The ability of Staphylococcus aureus to resist host innate immunity augments the severity and pervasiveness of its pathogenesis. Nitric oxide (NO˙) is an innate immune radical that is critical for the efficient clearance of a wide range of microbial pathogens. Exposure of microbes to NO˙typically results in growth inhibition and induction of stress regulons. S. aureus, however, induces a metabolic state in response to NO˙that allows for continued replication and precludes stress regulon induction. The regulatory factors mediating this distinctive response remain largely undefined. Here, we employ a targeted transposon screen and transcriptomics to identify and characterize five regulons essential for NO˙resistance in S. aureus: three virulence regulons not formerly associated with NO˙resistance, SarA, CodY, and Rot, as well as two regulons with established roles, Fur and SrrAB. We provide new insights into the contributions of Fur and SrrAB during NO˙stress and show that the S. aureus ⌬sarA mutant, the most sensitive of the newly identified mutants, exhibits metabolic dysfunction and widespread transcriptional dysregulation following NO˙exposure. Altogether, our results broadly characterize the regulatory requirements for NO˙resistance in S. aureus and suggest an intriguing overlap between the regulation of NO˙resistance and virulence in this well-adapted human pathogen.
IMPORTANCEThe prolific human pathogen Staphylococcus aureus is uniquely capable of resisting the antimicrobial radical nitric oxide (NO˙), a crucial component of the innate immune response. However, a complete understanding of how S. aureus regulates an effective response to NO˙is lacking. Here, we implicate three central virulence regulators, SarA, CodY, and Rot, as major players in the S. aureus NO˙response. Additionally, we elaborate on the contribution of two regulators, SrrAB and Fur, already known to play a crucial role in S. aureus NO˙resistance. Our study sheds light on a unique facet of S. aureus pathogenicity and demonstrates that the transcriptional response of S. aureus to NO˙is highly pleiotropic and intrinsically tied to metabolism and virulence regulation.
The versatile Gram-positive pathogen Staphylococcus aureus is the leading cause of skin and soft tissue infections (SSTIs) in the United States but can also cause more severe illnesses, including pneumonia, osteomyelitis, endocarditis, and bacteremia (1-5). The ability of S. aureus to infect virtually every tissue of the body can be partially attributed to its extensive capacity for subverting host immunity. One unique defense of S. aureus against the immune system is resistance to nitric oxide (NO˙), a membrane-permeable radical and broad-spectrum innate immune effector required for the clearance of bacterial, viral, and fungal pathogens (6). The ability of S. aureus to continue growth in the presence of NO˙at concentrations that are inhibitory to other bacteria, including closely related staphylococci, contributes to its invasiveness and pathogenic success. For example...