIRXQG HIIHFW XSRQ PDFURF\FOH R[LGDWLRQ LQ WKH FODVVLFDO
SDWKZD\ FRPSDUHG WR WKH FRSURSRUSK\ULQGHSHQGHQW SDWKZD\ 7KHVH LQYHVWLJDWLRQV ZLOO DLG
RXU XQGHUVWDQGLQJ RI KRZ WKH FODVVLFDO SDWKZD\ HYROYHG IURP WKH PRUH DQFLHQW
FRSURSRUSK\ULQGHSHQGHQWSDWKZD\>@
.LQHWLF DQDO\VLV RI S. aureus +HP< )LJ UHYHDOHG kFDW DQG KP YDOXHV RI
PLQ DQG 0 IRU FRSURSRUSK\ULQRJHQ ,,, R[LGDWLRQ FRPSDUH WR SUHYLRXV
PHDVXUHPHQWV RI PLQ DQG 0 >@ UHVSHFWLYHO\ 3UHYLRXVO\ WKH
R[LGDWLRQRISURWRSRUSK\ULQRJHQ,;IRUS. aureus+HP<FRXOGQRWEHGHWHFWHG>@VRWKLV
UHDFWLRQZDVUHH[DPLQHG7KHGDWDKHUHLQFOHDUO\VKRZDFWLYLW\IRUWKH SURWRSRUSK\ULQRJHQ
,; VXEVWUDWH kFDW PLQ DOWKRXJK WKH EDFNJURXQG UDWH DQG VLJQDOQRLVH ZDV
VLJQLILFDQWO\ KLJKHU IRU WKH SURWRSRUSK\ULQRJHQ ,; UHDFWLRQ 6XSSOHPHQWDO 'DWD )LJ 6
SRVVLEO\ H[SODLQLQJ ZK\ HQ]\PDWLF DFWLYLW\ FRXOG QRW EH GHWHFWHG LQ SUHYLRXV VWXGLHV >@
7KLV SDWWHUQ RI VXEVWUDWH VSHFLILFLW\ LV FRQVLVWHQW ZLWK SUHYLRXV REVHUYDWLRQV IRU +HP<
HQ]\PHV IURP QXPHURXV $FWLQREDFWHULD)LUPLFXWHV > @ DQG VXSSRUWV WKH K\SRWKHVLV
WKDW HYROXWLRQDU\ SUHFXUVRUV WR WKHVH +HP< HQ]\PHV PD\ RQFH KDYH DOVR R[LGL]HG
SURWRSRUSK\ULQRJHQ ,; in vivo LQ DQFHVWUDO RUJDQLVPV 7KLV LV DOVR VXSSRUWHG E\ SUHYLRXV
REVHUYDWLRQV WKDW WKH +HP+ IHUURFKHODWDVHV IURP *UDPSRVLWLYHV FDQ LQVHUW LURQ LQWR ERWK
FRSURSRUSK\ULQ,,,DQGSURWRSRUSK\ULQ,;>@
,I ZH DFFHSW WKH FRPSHOOLQJ HYLGHQFH WKDW WKH FODVVLFDO SDWKZD\ HYROYHG IURP WKH
FRSURSRUSK\ULQGHSHQGHQW SDWKZD\ DQ LPSRUWDQW TXHVWLRQ SUHVHQWV LWVHOI ZK\ GR WKH
PDMRULW\RI$FWLQREDFWHULD)LUPLFXWHVQRZODFNDIXQFWLRQDOFRSURSRUSK\ULQRJHQR[LGDVHWKDW
SUHYHQWV WKH IRUPDWLRQ RI SURWRSRUSK\ULQRJHQ ,; DQG SURWRSRUSK\ULQ ,;" 2QH SRWHQWLDO
H[SODQDWLRQ ZRXOG EH WKDW WKH SHUR[LGHGHSHQGHQW PHFKDQLVP RI +HP4 FDQ JHQHUDWH IUHH
UDGLFDOV ZKLFK ZLOO KDYH D JUHDWHU F\WRWR[LF HIIHFW LQ FRPELQDWLRQ ZLWK SURWRSRUSK\ULQ ,;
FRPSDUHGWRWKHOHVVUHDFWLYHFRSURSRUSK\ULQ,,,7KLVLVFRQVLVWHQWZLWKDSUHYLRXVUHSRUWWKDW
WKH PRUH UHDFWLYH SURWRSRUSK\ULQ ,; FDXVHV JUHDWHU FHOOXODU GDPDJH >@ +HQFH LW ZDV
K\SRWKHVLVHGWKDWVWLPXODWLRQRI+HP<PHGLDWHGSURWRSRUSK\ULQRJHQ,;R[LGDWLRQE\+HP4
