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Understanding multiple antibiotic resistance mechanisms in pathogenic bacteria
Secondary Supervisor(s): Prof Jessica Blair
University of Registration: University of Birmingham
BBSRC Research Themes:
Project Outline
We are offering two possible projects to study antibiotic resistance mechanisms.
Project 1: Understanding multiple antibiotic resistance in the ESKAPE pathogen Acinetobacter baumannii. Acinetobacter baumannii is a World Health Organisation “priority pathogen” of greatest risk to human health. The bacterium undergoes frequent phenotypic change, believed critical to its success. The mechanistic basis, and clinical implications, are not known. We have discovered a process never described for bacteria; specific A. baumannii gene clusters are “marked”, by chromosome folding, for frequent disruption by transposable DNA (1). Genes impacted are those involved in pathogenicity and antibiotic resistance, and we propose this is how A. baumannii generates phenotypic variation in its populations to cause disease and persist in hospitals. We have recently obtained £3.5M in research funding to study this problem alongside scientists at the Universities of Oxford and Exeter. As a MIBTP funded student, you will work with this research team, providing excellent opportunities for additional training and mentorship. You will learn to use microbiology tools, infection models, and collaborate with clinicians. The aim is to determine how targeted transposition allows A. baumannii, and other bacterial pathogens, to rapidly adapt to stresses including antibiotics and the human immune system.
Project 2: Understanding the multiple antibiotic resistance gene regulatory system of enteric pathogens. In human pathogens, including Escherichia coli and Salmonella species, a small group of AraC-XylS family transcription factors drive resistance to antibiotics by altering gene expression. The primary example is the multiple antibiotic resistance activator, MarA, protein of E. coli (2,3). Antibiotic resistant bacteria can carry genetic changes meaning MarA is produced all the time and at high levels (2). Upon expression, MarA alters gene expression globally, by binding DNA sites called marboxes, and this drives antibiotic resistance (2,3). Whilst some aspects of the response are understood, such as up-regulation of efflux pump expression, most MarA regulated genes are unknown or have no obvious connection to drug resistance (3).
We have developed an approach to accurately identify MarA regulated genes (3). Furthermore, by mutating marboxes at different chromosomal sites, we have discovered strong synergistic interactions, between regulated genes, that individually appear inconsequential (4). This project will build on these findings to answer two major questions: which genes are controlled by MarA and how do synergistic interactions between them drive antibiotic resistance? You can expect to learn a wide range of molecular biology techniques, both laboratory based and computational. The lab approaches will include whole genome and focused molecular microbiological tools.
References
1. Cooper, C et al. Nature Commun. 15:7137 (2024)
2. Blair, J. M. A. et al. Nature Reviews Microbiology 13, 42–51 (2015)
3. Sharma, P. et al. Nat. Commun. 8, 1444 (2017)
4. Trigg, A. et al. PLoS Genet. 21: e1011639 (2025)