<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xml:lang="EN" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Microbiol.</journal-id>
<journal-title>Frontiers in Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">1664-302X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fmicb.2021.788500</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>LcpB Is a Pyrophosphatase Responsible for Wall Teichoic Acid Synthesis and Virulence in <italic>Staphylococcus aureus</italic> Clinical Isolate ST59</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Pan</surname> <given-names>Ting</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1108762/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Guan</surname> <given-names>Jing</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1585916/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Li</surname> <given-names>Yujie</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1585940/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Sun</surname> <given-names>Baolin</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c002"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/26382/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Department of Oncology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China</institution>, <addr-line>Hefei, Anhui</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Gastroenterology, The First Affiliated Hospital of Anhui Medical University</institution>, <addr-line>Hefei</addr-line>, <country>China</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Haike Antelmann, Freie Universit&#x00E4;t Berlin, Germany</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Runhua Han, University of Texas at Austin, United States; David Gerlach, Julius Maximilian University of W&#x00FC;rzburg, Germany</p></fn>
<corresp id="c001">&#x002A;Correspondence: Yujie Li, <email>lyj2020@ustc.edu.cn</email></corresp>
<corresp id="c002">Baolin Sun, <email>sunb@ustc.edu.cn</email></corresp>
<fn fn-type="other" id="fn004"><p>This article was submitted to Microbial Physiology and Metabolism, a section of the journal Frontiers in Microbiology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>16</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>12</volume>
<elocation-id>788500</elocation-id>
<history>
<date date-type="received">
<day>02</day>
<month>10</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>30</day>
<month>11</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2021 Pan, Guan, Li and Sun.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Pan, Guan, Li and Sun</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>The community-associated methicillin-resistant <italic>Staphylococcus aureus</italic> (CA-MRSA) causes severe pandemics primarily consisting of skin and soft tissue infections. However, the underlying pathomechanisms of the bacterium are yet to fully understood. The present study identifies LcpB protein, which belongs to the LytR-A-Psr (LCP) family, is crucial for cell wall synthesis and virulence in <italic>S. aureus</italic>. The findings revealed that LcpB is a pyrophosphatase responsible for wall teichoic acid synthesis. The results also showed that LcpB regulates enzyme activity through specific key arginine sites in its LCP domain. Furthermore, knockout of <italic>lcpB</italic> in the CA-MRSA isolate ST59 resulted in enhanced hemolytic activity, enlarged of abscesses, and increased leukocyte infiltration. Meanwhile, we also found that LcpB regulates virulence in <italic>agr</italic>-independent manner and the key sites for pyrophosphatase of LcpB play critical roles in regulating the virulence. In addition, the results showed that the role of LcpB was different between methicillin-resistant <italic>Staphylococcus aureus</italic> (MRSA) and methicillin-sensitive <italic>Staphylococcus aureus</italic> (MSSA). This study therefore highlights the dual role of LcpB in cell wall synthesis and regulation of virulence. These insights on the underlying molecular mechanisms can thus guide the development of novel anti-infective strategies.</p>
</abstract>
<kwd-group>
<kwd>LCP family</kwd>
<kwd>pyrophosphatese</kwd>
<kwd><italic>Staphylococcus aureus</italic></kwd>
<kwd>virulence</kwd>
<kwd>wall teichoic acid synthesis</kwd>
<kwd><italic>agr</italic> system</kwd>
</kwd-group>
<counts>
<fig-count count="5"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="50"/>
<page-count count="12"/>
<word-count count="8536"/>
</counts>
</article-meta>
</front>
<body>
<sec id="S1" sec-type="intro">
<title>Introduction</title>
<p><italic>Staphylococcus aureus</italic> is a major human pathogen that can cause diseases ranging from minor skin infections to life-threatening osteomyelitis, sepsis, pneumonia, and toxic shock syndrome (<xref ref-type="bibr" rid="B29">Lowy, 1998</xref>). Some antibiotics such as penicillin, methicillin and vancomycin were introduced to treat <italic>S. aureus</italic> infection. However, <italic>S. aureus</italic> quickly adapted to the pressure of antibiotics and generated drug-resistant strains (<xref ref-type="bibr" rid="B8">Deleo and Chambers, 2009</xref>). Among them, methicillin-resistant (MRSA) strains pose a serious threat because of their rapid epidemic spread and enormous virulence potential, especially CA-MRSA strains (<xref ref-type="bibr" rid="B9">DeLeo et al., 2010</xref>). Multiple macromolecules are displayed on the surface of MRSA, including individual proteins, protein polymers, polysaccharides, and anionic polymers (e.g., teichoic acids) (<xref ref-type="bibr" rid="B17">Kawai et al., 2011</xref>). Wall teichoic acid (WTA) is a highly abundant modification of the cell wall and one of the most diverse surface determinants of <italic>Staphylococcus aureus</italic> (<xref ref-type="bibr" rid="B45">van Dalen et al., 2020</xref>). It is a polymer composed of ribitol-phosphate monomers which can be repeated up to 40 times (<xref ref-type="bibr" rid="B7">Covas et al., 2016</xref>). Poly-ribitol-phosphate is assembled upon a polyprenyl-pyrophosphoryl lipid carrier which is anchored to the C6-hydroxyl of N-acetylmuramic acid residue within the peptidoglycan strands through a phosphodiester bond (<xref ref-type="bibr" rid="B3">Brown et al., 2013</xref>; <xref ref-type="bibr" rid="B30">Mann et al., 2016</xref>). WTA contributes to a variety of processes in the bacterial metabolism including resistance to antibiotics, biofilm formation, cell division, especially virulence (<xref ref-type="bibr" rid="B23">Lee et al., 2016</xref>). Recent studies have shown that the <italic>agr</italic> system can enhance the infection of <italic>S. aureus</italic> by regulating WTA synthesis (<xref ref-type="bibr" rid="B48">Wanner et al., 2017</xref>). Therefore, it has attracted extensive attention as a target structure for novel anti-infective strategies and antibiotics (<xref ref-type="bibr" rid="B14">Hubscher et al., 2008</xref>; <xref ref-type="bibr" rid="B33">Pasquina et al., 2013</xref>; <xref ref-type="bibr" rid="B46">Wang et al., 2013</xref>; <xref ref-type="bibr" rid="B31">Maria et al., 2014</xref>; <xref ref-type="bibr" rid="B24">Lehar et al., 2015</xref>; <xref ref-type="bibr" rid="B27">Ling et al., 2015</xref>; <xref ref-type="bibr" rid="B49">Winstel et al., 2015</xref>; <xref ref-type="bibr" rid="B38">Siegel et al., 2019</xref>).</p>
<p>The LytR-CpsA-Psr (LCP) proteins are unique to Gram-positive bacteria and named for its LCP domain (<xref ref-type="bibr" rid="B41">Srisuknimit et al., 2017</xref>), but the function of LCP domain is still unclear. Bacterial genomes usually encode several (up to 11) LCP proteins, which have a common structure consisting of a short N-terminal cytoplasmic domain, a transmembrane region with 1&#x2013;3 transmembrane helixes, and an extracellular region containing LCP domain (<xref ref-type="bibr" rid="B41">Srisuknimit et al., 2017</xref>). LCP proteins are considered to be a pyrophosphatase or phosphotransferase which is involved in the process of cell wall synthesis and mediate the attachment of capsular polysaccharide to peptidoglycan (<xref ref-type="bibr" rid="B32">Over et al., 2011</xref>; <xref ref-type="bibr" rid="B5">Chan et al., 2014</xref>; <xref ref-type="bibr" rid="B12">Harrison et al., 2016</xref>; <xref ref-type="bibr" rid="B36">Schaefer et al., 2017</xref>; <xref ref-type="bibr" rid="B26">Li F. K. K. et al., 2020</xref>). In addition, recent study has shown that the LCP protein plays an important role in the process of infecting the host (<xref ref-type="bibr" rid="B25">Li F. et al., 2020</xref>). As a target enzyme, inhibitors of LCP enzymes have the potential to manage a wide range of bacterial infections. In addition, the LCP family represents an attractive class of drug targets in which the soluble catalytic region is on the extracellular face of the cytosolic membrane and there are no mammalian orthologs (<xref ref-type="bibr" rid="B41">Srisuknimit et al., 2017</xref>).</p>
<p>In <italic>S. aureus</italic>, there are three LCP proteins: LcpA, LcpB, and LcpC (<xref ref-type="bibr" rid="B15">Huebscher et al., 2009</xref>; <xref ref-type="bibr" rid="B4">Chan et al., 2013</xref>). The existing researches mainly focus on the analysis of LcpA (<xref ref-type="bibr" rid="B35">Rossi et al., 2003</xref>; <xref ref-type="bibr" rid="B15">Huebscher et al., 2009</xref>; <xref ref-type="bibr" rid="B26">Li F. K. K. et al., 2020</xref>). LcpB is also involved in multiple physiological processes (<xref ref-type="bibr" rid="B4">Chan et al., 2013</xref>). However, the present understanding of LcpB and LCP domain is poor. Here, we focus here the role and the regulatory mechanism of LcpB in WTA synthesis and virulence in the CA-MRSA clinical isolate ST59. We have shown that <italic>lcpB</italic> deficiency slows down the growth, accelerates the autolysis and resulted in abnormal cell wall morphology. Combined with enzyme activity detection and WTA analysis, we have confirmed that LcpB is a pyrophosphatase and participates in the synthesis of WTA. Meanwhile, we identified the key arginine sites in LCP domain that affect its pyrophosphatase activity. Finally, using hemolytic activity detection and mouse subcutaneous abscess model, we found LcpB regulation was <italic>agr</italic>-independent and the key sites for pyrophosphatase of LcpB play critical roles in regulating the virulence. Finally, we demonstrated that the role of LcpB was strain specific.</p>
</sec>
<sec id="S2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="S2.SS1">
<title>Bacterial Strains, Plasmids, and Growth Conditions</title>
<p>The bacterial strains and plasmids used in this study are described in <xref ref-type="supplementary-material" rid="TS1">Supplementary Table 1</xref>. <italic>Escherichia coli</italic> were grown in Luria broth (LB) medium (Oxoid). <italic>S. aureus</italic> and its derivative strains were grown in tryptic soy broth (TSB) medium (BD) at 37&#x00B0;C with shaking at 220 rpm. When needed, appropriate antibiotics were used for plasmid selection and maintenance at the following concentrations: for <italic>E. coli</italic>, ampicillin at 150 &#x03BC;g/mL and kanamycin at 50 &#x03BC;g/mL; for <italic>S. aureus</italic>, chloramphenicol at 15 &#x03BC;g/mL. Constructed plasmids were purified from <italic>E. coli Trans1</italic>-T1 and transformed into <italic>S. aureus</italic> RN4220 as the initial recipient and then <italic>S. aureus</italic> strain ST59 by electroporation. The media were solidified with 1.5% (w/v) agar when required.</p>
</sec>
<sec id="S2.SS2">
<title>DNA Manipulation</title>
<p><italic>S. aureus</italic> genomic DNA was prepared by a standard protocol for Gram-positive bacteria. Plasmid DNA was extracted with a plasmid purification kit (Sangon Biotech) according to the manufacturer&#x2019;s instructions. PrimeSTAR HS DNA polymerase (TaKaRa) and Phanta Max Super-Fidelity DNA polymerase (Vazyme) were used for PCR amplification, respectively. All plasmids transformed into the target <italic>S. aureus</italic> strain were first introduced into <italic>S. aureus</italic> strain RN4220 by electroporation at 2.5 kV for modification. The primers used in this study are listed in <xref ref-type="supplementary-material" rid="TS1">Supplementary Table 2</xref>.</p>
</sec>
<sec id="S2.SS3">
<title>Construction of <italic>Staphylococcus aureus</italic> Mutant Strains</title>
