Investigating Gentamicin Mechanism of Action with Fluorescence Microscopy: Relationships between Colony Growth, Antibiotic Accumulation, and Membrane Permeability Pubblico

Rankin, Jillian (Fall 2020)

Permanent URL: https://etd.library.emory.edu/concern/etds/p8418p46x?locale=it
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Abstract

Aminoglycosides constitute a powerful, broad-spectrum class of antibiotics. While aminoglycosides are known to exert their antimicrobial activity through ribosome targeting, the precise mechanism of action through which they produce cell death remains undefined. In particular, there is no clear scientific consensus regarding the role of membrane damage in initiating growth arrest. In this study, we probed aminoglycoside mechanism of action by using fluorescence microscopy to evaluate the interrelationships between membrane damage, growth arrest, and antibiotic accumulation in Escherichia coli microcolonies. A fluorophore-conjugated aminoglycoside, gentamicin-Texas Red (GTTR), was used to assess antibiotic accumulation, while SYTOX Green, a nucleic acid stain impermeant to living cells, was used to assess membrane permeability. To further clarify the role of membrane integrity in influencing growth inhibition, treatment groups with variable degrees of induced membrane permeability were compared. Specifically, given that magnesium availability is known to influence outer membrane stability for Gram-negative organisms, colonies cultured in magnesium-supplemented conditions were compared against those cultured in relatively low magnesium conditions. Furthermore, outcomes for colonies treated with colistin, an antibiotic known to induce membrane damage, were compared against those of magnesium-supplemented colonies. We found that, in the context of gentamicin treatment, both low magnesium growth conditions and treatment with colistin induced greater degrees of membrane permeability throughout the experimental timeline, as well as increased rates and extents of gentamicin accumulation, relative to the magnesium-supplemented group. However, we found that these outcomes were not reliable predictors of growth rate or the onset of growth inhibition. Furthermore, our analysis of the temporal relationships between changes in membrane permeability, accumulation, and growth inhibition suggests that the onset of significant losses in membrane integrity are not required to initiate growth arrest. Additional study is required to further clarify the role of membrane damage in gentamicin-induced growth arrest and to ultimately delineate the precise mechanism of action of aminoglycoside antibiotics.

Table of Contents

CHAPTER I. BACKGROUND 1

Introduction to Aminoglycosides 1

Ribosome-Targeting by Aminoglycosides 1

Proposed Mechanisms of Aminoglycoside Bactericidal Activity 2

Implications 3

CHAPTER II. EXPERIMENTAL APPROACH 5

Motivation 5

Use of Gentamicin 5

Use of Fluorescence Microscopy 7

Membrane Permeability Treatments 8

CHAPTER III. METHODS 11

Experimental Procedure 11

Image Analysis 16

Statistical Analysis 27

Accounting for Colony Heterogeneity 28

CHAPTER IV. RESULTS 30

General Findings 30

Measures of Membrane Permeability 31

Measures of Gentamicin Accumulation 36

Measures of Growth and Growth Inhibition 42

Relationships between Permeability, Accumulation, and Early Growth 45

Relationships between Permeability, Accumulation, and Growth Inhibition 49

CHAPTER V. DISCUSSION 57

Summary and Implications 57

Future Directions 60

APPENDIX A. COLONY DATA IN THE CONTEXT OF CELL HETEROGENEITY 63

APPENDIX B. TABLES 66

REFERENCES 71

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