>@ZDVGXHWRWKHHYROXWLRQRI526DVSUHYLRXVO\UHSRUWHGIRUF\WRFKURPHcDQGHXNDU\RWLF
+HP< >@ DQG WKDW WKLV VWLPXODWLRQ ZRXOG EH H[DFHUEDWHG ZKHQ SURWRSRUSK\ULQ ,; LV D
UHDFWLRQSURGXFWFRPSDUHGWRWKHOHVVUHDFWLYHFRSURSRUSK\ULQ,,,+HP<DVVD\VZLWKERWK
VXEVWUDWHVLQWKHSUHVHQFHDQGDEVHQFHRI+HP4ZHUHFRQVLVWHQWZLWKWKLVK\SRWKHVLV)LJ
DQG \LHOGHG WKH VXUSULVLQJ REVHUYDWLRQ WKDW +HP4 GLG QRW VWLPXODWH WKH R[LGDWLRQ RI
FRSURSRUSK\ULQ,,,DWDOO)XUWKHUNLQHWLFDQDO\VLVZLWKKDHPSRUSK\ULQORDGHGOLJDQGVFRQILUP
WKDWKDHPWKHSURGXFWRI WKH +HP4UHDFWLRQ PXVW EH SUHVHQW IRUWKHVWLPXODWLRQ RI+HP<
DFWLYLW\)LJ)XUWKHUDVVD\VZLWKYDU\LQJK\GURJHQSHUR[LGH)LJGHPRQVWUDWHWKDWWKLV
526JHQHUDWRU VWLPXODWHV WKH +HP< UHDFWLRQ RQO\ ZKHQ +HP4 LV SUHVHQW EXW FDXVHV
LQKLELWLRQ LQ WKH DEVHQFH RI +HP4 6LQFH WKH DGGLWLRQ RI KLJK FRQFHQWUDWLRQV RI SHUR[LGH
UHVXOWHG LQ D QHJOLJLEOH VWLPXODWLRQ LQ QRQHQ]\PDWLF R[LGDWLRQ RI SRUSK\ULQRJHQ VXEVWUDWH
)LJ6WKHPRVWVLPSOHH[SODQDWLRQIRUWKHLQKLELWLRQRI+HP<E\SHUR[LGHLQWKHDEVHQFH
RI+HP4LVGXHWRFODVVLFDOSURGXFWLQKLELWLRQ+RZHYHULWLVQRWFOHDUZK\WKLVGRHVQRWWDNH
SODFHZKHQFRSURSRUSK\ULQRJHQ,,,LVXVHGDVDVXEVWUDWH)LJ%DOWKRXJKFRQIRUPDWLRQDO
GLIIHUHQFHVLQDFWLYHVLWHVWUXFWXUHDUHOLNHO\WRH[LVWZKHQDGGLWLRQDOSURSLRQDWHVDUHSUHVHQW
RQWKHSRUSK\ULQRJHQVXEVWUDWH
7KH VWLPXODWLRQ RI +HP< DFWLYLW\ E\ SHUR[LGH DQG +53 FRPELQHG ZLWK WKH
DEURJDWLRQRIWKLVUDWHHQKDQFHPHQWE\62')LJSURYLGHFOHDUFRQILUPDWLRQWKDWLWLVWKH
SHUR[LGDVH DFWLYLW\ RI +HP4 WKDW HQKDQFHV +HP<PHGLDWHG SURWRSRUSK\ULQRJHQ ,;
R[LGDWLRQ +RZHYHU WKH SUHYLRXVO\ UHSRUWHG UDWH FRQVWDQW IRU WKH SHUR[LGHGHSHQGHQW
HYROXWLRQRISURWRKDHPRIPLQLVYHU\VORZ>@ZKLFKLVFRQVLVWHQWZLWKDSHUR[LGDVH
OLNHDFWLYHVLWHIRU+HP4WKDWODFNVNH\IHDWXUHVVXFKDVDGLVWDOSRFNHWDUJLQLQHWKDWZRXOG
VWDELOLVHDGHYHORSLQJQHJDWLYHFKDUJHRQWKHOHDYLQJJURXSDQGDSUR[LPDOSRFNHWK\GURJHQ
ERQGLQJQHWZRUNWKDWZRXOGJLYHWKHD[LDOKLVWLGLQHLPLGD]RODWHFKDUDFWHUWRVWDELOLVHKLJKHU
R[LGDWLRQVWDWHVRIWKHLURQGXULQJWKHSHUR[LGDVHFDWDO\WLFF\FOH3UHYLRXVVWUXFWXUDODQDO\VHV
KDYH IRFXVHG RQ +HP4 IDPLO\ PHPEHUV WKDW ODFN ELRFKHPLFDO FRQILUPDWLRQ DV )H
FRSURSRUSK\ULQ ,,, GHFDUER[\ODVHV > @ VR LW ZDV RI LQWHUHVW WR LQYHVWLJDWH +HP4
