26Staphylococcus aureus can incorporate exogenous straight-chain unsaturated and 27 saturated fatty acids (SCUFAs and SCFAs, respectively) to replace some of the normally 28 biosynthesized branched-chain fatty acids and SCFAs. In this study, the impact of human serum 29 on the S. aureus lipidome and cell envelope structure was comprehensively characterized. When 30 grown in the presence of 20% human serum, typical human serum lipids, such as cholesterol, 31 sphingomyelin, phosphatidylethanolamines, and phosphatidylcholines, were present in the total 32 lipid extracts. Mass spectrometry showed that SCUFAs were incorporated into all major S. 33 aureus lipid classes, i.e., phosphatidylglycerols, lysyl-phosphatidylglycerols, cardiolipins, and 34 diglucosyldiacylglycerols. Heat-killed S. aureus retained much fewer serum lipids and failed to 35 incorporate SCUFAs, suggesting that association and incorporation of serum lipids with S. 36 aureus requires a living or non-denatured cell. Cytoplasmic membranes isolated from 37 lysostaphin-produced protoplasts of serum-grown cells retained serum lipids, but washing cells 38 with Triton X-100 removed most of them. Furthermore, electron microscopy studies showed that 39 serum-grown cells had thicker cell envelopes and associated material on the surface, which was 40 partially removed by Triton X-100 washing. To investigate which serum lipids were 41 preferentially hydrolyzed by S. aureus lipases for incorporation, we incubated individual serum 42 lipid classes with S. aureus and found that cholesteryl esters (CEs) and triglycerides (TGs) are 43 the major donors of the incorporated fatty acids. Further experiments using purified Geh lipase 44 confirmed CEs and TGs being the substrates of this enzyme. Thus, growth in the presence of 45 serum altered the nature of the cell surface with implications for interactions with the host. 46 Page 3 of 38 IMPORTANCE 47Comprehensive lipidomics of S. aureus grown in the presence of human serum suggests 48 human serum lipids can associate with the cell envelope without being truly integrated into the 49 lipid membrane. However, fatty acids-derived from human serum lipids, including unsaturated 50 fatty acids, can be incorporated into lipid classes that can be biosynthesized by S. aureus itself.
51Cholesteryl esters and triglycerides are found to be the major source of incorporated fatty acids 52 upon hydrolysis by lipases. These findings have significant implications for the nature of the S. 53 aureus cell surface when grown in vivo. Changes in phospholipid and glycolipid abundances and 54 fatty acid composition could affect membrane biophysics and function and the activity of 55 membrane-targeting antimicrobials. Finally, the association of serum lipids with the cell envelope 56 has implications for the physicochemical nature of the cell surface and its interaction with host 57 defense systems. 58 KEYWORDS 59 Lipidomics, human serum lipids, fatty acid incorporation, lipid association, cell envelope 60 structure 61 62 63 64 65 6...