<p>To construct the <italic>lcpB</italic> mutants, the upstream and downstream fragments of <italic>lcpB</italic> were amplified from <italic>S. aureus</italic> strain ST59 genomic DNA using the <italic>lcpB</italic>-up-F/lcpB-up-R, <italic>lcpB</italic>-down-F/<italic>lcpB</italic>-down-R sets of primers (<xref ref-type="supplementary-material" rid="TS1">Supplementary Table 2</xref>). The upstream and downstream regions of each gene were ligated to form an up-down fragment. The resultant fragment was digested with restriction enzymes and then cloned into pBTs. The resulting plasmids, pBTs-<italic>lcpB</italic>, were first electroporated into <italic>S. aureus</italic> strain RN4220 for modification and subsequently transformed into <italic>S. aureus</italic> strain ST59. The allelic replacement mutants were selected using a previously described method and were further confirmed by PCR and sequencing. N315 and Newman knockout strains were constructed in the same way.</p>
</sec>
<sec id="S2.SS4">
<title>Complementation of Mutants</title>
<p>For complementation, the plasmid pLI50 was used to construct pLI50-<italic>lcpB</italic> complemented plasmid. First, amplified the fragment carrying the ORF and its native promoter from ST59 genomic DNA. and digested with restriction enzymes and cloned into the shuttle plasmid pLI50 to derive the plasmid pLI50-<italic>lcpB</italic>. The recombinant plasmid was transformed into <italic>S. aureus</italic> RN4220 by electroporation and then into the ST59 <italic>lcpB</italic> mutant to derive the complemented strain. The wild-type, <italic>lcpB</italic> mutant strains were transformed with the plasmid pLI50 as the control strains, resulting in the ST59-pLI50, and &#x0394;<italic>lcpB</italic>-pLI50 strains respectively. The complementation strains were selected using the same method described above and were further confirmed by PCR and sequencing.</p>
</sec>
<sec id="S2.SS5">
<title>Triton X-100-Induced Autolysis Assay</title>
<p>Triton X-100-stimulated autolysis was measured as described previously (<xref ref-type="bibr" rid="B28">Liu et al., 2016</xref>). Briefly, overnight-grown bacterial cells were diluted with TSB to 0.05 at the absorbance 600 and then allowed to grow to the early exponential phase (OD<sub>600</sub> &#x2264; 0.8) at 37&#x00B0;C with shaking at 220 rpm. Cells were harvested, washed three times with PBS, resuspended in the original volume of Tris-HCl (0.05 M; pH 7.5) containing 0.05% (v/v) Triton X-100, incubated at 37&#x00B0;C with shaking. The autolysis level was checked by measuring the progressive decrease in absorbance (OD<sub>600</sub>) each hour using a microplate reader (Elx800; Bio-Tek) and analyzed by comparing the percentage of reduction. The experiment was repeated at least three times, with similar results.</p>
</sec>
<sec id="S2.SS6">
<title>Transmission Electron Microscopy</title>
<p>To detect morphological changes, strains were cultivated in TSB adding 15 &#x03BC;g/mL chloramphenicol and allowed to grow to the early exponential phase (OD<sub>600</sub> = 0.5) at 37&#x00B0;C with shaking at 220 rpm. Samples were prepared as previously described (<xref ref-type="bibr" rid="B47">Wang and Sun, 2021</xref>) and sent to the Core Facility Center for Life Science (USTC, China). Specimens were examined with a transmission electron microscopy which is operated at an accelerating voltage of 120 kV.</p>
</sec>
<sec id="S2.SS7">
<title>Antibiotic Susceptibility Assay</title>
<p>Antibiotic susceptibility testing was performed by the broth microdilution method, as described previously (<xref ref-type="bibr" rid="B47">Wang and Sun, 2021</xref>).</p>
</sec>
<sec id="S2.SS8">
<title>Total RNA Extraction, cDNA Generation, and Real-Time Quantitative Reverse Transcription-PCR</title>
<p>Normally, the overnight cultures of <italic>S. aureus</italic> were diluted 1:100 in TSB with 15 &#x03BC;g/mL chloramphenicol, grown to the early exponential (OD<sub>600</sub> = 0.5), and collected. When the stress response of <italic>S. aureus</italic> to antibiotics was detected, 10-fold MIC level were added at the early exponential (OD<sub>600</sub> = 0.5) and then cultured for 30 min. The collected cells were processed with 1 mL of RNAiso Plus (TaKaRa) in combination with 0.1-mm-diameter-silica beads in a FastPrep-24 automated system (MP biomedicals Solon, OH, United States), and then used RNase-free DNase I (TaKaRa) to remove the residual DNA. The concentration of total RNA was adjusted to 200 ng/&#x03BC;L. Reverse transcription was carried out with the PrimeScript 1st Strand cDNA synthesis kit (Takara) and real-time quantitative reverse transcription-PCR (RT-qPCR) was performed with SYBR Premix Ex Taq (TaKaRa) using a StepOne realtime system (Applied Biosystems). The relative quantity of cDNA measured by real-time PCR was normalized to the average abundance of wild-type strain samples using housekeeping gene <italic>hu</italic> as the reference gene (<xref ref-type="bibr" rid="B44">Valihrach and Demnerova, 2012</xref>).</p>
</sec>
<sec id="S2.SS9">
<title>Localization of LcpB</title>
<p>To detect the cellular localization of LcpB, we fused LcpB with GFP at its C-terminal tail with its promoter using pALC, and FM4-64 was used to determine the location of cell membrane. For confocal microscopy, an inverted confocal laser scanning microscope (FV1000, Olympus) was used. For the observation of fluorescent signals of GFP, an argon ion laser (Ex = 488 nm, Em = 515&#x2013;530 nm) was used. For the observation of FM4-64, fluorescent signals were acquired using a He-Ne laser (Ex = 559 nm, Em = 570&#x2013;670 nm). Finally, all the confocal images were captured with FV10-ASW 4.2 Viewer software (Olympus).</p>
</sec>
<sec id="S2.SS10">
<title>Expression and Purification of &#x0394;TM-LcpB</title>
<p>The Gluathion S-transferases (GST)-tagged LcpB was expressed and purified using standard procedures. The fragment of the extracellular region <italic>lcpB</italic> ORF (30&#x2013;408 residues) was amplified by PCR with the primer pair &#x0394;TM-<italic>lcpB</italic>-F/&#x0394;TM-<italic>lcpB</italic>-R from <italic>S. aureus</italic> strain ST59 genomic DNA, cloned into the expression vector pGEX-4T-2 to generate the plasmid pGEX-&#x0394;TM-LcpB, and transformed into <italic>E. coli</italic> BL21 (DE3). The transformant was grown in LB at 37&#x00B0;C to an OD<sub>600</sub> of 0.6 and induced with 0.5 mM isopropyl-&#x03B2;-D-1-thiogalactopyranoside (IPTG) at 16&#x00B0;C for additional 12 h. The cells were harvested and lysed by sonication in a lysis buffer (50 mM Tris-HCl, pH 8.0). The bound protein was eluted with an elution buffer (10 mM reduced glutathione, 50 mM Tris-HCl, pH 8.0). The purity of the protein was analyzed using SDS-PAGE, and the protein concentration was determined using the Bradford Assay Kit (Beyotime).</p>
</sec>
<sec id="S2.SS11">
<title>Pyrophosphatase Assay</title>
<p>The pyrophosphatase activity of &#x0394;TM-LcpB was determined according to a previously published protocol (<xref ref-type="bibr" rid="B38">Siegel et al., 2019</xref>). &#x0394;TM-LcpB, single mutated protein, and GST (4 &#x03BC;g) was incubated with 2 &#x03BC;mol FPP Farnesyl pyrophosphate (FPP) in 50 mM Tris-HCl (pH 8.0) for 1 h at 30&#x00B0;C. Inorganic phosphate released from these reactions was detected by a Phosphate Assay Kit (ab270004; abcam) according to the manufacturer&#x2019;s instructions. Phosphate signal was measured with a microplate reader (Elx800; Bio-Tek) at the wavelength in 600 nm. Phosphate standards were used to generate a standard curve, with samples without phosphate used as control. The phosphate concentrations in the test samples were determined by linear regression analysis of the standard curve. The results were presented as an average from three independent experiments.</p>
</sec>
<sec id="S2.SS12">
<title>Extraction and Quantification of <italic>Staphylococcus aureus</italic> Wall Teichoic Acid</title>
<p>Overnight-grown bacterial cells were diluted with TSB to 0.05 at the absorbance 600 and then allowed to grow to the early exponential phase (OD<sub>600</sub> = 0.5). Harvested 200 mL cultures of the <italic>S. aureus</italic> ST59 strain and extracted WTA. The extraction and analysis method strictly followed the protocol of the work of <xref ref-type="bibr" rid="B7">Covas et al. (2016)</xref>. The quantification of WTA was applied by the measure of the phosphate group from WTA using the Phosphate Assay Kit with a microplate reader (Elx800; Bio-Tek) at the wavelength in 600 nm. The extraction of WTA were analyzed by native PAGE and detected by Alcian blue&#x2013;silver staining. The results were presented as an average from three independent experiments.</p>
</sec>
<sec id="S2.SS13">
<title>Determination of Hemolytic Activity</title>
<p>Hemolytic activity was determined by incubating samples with sheep red blood cells. Overnight cultures were collected by centrifugation, and supernatants (100 &#x03BC;L) were mixed with 900 &#x03BC;L phosphate-buffered saline (PBS) buffer containing 10% sheep red blood cells, and the mixtures were incubated at 37&#x00B0;C for proper time. It takes 1 h for ST59 strains, 2.5 h for N315 and Newman strains. The absorption of supernatant at 543 nm was measured after centrifugation. A mixture with 1 mL ddH<sub>2</sub>O containing 10% sheep red blood cells was used as the positive control, and a mixture with 1 mL PBS containing 10% sheep red blood cells was used as the negative control. The percentage of hemolytic activity was calculated relative to the positive control, which was regarded as 100% hemolytic activity.</p>
</sec>
<sec id="S2.SS14">
<title>Mouse Subcutaneous Abscess Model</title>
<p>Outbred, immunocompetent female BALB/c mice between 5 and 6 weeks of age were purchased from Gem Pharmatech Technology Company and raised them to 6&#x2013;8 weeks old. The hair on the back was removed by an animal shaver. Overnight-grown bacterial cells were diluted with TSB to 0.05 at the absorbance 600 and then allowed to grow to the early exponential phase (OD<sub>600</sub> = 0.5) at 37&#x00B0;C with shaking at 220 rpm. Bacteria were collected, washed twice, and diluted in sterile PBS. Viable cells were counted via colony forming units (CFU) counting on TSB agar plates in order to quantify the infectious dose. Mice were inoculated with 2.5 &#x00D7; 10<sup>8</sup> live <italic>S. aureus</italic> cells or PBS alone in both flanks of the back by subcutaneous injection. Abscess areas, assessed as the maximal length times width of the developing ulcers, were measured daily. Seven days after infection, the mice were sacrificed. The skin lesions were excised and homogenized in PBS. The number of CFU recovered from each individual lesion was counted by serial dilution and plated onto LB agar plates. For histopathological analyses, the skin lesions were placed in 10% formalin. Paraffin embedding and hematoxylin and eosin (H&#x0026;E) staining were performed by Wuhan Servicebio Technology.</p>
</sec>
<sec id="S2.SS15">
<title>Ethics Statement</title>
<p>The use and care of mice in the present study followed strictly the guidelines adopted by the Ministry of Health of the People&#x2019;s Republic of China in June 2004. The protocol was approved by the Institutional Animal Care and Use Committee of the University of Science and Technology of China (USTCACUC182301015).</p>
</sec>
<sec id="S2.SS16">
<title>Statistical Analyses</title>
<p>Statistical analysis was performed using Origin 2019 and GraphPad Prism 5. Data were analyzed using unpaired <italic>t</italic>-tests to compare two different conditions and analysis of variance for more conditions. All error bars show the standard errors of the means (SEM). All experiments were performed in biological triplicates.</p>
</sec>
</sec>
<sec id="S3" sec-type="results">
<title>Results</title>
<sec id="S3.SS1">
<title>The LcpB Mutant Strain Shows Cell Wall Defects</title>
