Acinetobacter baumannii is a major cause of antibiotic-resistant nosocomial infections worldwide. In this study, several rifampin-resistant spontaneous mutants obtained from the A. baumannii ATCC 17978 strain that differed in their point mutations in the rpoB gene, encoding the -subunit of the RNA polymerase, were isolated. All the mutants harboring amino acid substitutions in position 522 or 540 of the RpoB protein were impaired in surface-associated motility and had attenuated virulence in the fertility model of Caenorhabditis elegans. The transcriptional profile of these mutants included six downregulated genes encoding proteins homologous to transporters and metabolic enzymes widespread among A. baumannii clinical isolates. The construction of knockout mutants in each of the six downregulated genes revealed a significant reduction in the surface-associated motility and virulence of four of them in the A. baumannii ATCC 17978 strain, as well as in the virulent clinical isolate MAR002. Taken together, our results provide strong evidence of the connection between motility and virulence in this multiresistant nosocomial pathogen.KEYWORDS Acinetobacter baumannii, surface-associated motility, rpoB, rifampin resistance A cinetobacter baumannii is a Gram-negative bacterium often responsible for nosocomial infections, based on its capacity to acquire and develop antimicrobial resistance (1). It is one of the most frequently encountered pathogens in intensive care, neonatal, and burn units, where it causes pneumonia and infections involving the central nervous system, skin, soft tissues, and bone (1). However, despite the increasing clinical importance of A. baumannii, little is known about the virulence factors that contribute to its pathogenetic properties.In previous studies of DNA damage-mediated mutagenesis in A. baumannii (2-5), we observed an atypical motility pattern in several spontaneous rifampin-resistant (Rif r ) mutants derived from the wild-type (WT) strain ATCC 17978 growing on semisolid medium. Although Acinetobacter spp. lack flagella, they exhibit surface-associated motility (6, 7). In a recent study, hypermotile A. baumannii derivatives with increasing virulence were isolated, but whether a lack of motility negatively affects the virulence and pathogenesis of A. baumannii is unclear (8, 9).The point mutations conferring rifampin resistance are located in the rpoB gene (encoding the -subunit of the RNA polymerase), and they produce substantial changes in the transcriptional profile of bacterial cells by affecting several promoters (3, 10, 11). Nonetheless, not all mutations conferring rifampin resistance give rise to global modifications in the transcriptional profile of the respective bacterium (12, 13). In this
RESULTSMotility and virulence of A. baumannii rpoB mutants. By plating saturated cultures of A. baumannii ATCC 17978 in the presence of rifampin (50 mg/liter), we isolated 10 spontaneous mutants (Rif r 1 to Rif r 10) resistant to the antimicrobial. In subsequent motility assays, ...