Groups of virulence factors encoded by PAI (pathogenicity islands).
Abstract
Staphylococcus aureus causes a wide range of diseases, including both community-associated and hospital-acquired infections such as abscesses, wound infections, osteomyelitis, endocarditis and septicemia. Regulation of the expression of various virulence factors is initiated through complex coordination between two-component systems, transcriptional regulatory proteins and regulatory small RNAs (sRNAs). S.aureus uses many sRNA and RNA–RNA interactions mediated the regulation of the expression of genes post-transcriptionally, but it uses few sigma factors to initiate the transcription function. sRNA transcripts are encoded within intergenic regions or in antisense orientation to mRNA transcripts, and sRNA regulation plays a central role in the response to stress stimuli encountered by pathogens during infection. One of the most intriguing examples of sRNA-mediated post-transcriptional regulation is RNAIII from S.aureus, which interacts with and regulates various RNA targets involved in virulence. Several genes known to be regulated by RNAIII have been demonstrated to be regulated by the sarA locus, independent of its effect on the expression of RNAIII. We discuss the potential role of small RNA (sRNA) in the pathogenesis and virulence factors production of Staphylococcus aureus.
Keywords
- Staphylococcus aureus
- regulatory small RNA (sRNA)
- virulence factors
- RNA–RNA interactions
1. Introduction
Among the various factors responsible for the regulation of virulence, small RNA (sRNA) has a major role in determining the virulence of the bacteria. sRNA are short 50–250 nucleotide long transcripts involving bacterial gene expression for rapid adaption to stress conditions. Small RNAs play a major role by pairing with bases of target mRNA or by interacting with the modulating proteins for both the positive and negative mechanism of biofilm formation.

Figure 1.
Virulence factors regulation by RNAIII. RNAIII is regulated positively by the quorum-sensing agr operon. Post-transcriptional regulation is marked with colored lines, whereas up-regulation represented by green arrows and down-regulation by red cross bars. RNAIII in turn, positively regulates MapW and hla at a post-transcriptional level. MapW and hla prevents leucocyte attachment and promote dissemination by lysing host cells. RNAIII also negatively regulates LytM, rot, Spa and SarT, which will promote autolysis via LytM, blood cell toxicity by rot and expression of an IgG binding protein via SarT.
2. Bacterial small RNA
sRNAs mediate the regulation of mRNAs through direct binding interactions between the sRNA and the target. The sRNA usually binds to the 5′ end of the mRNA and blocks ribosomes binding. Although sRNAs often stimulate degradation of the target as well [8]. The interaction is initiated by a short sequence of perfect complementarity between the sRNA and target termed the seed region. Seed regions are generally 6–8 nt long, and a single sRNA can have one seed region that regulates all of its targets or multiple seed regions that each regulate a subset of targets. Additionally, seed regions are highly conserved, and mutations to the seed region lead to complete abrogation of target regulation. In order to facilitate intermolecular interactions with target mRNAs, seed regions are usually single-stranded in the folded sRNA and disruption of the sRNA secondary structure can drastically reduce sRNA function. However, seed regions alone are generally not sufficient to mediate target binding, most sRNA characterized to date rely on the assistance of an sRNA chaperone protein [9, 10].

Figure 2.
Integration of sRNAs into gene cascades regulation. The “agr-RNAIII” auto activation circuits is indicated with two feed-forward loops involving RNAIII. The autoinducing peptide (AIP) activates the agr autocatalytic circuit, leading to RNAIII transcription on attaining optimal cell density. RNAIII represses the expression of rot, which activates spa transcription and represses that of hla. RNAIII also activates hla mRNA translation and represses spa mRNA translation. The white and broken lines indicate the direct or indirect gene activations. The red lines represent the down regulations through different RNAs. The black question marks above the see-sawing triangles point to the unknown triggering factors. The transcriptional regulatory proteins are in blue [
The regulation mechanism for the SpoVG and SprX and their targets with interactions have been discussed below, which involves regulating virulence factors. Production of capsule, virulence factors, and the cell wall’s metabolism is regulated by a transcription factor

Figure 3.