<p>LcpB is considered to be a transmembrane protein that plays an important role in maintaining cell morphology in <italic>S. aureus</italic> (<xref ref-type="bibr" rid="B4">Chan et al., 2013</xref>). Therefore, in order to get a better understanding of the effects of LcpB, we knocked out <italic>lcpB</italic> in the clinic isolates <italic>S. aureus</italic> ST59 (NCBI number: CP076823, <xref ref-type="supplementary-material" rid="TS1">Supplementary Table 3</xref>) and constructed the complemented strain. The function of LcpB was then assessed by examining several phenotypes related to the cell wall, including change in growth, rate of autolysis, and levels of MIC (<xref ref-type="supplementary-material" rid="TS1">Supplementary Table 4</xref>). Notably, we first evaluated the growth of the wild-type, <italic>lcpB</italic> mutant, and complemented strains. The findings showed that there was a decrease in the growth rate of the <italic>lcpB</italic> mutant strain (<xref ref-type="fig" rid="F1">Figure 1A</xref>). Thereafter, the autolytic activity of these three strains was examined. The results revealed that there was an increase in the rate of autolysis rate in the <italic>lcpB</italic> mutant, compared to the wild-type. The phenotype of the complemented strain was, however, same as that of the wild-type (<xref ref-type="fig" rid="F1">Figure 1B</xref>). Given that autolysis is related to cell wall synthesis (<xref ref-type="bibr" rid="B43">Templin et al., 1999</xref>; <xref ref-type="bibr" rid="B47">Wang and Sun, 2021</xref>; <xref ref-type="bibr" rid="B50">Zamakhaeva et al., 2021</xref>), these results suggested that deficiency of <italic>lcpB</italic> can affect cell wall synthesis. Therefore, we used transmission electron microscopy to observe the morphology of the cell wall in these three strains. As expected, the results clearly showed that wild-type bacteria revealed regular-shaped cells, while the <italic>lcpB</italic> mutant strain generated deformed cells with irregular envelopes in the early stage of growth (<xref ref-type="fig" rid="F1">Figure 1C</xref> middle) while the wild-type and complemented strains were regular-shaped with smooth cell walls (<xref ref-type="fig" rid="F1">Figure 1C</xref> left and right). These findings further revealed that the absence of LcpB resulted in defects in the cell wall.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>Deficiency of <italic>lcpB</italic> causes an abnormal cell wall morphology. <bold>(A)</bold> Growth of the wild-type, <italic>lcpB</italic> mutant, and <italic>lcpB</italic> complemented strains. The results were obtained from three independent experiments performed in triplicates. Data is presented as the mean &#x00B1; SD or SEM. Two-tailed Student&#x2019;s <italic>t</italic>-test is used for the comparison of statistical significance. The wild-type strain was used as the reference. &#x002A;<italic>p</italic> &#x003C; 0.05; &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01; &#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001, &#x002A;&#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.0001. <bold>(B)</bold> Analysis of the autolysis rate. The rate of autolysis in the wild-type, <italic>lcpB</italic> mutant, and complemented strains was determined at 37&#x00B0;C using Tris-HCl buffer containing 0.05% Triton X-100. Changes in optical density were then measured upon exposure to the detergent. The results were obtained from three independent experiments performed in triplicates. Data is presented as the mean &#x00B1; SD or SEM. Two-tailed Student&#x2019;s <italic>t</italic>-test is used for the comparison of statistical significance. The wild-type strain was used as the reference. &#x002A;<italic>p</italic> &#x003C; 0.05; &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01; &#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001. <bold>(C)</bold> Transmission electron microscopy was performed to evaluate cell wall morphology. These results were obtained from three independent experiments performed in triplicates.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fmicb-12-788500-g001.tif"/>
</fig>
</sec>
<sec id="S3.SS2">
<title>LcpB Has Pyrophosphatase Activity and Affects Wall Teichoic Acid Synthesis</title>
<p>As previous studies have shown, LCP proteins can bind to the promoter region of target genes to regulate their transcription (<xref ref-type="bibr" rid="B21">Lazarevic et al., 1992</xref>; <xref ref-type="bibr" rid="B6">Cieslewicz et al., 2001</xref>; <xref ref-type="bibr" rid="B11">Hanson et al., 2011</xref>). In order to explore the regulatory mechanism of LcpB, we first analyzed the change of gene transcription levels in the wild-type and <italic>lcpB</italic> mutant strains using RNA-seq. Interestingly, the results showed that deficiency of <italic>lcpB</italic> had minimal effect on the transcription of genes related to cell wall synthesis or degradation (<xref ref-type="supplementary-material" rid="TS1">Supplementary Table 5</xref>). We next verified the results of RNA-seq. RT-qPCR results showed no significant changes in the expression of cell wall related genes (<xref ref-type="supplementary-material" rid="FS1">Supplementary Figure 1</xref>), including autolysin genes <italic>lytM</italic> and <italic>atl</italic> (<xref ref-type="bibr" rid="B42">Sugai et al., 1995</xref>; <xref ref-type="bibr" rid="B39">Singh et al., 2010</xref>), cell wall synthesis related genes <italic>pbps</italic>, <italic>femX</italic> (<xref ref-type="bibr" rid="B37">Schneider et al., 2004</xref>; <xref ref-type="bibr" rid="B40">Sobral and Tomasz, 2019</xref>), and cell wall hydrolysis gene <italic>fmtA</italic> (<xref ref-type="bibr" rid="B19">Komatsuzawa et al., 1997</xref>). Since LcpB is involved in WTA synthesis (<xref ref-type="bibr" rid="B4">Chan et al., 2013</xref>; <xref ref-type="bibr" rid="B41">Srisuknimit et al., 2017</xref>), we further assessed the transcription levels of genes associated with the process, including <italic>tarG</italic>, <italic>tarH</italic>, <italic>tarO</italic>, <italic>tarL</italic>, <italic>tarS</italic>, <italic>tarA</italic>, and <italic>tarB</italic>. The results revealed little to no differences among the wild-type, <italic>lcpB</italic> mutant, and complemented strains (<xref ref-type="fig" rid="F2">Figure 2A</xref>). These findings suggested that LcpB may not be a transcription regulator that affects the transcription of cell wall related genes, but to be involved in cell wall synthesis.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p>LcpB has pyrophosphatase activity and affects WTA synthesis. <bold>(A)</bold> The transcription levels of genes related to cell wall synthesis in the wild-type, <italic>lcpB</italic> mutant, and complemented strains were evaluated through RT-qPCR. The means and standard deviations were then calculated. Data is presented as the mean &#x00B1; standard deviations. Two-tailed Student&#x2019;s <italic>t</italic>-test is used for the comparison of statistical significance. The wild-type strain was used as the reference. &#x002A;<italic>p</italic> &#x003C; 0.05; &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01. <bold>(B)</bold> The putative structure of LcpB. <bold>(C)</bold> LcpB-GFP localized to the cell membrane. LcpB, labeled by GFP, was co-localized with the cell membrane, indicated by FM4-64. The scale bar is 1 &#x03BC;m. <bold>(D)</bold> The pyrophosphatase activity of &#x0394;TM-LcpB. Truncated LcpB (4 &#x03BC;g) purified using a GST tag was incubated with 2 &#x03BC;mol FPP for 1 h at 30&#x00B0;C and GST with FPP was used as a control. The results were obtained from three independent experiments performed in triplicates, after which the means and standard deviations were calculated. Data is presented as the mean &#x00B1; standard deviations. Two-tailed Student&#x2019;s <italic>t</italic>-test is used for the comparison of statistical significance. &#x002A;<italic>p</italic> &#x003C; 0.05. <bold>(E)</bold> Quantification of WTA in the wild-type, <italic>lcpB</italic> mutant, and complemented strains. At least three independent experiments were performed for each assay, after which the means and standard deviations were calculated. Data is presented as the mean &#x00B1; standard deviations. Two-tailed Student&#x2019;s <italic>t</italic>-test is used for the comparison of statistical significance. &#x002A;<italic>p</italic> &#x003C; 0.05; &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fmicb-12-788500-g002.tif"/>
</fig>
<p>Moreover, members of the LCP family are putative transmembrane proteins (<xref ref-type="bibr" rid="B14">Hubscher et al., 2008</xref>). Therefore, we assessed transmembrane segment using TMHMM, a tool that predicts the topology of proteins (<xref ref-type="bibr" rid="B20">Krogh et al., 2001</xref>). Analysis of the LcpB amino acid sequence suggested the existence of a short intracellular part (1&#x2013;6 residues), a single transmembrane region at the N-terminal region of the protein (7&#x2013;28 residues), and that the main part of LcpB was located outside the cell (29&#x2013;408 residues, <xref ref-type="fig" rid="F2">Figure 2B</xref>). In order to further confirm the subcellular localization of the protein, we fused it with GFP at its C-terminal tail and the fusion gene was controlled by the native promoter of <italic>lcpB</italic>. Confocal microscopy observation showed that LcpB exhibites plasma membrane localization which is indicated by FM4-64 (<xref ref-type="fig" rid="F2">Figure 2C</xref>). These results confirmed that LcpB is indeed a transmembrane protein.</p>
<p>Existing literature suggests that LCP proteins may have pyrophosphatase activity (<xref ref-type="bibr" rid="B38">Siegel et al., 2019</xref>). Therefore, in order to verify whether LcpB is a pyrophosphatase, we attempted to express the full-length protein but the efforts were unsuccessful. Consequently, the protein was truncated and its extracellular region was expressed (&#x0394;TM-LcpB, 30&#x2013;408 residues). It is also important to note that the members of the LCP family studied to date possess pyrophosphatase activity and can hydrolyze diphosphate phosphoanhydride bonds (<xref ref-type="bibr" rid="B38">Siegel et al., 2019</xref>). In order to ascertain whether LcpB has the same function, a diphosphate mimetic substrate was used and farnesyl pyrophosphate (FPP) was incubated with &#x0394;TM-LcpB, which was expressed in and purified from <italic>Escherichia coli</italic> (<xref ref-type="supplementary-material" rid="FS2">Supplementary Figure 2</xref>). The pyrophosphatase activity of the &#x0394;TM-LcpB proteins was then determined by quantitatively measuring the amount of inorganic phosphate (Pi) released from FPP. Compared to glutathione S-transferase (GST), the negative control, there was a significant increase in the amount of phosphate produced, after incubation with FPP (<xref ref-type="fig" rid="F2">Figure 2D</xref>). These results confirmed that LcpB is a pyrophosphatase. Moreover, previous research showed that mutants lacking the LCP family can release cell wall teichoic acids into the extracellular medium (<xref ref-type="bibr" rid="B4">Chan et al., 2013</xref>). Therefore, we assessed the level of WTA content in the wild-type, <italic>lcpB</italic> mutant and complemented strains, in early growth stage. The findings revealed that there was a decrease in the amount of WTA in the cell wall of the <italic>lcpB</italic> mutant strain (<xref ref-type="fig" rid="F2">Figure 2E</xref> and <xref ref-type="supplementary-material" rid="FS3">Supplementary Figure 3</xref>). These results suggested that LcpB does not regulate cell wall synthesis as a transcription factor and it may affect WTA synthesis through its pyrophosphatase activity.</p>
</sec>
<sec id="S3.SS3">
<title>Contribution of the LcpB Arginine Site in the LytR-CpsA-Psr Domain to Pyrophosphatase Activity and Wall Teichoic Acid Synthesis</title>
