Mechanistic studies on the effect of berberine on methicillin-resistant Staphylococcus aureus drug resistance through modulation of wall teichoteic acid

Abstract The emergence of methicillin-resistant Staphylococcus aureus (MRSA) as a major public health concern, particularly in hospital- and community-acquired infections, underscores the urgent need for novel antibiotic therapies. In response to this challenge, there has been renewed interest in ex...

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Main Authors: Fangfang Zhou, Xuemei Gu, Ming Lin, Yue Dai, Wei Wang, Zhongbo Xiong, Yanan Li, Mingming Jiang, Lei Wang
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-11226-0
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author Fangfang Zhou
Xuemei Gu
Ming Lin
Yue Dai
Wei Wang
Zhongbo Xiong
Yanan Li
Mingming Jiang
Lei Wang
author_facet Fangfang Zhou
Xuemei Gu
Ming Lin
Yue Dai
Wei Wang
Zhongbo Xiong
Yanan Li
Mingming Jiang
Lei Wang
author_sort Fangfang Zhou
collection DOAJ
description Abstract The emergence of methicillin-resistant Staphylococcus aureus (MRSA) as a major public health concern, particularly in hospital- and community-acquired infections, underscores the urgent need for novel antibiotic therapies. In response to this challenge, there has been renewed interest in exploring natural products derived from traditional plant sources as potential alternatives for combating multi-drug resistance. This study reveals the important mechanism by which the natural compound berberine blocks the WTA biosynthesis pathway by targeting and inhibiting the key enzymes TarO, TarS, and TarM for the synthesis of muramic acid (WTA) in MRSA.Specifically, tarO is the first key enzyme in the synthesis of WTA. tarS and tarM are responsible for the glycosylation of WTA. As a result, BBR significantly inhibits the activities of TarO and TarSM, leading to hindered WTA synthesis and causing structural defects in the cell wall. Notably, this effect can specifically restore the sensitivity of MRSA to β-lactam antibiotics (such as Penicillin and Cefazolin). Drug susceptibility tests indicate that tarO and tarSM mutant strains exhibit significantly enhanced sensitivity to oxacillin, methicillin, and cefotaxime. Additionally, the combination antimicrobial assay demonstrated that BBR synergistically enhanced the effects of oxacillin, methicillin, and cefotaxime on both wild-type and mutant strains, and recovered strains. Further experiments constructing deletion and complementation strains confirmed that the sensitizing effect of BBR directly relies on its inhibition of WTA synthesis. In conclusion, this study not only clarifies a new target for BBR to overcome β-lactam antibiotic resistance but also provides a theoretical basis for developing synergistic antimicrobial strategies based on WTA pathway inhibitors.
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spelling doaj-art-f91a77e48c744106bd4e5f4643e2f6ae2025-08-20T04:02:45ZengNature PortfolioScientific Reports2045-23222025-07-0115111110.1038/s41598-025-11226-0Mechanistic studies on the effect of berberine on methicillin-resistant Staphylococcus aureus drug resistance through modulation of wall teichoteic acidFangfang Zhou0Xuemei Gu1Ming Lin2Yue Dai3Wei Wang4Zhongbo Xiong5Yanan Li6Mingming Jiang7Lei Wang8Department of Clinical Laboratory, Shanghai Eighth People’s HospitalDepartment of Clinical Laboratory, Shanghai Eighth People’s HospitalDepartment of Clinical Laboratory, Shanghai Eighth People’s HospitalDepartment of Clinical Laboratory, Shanghai Eighth People’s HospitalDepartment of Clinical Laboratory, Shanghai Eighth People’s HospitalDepartment of Clinical Laboratory, Shanghai Eighth People’s HospitalDepartment of Clinical Laboratory, Shanghai Eighth People’s HospitalDepartment of Clinical Laboratory, Shanghai Eighth People’s HospitalDepartment of Clinical Laboratory, Shanghai Eighth People’s HospitalAbstract The emergence of methicillin-resistant Staphylococcus aureus (MRSA) as a major public health concern, particularly in hospital- and community-acquired infections, underscores the urgent need for novel antibiotic therapies. In response to this challenge, there has been renewed interest in exploring natural products derived from traditional plant sources as potential alternatives for combating multi-drug resistance. This study reveals the important mechanism by which the natural compound berberine blocks the WTA biosynthesis pathway by targeting and inhibiting the key enzymes TarO, TarS, and TarM for the synthesis of muramic acid (WTA) in MRSA.Specifically, tarO is the first key enzyme in the synthesis of WTA. tarS and tarM are responsible for the glycosylation of WTA. As a result, BBR significantly inhibits the activities of TarO and TarSM, leading to hindered WTA synthesis and causing structural defects in the cell wall. Notably, this effect can specifically restore the sensitivity of MRSA to β-lactam antibiotics (such as Penicillin and Cefazolin). Drug susceptibility tests indicate that tarO and tarSM mutant strains exhibit significantly enhanced sensitivity to oxacillin, methicillin, and cefotaxime. Additionally, the combination antimicrobial assay demonstrated that BBR synergistically enhanced the effects of oxacillin, methicillin, and cefotaxime on both wild-type and mutant strains, and recovered strains. Further experiments constructing deletion and complementation strains confirmed that the sensitizing effect of BBR directly relies on its inhibition of WTA synthesis. In conclusion, this study not only clarifies a new target for BBR to overcome β-lactam antibiotic resistance but also provides a theoretical basis for developing synergistic antimicrobial strategies based on WTA pathway inhibitors.https://doi.org/10.1038/s41598-025-11226-0BerberineMethicillin-resistant Staphylococcus aureusWall Teichoteic acidDrug resistance
spellingShingle Fangfang Zhou
Xuemei Gu
Ming Lin
Yue Dai
Wei Wang
Zhongbo Xiong
Yanan Li
Mingming Jiang
Lei Wang
Mechanistic studies on the effect of berberine on methicillin-resistant Staphylococcus aureus drug resistance through modulation of wall teichoteic acid
Scientific Reports
Berberine
Methicillin-resistant Staphylococcus aureus
Wall Teichoteic acid
Drug resistance
title Mechanistic studies on the effect of berberine on methicillin-resistant Staphylococcus aureus drug resistance through modulation of wall teichoteic acid
title_full Mechanistic studies on the effect of berberine on methicillin-resistant Staphylococcus aureus drug resistance through modulation of wall teichoteic acid
title_fullStr Mechanistic studies on the effect of berberine on methicillin-resistant Staphylococcus aureus drug resistance through modulation of wall teichoteic acid
title_full_unstemmed Mechanistic studies on the effect of berberine on methicillin-resistant Staphylococcus aureus drug resistance through modulation of wall teichoteic acid
title_short Mechanistic studies on the effect of berberine on methicillin-resistant Staphylococcus aureus drug resistance through modulation of wall teichoteic acid
title_sort mechanistic studies on the effect of berberine on methicillin resistant staphylococcus aureus drug resistance through modulation of wall teichoteic acid
topic Berberine
Methicillin-resistant Staphylococcus aureus
Wall Teichoteic acid
Drug resistance
url https://doi.org/10.1038/s41598-025-11226-0
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