Skip to content
Licensed Unlicensed Requires Authentication Published by De Gruyter January 11, 2021

Human glucose-dependent insulinotropic polypeptide (GIP) is an antimicrobial adjuvant re-sensitising multidrug-resistant Gram-negative bacteria

  • Da’san M. M. Jaradat EMAIL logo , Nehaya Al-Karablieh , Basmah H. M. Zaarer , Wenyi Li , Khalil K.Y. Saleh , Anas J. Rasras , Saeid Abu-Romman , Neil M. O’Brien-Simpson EMAIL logo and John D. Wade ORCID logo EMAIL logo
From the journal Biological Chemistry

Abstract

Increasing antibiotic resistance in Gram-negative bacteria has mandated the development of both novel antibiotics and alternative therapeutic strategies. Evidence of interplay between several gastrointestinal peptides and the gut microbiota led us to investigate potential and broad-spectrum roles for the incretin hormone, human glucose-dependent insulinotropic polypeptide (GIP) against the Enterobacteriaceae bacteria, Escherichia coli and Erwinia amylovora. GIP had a potent disruptive action on drug efflux pumps of the multidrug resistant bacteria E. coli TG1 and E. amylovora 1189 strains. The effect was comparable to bacterial mutants lacking the inner and outer membrane efflux pump factor proteins AcrB and TolC. While GIP was devoid of direct antimicrobial activity, it has a potent membrane depolarizing effect, and at low concentrations, it significantly potentiated the activity of eight antibiotics and bile salt by reducing MICs by 4-8-fold in E. coli TG1 and 4-20-fold in E. amylovora 1189. GIP can thus be regarded as an antimicrobial adjuvant with potential for augmenting the available antibiotic arsenal.


Corresponding author: Da’san M. M. Jaradat, Faculty of Science, Department of Chemistry, Al-Balqa Applied University, P.O. Box 19117, Al-Salt, Jordan, E-mail: ; Neil M. O’Brien-Simpson, The Bio21 Institute of Molecular Science and Biotechnology, Melbourne Dental School, Centre for Oral Health Research, University of Melbourne, Melbourne, Victoria 3010, Australia, E-mail: ; and John D. Wade, School of Chemistry, University of Melbourne, Melbourne, Victoria 3010, Australia; and Howard Florey Research Laboratories, Florey Institute for Neuroscience and Mental Health, University of Melbourne, Melbourne, Victoria 3010, Australia, E-mail:

Award Identifier / Grant number: DP160101312

Award Identifier / Grant number: LE200100163

Award Identifier / Grant number: APP1142472

Award Identifier / Grant number: APP1158841

Award Identifier / Grant number: APP1185426

Award Identifier / Grant number: APP1117483

Funding source: Scientific Research Support Fund of Jordan

  1. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Research funding: The authors gratefully acknowledge the financial support by Scientific Research Support Fund of Jordan (SRSF). Eng. Rakeen Abuhanih (GMA Jordan) is thanked for the helpful discussions and careful proofreading. The authors would also like to thank Jordan Center for Pharmaceutical Research (JCPR) for their help in mass spectrometry (MS) measurements. The National Health and Medical Research Council (NHMRC) of Australia and Australian Research Council (ARC) are thanked for financial support over many years for the peptide chemistry and chemical biology studies reported in the authors’ laboratories. NMOS is the recipient of NHMRC funding (APP1142472, APP1158841, APP1185426), ARC funding (DP160101312, LE200100163), Cancer Council Victoria funding (APP1163284) and Australian Dental Research Funding in antimicrobial materials and research is supported by the Centre for Oral Health Research at The Melbourne Dental School. JDW is an NHMRC Principal Research Fellow (APP1117483). The studies undertaken in his laboratory was supported by an NHMRC Project grant (APP1158841). WL is the recipient of the 2019 Weary Dunlop Foundation grant and 2020 Early Career Researcher grant scheme of the University of Melbourne. Research at The Florey Institute of Neuroscience and Mental Health is supported by the Victorian Government Operational Infrastructure Support Program.