<p>Members of the LCP family contain conserved arginine residues which are thought to play a key role in enzyme activity (<xref ref-type="bibr" rid="B17">Kawai et al., 2011</xref>; <xref ref-type="bibr" rid="B38">Siegel et al., 2019</xref>). In addition, there are 15 arginine sites in LcpB, all of which are located in the extracellular region (<xref ref-type="supplementary-material" rid="FS4">Supplementary Figure 4A</xref>). In order to determine which arginine site was key site to the pyrophosphatase activity of LcpB, we constructed single-mutated complemented strains in which these arginines were mutated to alanines. The growth rate was then tested for preliminary screening. The results showed that, compared to the non-mutated strain, arginine mutations at position 86, 109, 207, 209, 217, and 220 led to a decrease in growth rate (<xref ref-type="fig" rid="F3">Figure 3A</xref>). However, the other mutations had not effect on growth (<xref ref-type="supplementary-material" rid="FS4">Supplementary Figure 4B</xref>). Next, we assessed the amount of WTA in these six mutants. As expected, the amount of WTA in the six mutants decreased by 40&#x2013;65%, compared to the non-mutated complementary strain (<xref ref-type="fig" rid="F3">Figure 3B</xref>). These results therefore indicated that these six arginine sites are important for the activity of LcpB. The findings also showed that these six arginine sites were all located in the putative LCP domain. This suggested that the LCP domain plays a crucial role in the activity of LcpB. Consequently, these six proteins with single arginine mutations were expressed (<xref ref-type="supplementary-material" rid="FS2">Supplementary Figure 2</xref>), after which we evaluated their pyrophosphatase activity. Corresponding to results on the amount of WTA, &#x0394;TM-LcpB with a single arginine mutation had a decrease in pyrophosphatase activity by 70&#x2013;90% (<xref ref-type="fig" rid="F3">Figure 3C</xref>). These results suggested that LcpB affected the synthesis of WTA through pyrophosphatase activity and the key arginine sites in the LCP domain regulated its enzyme activity.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption><p>Contributions of LcpB arginine sites in the LCP domain to pyrophosphatase activity and WTA synthesis. <bold>(A)</bold> Growth of strains with single arginine mutations in the LCP domain and non-mutant complemented strains. The results were obtained from three independent experiments performed in triplicates. Data is presented as mean &#x00B1; standard deviation. Two-tailed Student&#x2019;s <italic>t</italic>-test is used for the comparison of statistical significance. &#x002A;<italic>p</italic> &#x003C; 0.05; &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01; &#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001; &#x002A;&#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.0001. <bold>(B)</bold> Quantification of WTA in strains with single arginine mutation in the LCP domain and non-mutant complemented strains. At least three independent experiments were performed for each assay, after which the means and standard deviations were calculated. Data is presented as mean &#x00B1; standard deviation. Two-tailed Student&#x2019;s <italic>t</italic>-test is used for the comparison of statistical significance. &#x002A;<italic>p</italic> &#x003C; 0.05; &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01; &#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001; &#x002A;&#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.0001. <bold>(C)</bold> Comparison of the pyrophosphatase activity of &#x0394;TM-LcpB and &#x0394;TM-LcpB with a single arginine mutation. Four microgram protein was incubated with 2 &#x03BC;mol FPP for 1 h at 30&#x00B0;C. The results were obtained from three independent experiments performed in triplicates, after which the means and standard deviations were calculated. Data is presented as the mean &#x00B1; standard deviation. Two-tailed Student&#x2019;s <italic>t</italic>-test is used for the comparison of statistical significance. &#x002A;<italic>p</italic> &#x003C; 0.05; &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fmicb-12-788500-g003.tif"/>
</fig>
</sec>
<sec id="S3.SS4">
<title>Contribution of LcpB to Virulence</title>
<p>We further analyzed and compared the RNA-seq data of the wild-type and <italic>lcpB</italic> mutant strains. The findings showed that several virulence-related genes were up-regulated (<xref ref-type="supplementary-material" rid="TS1">Supplementary Table 5</xref>), suggesting that LcpB may be involved in regulating virulence. In order to explore the relationship between LcpB and virulence, the RNA-seq results were first verified. Analysis through RT-qPCR showed that <italic>psm</italic>&#x03B1;, <italic>psm</italic>&#x03B2;, <italic>scnL</italic>, and <italic>ehp</italic> were significantly up-regulated (<xref ref-type="fig" rid="F4">Figure 4A</xref>). However, the transcription of <italic>agrA</italic> and <italic>RNAIII</italic> showed no visible alteration, suggesting that the regulation of virulence by LcpB may be <italic>agr</italic>-independent. Notably, PSMs are well-characterized toxins that play a significant role in skin infection by <italic>S. aureus</italic> (<xref ref-type="bibr" rid="B18">Kennedy et al., 2010</xref>). Moreover, SCN (SCIN) is an efficient modulator of neutrophil chemotaxis, phagocytosis, and killing, whose early expression is necessary for efficient modulation of early immune responses (<xref ref-type="bibr" rid="B34">Rooijakkers et al., 2006</xref>). Protein encoded by <italic>orf1855</italic> is predicted to be a staphylococcal complement inhibitor which has high homology with SCN, and belongs to the SCN family. Therefore, the present study named <italic>orf1855</italic> as <italic>scnL</italic>. Additionally, Ehp is a secreted protein which can bind to C3 to inhibit the alternative complement activation pathway (<xref ref-type="bibr" rid="B10">Hammel et al., 2007</xref>; <xref ref-type="bibr" rid="B16">Jongerius et al., 2007</xref>). Based on the RT-qPCR results, we assessed the interaction between the bacteria and the host through the levels of hemolytic activity, and the ability of form abscesses in the wild-type, <italic>lcpB</italic> mutant, and complemented strains. The hemolytic assay was firstly performed using the sheep red blood cells and the percentage of hemolytic activity was calculated relative to the positive control (100% hemolytic activity) by measuring the optical density at 543 nm. The <italic>lcpB</italic> mutant strain displayed increased hemolytic activity, compared to the wild-type strain after incubation for 2 h at 37&#x00B0;C and these changes could be restored by the complemented strain (<xref ref-type="fig" rid="F4">Figures 4B,C</xref>). Since our above study showed that LcpB had six key arginine sites, we also tested the hemolytic ability of these single point mutant strains. The results showed that compared to the non-mutated strain, arginine mutations at position 109, 207, 209, and 217 led to an increase in hemolytic activity (<xref ref-type="fig" rid="F4">Figure 4D</xref>). These results suggest that LcpB may regulate virulence through pyrophosphatase activity. In addition, we used a mouse model of subcutaneous abscess to investigate the contribution of LcpB to the pathogenicity of <italic>S. aureus</italic>. The findings showed that the ability of the <italic>lcpB</italic> mutant strain to cause skin abscesses in mice was significantly enhanced, compared to the wild-type and <italic>lcpB</italic> complemented strains. This was further demonstrated by photographs of the skin lesions (<xref ref-type="fig" rid="F4">Figures 4E,F</xref>). Next, we examined bacterial colonization of the skin lesions. The results revealed that these three strains had a similar level of colonization (<xref ref-type="fig" rid="F4">Figure 4G</xref>). It was therefore speculated that the increase in abscess area was not caused by the difference in bacterial quantity but by the enhanced virulence of the <italic>lcpB</italic> mutant strains. Moreover, histological examination of the <italic>lcpB</italic> mutant showed more extensive inflammation with leukocyte infiltration, destruction of the skin structure (<xref ref-type="fig" rid="F4">Figure 4H</xref>). Overall, these findings showed that LcpB can promote the expression of virulence genes and affect the pathogenicity of <italic>S. aureus</italic>.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption><p>Contribution of LcpB to virulence. <bold>(A)</bold> The transcriptional levels of genes related to virulence in the wild-type, <italic>lcpB</italic> mutant, and complemented strains were examined through RT-qPCR. The means and standard deviations were then calculated and data is presented as the mean &#x00B1; standard deviation. &#x002A;<italic>p</italic> &#x003C; 0.05; &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01. <bold>(B)</bold> Hemolytic activity in the wild-type, <italic>lcpB</italic> mutant, and complemented strains was determined by incubating samples with 10% sheep red blood cells for 1 h. PBS and ddH<sub>2</sub>O were used as the negative control and the positive control, respectively. <bold>(C)</bold> Hemolytic activity in the wild-type, <italic>lcpB</italic> mutant, and complemented strains was determined by measuring the absorption of supernatants at 543 nm. Data is presented as the mean &#x00B1; standard deviation. Two-tailed Student&#x2019;s <italic>t</italic>-test is used for the comparison of statistical significance. &#x002A;<italic>p</italic> &#x003C; 0.05. <bold>(D)</bold> Hemolytic activity in the <italic>lcpB</italic> complemented and single mutated strains was determined by measuring the absorption of supernatants at 543 nm for 1 h. Data is presented as the mean &#x00B1; standard deviation. Two-tailed Student&#x2019;s <italic>t</italic>-test is used for the comparison of statistical significance. &#x002A;<italic>p</italic> &#x003C; 0.05; &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01; &#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001. PBS and ddH<sub>2</sub>O were used as the negative control and the positive control, respectively. <bold>(E&#x2013;H)</bold> LcpB contributes to the virulence of <italic>S. aureus</italic> in a mouse model of subcutaneous abscess. The mice were treated with 50 &#x03BC;L of PBS containing 2.5 &#x00D7; 10<sup>8</sup> CFU of the wild-type, <italic>lcpB</italic> mutant, and complemented strains, or PBS alone as the control. The treatment was administered in both flanks of the back by subcutaneous injection. <bold>(E,F)</bold> (<italic>n</italic> = 6&#x2013;8) The abscess area was measured daily using a caliper <bold>(F)</bold>. The photographic images <bold>(E)</bold> of representative abscesses in mice 7 days after infection. The error bars indicate the standard errors of the means, obtained from three biological replicates. Data is presented as the mean &#x00B1; standard deviation. Two-tailed Student&#x2019;s <italic>t</italic>-test is used for the comparison of statistical significance. &#x002A;<italic>p</italic> &#x003C; 0.05; &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01; &#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001. <bold>(F)</bold> CFU recovered from each abscess harvested 7 days after infection were determined through serial dilution and plating on LB agar plates. <bold>(H)</bold> Representative images of histological analysis (H&#x0026;E stain). The scale bar is 200 &#x03BC;m.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fmicb-12-788500-g004.tif"/>
</fig>
</sec>
<sec id="S3.SS5">
<title>Regulation of LcpB Is Strain-Specific and <italic>Agr</italic>-Independent</title>