HQ]\PHVIURPS. aureusP. acnesDQGM. tuberculosisZKLFKKDYHDOOEHHQH[SHULPHQWDOO\
YDOLGDWHG DV +HP4 HQ]\PHV 7KH VWUXFWXUDO PRGHOOLQJ VWXGLHV KHUHLQ )LJ VXJJHVW WKDW
LPLGD]RODWH FKDUDFWHU RQ WKH D[LDO KLVWLGLQH LV QRW QHFHVVDU\ IRU FDWDO\VLV DOWKRXJK VRPH
+HP4 HQ]\PHV GR SRVVHVV K\GURJHQ ERQGLQJ UHVLGXHV WKDW FRXOG SRWHQWLDOO\ SRODUL]H WKLV
UHVLGXH7KLVLVWKHFDVHIRUS. aureus +HP4)LJ$DOWKRXJKSUHYLRXVUHVRQDQFH5DPDQ
GDWDUHSRUWDȣ)H+LV VWUHWFKLQJPRGHRIFP>@ZKLFKLVFRQVLVWHQWZLWKDQHXWUDOD[LDO
OLJDQG DOWKRXJK LW LV QRW FOHDU ZKHWKHU KDHP RU )HFRSURSURSK\ULQ ,,, ZDV ERXQG LQ WKLV
VWXG\)XUWKHUPRUHZKLOHWKHPDMRULW\RI+HP4HQ]\PHVGRSRVVHVVDJOXWDPLQHUHVLGXHLQ
SODFHRIWKHFRQVHUYHGGLVWDODUJLQLQHIRXQGLQFODVVLFDOSHUR[LGDVHVZKLFKFRXOGVWDELOLVHD
SRVLWLYHO\ FKDUJHG OHDYLQJ JURXS WKLV UHVLGXH LV QRW QHFHVVDU\ IRU +HP4 DFWLYLW\ DV
HYLGHQFHG E\ DODQLQH UHVLGXHV LQ WKLV SRVLWLRQ IRU +HP4 HQ]\PHV IURP P. acnes DQG M.
tuberculosis )LJ %& $QRWKHU QRWDEOH DEVHQFH LQ +HP4 HQ]\PHV LV D GLVWDO KLVWLGLQH
UHVLGXHZKLFKLQFODVVLFDOSHUR[LGDVHVDFWVDVDEDVHWRZDUG+2FDWDO\VLQJWKHIRUPDWLRQRI
WKH LQLWLDO )H,,,22+ &RPSRXQG LQWHUPHGLDWH >@ ,Q SHUR[LGDVH PXWDQWV ODFNLQJ DQ
DFWLYHVLWHEDVHIRUPDWLRQRI&RPSRXQGFDQEHVORZHGE\XSWRRUGHUVRIPDJQLWXGH>
@)XUWKHUPRUH+HP4HQ]\PHVODFNDFRQVHUYHGWU\SWRSKDQUHVLGXHWKDWLVIRXQGDGMDFHQW
WR WKH SUR[LPDO KLVWLGLQH LQ FODVVLFDO SHUR[LGDVHV ZKLFK LV WKH VLWH RI UDGLFDO IRUPDWLRQ LQ
FRPSRXQG , >)H,9ő2 7US@ :KLOH SHUR[LGDVHV WKDW ODFN VXFK D SUR[LPDO DURPDWLF
UHVLGXHDUHOLNHO\WRSURFHHGYLDDSRUSK\ULQSLFDWLRQUDGLFDOPHFKDQLVPWKHIXOO\FRQVHUYHG
GLVWDO WU\SWRSKDQ DQG W\URVLQH UHVLGXHV LQ +HP4 HQ]\PHV )LJ , )LJ < : DUH
FDQGLGDWHVIRUSDUWLFLSDWLRQLQUDGLFDOPHGLDWHGGHFDUER[\ODWLRQRI)HFRSURKDHP:KLOHWKH
FRQVHUYHGGRXEOHWRI:<ZRXOGSURYLGHDFRQYHQLHQWWRROIRUWKHGHFDUER[\ODWLRQRI
WZRSURSLRQDWHJURXSVDVLJQLILFDQWFRQIRUPDWLRQDOFKDQJHZRXOGEHQHFHVVDU\WREULQJWKHP
LQWR FORVH SUR[LPLW\ RI WKH WDUJHW ȕ±FDUERQ DWRPV 7RJHWKHU WKHVH DQDO\VHV DUH FRQVLVWHQW
ZLWK D +HP4 HQ]\PH WKDW KDV HYROYHG WR KDYH VORZ SHUR[LGDVH DFWLYLW\ PLQ >@
ZKLFK ILWV ZHOO ZLWK PHDVXUHPHQWV RI WKH SUHFHGLQJ IHUURFKHODWDVH VWHS PLQ IRU M.