  3. Conflict of interest statement: The authors declare no conflicts of interest regarding this article.

References

Akama, H., Kanemaki, M., Yoshimura, M., Tsukihara, T., Kashiwagi, T., Yoneyama, H., Narita, S.-I., Nakagawa, A., and Nakae, T. (2004). Crystal structure of the drug discharge outer membrane protein, OprM, of Pseudomonas aeruginosa: dual modes of membrane anchoring and occluded cavity end. J. Biol. Chem. 279: 52816–52819, https://doi.org/10.1074/jbc.c400445200.Search in Google Scholar

Al-Karablieh, N., Abu-Qatouseh, L., and Aburjai, T. (2017). Detection of potential AcrAB-TolC multidrug efflux pump inhibitor in calyces extract of Hibiscus sabdariffa. J. Complement Med. Res. 6: 357–363, https://doi.org/10.5455/jice.20170917062504.Search in Google Scholar

Al-Karablieh, N., Weingart, H., and Ullrich, M.S. (2009a). Genetic exchange of multidrug efflux pumps among two enterobacterial species with distinctive ecological niches. Int. J. Mol. Sci. 10: 629–645, https://doi.org/10.3390/ijms10020629.Search in Google Scholar PubMed PubMed Central

Al-Karablieh, N., Weingart, H., and Ullrich, M.S. (2009b). The outer membrane protein TolC is required for phytoalexin resistance and virulence of the fire blight pathogen Erwinia amylovora. Microb. Biotechnol. 2: 465–475, https://doi.org/10.1111/j.1751-7915.2009.00095.x.Search in Google Scholar PubMed PubMed Central

Bellmann-Sickert, K., Stone, T.A., Poulsen, B.E., and Deber, C.M. (2015). Efflux by small multidrug resistance proteins is inhibited by membrane-interactive helix-stapled peptides. J. Biol. Chem. 290: 1752–1759, https://doi.org/10.1074/jbc.m114.616185.Search in Google Scholar

Chevalier, J., Bredin, J., Mahamoud, A., Malléa, M., Barbe, J., and Pagès, J.-M. (2004). Inhibitors of antibiotic efflux in resistant enterobacter aerogenes and Klebsiella pneumoniae strains. Antimicrob. Agents Chemother. 48: 1043–1046, https://doi.org/10.1128/aac.48.3.1043-1046.2004.Search in Google Scholar

Coldham, N.G., Webber, M., Woodward, M.J., and Piddock, L.J.V. (2010). A 96-well plate fluorescence assay for assessment of cellular permeability and active efflux in Salmonella enterica serovar Typhimurium and Escherichia coli. J. Antimicrob. Chemother. 65: 1655–1663, https://doi.org/10.1093/jac/dkq169.Search in Google Scholar PubMed

Denniss, A.R. and Young, J.A. (1978). Modification of salivary duct electrolyte transport in rat and rabbit by physalaemin, VIP, GIP and other enterohormones. Pflüger’s Arch 376: 73–80, https://doi.org/10.1007/bf00585250.Search in Google Scholar PubMed

Douafer, H., Andrieu, V., Phanstiel, O., and Brunel, J.M. (2019). Antibiotic adjuvants: make antibiotics great again!. J. Med. Chem. 62: 8665–8681, https://doi.org/10.1021/acs.jmedchem.8b01781.Search in Google Scholar PubMed

Du, D., Wang-Kan, X., Neuberger, A., Van Veen, H.W., Pos, K.M., Piddock, L.J.V., and Luisi, B.F. (2018). Multidrug efflux pumps: structure, function and regulation. Nat. Rev. Microbiol. 16: 523–539, https://doi.org/10.1038/s41579-018-0048-6.Search in Google Scholar PubMed

Dupre, J., Ross, S.A., Watson, D., and Brown, J.C. (1973). Stimulation of insulin secretion by gastric inhibitory polypeptide in man. J. Clin. Endocrinol. Metab. 37: 826–828, https://doi.org/10.1210/jcem-37-5-826.Search in Google Scholar PubMed