2.1 RNAIII
RNAIII regulates the expression of genes encoding exoproteins and cell wall associated in
2.2 Teg49
It is a small RNA found in the extended promoter region of sarA, which is an accessory regulator of Staphylococcus bacteria. Confirmation and identification were performed by Northern blotting and RNA-sequencing method. Modulation of the expression of SarA it regulates the virulence factor of
2.3 SprF1-SprG1
There are two types of Toxin-Antitoxin system, whereas Type I has two sub-type types, and Type II has three sub-types but remains uncharacterized. The first type I TA system was SprA1-SprAAS in, which the former denotes the toxin and the latter denotes the antitoxin in
It has been reported that a small RNA, which expresses from pathogenicity islands of SprD upon binding with antisense base pairing of sbi mRNA (encoding an immunoglobulin binding protein) will lead to an impaired host immune response [21]. Besides direct base-pairing with target mRNA, several other mechanisms, including dual-function sRNA that acts as an antisense molecule and codes for a small peptide (e.g., Hld in RNAIII), have been proposed to act on the same or other pathway genes, and also riboswitches that exhibit a structured receptor domain specifically recognized by a small molecule or metabolite [22].
3. Multifunctional small RNA couples QS to virulence
Regulation of virulence factors through quorum sensing mechanism involves the agr mediated pathway and the two-component system. RNAIII plays a major role in regulating the agr dependent transcriptional regulation in MRSA (Methicillin-Resistant
RNAIII as an effector regulates the expression of important virulence genes, including proteins associated with cell wall metabolism and exotoxins. Also involved in the expression of two-component systems, different global regulators such as
Compared to UAMS-I (Virulent oxacillin susceptible clinical isolates) strain, the agr inactivation effect was observed more in the transcriptome of the
Production of various virulence determinants such as coagulase, protein A, and the rot (repressor of toxins) are repressed with minor variations by conserved regions or domains at the post-transcriptional level. These are repressed either individually or in combination by the H13
Complex structure was dependent on their target mRNA and included two factors (i) presence of an extended duplex between the mRNA of Ribosomal Binding Site (RBS) and
The repression of all the target mRNA is carried out by the direct effects of
4. sRNA dependent mechanism of antibiotic resistance
Small RNAs play a major role in altering bacterial cell wall and hence would contribute to the antimicrobial-resistance mechanism. Small RNAs are present prominently on mobile genetic elements on which the resistance pattern for the AMR pathogens is found. SmallRNAs do not exert direct regulation on the resistance gene expression [36]. For example, Fudoh, a regulatory RNA present in
However, the resistance pattern of methicillin through fudoh is still not known. Regulatory small RNA is responsible for the expression of intrinsic antibiotic resistance and tolerance in different bacterial species. Since only some of the small RNA related research has been performed on the clinical strains, whereas most of the studies for RNA-dependent intrinsic antibiotic resistance were performed on the AMR-related pathogens [37].
5. sRNA and stress responses
Specific mechanisms and certain sRNAs involvement regulate the expression pattern of virulence factors under different stress conditions. Small RNA regulation can produce an immediate action to regulatory networks adapted to the acute stress induced by antibiotics. Emergency responders are referred to as Class I small RNAs because they enhance rapid stress responses and aids co-operative degradation of different mRNA targets. Class I sRNAs act in direct mode on the pre-existing mRNA clusters to alter the translation process or deterioration for the acute stress response. Mostly they are involved in disassociating the regulation of transcriptional responses and half-life kinetics of mRNA [38].
