Effects of CwlM, a peptidoglycan synthesis regulator, on beta-lactam tolerance and host-pathogen interactions

肽聚糖合成调节因子CwlM对β-内酰胺类抗生素耐受性和宿主-病原体相互作用的影响

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Abstract

BACKGROUND: The emergence and spread of multidrug-resistant (MDR) strains of Mycobacterium tuberculosis (Mtb) urge the development of novel drugs and efficient therapeutic programs. A recent study aiming to uncover differential beta-lactam susceptibility phenotypes in clinical strains of Mtb found that the M237V substitution in cwlM (Rv3915) was associated with increased susceptibility to amoxicillin. Considering that Mycobacterium smegmatis (Msm) is a widely used surrogate model for Mtb, we constructed a cwlM knockdown mutant in Msm using CRISPR interference (CRISPRi) to elucidate the role of CwlM in beta-lactam susceptibility and intracellular survival. RESULTS: Quantitative RT-PCR assays confirmed the successful repression of cwlM, while the phenotyping assays confirmed the essentiality of CwlM-related processes for mycobacterial growth. Collectively, the antibiotic susceptibility assays suggested that CwlM(SMEG) may contribute to increased tolerance to meropenem and cefotaxime. Moreover, CwlM(SMEG) was found to support M. smegmatis survival within THP-1-derived macrophages. To address conflicting reports regarding its predicted peptidoglycan (PG) hydrolase activity, we purified recombinant CwlM(TB). The Micrococcus luteus-derived PG-based zymogram indicated that CwlM(TB) lacks PG-hydrolytic activity, suggesting it might act as a regulator of PG biosynthesis instead. CONCLUSIONS: Our findings indicate that CwlM contributes to beta-lactam tolerance and intracellular survival, regardless of lacking detectable PG-hydrolytic activity. Overall, CwlM was found to be essential and highly vulnerable, highlighting its potential as a therapeutic target that warrants further investigation. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12866-025-04548-6.

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