Flemström, G. and Garner, A. (1980). Stimulation of HCO3- transport by gastric inhibitory peptide (GIP) in proximal duodenum of the bullfrog. Acta Physiol. Scand. 109: 231–232, https://doi.org/10.1111/j.1748-1716.1980.tb06591.x.Search in Google Scholar PubMed

González-Bello, C. (2017). Antibiotic adjuvants – a strategy to unlock bacterial resistance to antibiotics. Bioorg. Med. Chem. Lett. 27: 4221–4228, https://doi.org/10.1016/j.bmcl.2017.08.027.Search in Google Scholar PubMed

Harvey, R.A., Karandish, S., and Ferrier, D.R. (2010). Lippincott’s illustrated reviews: Biochemistry, 5th ed. Lippincott Williams & Wilkins.Search in Google Scholar

Holder, I.A. and Boyce, S.T. (1994). Agar well diffusion assay testing of bacterial susceptibility to various antimicrobials in concentrations non-toxic for human cells in culture. Burns 20: 426–429.Search in Google Scholar

Jaradat, D.M.M. (2018). Thirteen decades of peptide synthesis: key developments in solid phase peptide synthesis and amide bond formation utilized in peptide ligation. Amino Acids 50: 39–68, https://doi.org/10.1007/s00726-017-2516-0.Search in Google Scholar PubMed

Kelley, C.A., Decker, S.E., Silva, P., and Forrest, J.N.J. (2014). Gastric inhibitory peptide, serotonin, and glucagon are unexpected chloride secretagogues in the rectal gland of the skate (Leucoraja erinacea). Am. J. Physiol. Regul. Integr. Comp. Physiol. 306: R674–R680, https://doi.org/10.1152/ajpregu.00531.2013.Search in Google Scholar PubMed PubMed Central

Kumar, A. and Schweizer, H.P. (2005). Bacterial resistance to antibiotics: active efflux and reduced uptake. Adv. Drug Deliv. Rev. 57: 1486–1513, https://doi.org/10.1016/j.addr.2005.04.004.Search in Google Scholar PubMed

Kumar, S., Mukherjee, M.M., and Varela, M.F. (2013). Modulation of bacterial multidrug resistance efflux pumps of the major facilitator superfamily. Int. J. Bacteriol: 204141.Search in Google Scholar

Lam, S.J., O’Brien-Simpson, N.M., Pantarat, N., Sulistio, A., Wong, E.H.H., Chen, Y.-Y., Lenzo, J.C., Holden, J.A., Blencowe, A., Reynolds, E.C., and Qiao, G.G. (2016). Combating multidrug-resistant Gram-negative bacteria with structurally nanoengineered antimicrobial peptide polymers. Nat Microbiol 1: 16162, https://doi.org/10.1038/nmicrobiol.2016.162.Search in Google Scholar PubMed

Li, W., O’Brien-Simpson, N.M., Yao, S., Tailhades, J., Reynolds, E.C., Dawson, R.M., Otvos, L., Hossain, M.A., Separovic, F., and Wade, J.D. (2017). C-terminal modification and multimerization increase the efficacy of a proline-rich antimicrobial peptide. Chemistry 23: 390–396, https://doi.org/10.1002/chem.201604172.Search in Google Scholar PubMed

Li, W., O’Brien-Simpson, N.M., Holden, J.A., Otvos, L., Reynolds, E.C., Separovic, F., Hossain, M.A., and Wade, J.D. (2018). Covalent conjugation of cationic antimicrobial peptides with a β-lactam antibiotic core. Peptide Sci. 110: e24059, https://doi.org/10.1002/pep2.24059.Search in Google Scholar