<p><xref ref-type="bibr" rid="B48">Wanner et al. (2017)</xref> reported before that <italic>agr</italic> system participates in WTA synthesis and virulence through regulating <italic>tarH</italic>. Our study showed that <italic>lcpB</italic> knockout affected WTA synthesis and virulence, but the transcriptional level of <italic>agrA</italic>, <italic>RNAIII</italic>, and <italic>tarH</italic> showed no significant difference. In order to examine whether the regulation of virulence by LcpB is <italic>agr</italic>-independent or not, we tried to knock out <italic>agr</italic> system in ST59, but failed. Therefore, another MRSA strain N315, an <italic>agr</italic> system deficient strain, was used for further study. Interestingly, <italic>lcpB</italic> deficiency greatly slowed down the growth (<xref ref-type="fig" rid="F5">Figure 5A</xref>) and enhanced the hemolytic activity (<xref ref-type="fig" rid="F5">Figures 5B,C</xref>). This is consistent with the phenotype of ST59 strain. This suggested that the regulation of WTA synthesis and virulence by LcpB is <italic>agr</italic>-independent.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption><p>Regulation of LcpB is strain-specific and <italic>agr</italic>-independent. <bold>(A)</bold> Growth of the N315 wild-type and <italic>lcpB</italic> mutant strains. The results were obtained from three independent experiments performed in triplicates. Data is presented as the mean &#x00B1; SD or SEM. Two-tailed Student&#x2019;s <italic>t</italic>-test is used for the comparison of statistical significance. The wild-type strain was used as the reference. &#x002A;<italic>p</italic> &#x003C; 0.05; &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01; &#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001, &#x002A;&#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.0001. <bold>(B)</bold> Hemolytic activity in the N315 wild-type and <italic>lcpB</italic> mutant strains was determined at 543 nm by incubating samples with 10% sheep red blood cells for 2.5 h. PBS and ddH<sub>2</sub>O were used as the negative control and the positive control, respectively. Data is presented as the mean &#x00B1; standard deviation. Two-tailed Student&#x2019;s <italic>t</italic>-test is used for the comparison of statistical significance. &#x002A;<italic>p</italic> &#x003C; 0.05, &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01. <bold>(C)</bold> Photograph for hemolytic activity in the N315 wild-type and <italic>lcpB</italic> mutant strains. <bold>(D)</bold> Growth of the Newman wild-type and <italic>lcpB</italic> mutant strains. The results were obtained from three independent experiments performed in triplicates. Data is presented as the mean &#x00B1; SD or SEM. Two-tailed Student&#x2019;s <italic>t</italic>-test is used for the comparison of statistical significance. The wild-type strain was used as the reference. &#x002A;<italic>p</italic> &#x003C; 0.05; &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01; &#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001. <bold>(E)</bold> Hemolytic activity in the Newman wild-type and <italic>lcpB</italic> mutant strains was determined at 543 nm by incubating samples with 10% sheep red blood cells for 2.5 h. PBS and ddH<sub>2</sub>O were used as the negative control and the positive control, respectively. Data is presented as the mean &#x00B1; standard deviation. Two-tailed Student&#x2019;s <italic>t</italic>-test is used for the comparison of statistical significance. ns, no significance. <bold>(F)</bold> Photograph for hemolytic activity in the Newman wild-type and <italic>lcpB</italic> mutant strains.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fmicb-12-788500-g005.tif"/>
</fig>
<p>In order to examine whether the mechanism of LcpB is common in <italic>Staphylococcus aureus</italic> or not, we knocked out <italic>lcpB</italic> in MSSA strain Newman. The results showed that <italic>lcpB</italic> deletion slightly affected the growth rate (<xref ref-type="fig" rid="F5">Figure 5D</xref>) and had no visible alteration on hemolysis (<xref ref-type="fig" rid="F5">Figures 5E,F</xref>). These results suggest that the effect of LcpB was strain specific and it may play a more important role in MRSA strains.</p>
</sec>
</sec>
<sec id="S4" sec-type="discussion">
<title>Discussion</title>
<p>The present study demonstrates the significant role of LcpB, an important member of the LCP family, in clinical isolates of <italic>S. aureus</italic> ST59. The results showed that LcpB is a transmembrane protein with pyrophosphatase activity that not only affects the synthesis of WTA but also regulates bacterial growth, autolysis, and maintenance of cell wall morphology. Further experiments also showed that there are six key arginine sites in LcpB that affect enzyme activity and all of them are located in the putative LCP domain. In addition, the findings revealed that LcpB plays a role in regulating virulence. The results specifically showed that LcpB is involved in the transcriptional regulation of virulence genes and affects many physiological processes such as hemolytic activity and abscess formation in an <italic>agr</italic>-independent manner. In addition, the study also found that the role of LcpB was strain-specific. Our study therefore uncovers the significant role of LcpB in both cell wall synthesis and regulation of virulence.</p>
<p>Members of the LytR-CpsA-Psr family are putative transmembrane proteins that have a common structure consisting of a short N-terminal cytoplasmic domain, a transmembrane region, and an LCP domain that was predicted to be extracellular (<xref ref-type="bibr" rid="B14">Hubscher et al., 2008</xref>). LCP proteins are thought to be involved in many physiological processes (<xref ref-type="bibr" rid="B1">Amer and Clubb, 2014</xref>; <xref ref-type="bibr" rid="B2">Baumgart et al., 2016</xref>). Additionally, previous studies revealed that LCP proteins can bind to the promoter region of target genes to regulate their transcription (<xref ref-type="bibr" rid="B21">Lazarevic et al., 1992</xref>; <xref ref-type="bibr" rid="B6">Cieslewicz et al., 2001</xref>; <xref ref-type="bibr" rid="B11">Hanson et al., 2011</xref>). Recent, research also confirmed that proteins in the LCP family have pyrophosphatase or phosphotransferase activities and can participate in WTA synthesis (<xref ref-type="bibr" rid="B12">Harrison et al., 2016</xref>; <xref ref-type="bibr" rid="B41">Srisuknimit et al., 2017</xref>; <xref ref-type="bibr" rid="B38">Siegel et al., 2019</xref>). Meanwhile, structural prediction suggested that LcpB was not a transcription factor. Moreover, analysis through RNA-seq and RT-qPCR showed that deficiency of <italic>lcpB</italic> had no significant effect on the transcription of genes related to cell wall synthesis. In addition, LcpB was shown to have pyrophosphatase activity, which affected WTA synthesis. This study therefore supports the idea that LCP proteins are directly involved in WTA synthesis. In addition, analysis of the ability of LcpB to regulate virulence revealed that several virulence genes were up-regulated, including <italic>ehp</italic>, <italic>scnL</italic>, <italic>psm</italic>&#x03B1;, and <italic>psm</italic>&#x03B2;. There was, however, no decrease in the expression levels of <italic>agr</italic> and <italic>RNAIII</italic> in the <italic>lcpB</italic> knockout strain whose concentration of WTA had decreased (<xref ref-type="fig" rid="F2">Figure 2A</xref>), contrary to the findings by <xref ref-type="bibr" rid="B48">Wanner et al. (2017)</xref>. However, our study showed that the regulation of virulence by LcpB was <italic>agr</italic>-independent. This suggests that there may be multiple regulatory pathways involved in the interaction between WTA synthesis and virulence, and the specific mechanism needs to be explored further.</p>
<p>In summary, our study showed that LcpB is a pyrophosphatase, which can regulate both WTA synthesis and virulence in <italic>S. aureus</italic> ST59. And this regulation of LcpB is <italic>agr</italic>-independent and strain-specific. Recent research on the development of antimicrobial substances identified WTA as an ideal target for novel anti-infective strategies and antibiotics. The present study will therefore aid in the development of novel anti-staphylococcal strategies that can especially be helpful in combating MRSA.</p>
</sec>
<sec id="S5" sec-type="data-availability">
<title>Data Availability Statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="supplementary-material" rid="FS1">Supplementary Material</xref>, further inquiries can be directed to the corresponding author/s.</p>
</sec>
<sec id="S6">
<title>Ethics Statement</title>
<p>The protocol was approved by the Institutional Animal Care and Use Committee of the University of Science and Technology of China (USTCACUC182301015).</p>
</sec>
<sec id="S7">
<title>Author Contributions</title>
<p>TP designed the study, acquired, analyzed and interpreted the data, and prepared the manuscript. JG conceived the study and acquired the data. YL analyzed, interpreted the data, and revised the manuscript. BS and YL supervised the project and obtained funding. All authors discussed the data and read the manuscript.</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="pudiscl1" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<sec id="S8" sec-type="funding-information">
<title>Funding</title>
<p>This work was supported by the National Key Research and Development Program of China (2021YFC2300304).</p>
</sec>
<ack>
<p>We thank Prof. Min Li for the gift of ST59 strain and related genomic sequencing information.</p>
</ack>
<sec id="S10" sec-type="supplementary-material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fmicb.2021.788500/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fmicb.2021.788500/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Image_1.JPEG" id="FS1" mimetype="image/jpeg" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Figure 1</label>
<caption><p>The transcriptional levels of genes related to cell wall synthesis showed little to no differences among the wild-type, <italic>lcpB</italic> mutant, and complemented strains. The transcriptional levels were evaluated through RT-qPCR. The means and standard deviations were then calculated. Data is presented as the mean &#x00B1; standard deviations. &#x002A;<italic>p</italic> &#x003C; 0.05.</p></caption>
</supplementary-material>
<supplementary-material xlink:href="Image_2.JPEG" id="FS2" mimetype="image/jpeg" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Figure 2</label>
<caption><p>The expression of GST, &#x0394;TM-LcpB, and mutated LcpB.</p></caption>
</supplementary-material>
<supplementary-material xlink:href="Image_3.JPEG" id="FS3" mimetype="image/jpeg" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Figure 3</label>
<caption><p>The extraction of WTA. WTA of the wild-type, <italic>lcpB</italic> mutant, and complemented strains was analyzed by native PAGE and detected by Alcian blue&#x2013;silver staining.</p></caption>
</supplementary-material>
<supplementary-material xlink:href="Image_4.JPEG" id="FS4" mimetype="image/jpeg" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Figure 4</label>
<caption><p>The distribution of arginine in LcpB and the mutation sites of arginine that did not affect the growth. <bold>(A)</bold> The distribution of arginine in LcpB. <bold>(B)</bold> Growth of strains with single arginine mutations that did not affect the growth and non-mutant complemented strains. The results were obtained from three independent experiments performed in triplicates.</p></caption>
</supplementary-material>
<supplementary-material xlink:href="Table_1.DOCX" id="TS1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Amer</surname> <given-names>B. R.</given-names></name> <name><surname>Clubb</surname> <given-names>R. T.</given-names></name></person-group> (<year>2014</year>). <article-title>A sweet new role for LCP enzymes in protein glycosylation.</article-title> <source><italic>Mol. Microbiol.</italic></source> <volume>94</volume> <fpage>1197</fpage>&#x2013;<lpage>1200</lpage>. <pub-id pub-id-type="doi">10.1111/mmi.12825</pub-id> <pub-id pub-id-type="pmid">25302626</pub-id></citation></ref>
<ref id="B2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Baumgart</surname> <given-names>M.</given-names></name> <name><surname>Schubert</surname> <given-names>K.</given-names></name> <name><surname>Bramkamp</surname> <given-names>M.</given-names></name> <name><surname>Frunzke</surname> <given-names>J.</given-names></name></person-group> (<year>2016</year>). <article-title>Impact of LytR-CpsA-Psr proteins on cell wall biosynthesis in <italic>Corynebacterium glutamicum</italic>.</article-title> <source><italic>J. Bacteriol.</italic></source> <volume>198</volume> <fpage>3045</fpage>&#x2013;<lpage>3059</lpage>. <pub-id pub-id-type="doi">10.1128/JB.00406-16</pub-id> <pub-id pub-id-type="pmid">27551018</pub-id></citation></ref>
<ref id="B3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Brown</surname> <given-names>S.</given-names></name> <name><surname>Maria</surname> <given-names>J. P. S.</given-names></name> <name><surname>Walker</surname> <given-names>S.</given-names></name></person-group> (<year>2013</year>). <article-title>Wall teichoic acids of gram-positive bacteria.</article-title> <source><italic>Annu. Rev. Microbiol.</italic></source> <volume>67</volume> <fpage>313</fpage>&#x2013;<lpage>336</lpage>. <pub-id pub-id-type="doi">10.1146/annurev-micro-092412-155620</pub-id> <pub-id pub-id-type="pmid">24024634</pub-id></citation></ref>
