A temperate Siphoviridae bacteriophage isolate from Siberian tiger enhances the virulence of Methicillin-resistant Staphylococcus aureus through distinct mechanisms

Abstract

The emergence and worldwide spread of Methicillin-resistant Staphylococcus aureus (MRSA) poses a threat to human health. While bacteriophages are recognized as an effective alternative to treat infections caused by drug resistant pathogens, some bacteriophages in particular the temperate bacteriophage may also influence the virulence of the host bacteria in distinct ways. In this study, we isolated a bacteriophage vB_Saus_PHB21 from an epidermal sample of Siberian tiger (Panthera tigris altaica) using a MRSA strain SA14 as the indicator. Our following laboratory tests and whole genome sequencing analyses revealed that vB_Saus_PHB21 was a temperate bacteriophage belonging to the Siphoviridae family, and this bacteriophage did not contain any virulence genes. However, the integration of PHB21 genome into the host MRSA increased the bacterial capacities of cell adhesion, cell invasion, anti-phagocytosis and biofilm formation. Challenge of the lysogenic strain (SA14+) caused severer mortalities in both Galleria mellonella and mouse models. Mice challenged with SA14+ showed more serious organ lesions and produced higher inflammatory cytokines (IL-8, IFN-{gamma} and TNF-) compared to those challenged with SA14. In mechanism, we found the integration of PHB21 genome caused the upregulated expression of many genes encoding products involved in bacterial biofilm formation, adherence and invasion to host cells, anti-phagocytosis, and virulence. This study may provide novel knowledge of "bacteria-phage-interactions" in MRSA. IMPORTANCEThe interaction between bacteriophage and bacteria is like a "double-edged sword": phages can either kill bacteria, or they may contribute to the bacterial fitness and virulence. In general, phages have positive impacts on bacterial fitness and virulence mainly because they carry antimicrobial resistance genes (ARGs) and/or virulence factors encoding genes (VFGs) and they can spread these harmful genes to the host bacteria. However, we found those phages which do not harbor ARGs and/or VFGs may also enhance the bacterial fitness and virulence. In addition, we also found the integration of phage genomes may lead to the upregulated expression of virulence associated genes in bacteria. Our study may provide new insights to redefine the relationship between phage and bacteria, and the results may also remind a cautious way to set phage-therapy for bacterial infections, before which the safety of a phage intends to be used should be fully evaluated.