Li, W., O’Brien-Simpson, N., Tailhades, J., Pantarat, N., Dawson, R., Otvos, L.Jr., Reynolds, E., Separovic, F., Hossain, M., and Wade, J. (2015a). Multimerization of a proline-rich antimicrobial peptide, Chex-Arg20, alters its mechanism of interaction with the Escherichia coli membrane. Chem. Biol. 22: 1250–1258, https://doi.org/10.1016/j.chembiol.2015.08.011.Search in Google Scholar PubMed

Li, X.-Z., Plésiat, P., and Nikaido, H. (2015b). The challenge of efflux-mediated antibiotic resistance in Gram-negative bacteria. Clin. Microbiol. Rev. 28: 337–418, https://doi.org/10.1128/cmr.00117-14.Search in Google Scholar

Liu, Y., Li, R., Xiao, X., and Wang, Z. (2019). Antibiotic adjuvants: an alternative approach to overcome multi-drug resistant Gram-negative bacteria. Crit. Rev. Microbiol. 45: 301–314, https://doi.org/10.1080/1040841x.2019.1599813.Search in Google Scholar PubMed

Lomovskaya, O., Warren, M.S., Lee, A., Galazzo, J., Fronko, R., Lee, M., Blais, J., Cho, D., Chamberland, S., Renau, T., Leger, R., Hecker, S., Watkins, W., Hoshino, K., Ishida, H., and Lee, V.J. (2001). Identification and characterization of inhibitors of multidrug resistance efflux pumps in Pseudomonas aeruginosa: novel agents for combination therapy. Antimicrob. Agents Chemother. 45: 105–116, https://doi.org/10.1128/aac.45.1.105-116.2001.Search in Google Scholar PubMed PubMed Central

Lupien-Meilleur, J., Andrich, D.E., Quinn, S., Micaelli-Baret, C., St-Amand, R., Roy, D., and St-Pierre, D.H. (2020). Interplay between gut microbiota and gastrointestinal peptides: potential outcomes on the regulation of glucose control. Can. J. Diabetes 44: 359–367, https://doi.org/10.1016/j.jcjd.2019.10.006.Search in Google Scholar PubMed

Mantelmacher, F.D., Zvibel, I., Cohen, K., Epshtein, A., Pasmanik-Chor, M., Vogl, T., Kuperman, Y., Weiss, S., Drucker, D.J., Varol, C., and Fishman, S. (2019). GIP regulates inflammation and body weight by restraining myeloid-cell-derived S100A8/A9. Nat. Metab. 1: 58–69, https://doi.org/10.1038/s42255-018-0001-z.Search in Google Scholar PubMed

Meier, J.J., Nauck, M.A., Kranz, D., Holst, J.J., Deacon, C.F., Gaeckler, D., Schmidt, W.E., and Gallwitz, B. (2004). Secretion, degradation, and elimination of glucagon-like peptide 1 and gastric inhibitory polypeptide in patients with chronic renal insufficiency and healthy control subjects. Diabetes 53: 654–662, https://doi.org/10.2337/diabetes.53.3.654.Search in Google Scholar PubMed

O’Harte, F., Gault, V., Parker, J., Harriott, P., Mooney, M., Bailey, C., and Flatt, P. (2002). Improved stability, insulin-releasing activity and antidiabetic potential of two novel N-terminal analogues of gastric inhibitory polypeptide: N-acetyl-GIP and pGlu-GIP. Diabetologia 45: 1281–1291, https://doi.org/10.1007/s00125-002-0894-6.Search in Google Scholar PubMed

O’Shea, P. (2003). Intermolecular interactions with/within cell membranes and the trinity of membrane potentials: kinetics and imaging. Biochem. Soc. Trans. 31: 990–996, https://doi.org/10.1042/bst0310990.Search in Google Scholar PubMed

Pagès, J.-M., Masi, M., and Barbe, J. (2005). Inhibitors of efflux pumps in Gram-negative bacteria. Trends Mol. Med. 11: 382–389, https://doi.org/10.1016/j.molmed.2005.06.006.Search in Google Scholar PubMed