It has been reported that during the host infection, variations of temperature and pH, oxidative stress, quorum sensing, biofilm formation and nutrient starvation were related to the functional regulation of small RNAs in
Sigma B factor also represses several genes expression by an indirect pathway with the involvement of small RNA or sB-induced regulatory protein. RsaA has a typical sigma B factor promoter which detects its corresponding genes [41]. RsaA base pair with mRNAs repressed by sB like citM and involves in the encoding of Mg-citrate transport systems. sB-dependent sRNAs are the most conserved regions in
Production of virulence factors has been regulated by sigma B factor under the stress-dependent activation process. SigB gets activated in the normal stress conditions, also during the growth phase transitions and in different physiological and biochemical changes in
6. Regulatory sRNA network
Several sRNAs uses Hfq or ProQ chaperones to anneal with their respective mRNAs targets.
It has been reported that both small RNA and transcriptional mechanisms work together within interleaved feedback and feed-forward loops and regulate the expression of genes. 108 sRNAs were identified using RNA-seq analysis in the model organism
Therefore, it is hardly comparable with the 3446 sRNA-mRNA interactions being regulated by the 217 transcription factors with the chromosome [53]. Several transcriptional regulatory networks have an sRNA that integrates with the extra post-transcriptional networks. Small RNAs act similar to transcription factors as a regulatory centre and unevenly controls various RNAs targets. sRNAs are involved in antibiotic sensitivity by mRNAs interactions which take place in drug import, efflux pump regulation, cell membrane synthesis and enhancing antibiotic resistance pattern [54, 55].
7. sRNA expressions in infections
In
Expression profiling of five different small RNAs like
8. Pathogenicity Island encoded RNAs
SCCmec (Staphylococcal Cassette Chromosome mec) is responsible for the regulation of antibiotic resistance genes, particularly for the methicillin resistance genes in facultative
However, the sRNAs expressed from
Group | Examples of virulence factors | PAI |
---|---|---|
Iron uptake system | FyuA, acrobactin, Sit, Pit2ABCD | HPI, SPI-1, PPI-1, SHI-2,3, PAII-CFT073, PAI III, IV |
Adhesins | Type 4 pili, P-pili, S- and P-fimbriae, sap adhesins, Hek adhesins, AfasE-III, Iha, TcpA | Major PAI,PAI I, II CFT 073,PAI I-IV, PAI-I AL863, TAI, VPI-I |
Pore forming toxins | Listreiolysin, alpha-haemolysin, RTX-like exotoxins | aLIPI-I, PAI-I536 |
Second Messenger pathway toxins | CNF-I | PAI-I C5, PAI II J96 |
Protein causing apoptosis | SipB | SPI-I |
Superantigens | TSST-I, ET | SAPI I, SAP I2, SAPIbov, etd |
Secreted lipases | PlcA, plcB, SmlC | LIPI I, LIPI II |
Secreted protease | EspC, SigA, Pic, ShetA1, Mop, | SHI-I, EspC, PAI-I, VPI-I, BFPAI |
O antigens | GtrA, GtrB, Gtr | SHI-O |
Proteins transported by type I, II, III, IV and V protein secretion system | Alpha -Hemolysin, EspI, EspC, SigA, Cag, Tir, EspB, G, F, map, SptP, Sae, SopD, SopE, SopE2, PipB, SifA, SifC, EspC, CagA | SHI-I, PAI-I, II536, PAI-I, PAI-II96, LPA, EspC, PAI, SPI-I, SPI-3, SPI-5, LEE, cag, PAI |
Antibiotic resistance phenotypes | Pse-I, FloR, AadA2, Sull, TerR, G | SGI-I |
Table 1.
Teg152 and SprF are two sRNAs that are completely complementary to other two sRNAs SprA1 and SprG. In type I TA (Toxins-Antitoxins) modules, the pairing of SprA1 with Teg152 and SprG with SprF sRNAs takes place. SprA and SprG encodes smaller hydrophobic peptides [53]. SprA1 is a multifunctional sRNA with pressumed antisense function. It’s 3-end pairs with 39-UTRs region of three different mRNA targets. The independent transcriptional regulation is responsible for synthesizing appropriate expression levels of sRNAs for effective functional regulation [71].