<ref id="B4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chan</surname> <given-names>Y. G. Y.</given-names></name> <name><surname>Frankel</surname> <given-names>M. B.</given-names></name> <name><surname>Dengler</surname> <given-names>V.</given-names></name> <name><surname>Schneewind</surname> <given-names>O.</given-names></name> <name><surname>Missiakas</surname> <given-names>D.</given-names></name></person-group> (<year>2013</year>). <article-title><italic>Staphylococcus aureus</italic> mutants lacking the LytR-CpsA-Psr family of enzymes release cell wall teichoic acids into the extracellular medium.</article-title> <source><italic>J. Bacteriol.</italic></source> <volume>195</volume> <fpage>4650</fpage>&#x2013;<lpage>4659</lpage>. <pub-id pub-id-type="doi">10.1128/JB.00544-13</pub-id> <pub-id pub-id-type="pmid">23935043</pub-id></citation></ref>
<ref id="B5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chan</surname> <given-names>Y. G. Y.</given-names></name> <name><surname>Kim</surname> <given-names>H. K.</given-names></name> <name><surname>Schneewind</surname> <given-names>O.</given-names></name> <name><surname>Missiakas</surname> <given-names>D.</given-names></name></person-group> (<year>2014</year>). <article-title>The capsular polysaccharide of <italic>Staphylococcus aureus</italic> is attached to peptidoglycan by the LytR-CpsA-Psr (LCP) family of enzymes.</article-title> <source><italic>J. Biol. Chem.</italic></source> <volume>289</volume> <fpage>15680</fpage>&#x2013;<lpage>15690</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.M114.567669</pub-id> <pub-id pub-id-type="pmid">24753256</pub-id></citation></ref>
<ref id="B6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cieslewicz</surname> <given-names>M. J.</given-names></name> <name><surname>Kasper</surname> <given-names>D. L.</given-names></name> <name><surname>Wang</surname> <given-names>Y.</given-names></name> <name><surname>Wessels</surname> <given-names>M. R.</given-names></name></person-group> (<year>2001</year>). <article-title>Functional analysis in type Ia group B <italic>Streptococcus</italic> of a cluster of genes involved in extracellular polysaccharide production by diverse species of streptococci.</article-title> <source><italic>J. Biol. Chem.</italic></source> <volume>276</volume> <fpage>139</fpage>&#x2013;<lpage>146</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.M005702200</pub-id> <pub-id pub-id-type="pmid">11027683</pub-id></citation></ref>
<ref id="B7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Covas</surname> <given-names>G.</given-names></name> <name><surname>Vaz</surname> <given-names>F.</given-names></name> <name><surname>Henriques</surname> <given-names>G.</given-names></name> <name><surname>Pinho</surname> <given-names>M. G.</given-names></name> <name><surname>Filipe</surname> <given-names>S. R.</given-names></name></person-group> (<year>2016</year>). <article-title>Analysis of cell wall teichoic acids in <italic>Staphylococcus aureus</italic>.</article-title> <source><italic>Methods Mol. Biol.</italic></source> <volume>1440</volume> <fpage>201</fpage>&#x2013;<lpage>213</lpage>. <pub-id pub-id-type="doi">10.1007/978-1-4939-3676-2_15</pub-id></citation></ref>
<ref id="B8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Deleo</surname> <given-names>F. R.</given-names></name> <name><surname>Chambers</surname> <given-names>H. F.</given-names></name></person-group> (<year>2009</year>). <article-title>Reemergence of antibiotic-resistant <italic>Staphylococcus aureus</italic> in the genomics era.</article-title> <source><italic>J. Clin. Invest.</italic></source> <volume>119</volume> <fpage>2464</fpage>&#x2013;<lpage>2474</lpage>. <pub-id pub-id-type="doi">10.1172/Jci38226</pub-id> <pub-id pub-id-type="pmid">19729844</pub-id></citation></ref>
<ref id="B9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>DeLeo</surname> <given-names>F. R.</given-names></name> <name><surname>Otto</surname> <given-names>M.</given-names></name> <name><surname>Kreiswirth</surname> <given-names>B. N.</given-names></name> <name><surname>Chambers</surname> <given-names>H. F.</given-names></name></person-group> (<year>2010</year>). <article-title>Community-associated meticillin-resistant <italic>Staphylococcus aureus</italic>.</article-title> <source><italic>Lancet</italic></source> <volume>375</volume> <fpage>1557</fpage>&#x2013;<lpage>1568</lpage>. <pub-id pub-id-type="doi">10.1016/S0140-6736(09)61999-1</pub-id></citation></ref>
<ref id="B10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hammel</surname> <given-names>M.</given-names></name> <name><surname>Sfyroera</surname> <given-names>G.</given-names></name> <name><surname>Pyrpassopoulos</surname> <given-names>S.</given-names></name> <name><surname>Ricklin</surname> <given-names>D.</given-names></name> <name><surname>Ramyar</surname> <given-names>K. X.</given-names></name> <name><surname>Pop</surname> <given-names>M.</given-names></name><etal/></person-group> (<year>2007</year>). <article-title>Characterization of Ehp, a secreted complement inhibitory protein from <italic>Staphylococcus aureus</italic>.</article-title> <source><italic>J. Biol. Chem.</italic></source> <volume>282</volume> <fpage>30051</fpage>&#x2013;<lpage>30061</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.M704247200</pub-id> <pub-id pub-id-type="pmid">17699522</pub-id></citation></ref>
<ref id="B11"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hanson</surname> <given-names>B. R.</given-names></name> <name><surname>Lowe</surname> <given-names>B. A.</given-names></name> <name><surname>Neely</surname> <given-names>M. N.</given-names></name></person-group> (<year>2011</year>). <article-title>Membrane topology and DNA-binding ability of the streptococcal CpsA protein.</article-title> <source><italic>J. Bacteriol.</italic></source> <volume>193</volume> <fpage>411</fpage>&#x2013;<lpage>420</lpage>. <pub-id pub-id-type="doi">10.1128/Jb.01098-10</pub-id> <pub-id pub-id-type="pmid">21097630</pub-id></citation></ref>
<ref id="B12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Harrison</surname> <given-names>J.</given-names></name> <name><surname>Lloyd</surname> <given-names>G.</given-names></name> <name><surname>Joe</surname> <given-names>M.</given-names></name> <name><surname>Lowary</surname> <given-names>T. L.</given-names></name> <name><surname>Reynolds</surname> <given-names>E.</given-names></name> <name><surname>Walters-Morgan</surname> <given-names>H.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>Lcp1 Is a phosphotransferase responsible for ligating arabinogalactan to peptidoglycan in <italic>Mycobacterium tuberculosis</italic>.</article-title> <source><italic>mBio</italic></source> <volume>7</volume>:<issue>e00972-16</issue>. <pub-id pub-id-type="doi">10.1128/mBio.00972-16</pub-id> <pub-id pub-id-type="pmid">27486192</pub-id></citation></ref>
<ref id="B13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hu</surname> <given-names>J. F.</given-names></name> <name><surname>Zhang</surname> <given-names>X.</given-names></name> <name><surname>Liu</surname> <given-names>X. Y.</given-names></name> <name><surname>Chen</surname> <given-names>C.</given-names></name> <name><surname>Sun</surname> <given-names>B. L.</given-names></name></person-group> (<year>2015</year>). <article-title>Mechanism of reduced vancomycin susceptibility conferred by walk mutation in community-acquired methicillin-resistant <italic>Staphylococcus aureus</italic> strain MW2.</article-title> <source><italic>Antimicrob. Agents Chemother.</italic></source> <volume>59</volume> <fpage>1352</fpage>&#x2013;<lpage>1355</lpage>. <pub-id pub-id-type="doi">10.1128/AAC.04290-14</pub-id> <pub-id pub-id-type="pmid">25451044</pub-id></citation></ref>
<ref id="B14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hubscher</surname> <given-names>J.</given-names></name> <name><surname>Luthy</surname> <given-names>L.</given-names></name> <name><surname>Berger-Bachi</surname> <given-names>B.</given-names></name> <name><surname>Meier</surname> <given-names>P. S.</given-names></name></person-group> (<year>2008</year>). <article-title>Phylogenetic distribution and membrane topology of the LytR-CpsA-Psr protein family.</article-title> <source><italic>BMC Genomics</italic></source> <volume>9</volume>:<issue>617</issue>. <pub-id pub-id-type="doi">10.1186/1471-2164-9-617</pub-id> <pub-id pub-id-type="pmid">19099556</pub-id></citation></ref>
<ref id="B15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Huebscher</surname> <given-names>J.</given-names></name> <name><surname>McCallum</surname> <given-names>N.</given-names></name> <name><surname>Sifri</surname> <given-names>C. D.</given-names></name> <name><surname>Majcherczyk</surname> <given-names>P. A.</given-names></name> <name><surname>Entenza</surname> <given-names>J. M.</given-names></name> <name><surname>Heusser</surname> <given-names>R.</given-names></name><etal/></person-group> (<year>2009</year>). <article-title>MsrR contributes to cell surface characteristics and virulence in <italic>Staphylococcus aureus</italic>.</article-title> <source><italic>FEMS Microbiol. Lett.</italic></source> <volume>295</volume> <fpage>251</fpage>&#x2013;<lpage>260</lpage>. <pub-id pub-id-type="doi">10.1111/j.1574-6968.2009.01603.x</pub-id> <pub-id pub-id-type="pmid">19459977</pub-id></citation></ref>
<ref id="B16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jongerius</surname> <given-names>I.</given-names></name> <name><surname>Kohl</surname> <given-names>J.</given-names></name> <name><surname>Pandey</surname> <given-names>M. K.</given-names></name> <name><surname>Ruyken</surname> <given-names>M.</given-names></name> <name><surname>van Kessel</surname> <given-names>K. P. M.</given-names></name> <name><surname>van Strijp</surname> <given-names>J. A. G.</given-names></name><etal/></person-group> (<year>2007</year>). <article-title>Staphylococcal complement evasion by various convertase-blocking molecules.</article-title> <source><italic>J. Exp. Med.</italic></source> <volume>204</volume> <fpage>2461</fpage>&#x2013;<lpage>2471</lpage>. <pub-id pub-id-type="doi">10.1084/jem.20070818</pub-id> <pub-id pub-id-type="pmid">17893203</pub-id></citation></ref>
<ref id="B17"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kawai</surname> <given-names>Y.</given-names></name> <name><surname>Marles-Wright</surname> <given-names>J.</given-names></name> <name><surname>Cleverley</surname> <given-names>R. M.</given-names></name> <name><surname>Emmins</surname> <given-names>R.</given-names></name> <name><surname>Ishikawa</surname> <given-names>S.</given-names></name> <name><surname>Kuwano</surname> <given-names>M.</given-names></name><etal/></person-group> (<year>2011</year>). <article-title>A widespread family of bacterial cell wall assembly proteins.</article-title> <source><italic>EMBO J.</italic></source> <volume>30</volume> <fpage>4931</fpage>&#x2013;<lpage>4941</lpage>. <pub-id pub-id-type="doi">10.1038/emboj.2011.358</pub-id> <pub-id pub-id-type="pmid">21964069</pub-id></citation></ref>
<ref id="B18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kennedy</surname> <given-names>A. D.</given-names></name> <name><surname>Wardenburg</surname> <given-names>J. B.</given-names></name> <name><surname>Gardner</surname> <given-names>D. J.</given-names></name> <name><surname>Long</surname> <given-names>D.</given-names></name> <name><surname>Whitney</surname> <given-names>A. R.</given-names></name> <name><surname>Braughton</surname> <given-names>K. R.</given-names></name><etal/></person-group> (<year>2010</year>). <article-title>Targeting of alpha-hemolysin by active or passive immunization decreases severity of USA300 skin infection in a mouse model.</article-title> <source><italic>J. Infect. Dis.</italic></source> <volume>202</volume> <fpage>1050</fpage>&#x2013;<lpage>1058</lpage>. <pub-id pub-id-type="doi">10.1086/656043</pub-id> <pub-id pub-id-type="pmid">20726702</pub-id></citation></ref>
<ref id="B19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Komatsuzawa</surname> <given-names>H.</given-names></name> <name><surname>Sugai</surname> <given-names>M.</given-names></name> <name><surname>Ohta</surname> <given-names>K.</given-names></name> <name><surname>Fujiwara</surname> <given-names>T.</given-names></name> <name><surname>Nakashima</surname> <given-names>S.</given-names></name> <name><surname>Suzuki</surname> <given-names>J.</given-names></name><etal/></person-group> (<year>1997</year>). <article-title>Cloning and characterization of the fmt gene which affects the methicillin resistance level and autolysis in the presence of triton X-100 in methicillin-resistant Staphylococcus aureus.</article-title> <source><italic>Antimicrob. Agents Chemother.</italic></source> <volume>41</volume> <fpage>2355</fpage>&#x2013;<lpage>2361</lpage>. <pub-id pub-id-type="doi">10.1128/Aac.41.11.2355</pub-id> <pub-id pub-id-type="pmid">9371333</pub-id></citation></ref>
