17We applied multi-omics approaches (transcriptomics, proteomics and metabolomics) to study 18 the effect of iron starvation on the Gram-positive human pathogen Streptococcus pneumoniae 19 to elucidate global changes in the bacterium in a condition similar to what can be found in the 20 host during an infectious episode. We treated the reference strain TIGR4 with the iron 21 chelator deferoxamine mesylate. DNA microarrays revealed changes in the expression of 22 operons involved in multiple biological processes, with a prevalence of genes coding for ion 23 binding proteins. We also studied the changes in protein abundance by 2-DE followed by 24 MALDI-TOF/TOF analysis of total cell extracts and secretome fractions. The main proteomic 25 changes were found in proteins related to the primary and amino sugars metabolism, 26 especially in enzymes with divalent cations as cofactors. Finally, the metabolomic analysis of 27 intracellular metabolites showed altered levels of amino sugars involved in the cell wall 28peptidoglycan metabolism. This work shows the utility of multi-perspective studies that can 29 provide complementary results for the comprehension of how a given condition can influence 30 on global physiological changes in microorganisms. 31 32 3
Introduction 33Bacteria need a plethora of factors for optimal growth, being iron an essential micronutrient. 34Within the human body, the free concentration of this element is approximately 10 -18 M (Yang 35 et al. 2014), which is too low to hold a growth capable of supporting bacterial infections. The 36 low concentrations of free iron within the host are due to the scavenging of this element by 37 different high-affinity proteins (e.g. transferrin, lactoferrin, haemoglobin, etc.) (Froehlich et 38 al. 2009). Therefore, in order to survive in the host, pathogens need to develop especial 39 strategies to uptake the minimum amount that they require of such a nutrient (Nanduri et al. 40 2008), as the direct extraction of this metal cation from host iron-containing proteins or by 41 capturing ferric-binding siderophores from host environments via ABC transporters (Ge & 42 Sun 2014). Moreover, the capacity of bacterial pathogens for iron acquisition represents itself 43 an important virulence determinant (Kanaujia et al. 2015). In addition, pathogens can also 44 modify their energetic metabolism to adapt it to the environmental situation within the host. 45Streptococcus pneumoniae, also known as the pneumococcus, is a Gram-positive 46 microorganism that lives as a commensal in the human respiratory tract and that, under 47 appropriate circumstances, becomes pathogenic, being able to cause high morbidity and 48 mortality (Blasi et al. 2012; Olaya-Abril et al. 2014b). This bacterium is a major cause of 49 mucosal diseases such as otitis media and sinusitis, and is a prevalent pathogen in different 50 invasive diseases including pneumonia, bacteremia, meningitis, and sepsis (O'Brien et al. 512009). Pneumococcal pneumonia, which is the major clinical manife...