tuberculosis+HP+>@
5HWXUQLQJWRWKHPRGHOLQ)LJWKHFXUUHQWGDWDDUHFRQVLVWHQWZLWK526JHQHUDWLRQ
E\+HP4VWLPXODWLQJWKH+HP<FDWDO\VHGR[LGDWLRQRISURWRSRUSK\ULQRJHQ,;RQO\DQGQRW
WKH+HP<PHGLDWHGVWLPXODWLRQRIFRSURSRUSK\ULQRJHQ,,,R[LGDWLRQ+RZHYHURQHVKRXOG
QRW RYHUORRN WKH SURIRXQG HIIHFW WKDW +HP4 KDV RQ WKH QRQHQ]\PDWLF R[LGDWLRQ RI
SURWRSRUSK\ULQRJHQ ,; 6XSSOHPHQWDO 'DWD )LJ 6 :KLOH +HP4 GRHV DSSHDU WR DOVR
HOHYDWHWKHQRQHQ]\PDWLFR[LGDWLRQRIFRSURSRUSK\ULQRJHQ,,,WKHRYHUDOOUDWHVDUHDQRUGHU
RIPDJQLWXGHORZHUWKDQWKRVHIRUSURWRSRUSK\ULQRJHQ,;WKDWDUHFRPSDUDEOHWRWKH+HP<
FDWDO\]HG WXUQRYHU UDWHV LQ )LJ 7KLV DGGLWLRQDO QRQHQ]\PDWLF UDWH HQKDQFHPHQW LV YHU\
OLNHO\WRLQYROYHVXSHUR[LGHIURP+HP4DQGSRVVLEO\SRUSK\ULQGHULYHGDGGLQJZHLJKWWR
WKH K\SRWKHVLV WKDW SHUR[LGDVH DFWLYLW\ E\ +HP4 ZLOO HQKDQFH WKH SURGXFWLRQ RI 526 LQ
FRPELQDWLRQZLWKWHWUDS\UUROHLQWHUPHGLDWHVRIWKHFODVVLFDOSDWKZD\,QGHHGWKLVPHFKDQLVP
LV VXSSRUWHG E\ RXU REVHUYDWLRQV WKDW UHGXFHG JOXWDWKLRQH D VXSHUR[LGH VFDYHQJHU DQG
FRPPRQ FRPSRQHQW RI +HP< DVVD\V DEROLVKHV WKH VWLPXODWLRQ RI +HP<PHGLDWHG
SURWRSRUSK\ULQRJHQ R[LGDWLRQ WKLV LV ZK\ UHGXFHG JOXWDWKLRQH LV QRW SUHVHQW LQ WKH DVVD\V
GHVFULEHG KHUHLQ )URP DQ HYROXWLRQDU\ SHUVSHFWLYH WKLV JHQHUDWLRQ RI WR[LF 526 ZRXOG
SURYLGH D VHOHFWLRQ SUHVVXUH WR UHWDLQ HLWKHU WKH FRSURSRUSK\ULQGHSHQGHQW SDWKZD\ or WKH
FODVVLFDO SDWKZD\ EXW QRW ERWK 7KLV PRGHO LV DOVR FRQVLVWHQW ZLWK REVHUYDWLRQV WKDW +HP4
HQ]\PHVPD\XWLOLVHDOWHUQDWLYHHOHFWURQDFFHSWRUVVXFKDV)01QHJDWLQJWKHUHTXLUHPHQWIRU
+HP<GHULYHG SHUR[LGH LQ WKH FRSURSRUSK\ULQGHSHQGHQW SDWKZD\ 7KLV PD\ DOVR H[SODLQ
ZK\LQSURWHREDFWHULDWKDWFRPPRQO\XWLOLVHWKHFODVVLFDOSDWKZD\+HP-RU+HP*HQ]\PHV
WKDW GR QRW UHTXLUH R[\JHQ QRU SURGXFH K\GURJHQ SHUR[LGH DUH WKH PRVW FRPPRQ IRUPV RI
SURWRSRUSK\ULQRJHQR[LGDVH>@
$&.12:/('*(0(176
:HWKDQNWKHODERUDWRULHVRI3URI0DUWLQ:DUUHQ8QLYHUVLW\RI.HQWDQG3URI+DUU\'DLOH\
8QLYHUVLW\RI*HRUJLDIRUVXSSO\LQJH[SUHVVLRQSODVPLGVIRU+HP<DQG+HP4
