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Hormonal steroids induce multidrug resistance and stress response genes in Neisseria gonorrhoeae by binding to MtrR

Author

Listed:
  • Grace M. Hooks

    (Duke University School of Medicine)

  • Julio C. Ayala

    (Emory University School of Medicine
    Centers for Disease Control and Prevention)

  • Concerta L. Holley

    (Emory University School of Medicine)

  • Vijaya Dhulipala

    (Emory University School of Medicine)

  • Grace A. Beggs

    (Princeton University)

  • John R. Perfect

    (Duke University Medical Center)

  • Maria A. Schumacher

    (Duke University School of Medicine)

  • William M. Shafer

    (Emory University School of Medicine
    Veterans Affairs Medical Center
    Emory University School of Medicine)

  • Richard G. Brennan

    (Duke University School of Medicine)

Abstract

Transcriptional regulator MtrR inhibits the expression of the multidrug efflux pump operon mtrCDE in the pathogenic bacterium Neisseria gonorrhoeae. Here, we show that MtrR binds the hormonal steroids progesterone, β-estradiol, and testosterone, which are present at urogenital infection sites, as well as ethinyl estrogen, a component of some hormonal contraceptives. Steroid binding leads to the decreased affinity of MtrR for cognate DNA, increased mtrCDE expression, and enhanced antimicrobial resistance. Furthermore, we solve crystal structures of MtrR bound to each steroid, thus revealing their binding mechanisms and the conformational changes that induce MtrR.

Suggested Citation

  • Grace M. Hooks & Julio C. Ayala & Concerta L. Holley & Vijaya Dhulipala & Grace A. Beggs & John R. Perfect & Maria A. Schumacher & William M. Shafer & Richard G. Brennan, 2024. "Hormonal steroids induce multidrug resistance and stress response genes in Neisseria gonorrhoeae by binding to MtrR," Nature Communications, Nature, vol. 15(1), pages 1-14, December.
  • Handle: RePEc:nat:natcom:v:15:y:2024:i:1:d:10.1038_s41467-024-45195-1
    DOI: 10.1038/s41467-024-45195-1
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