<ref id="B20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Krogh</surname> <given-names>A.</given-names></name> <name><surname>Larsson</surname> <given-names>B.</given-names></name> <name><surname>von Heijne</surname> <given-names>G.</given-names></name> <name><surname>Sonnhammer</surname> <given-names>E. L.</given-names></name></person-group> (<year>2001</year>). <article-title>Predicting transmembrane protein topology with a hidden Markov model: application to complete genomes.</article-title> <source><italic>J. Mol. Biol.</italic></source> <volume>305</volume> <fpage>567</fpage>&#x2013;<lpage>580</lpage>. <pub-id pub-id-type="doi">10.1006/jmbi.2000.4315</pub-id> <pub-id pub-id-type="pmid">11152613</pub-id></citation></ref>
<ref id="B21"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lazarevic</surname> <given-names>V.</given-names></name> <name><surname>Margot</surname> <given-names>P.</given-names></name> <name><surname>Soldo</surname> <given-names>B.</given-names></name> <name><surname>Karamata</surname> <given-names>D.</given-names></name></person-group> (<year>1992</year>). <article-title>Sequencing and analysis of the <italic>Bacillus-subtilis</italic> lytrabc divergon - a regulatory unit encompassing the structural genes of the N-Acetylmuramoyl-L-Alanine amidase and its modifier.</article-title> <source><italic>J. Gen. Microbiol.</italic></source> <volume>138</volume> <fpage>1949</fpage>&#x2013;<lpage>1961</lpage>. <pub-id pub-id-type="doi">10.1099/00221287-138-9-1949</pub-id> <pub-id pub-id-type="pmid">1357079</pub-id></citation></ref>
<ref id="B22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname> <given-names>C. Y.</given-names></name> <name><surname>Buranen</surname> <given-names>S. L.</given-names></name> <name><surname>Ye</surname> <given-names>Z. H.</given-names></name></person-group> (<year>1991</year>). <article-title>Construction of single-copy integration vectors for <italic>Staphylococcus-aureus</italic>.</article-title> <source><italic>Gene</italic></source> <volume>103</volume> <fpage>101</fpage>&#x2013;<lpage>105</lpage>.</citation></ref>
<ref id="B23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname> <given-names>S. H.</given-names></name> <name><surname>Wang</surname> <given-names>H.</given-names></name> <name><surname>Labroli</surname> <given-names>M.</given-names></name> <name><surname>Koseoglu</surname> <given-names>S.</given-names></name> <name><surname>Zuck</surname> <given-names>P.</given-names></name> <name><surname>Mayhood</surname> <given-names>T.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>TarO-specific inhibitors of wall teichoic acid biosynthesis restore beta-lactam efficacy against methicillin-resistant staphylococci.</article-title> <source><italic>Sci. Transl. Med.</italic></source> <volume>8</volume>:<issue>329ra32</issue>. <pub-id pub-id-type="doi">10.1126/scitranslmed.aad7364</pub-id> <pub-id pub-id-type="pmid">26962156</pub-id></citation></ref>
<ref id="B24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lehar</surname> <given-names>S. M.</given-names></name> <name><surname>Pillow</surname> <given-names>T.</given-names></name> <name><surname>Xu</surname> <given-names>M.</given-names></name> <name><surname>Staben</surname> <given-names>L.</given-names></name> <name><surname>Kajihara</surname> <given-names>K. K.</given-names></name> <name><surname>Andlen</surname> <given-names>R. V.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>Novel antibody-antibiotic conjugate eliminates intracellular <italic>S. aureus</italic>.</article-title> <source><italic>Nature</italic></source> <volume>527</volume>:<issue>323</issue>. <pub-id pub-id-type="doi">10.1038/nature16057</pub-id> <pub-id pub-id-type="pmid">26536114</pub-id></citation></ref>
<ref id="B25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>F.</given-names></name> <name><surname>Zhai</surname> <given-names>D.</given-names></name> <name><surname>Wu</surname> <given-names>Z.</given-names></name> <name><surname>Zhao</surname> <given-names>Y.</given-names></name> <name><surname>Qiao</surname> <given-names>D.</given-names></name> <name><surname>Zhao</surname> <given-names>X.</given-names></name></person-group> (<year>2020</year>). <article-title>Impairment of the cell wall ligase, LytR-CpsA-Psr Protein (LcpC), in methicillin resistant <italic>Staphylococcus aureus</italic> reduces its resistance to antibiotics and infection in a mouse model of sepsis.</article-title> <source><italic>Front. Microbiol.</italic></source> <volume>11</volume>:<issue>557</issue>. <pub-id pub-id-type="doi">10.3389/fmicb.2020.00557</pub-id> <pub-id pub-id-type="pmid">32425893</pub-id></citation></ref>
<ref id="B26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>F. K. K.</given-names></name> <name><surname>Rosell</surname> <given-names>F. I.</given-names></name> <name><surname>Gale</surname> <given-names>R. T.</given-names></name> <name><surname>Simorre</surname> <given-names>J. P.</given-names></name> <name><surname>Brown</surname> <given-names>E. D.</given-names></name> <name><surname>Strynadka</surname> <given-names>N. C. J.</given-names></name></person-group> (<year>2020</year>). <article-title>Crystallographic analysis of <italic>Staphylococcus aureus</italic> LcpA, the primary wall teichoic acid ligase.</article-title> <source><italic>J. Biol. Chem.</italic></source> <volume>295</volume> <fpage>2629</fpage>&#x2013;<lpage>2639</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.RA119.011469</pub-id> <pub-id pub-id-type="pmid">31969390</pub-id></citation></ref>
<ref id="B27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ling</surname> <given-names>L. L.</given-names></name> <name><surname>Schneider</surname> <given-names>T.</given-names></name> <name><surname>Peoples</surname> <given-names>A. J.</given-names></name> <name><surname>Spoering</surname> <given-names>A. L.</given-names></name> <name><surname>Engels</surname> <given-names>I.</given-names></name> <name><surname>Conlon</surname> <given-names>B. P.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>A new antibiotic kills pathogens without detectable resistance.</article-title> <source><italic>Nature</italic></source> <volume>517</volume>:<issue>455</issue>. <pub-id pub-id-type="doi">10.1038/nature14098</pub-id> <pub-id pub-id-type="pmid">25561178</pub-id></citation></ref>
<ref id="B28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>X. Y.</given-names></name> <name><surname>Zhang</surname> <given-names>S. J.</given-names></name> <name><surname>Sun</surname> <given-names>B. L.</given-names></name></person-group> (<year>2016</year>). <article-title>SpoVG regulates cell wall metabolism and oxacillin resistance in methicillin-resistant <italic>Staphylococcus aureus</italic> strain N315.</article-title> <source><italic>Antimicrob. Agents Chemother.</italic></source> <volume>60</volume> <fpage>3455</fpage>&#x2013;<lpage>3461</lpage>. <pub-id pub-id-type="doi">10.1128/Aac.00026-16</pub-id> <pub-id pub-id-type="pmid">27001809</pub-id></citation></ref>
<ref id="B29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lowy</surname> <given-names>F. D.</given-names></name></person-group> (<year>1998</year>). <article-title><italic>Staphylococcus aureus</italic> infections.</article-title> <source><italic>N. Engl. J. Med.</italic></source> <volume>339</volume> <fpage>520</fpage>&#x2013;<lpage>532</lpage>. <pub-id pub-id-type="doi">10.1056/Nejm199808203390806</pub-id> <pub-id pub-id-type="pmid">9709046</pub-id></citation></ref>
<ref id="B30"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mann</surname> <given-names>P. A.</given-names></name> <name><surname>Muller</surname> <given-names>A.</given-names></name> <name><surname>Wolff</surname> <given-names>K. A.</given-names></name> <name><surname>Fischmann</surname> <given-names>T.</given-names></name> <name><surname>Wang</surname> <given-names>H.</given-names></name> <name><surname>Reed</surname> <given-names>P.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>Chemical genetic analysis and functional characterization of staphylococcal wall teichoic acid 2-epimerases reveals unconventional antibiotic drug targets.</article-title> <source><italic>PLoS Pathog.</italic></source> <volume>12</volume>:<issue>e1005585</issue>. <pub-id pub-id-type="doi">10.1371/journal.ppat.1005585</pub-id> <pub-id pub-id-type="pmid">27144276</pub-id></citation></ref>
<ref id="B31"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Maria</surname> <given-names>J. P. S.</given-names></name> <name><surname>Sadaka</surname> <given-names>A.</given-names></name> <name><surname>Moussa</surname> <given-names>S. H.</given-names></name> <name><surname>Brown</surname> <given-names>S.</given-names></name> <name><surname>Zhang</surname> <given-names>Y. J.</given-names></name> <name><surname>Rubin</surname> <given-names>E. J.</given-names></name><etal/></person-group> (<year>2014</year>). <article-title>Compound-gene interaction mapping reveals distinct roles for <italic>Staphylococcus aureus</italic> teichoic acids.</article-title> <source><italic>Proc. Natl. Acad. Sci. U.S.A.</italic></source> <volume>111</volume> <fpage>12510</fpage>&#x2013;<lpage>12515</lpage>. <pub-id pub-id-type="doi">10.1073/pnas.1404099111</pub-id> <pub-id pub-id-type="pmid">25104751</pub-id></citation></ref>
<ref id="B32"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Over</surname> <given-names>B.</given-names></name> <name><surname>Heusser</surname> <given-names>R.</given-names></name> <name><surname>McCallum</surname> <given-names>N.</given-names></name> <name><surname>Schulthess</surname> <given-names>B.</given-names></name> <name><surname>Kupferschmied</surname> <given-names>P.</given-names></name> <name><surname>Gaiani</surname> <given-names>J. M.</given-names></name><etal/></person-group> (<year>2011</year>). <article-title>LytR-CpsA-Psr proteins in <italic>Staphylococcus aureus</italic> display partial functional redundancy and the deletion of all three severely impairs septum placement and cell separation.</article-title> <source><italic>FEMS Microbiol. Lett.</italic></source> <volume>320</volume> <fpage>142</fpage>&#x2013;<lpage>151</lpage>. <pub-id pub-id-type="doi">10.1111/j.1574-6968.2011.02303.x</pub-id> <pub-id pub-id-type="pmid">21554381</pub-id></citation></ref>
<ref id="B33"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pasquina</surname> <given-names>L. W.</given-names></name> <name><surname>Maria</surname> <given-names>J. P. S.</given-names></name> <name><surname>Walker</surname> <given-names>S.</given-names></name></person-group> (<year>2013</year>). <article-title>Teichoic acid biosynthesis as an antibiotic target.</article-title> <source><italic>Curr. Opin. Microbiol.</italic></source> <volume>16</volume> <fpage>531</fpage>&#x2013;<lpage>537</lpage>. <pub-id pub-id-type="doi">10.1016/j.mib.2013.06.014</pub-id> <pub-id pub-id-type="pmid">23916223</pub-id></citation></ref>
<ref id="B34"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rooijakkers</surname> <given-names>S. H. M.</given-names></name> <name><surname>Ruyken</surname> <given-names>M.</given-names></name> <name><surname>van Roon</surname> <given-names>J.</given-names></name> <name><surname>van Kessel</surname> <given-names>K. P. M.</given-names></name> <name><surname>van Strijp</surname> <given-names>J. A. G.</given-names></name> <name><surname>van Wamel</surname> <given-names>W. J. B.</given-names></name></person-group> (<year>2006</year>). <article-title>Early expression of SCIN and CHIPS drives instant immune evasion by <italic>Staphylococcus aureus</italic>.</article-title> <source><italic>Cell Microbiol.</italic></source> <volume>8</volume> <fpage>1282</fpage>&#x2013;<lpage>1293</lpage>. <pub-id pub-id-type="doi">10.1111/j.1462-5822.2006.00709.x</pub-id> <pub-id pub-id-type="pmid">16882032</pub-id></citation></ref>