'(&/$5$7,2162),17(5(67
7KHDXWKRUVGHFODUHQRFRPSHWLQJILQDQFLDOLQWHUHVWV
)81',1*
7KLVZRUNZDVIXQGHGE\D5HVHDUFK*UDQWIURPWKH5R\DO6RFLHW\5*WR06
$87+25&2175,%87,21
&+SHUIRUPHGWKHH[SHULPHQWVDQG06GURYHWKHH[SHULPHQWDOGHVLJQ&+DQG06DQDO\VHG
WKHGDWD&++$'DQG06ZURWHWKHSDSHU
5()(5(1&(6
/D\HU*5HLFKHOW--DKQ'DQG+HLQ]':3URW6FL
0RELXV.$ULDV&DUWLQ5%UHFNDX'+DQQLJ$/5LHGPDQQ.
%LHGHQGLHFN56FKURGHU6%HFKHU'0DJDORQ$0RVHU--DKQ0DQG-DKQ
'3URF1DWO$FDG6FL86$
-DFREV1-DQG-DFREV-0%LRFKLP%LRSK\V$FWD
.RED\DVKL.0DVXGD77DMLPD1:DGD+DQG6DWR1*HQRPH%LRO
(YRO
%XFKHQDX%.DKQW-+HLQHPDQQ,8-DKQ'DQG7KDXHU5.-
%DFWHULRO
3DOPHU'-6FKURHGHU6/DZUHQFH$''HHU\(/RER6$6DUDLYD/0
0F/HDQ.-0XQUR$:)HUJXVRQ6-3LFNHUVJLOO5:%URZQ'*DQG
:DUUHQ0-0RO0LFURELRO
/RER6$//DZUHQFH$'5RPDR&9:DUUHQ0-7HL[HLUD0DQG
6DUDLYD/0%%$3URWHLQV3URWHRPLFV
%DOL6/DZUHQFH$'/RER6$6DUDLYD/0*ROGLQJ%73DOPHU'-
+RZDUG0-)HUJXVRQ6-DQG:DUUHQ0-3URF1DWO$FDG6FL
86$
'DLOH\+$*HUGHV6'DLOH\7$%XUFK-6DQG3KLOOLSV-'3URF
1DWO$FDG6FL86$
/RER6$6FRWW$9LGHLUD0$:LQSHQQ\'*DUGQHU03DOPHU0-
6FKURHGHU6/DZUHQFH$'3DUNLQVRQ7:DUUHQ0-DQG6DUDLYD/0
0RO0LFURELRO±
-DFREV1--DFREV-0DQG%UHQW3-%DFWHULRO
'DLOH\7$0HLVVQHU3DQG'DLOH\+$-%LRO&KHP
+DQVVRQ0DQG+HGHUVWHGW/-%DFWHULRO±
'DLOH\7$%R\QWRQ72$OEHWHO$1*HUGHV6-RKQVRQ0.DQG'DLOH\
+$-%LRO&KHP
0D\ILHOG-$+DPPHU1'.XUNHU5&&KHQ7.2MKD66NDDU(3DQG
'X%RLV-/-%LRO&KHP±
&HOLV$,DQG'X%RLV-/$UFK%LRFKHP%LRSK\V
+RIEDXHU6+RZHV%')OHJR13LUNHU.)6FKDIIQHU,0O\QHN*
'MLQRYLF&DUXJR.)XUWPXOOHU3*6PXOHYLFK*DQG2ELQJHU&%LRVFL
5HS
+RIEDXHU6+DJPXOOHU$6FKDIIQHU,0O\QHN*.UXW]OHU06WDGOPD\U*
3LUNHU.)2ELQJHU&'DLPV+'MLQRYLF&DUXJR.DQG)XUWPXOOHU3*
$UFK%LRFKHP%LRSK\V
&HOLV$,6WUHLW%50RUDVNL*&.DQW5/DVK7'/XNDW5RGJHUV*6
5RGJHUV.5DQG'X%RLV-/%LRFKHPLVWU\
*XSWD560LFURELRO0RO%LRO5HY
*XSWD56$QWRQLH9DQ/HHXZHQKRHN
'DLOH\7$DQG'DLOH\+$3URW6FL
'DLOH\+$DQG'DLOH\7$-%LRO&KHP
:DQJ.)'DLOH\7$DQG'DLOH\+$)(060LFURELRO/HWW
6KHSKHUG0DQG'DLOH\+$$QDO%LRFKHP
0DUNZHOO0$.+DDV60%LHEHU//DQG7ROEHUW1($QDO
%LRFKHP