Perry, R., Craig, S., Ng, M., Gault, V., Flatt, P., and Irwin, N. (2019). Characterisation of glucose-dependent insulinotropic polypeptide receptor antagonists in rodent pancreatic beta cells and mice. Clin. Med. Insights Endocrinol. Diabetes 12: 1–9, https://doi.org/10.1177/1179551419875453.Search in Google Scholar PubMed PubMed Central

Piddock, L.J.V. (2006). Multidrug-resistance efflux pumps? not just for resistance. Nat. Rev. Microbiol. 4: 629–636, https://doi.org/10.1038/nrmicro1464.Search in Google Scholar PubMed

Poulsen, B.E. and Deber, C.M. (2012). Drug efflux by a small multidrug resistance protein is inhibited by a transmembrane peptide. Antimicrob. Agents Chemother. 56: 3911–3916, https://doi.org/10.1128/aac.00158-12.Search in Google Scholar PubMed PubMed Central

Putman, M., Van Veen, H.W., and Konings, W.N. (2000). Molecular properties of bacterial multidrug transporters. Microbiol. Mol. Biol. Rev. 64: 672–693, https://doi.org/10.1128/mmbr.64.4.672-693.2000.Search in Google Scholar PubMed PubMed Central

Sambrook, J. (2001). Molecular cloning : a laboratory manual. In: Cold spring harbor, 3rd ed. N.Y.: Cold Spring Harbor Laboratory Press, [2001] ©2001.Search in Google Scholar

Schiellerup, S.P., Skov-Jeppesen, K., Windeløv, J.A., Svane, M.S., Holst, J.J., Hartmann, B., and Rosenkilde, M.M. (2019). Gut hormones and their effect on bone metabolism. Potential drug therapies in future osteoporosis treatment. Front. Endocrinol. 10: 75, https://doi.org/10.3389/fendo.2019.00075.Search in Google Scholar PubMed PubMed Central

Sheard, D.E., O’Brien-Simpson, N.M., Wade, J.D., and Separovic, F. (2019). Combating bacterial resistance by combination of antibiotics with antimicrobial peptides. Pure Appl. Chem. 91: 199, https://doi.org/10.1515/pac-2018-0707.Search in Google Scholar

Shi, W.F., Jiang, J.P., Xu, N., Huang, Z.M., and Wang, Y.Y. (2005). Inhibitory effects of reserpine and carbonyl cyanide m-chloro-phenylhydrazone on fluoroquinolone resistance of Acinetobacter baumannii. Chin. Med. J. 118: 340–343.Search in Google Scholar

Venter, H., Mowla, R., Ohene-Agyei, T., and Ma, S. (2015). RND-type drug efflux pumps from Gram-negative bacteria: molecular mechanism and inhibition. Front. Microbiol. 6: 377, https://doi.org/10.3389/fmicb.2015.00377.Search in Google Scholar PubMed PubMed Central

Walsh, C. (2000). Molecular mechanisms that confer antibacterial drug resistance. Nature 406: 775–781, https://doi.org/10.1038/35021219.Search in Google Scholar PubMed

Wright, G.D. (2016). Antibiotic adjuvants: rescuing antibiotics from resistance. Trends Microbiol. 24: 862–871, https://doi.org/10.1016/j.tim.2016.06.009.Search in Google Scholar PubMed

Zhang, X.C., Liu, M., and Han, L. (2017). Energy coupling mechanisms of AcrB-like RND transporters. Biophys Rep 3: 73–84, https://doi.org/10.1007/s41048-017-0042-y.Search in Google Scholar PubMed PubMed Central


Supplementary Material

The online version of this article offers supplementary material (https://doi.org/10.1515/hsz-2020-0351).


Received: 2020-10-23
Accepted: 2020-12-09
Published Online: 2021-01-11
Published in Print: 2021-03-26

© 2020 Walter de Gruyter GmbH, Berlin/Boston

Downloaded on 26.4.2024 from https://www.degruyter.com/document/doi/10.1515/hsz-2020-0351/html
Scroll to top button