9. Phenotypes associated with sRNA expressions
The expression pattern of sRNAs is different in normal compared with SCV (small colony variants) phenotypes of
Protein/Gene | Functions | References |
---|---|---|
FLIPr | Protein that inhibits leucocyte response mediated by activation of FPR-like protein 1. FPR is a high affinity receptor for N-formly-met-leu-phe signaling tripeptide. | [76] |
CHIPS | Binds C5aR and the formyl peptide receptor FPR | [77] |
Capsule | Polysaccharide capsule prevents phagocytosis and adherence | [78] |
SCIN | Staphylococcal complement inhibitor interacts with C3 convertase, C4b2a and C3bBb | [79] |
Ecb | Extracellular complement binding protein blocks C3 and C5 convertase | [80] |
Efb | Extracellular fibrinogen binding protein, blocks complement and binding of neutrophils to fibrinogen, and platelet aggregation | [81] |
Protease V8 (SspA) | Inhibition to complement pathway | [82] |
Aureolysin (Aur) | Inhibition to complement pathway | [83] |
Staphopain (SepA, SspB) | Cysteine protease cleaving CXCR2 chemokine receptor | [84] |
Protein A | Interacts with Fc region of IgG | [85] |
Sbi | Interacts with Fc region of IgG | [85] |
Dismutases (SodA, SodM) | Conversion of superoxide to hydrogen peroxide | [86] |
Catalase (KatA) | Conversion of hydrogen peroxide to water and oxygen | [86] |
Staphyloxanthins | Antioxidant carotenoids | [87] |
DNAses | Clears DNA in neutrophils extracellular traps, NETs | [88] |
Dlt operon | Addition of D-alanyl esters to teichoic acids to protect against alpha defensins | [89] |
Phenol soluble modulins | Small amphipathic alpha helical peptides | [90] |
Alpha toxins, hla | Pore forming toxin, lyses human leucocyte, epithelial and endothelial cells, platelets | [91] |
Panton-valentine leucocidin (PVL) | Pore forming bi-complement leucocidin | [91] |
Gamma- haemolysin (HlgAB, HlgCB) | Pore forming bi-complement leukocidin | [91] |
Coagulase | Activate prothrombin to induce blood coagulation | [92] |
Von- willebrand factor binding protein | Activate prothrombin to induce blood coagulation | [93] |
Staphylokinase | Plasminogen activator to form the active protease | [94] |
Table 2.
Factors used by
It has been reported that there is an up-regulation of Sau-13 in normal phenotypes, whereas it is down-regulated in the SCV phenotypes. Sau-13 involve in ion transport and other metabolism by its antisense function against the precursor phoB. But Sau-66 sRNA up-regulated in SCV phenotypes only and down-regulated in normal phenotypes [95]. Sau-66 has antisense region on a gene encoding protein which is involved in folate biosynthesis. Sau-66 has a major impact on the formation of thymidine autotrophs in SCV phenotypes in purine biosynthesis pathway because folate is a carbon donor [96].
10. sRNAs as antimicrobial drug targets
The evolution of CA-MRSA (Community Associated-Methicillin Resistance
Since most of the currently used antibiotics bind to the ribosomal RNA, this influences the designing of new multi-targeted antibacterial drugs with respect to small RNAs. Riboswitches, which are termed as metabolites sensing mRNAs, are currently used as a structured receptor that binds with smaller metabolites with higher precision and thus regulates downstream genes. Riboswitches regulates 7 operons and 33 genes, which respond for intracellular concentration of SAM, TPP, FMN, Glc-6P, certain amino acids residues and 7- aminomethyl-7-deazaguanine (preQ1) [98]. Targeting any of these riboswitches would alter the gene’s expression pattern even if the cells do not possess any natural compounds. Several synthetically designed analog of guanine upon binding with the purine riboswitches inhibits growth [99].
11. Conclusion
This review focuses on the functions of sRNA and their role in regulating genes in
Acknowledgments
We thank the Vellore Institute of Technology for providing the necessary facilities to carry out this work.
Conflict of interest
The authors declare no conflict of interest.
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