%UHQQHU'$DQG%ORRPHU-5&OLQLFD&KLPLFD$FWD
%HUU\($DQG7UXPSRZHU%/$QDO%LRFKHP
6PLWK.03RUSK\ULQVDQGPHWDOORSRUSK\ULQV(OVHYLHU1HZ<RUN
)DON-(3RUSK\ULQVDQGPHWDOORSRUSK\ULQVWKHLUJHQHUDOSK\VLFDODQG
FRRUGLQDWLRQFKHPLVWU\DQGODERUDWRU\PHWKRGV(OVHYLHU$PVWHUGDP
.DHOOEHUJ0:DQJ+:DQJ63HQJ-:DQJ=/X+DQG;X-1DW
3URWRF
3HQJ-DQG;X-3URWHLQV
(ELKDUD$2NDPRWR$.RXVXPL<<DPDPRWR+0DVXL58H\DPD1
<RNR\DPD6DQG.XUDPLWVX6-RXUQDORI6WUXFWXUDODQG)XQFWLRQDO
*HQRPLFV
.RVWDQ-6MRHEORP%0DL[QHU)0O\QHN*)XUWPXHOOHU3*2ELQJHU&
:DJQHU0'DLPV+DQG'MLQRYLF&DUXJR.-6WUXFW%LRO
6KHSKHUG0DQG'DLOH\+$&HOO0RO%LRO
3RXORV7/-%LRO,QRUJ&KHP
$UDYLQG0HQRQ,3HUVDG6'DQG+DEHUPDQ+%&OLQ%LRFKHP
3RXORV7/DQG)HQQD5(0HW,RQV%LRO6\VW
+LQHU$15DYHQ(/7KRUQHOH\51*DUFtD&DuQRYDV)DQG5RGUtJXH]
/RuSH]-1-,QRUJ%LRFKHP
(UPDQ-(9LWHOOR/%0LOOHU0$6KDZ$%URZQ.$DQG.UDXW-
%LRFKHPLVWU\
),*85(/(*(1'6
)LJXUH7KHFODVVLFDODQGFRSURSRUSK\ULQGHSHQGHQWSDWKZD\VRIKDHPV\QWKHVLV7KLV
ILJXUH GHSLFWV KDHP V\QWKHVLV LQ D K\SRWKHWLFDO DQFHVWUDO RUJDQLVP ZKHUH WKH R[LGDWLRQ RI
FRSURSRUSK\ULQRJHQ ,,, WR FRSURSRUSK\ULQ ,,, EOXH DQG WKH FODVVLFDO URXWH LQYROYLQJ D
SURWRSRUSK\ULQ ,; LQWHUPHGLDWH UHG ERWK WDNH SODFH +HP4 LV K\SRWKHVLVHG WR JHQHUDWH
UHDFWLYH R[\JHQ VSHFLHV 526 ZKLFK LQ WXUQ DUH K\SRWKHVLVHG WR LPSDFW XSRQ
SURWRSRUSK\ULQRJHQ,;R[LGDWLRQWRDJUHDWHUH[WHQWWKDQFRSURSRUSK\ULQRJHQ,,,
)LJXUH .LQHWLF DQDO\VLV RI WKH +HP< SURWRSRUSK\ULQRJHQ R[LGDVH XWLOLVLQJ
SURWRSRUSK\ULQRJHQ ,; DQG FRSURSRUSK\ULQRJHQ ,,, VXEVWUDWHV 1RQOLQHDU UHJUHVVLRQ
DQDO\VLVUHYHDOVkFDWYDOXHVRIDQGPLQIRUSURWRSRUSK\ULQRJHQ,;Ɣ
DQGFRSURSRUSK\ULQRJHQ,,,żUHVSHFWLYHO\7KHKPIRUFRSURSRUSK\ULQRJHQ,,,LV
0
)LJXUH +DHPORDGHG +HP4 VWLPXODWHV +HP<PHGLDWHG R[LGDWLRQ RI
SURWRSRUSK\ULQRJHQ EXW QRW FRSURSRUSK\ULQRJHQ ,,, 6WHDG\ VWDWH NLQHWLFV IRU +HP< LQ
WKHSUHVHQFHżDQGDEVHQFHƔRIKDHPORDGHG+HP40XVLQJSURWRSRUSK\ULQRJHQ,;
WRS SDQHO DQG FRSURSRUSK\ULQRJHQ ,,, ERWWRP SDQHO VXEVWUDWHV 1RQOLQHDU UHJUHVVLRQ
