(2015) The mycobacterial P55 efflux pump is required for optimal growth on cholesterol, Virulence, 6:5, 444-448, DOI: 10.1080/21505594.2015 Keywords: cholesterol, efflux pump, mycobacterium, Rv1410c, P55Cholesterol catabolism is thought to be a key factor contributing to the pathogenesis of Mycobacterium tuberculosis. Previous epistasis and mutant screening studies predicted that the P55 efflux pump (Rv1410c) positively interacts with the Mce4 transporter, a major cholesterol import system of M. tuberculosis and is needed for optimal growth in vitro, in macrophages, and in vivo. Using a combination of cell growth kinetic techniques, cholesterol consumption, and [4-14 C] cholesterol uptake studies, we demonstrated that the Mycobacterium bovis BCG rv1410c gene indeed is needed for optimal in vitro growth on cholesterol and other carbon sources. Our data, together with previous predictions, support hypotheses that the P55 efflux pump functions in maintaining general metabolism or as a subunit of the Mce4 transport apparatus (catalyzing its assembly or providing cell wall integrity) to allow more efficient cholesterol uptake.
ImportanceTuberculosis (TB) remains one of the most devastating infectious diseases in the world killing 1.3 million people in 2012. Current TB treatment takes 6 months with cure rates of 87% under optimal conditions. The emergence of drug resistant strains makes successful treatment even more challenging. Alternative strategies are urgently needed to treat TB, including multidrug resistant infections.Cholesterol catabolism by Mycobacterium tuberculosis, the causative agent of TB, is essential for virulence. Our observations show that the mycobacterial P55 efflux pump, which provides resistance to the first-line anti-TB drug rifampin, is needed for optimal growth of M. tuberculosis on cholesterol. This helps explain the increasing body of evidence showing its role in virulence, and suggests an alternative drug development strategy. P55 inhibitors would improve the activity of currently used antibiotics and assist the immune system to clear the infection.