<ref id="B35"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rossi</surname> <given-names>J.</given-names></name> <name><surname>Bischoff</surname> <given-names>M.</given-names></name> <name><surname>Wada</surname> <given-names>A.</given-names></name> <name><surname>Berger-Bachi</surname> <given-names>B.</given-names></name></person-group> (<year>2003</year>). <article-title>MsrR, a putative cell envelope-associated element involved in <italic>Staphylococcus aureus</italic> sarA attenuation.</article-title> <source><italic>Antimicrob. Agents Chemother.</italic></source> <volume>47</volume> <fpage>2558</fpage>&#x2013;<lpage>2564</lpage>. <pub-id pub-id-type="doi">10.1128/AAC.47.8.2558-2564.2003</pub-id> <pub-id pub-id-type="pmid">12878519</pub-id></citation></ref>
<ref id="B36"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schaefer</surname> <given-names>K.</given-names></name> <name><surname>Matano</surname> <given-names>L. M.</given-names></name> <name><surname>Qiao</surname> <given-names>Y.</given-names></name> <name><surname>Kahne</surname> <given-names>D.</given-names></name> <name><surname>Walker</surname> <given-names>S.</given-names></name></person-group> (<year>2017</year>). <article-title>In vitro reconstitution demonstrates the cell wall ligase activity of LCP proteins.</article-title> <source><italic>Nat. Chem. Biol.</italic></source> <volume>13</volume> <fpage>396</fpage>&#x2013;<lpage>401</lpage>. <pub-id pub-id-type="doi">10.1038/nchembio.2302</pub-id> <pub-id pub-id-type="pmid">28166208</pub-id></citation></ref>
<ref id="B37"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schneider</surname> <given-names>T.</given-names></name> <name><surname>Senn</surname> <given-names>M. M.</given-names></name> <name><surname>Berger-Bachi</surname> <given-names>B.</given-names></name> <name><surname>Tossi</surname> <given-names>A.</given-names></name> <name><surname>Sahl</surname> <given-names>H. G.</given-names></name> <name><surname>Wiedemann</surname> <given-names>I.</given-names></name></person-group> (<year>2004</year>). <article-title>In vitro assembly of a complete, pentaglycine interpeptide bridge containing cell wall precursor (lipid II-Gly5) of <italic>Staphylococcus aureus</italic>.</article-title> <source><italic>Mol. Microbiol.</italic></source> <volume>53</volume> <fpage>675</fpage>&#x2013;<lpage>685</lpage>. <pub-id pub-id-type="doi">10.1111/j.1365-2958.2004.04149.x</pub-id> <pub-id pub-id-type="pmid">15228543</pub-id></citation></ref>
<ref id="B38"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Siegel</surname> <given-names>S. D.</given-names></name> <name><surname>Amer</surname> <given-names>B. R.</given-names></name> <name><surname>Wu</surname> <given-names>C. G.</given-names></name> <name><surname>Sawaya</surname> <given-names>M. R.</given-names></name> <name><surname>Gosschalk</surname> <given-names>J. E.</given-names></name> <name><surname>Clubb</surname> <given-names>R. T.</given-names></name><etal/></person-group> (<year>2019</year>). <article-title>Structure and mechanism of LcpA, a phosphotransferase that mediates glycosylation of a gram-positive bacterial cell wall-anchored protein.</article-title> <source><italic>mBio</italic></source> <volume>10</volume>:<issue>e01580-18</issue>. <pub-id pub-id-type="doi">10.1128/mBio.01580-18</pub-id> <pub-id pub-id-type="pmid">30782654</pub-id></citation></ref>
<ref id="B39"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Singh</surname> <given-names>V. K.</given-names></name> <name><surname>Carlos</surname> <given-names>M. R.</given-names></name> <name><surname>Singh</surname> <given-names>K.</given-names></name></person-group> (<year>2010</year>). <article-title>Physiological significance of the peptidoglycan hydrolase, LytM, in <italic>Staphylococcus aureus</italic>.</article-title> <source><italic>FEMS Microbiol. Lett.</italic></source> <volume>311</volume> <fpage>167</fpage>&#x2013;<lpage>175</lpage>. <pub-id pub-id-type="doi">10.1111/j.1574-6968.2010.02087.x</pub-id> <pub-id pub-id-type="pmid">20738399</pub-id></citation></ref>
<ref id="B40"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sobral</surname> <given-names>R.</given-names></name> <name><surname>Tomasz</surname> <given-names>A.</given-names></name></person-group> (<year>2019</year>). <article-title>The staphylococcal cell wall.</article-title> <source><italic>Microbiol. Spectr.</italic></source> <volume>7</volume> <fpage>1</fpage>&#x2013;<lpage>21</lpage>. <pub-id pub-id-type="doi">10.1128/microbiolspec.GPP3-0068-2019</pub-id> <pub-id pub-id-type="pmid">31322105</pub-id></citation></ref>
<ref id="B41"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Srisuknimit</surname> <given-names>V.</given-names></name> <name><surname>Qiao</surname> <given-names>Y.</given-names></name> <name><surname>Schaefer</surname> <given-names>K.</given-names></name> <name><surname>Kahne</surname> <given-names>D.</given-names></name> <name><surname>Walker</surname> <given-names>S.</given-names></name></person-group> (<year>2017</year>). <article-title>Peptidoglycan cross-linking preferences of <italic>Staphylococcus aureus</italic> penicillin-binding proteins have implications for treating MRSA infections.</article-title> <source><italic>J. Am. Chem. Soc.</italic></source> <volume>139</volume> <fpage>9791</fpage>&#x2013;<lpage>9794</lpage>. <pub-id pub-id-type="doi">10.1021/jacs.7b04881</pub-id> <pub-id pub-id-type="pmid">28691491</pub-id></citation></ref>
<ref id="B42"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sugai</surname> <given-names>M.</given-names></name> <name><surname>Komatsuzawa</surname> <given-names>H.</given-names></name> <name><surname>Akiyama</surname> <given-names>T.</given-names></name> <name><surname>Hong</surname> <given-names>Y. M.</given-names></name> <name><surname>Oshida</surname> <given-names>T.</given-names></name> <name><surname>Miyake</surname> <given-names>Y.</given-names></name><etal/></person-group> (<year>1995</year>). <article-title>Identification of endo-beta-N-acetylglucosaminidase and N-acetylmuramyl-L-alanine amidase as cluster-dispersing enzymes in <italic>Staphylococcus aureus</italic>.</article-title> <source><italic>J. Bacteriol.</italic></source> <volume>177</volume> <fpage>1491</fpage>&#x2013;<lpage>1496</lpage>. <pub-id pub-id-type="doi">10.1128/jb.177.6.1491-1496.1995</pub-id> <pub-id pub-id-type="pmid">7883705</pub-id></citation></ref>
<ref id="B43"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Templin</surname> <given-names>M. F.</given-names></name> <name><surname>Ursinus</surname> <given-names>A.</given-names></name> <name><surname>Holtje</surname> <given-names>J. V.</given-names></name></person-group> (<year>1999</year>). <article-title>A defect in cell wall recycling triggers autolysis during the stationary growth phase of <italic>Escherichia coli</italic>.</article-title> <source><italic>EMBO J.</italic></source> <volume>18</volume> <fpage>4108</fpage>&#x2013;<lpage>4117</lpage>. <pub-id pub-id-type="doi">10.1093/emboj/18.15.4108</pub-id> <pub-id pub-id-type="pmid">10428950</pub-id></citation></ref>
<ref id="B44"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Valihrach</surname> <given-names>L.</given-names></name> <name><surname>Demnerova</surname> <given-names>K.</given-names></name></person-group> (<year>2012</year>). <article-title>Impact of normalization method on experimental outcome using RT-qPCR in <italic>Staphylococcus aureus</italic>.</article-title> <source><italic>J. Microbiol. Methods</italic></source> <volume>90</volume> <fpage>214</fpage>&#x2013;<lpage>216</lpage>. <pub-id pub-id-type="doi">10.1016/j.mimet.2012.05.008</pub-id> <pub-id pub-id-type="pmid">22613804</pub-id></citation></ref>
<ref id="B45"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>van Dalen</surname> <given-names>R.</given-names></name> <name><surname>Peschel</surname> <given-names>A.</given-names></name> <name><surname>van Sorge</surname> <given-names>N. M.</given-names></name></person-group> (<year>2020</year>). <article-title>Wall teichoic acid in <italic>Staphylococcus aureus</italic> host interaction.</article-title> <source><italic>Trends Microbiol.</italic></source> <volume>28</volume> <fpage>985</fpage>&#x2013;<lpage>998</lpage>. <pub-id pub-id-type="doi">10.1016/j.tim.2020.05.017</pub-id> <pub-id pub-id-type="pmid">32540314</pub-id></citation></ref>
<ref id="B46"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>H.</given-names></name> <name><surname>Gill</surname> <given-names>C. J.</given-names></name> <name><surname>Lee</surname> <given-names>S. H.</given-names></name> <name><surname>Mann</surname> <given-names>P.</given-names></name> <name><surname>Zuck</surname> <given-names>P.</given-names></name> <name><surname>Meredith</surname> <given-names>T. C.</given-names></name><etal/></person-group> (<year>2013</year>). <article-title>Discovery of wall teichoic acid inhibitors as potential anti-MRSA beta-lactam combination agents.</article-title> <source><italic>Chem. Biol.</italic></source> <volume>20</volume> <fpage>272</fpage>&#x2013;<lpage>284</lpage>. <pub-id pub-id-type="doi">10.1016/j.chembiol.2012.11.013</pub-id> <pub-id pub-id-type="pmid">23438756</pub-id></citation></ref>
<ref id="B47"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>W.</given-names></name> <name><surname>Sun</surname> <given-names>B.</given-names></name></person-group> (<year>2021</year>). <article-title>VraCP regulates cell wall metabolism and antibiotic resistance in vancomycin-intermediate <italic>Staphylococcus aureus</italic> strain Mu50.</article-title> <source><italic>J. Antimicrob. Chemother.</italic></source> <volume>76</volume> <fpage>1712</fpage>&#x2013;<lpage>1723</lpage>. <pub-id pub-id-type="doi">10.1093/jac/dkab113</pub-id> <pub-id pub-id-type="pmid">33948657</pub-id></citation></ref>
<ref id="B48"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wanner</surname> <given-names>S.</given-names></name> <name><surname>Schade</surname> <given-names>J.</given-names></name> <name><surname>Keinhorster</surname> <given-names>D.</given-names></name> <name><surname>Weller</surname> <given-names>N.</given-names></name> <name><surname>George</surname> <given-names>S. E.</given-names></name> <name><surname>Kull</surname> <given-names>L.</given-names></name><etal/></person-group> (<year>2017</year>). <article-title>Wall teichoic acids mediate increased virulence in <italic>Staphylococcus aureus</italic>.</article-title> <source><italic>Nat. Microbiol.</italic></source> <volume>2</volume>:<issue>16257</issue>. <pub-id pub-id-type="doi">10.1038/nmicrobiol.2016.257</pub-id> <pub-id pub-id-type="pmid">28112716</pub-id></citation></ref>
<ref id="B49"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Winstel</surname> <given-names>V.</given-names></name> <name><surname>Kuhner</surname> <given-names>P.</given-names></name> <name><surname>Salomon</surname> <given-names>F.</given-names></name> <name><surname>Larsen</surname> <given-names>J.</given-names></name> <name><surname>Skov</surname> <given-names>R.</given-names></name> <name><surname>Hoffmann</surname> <given-names>W.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>Wall teichoic acid glycosylation governs <italic>Staphylococcus aureus</italic> nasal colonization.</article-title> <source><italic>mBio</italic></source> <volume>6</volume>:<issue>e00632</issue>. <pub-id pub-id-type="doi">10.1128/mBio.00632-15</pub-id> <pub-id pub-id-type="pmid">26126851</pub-id></citation></ref>
<ref id="B50"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zamakhaeva</surname> <given-names>S.</given-names></name> <name><surname>Chaton</surname> <given-names>C. T.</given-names></name> <name><surname>Rush</surname> <given-names>J. S.</given-names></name> <name><surname>Castro</surname> <given-names>S. A.</given-names></name> <name><surname>Kenner</surname> <given-names>C. W.</given-names></name> <name><surname>Yarawsky</surname> <given-names>A. E.</given-names></name><etal/></person-group> (<year>2021</year>). <article-title>Modification of cell wall polysaccharide guides cell division in <italic>Streptococcus mutans</italic>.</article-title> <source><italic>Nat. Chem. Biol.</italic></source> <volume>17</volume> <fpage>878</fpage>&#x2013;<lpage>887</lpage>. <pub-id pub-id-type="doi">10.1038/s41589-021-00803-9</pub-id> <pub-id pub-id-type="pmid">34045745</pub-id></citation></ref>
</ref-list>
</back>
</article>