DQDO\VLVUHYHDOV+HP4PHGLDWHGIROGLQFUHDVHLQkFDWZKHQSURWRSRUSK\ULQRJHQ,;LVXVHG
DVDVXEVWUDWHDQGD+HP4PHGLDWHGIROGLQFUHDVHLQkFDWZKHQFRSURSRUSK\ULQRJHQ,,,LV
XVHGDVDVXEVWUDWH
)LJXUH+HP4PXVWELQGKDHPIRUVWLPXODWLRQRISURWRSRUSK\ULQRJHQR[LGDVH
DFWLYLW\3URWRSRUSK\ULQRJHQR[LGDVHDFWLYLW\RI+HP<ZDVDVVD\HGLQWKHSUHVHQFHRI+HP4
0DQGSURWRSRUSK\ULQRJHQ,;0ZLWKGLIIHUHQWWHWUDS\UUROHVERXQG(UURUEDUV
UHSUHVHQW6'YDOXHV$VWHULVNLQGLFDWHVWKDWUDWHVPHDVXUHGDUHVLJQLILFDQWO\GLIIHUHQWIURP
WKRVHPHDVXUHGXVLQJ+HP<DORQH6WXGHQW
VtWHVWP
)LJXUH +\GURJHQ SHUR[LGH VWLPXODWHV SURWRSRUSK\ULQRJHQ R[LGDVH DFWLYLW\ LQ WKH
SUHVHQFH RI +HP4 3URWRSRUSK\ULQRJHQ R[LGDVH DFWLYLW\ RI +HP< ZDV DVVD\HG LQ WKH
SUHVHQFH 0 DQG DEVHQFH RI +HP4 DW YDULRXV >K\GURJHQ SHUR[LGH@ XVLQJ 0
SURWRSRUSK\ULQRJHQ,;$DQG0FRSURSRUSK\ULQRJHQ,,,%DVVXEVWUDWHV(UURUEDUV
UHSUHVHQW 6' YDOXHV $VWHULVNV LQGLFDWH WKDW UDWHV PHDVXUHG DUH VLJQLILFDQWO\ GLIIHUHQW IURP
WKRVHPHDVXUHGLQWKHDEVHQFHRISHUR[LGH6WXGHQW
VtWHVWP P P
)LJXUH 3HUR[LGDVHGHULYHG VXSHUR[LGH VWLPXODWHV +HP<PHGLDWHG R[LGDWLRQ RI
SURWRSRUSK\ULQRJHQ ,; .LQHWLF DVVD\V VKRZLQJ WKH HIIHFW RI +53 0 VXSHUR[LGH
GLVPXWDVH 0 DQG FDWDODVH 0 XSRQ WKH DFWLYLW\ RI +HP< 0 XVLQJ
SURWRSRUSK\ULQRJHQ ,; 0 DQG FRSURSRUSK\ULQRJHQ ,,, 0 VXEVWUDWHV
$EEUHYLDWLRQV +53 KRUVHUDGLVK SHUR[LGDVH 62' VXSHUR[LGH GLVPXWDVH &DW FDWDODVH
3¶JHQ,;SURWRSRUSK\ULQRJHQ,;&¶JHQ,,,FRSURSRUSK\ULQRJHQ,,,$VWHULVNVLQGLFDWHWKDW
UDWHV PHDVXUHG DUH VLJQLILFDQWO\ GLIIHUHQW IURP WKRVH PHDVXUHG LQ WKH DEVHQFH RI SHUR[LGH
6WXGHQW
VtWHVWP )LJXUH 6WUXFWUDO DQDO\VLV RI WKH KDHPELQGLQJ FOHIW RI +HP4 IDPLO\ PHPEHUV
6WUXFWXUDOPRGHOVRIKDHPELQGLQJFOHIWVIRU+HP4HQ]\PHVIURPS. aureus$6D+HP4
P. acnes % 3D+HP4 DQG M. tuberculosis & 0W+HP4 ZHUH SURGXFHG XVLQJ WKH KDHP
FRIDFWRU IURP WKH FKORULWH GLVPXWDVH IURP Candidatus 1LWURVSLUD GHIOXYLL + 11 >@
3DQHOV'*VKRZ WKHDSRSURWHLQFU\VWDO VWUXFWXUHV RI+HP4 HQ]\PHVIURP T. thermophilus
9'+ >@ B. stearothermophilus 77 L. monocytogenes ::6 >@ DQG T.
acidophilum'7=DOOZLWKWKHKDHPFRIDFWRUIURP11VXSHULPSRVHG3DQHO,VKRZVD
PXOWLSOHVHTXHQFHDOLJQPHQWRIVHFWLRQVRIWKHSURWHLQVGHVFULEHGDERYHZLWKUHVLGXHQXPEHUV
IRU6D+HP4PDUNHGDWWKHWRSDQGIXQFWLRQDOO\FRQVHUYHGUHVLGXHVPDUNHGZLWKDQDVWHULVN
)LJXUH&RQVHUYHGUHVLGXHVLQWKHKDHPELQGLQJFOHIWRI+HP4IDPLO\PHPEHUV)XOO\
DQG IXQFWLRQDOO\ FRQVHUYHG UHVLGXHV LQ +HP4 SURWHLQV IURP )LJ , DUH UHSUHVHQWHG RQ WKH
VWUXFWXUDOPRGHORIS. aureus +HP4YLHZHGIURPWKHHQWUDQFHWRWKHKDHPFOHIW$DQGIURP
EHKLQGURWDWHGRDURXQGWKH\D[LV%
3RUSK\ULQRJHQR[LGDWLRQE\+HP<+HP4RIS. aureus
7KH+HP4FRSURKDHPGHFDUER[\ODVHJHQHUDWHVUHDFWLYHR[\JHQVSHFLHVLPSOLFDWLRQVIRUWKH
HYROXWLRQRIFODVVLFDOKDHPELRV\QWKHVLV
&KDUOLH+REEV+DUU\$'DLOH\ÁDQG0DUN6KHSKHUG
6FKRRORI%LRVFLHQFHV8QLYHUVLW\RI.HQW&DQWHUEXU\&71-8QLWHG.LQJGRP
%LRPHGLFDODQG+HDOWK6FLHQFHV,QVWLWXWHDQG'HSDUWPHQWVRIÁ0LFURELRORJ\DQG%LRFKHPLVWU\DQG
0ROHFXODU%LRORJ\8QLYHUVLW\RI*HRUJLD$WKHQV*$
7RZKRPFRUUHVSRQGHQFHVKRXOGEHDGGUHVVHG
0DUN6KHSKHUG
06KHSKHUG#NHQWDFXN
6FKRRORI%LRVFLHQFHV
8QLYHUVLW\RI.HQW
&DQWHUEXU\
.HQW&71-
8QLWHG.LQJGRP
7HO
)LJ 6 +HP4 VWLPXODWHV WKH QRQH]\PDWLF R[LGDWLRQ RI SURWRSRUSK\ULQRJHQ ,; ZLWK DQG ZLWKRXW
H[RJHQRXV K\GURJHQ SHUR[LGH 7KH QRQHQ]\PDWLF R[LGDWLRQ RI SRUSK\ULQRJHQV ZDV DVVD\HG LQ WKH
SUHVHQFH0DQGDEVHQFHRI+HP4DWYDULRXV>K\GURJHQSHUR[LGH@XVLQJ0SURWRSRUSK\ULQRJHQ
,;$DQG0FRSURSRUSK\ULQRJHQ,,,%DVVXEVWUDWHV&RQWURODVVD\V&WUOFRQWDLQHGQRK\GURJHQ
SHUR[LGH (UURU EDUV UHSUHVHQW 6' YDOXHV $EEUHYLDWLRQV 3¶JHQ ,; SURWRSRUSK\ULQRJHQ ,; &¶JHQ ,,,
FRSURSRUSK\ULQRJHQ,,,
>+2@
© Copyright 2026 Paperzz