Recombinant Staphylococcus aureus Elongation Factor G (EF-G), encoded by the fusA gene, is a critical bacterial protein involved in translation elongation and ribosome recycling. Its recombinant forms, particularly partial constructs, have been extensively studied to understand antibiotic resistance mechanisms, structural dynamics, and functional implications. This review synthesizes findings from diverse studies to provide a detailed analysis of recombinant fusA derivatives.
EF-G is a GTPase that facilitates translocation of tRNA and mRNA during protein synthesis. In S. aureus, its structure diverges significantly from other bacterial EF-Gs, with domain-specific conformational changes critical for function . Recombinant partial constructs, such as the apo structure solved to 1.9 Å resolution, reveal a displacement of domain IV relative to domains I-II, a feature linked to fusidic acid (FA) resistance .
Fusidic acid targets EF-G by locking it on the ribosome post-translocation. Resistance arises via three primary pathways:
Mutations in fusA:
FusB/C Proteins:
Fitness Compensation:
MRSA vs. MSSA:
Fitness Trade-offs:
| Mutation | Domain Affected | MIC (µg/ml) | Source |
|---|---|---|---|
| P406L | Domain V | ≥128 | |
| H457Y | Domain V | ≥128 | |
| L461K | Domain V | ≥128 | |
| R76C | Domain III | ≥32 |
KEGG: saj:SaurJH9_0570
Elongation Factor G (EF-G), encoded by the fusA gene in S. aureus, is crucial in two key steps of bacterial protein synthesis: elongation and ribosome recycling. During elongation, EF-G catalyzes the translocation of peptidyl-tRNA from the A-site to the P-site on the ribosome following peptide bond formation. In ribosome recycling, EF-G works with ribosome recycling factor (RRF) to split the 70S ribosome into subunits, allowing them to participate in new rounds of translation . Both functions require GTP hydrolysis, with EF-G undergoing conformational changes between GTP and GDP states that are essential for its proper function .
Fusidic acid works by blocking Elongation Factor G on the ribosome after GTP hydrolysis. The antibiotic traps EF-G in an intermediate conformation between the GTP and GDP states, preventing its release from the post-translocation complex . Specifically, fusidic acid binds to a hydrophobic pocket formed between domains I, II, and III of EF-G and interacts directly with key residues like Phe-88 (equivalent to Phe-90 in T. thermophilus) . This interaction prevents the switch II region from adopting its GDP conformation while binding only after switch I has left its ordered GTP conformation, effectively locking EF-G in this intermediate state and inhibiting both elongation and ribosome recycling steps of bacterial protein synthesis .
The crystal structure of S. aureus EF-G has been solved to 1.9 Å resolution, revealing several key structural features :
Multiple fusA mutations have been identified in fusidic acid-resistant S. aureus isolates. These include:
F88L mutation: One of the primary mutations found in clinical isolates that leads to strong fusidic acid resistance
M16I/M16V mutations: Often found as secondary mutations that compensate for fitness loss caused by F88L while maintaining resistance
P406L, H457Y, and L461K mutations: Confirmed to confer fusidic acid resistance when introduced into susceptible S. aureus strains
Sequence analysis has revealed at least 14 different amino acid exchanges restricted to 13 amino acid residues within EF-G in clinical isolates and laboratory-derived resistant mutants . Many of these resistance mutations are located at domain interfaces of EF-G, particularly around the hydrophobic pocket between domains I, II, and III where fusidic acid binds .
Primary resistance mutations like F88L significantly impact EF-G function and bacterial fitness in several ways:
Slower translocation: The F88L mutation restricts the conformational changes of EF-G, leading to reduced efficiency in tRNA-mRNA translocation
Reduced ribosome recycling: The mutation impairs the ability of EF-G to participate effectively in ribosome recycling
Increased tRNA drop-off: Resistance mutations can increase the rate of tRNA dissociation from the ribosome during translation
Growth defects: These functional impairments manifest as significant fitness costs, with F88L mutants showing notable growth defects in S. aureus
The restricted conformational dynamics caused by resistance mutations appears to be the primary mechanism underlying these functional deficits, highlighting the critical importance of EF-G's conformational flexibility for proper function .
Secondary compensatory mutations, such as M16I when paired with F88L, can restore fitness while maintaining resistance to fusidic acid . This fitness compensation occurs through:
Restoration of conformational dynamics: Compensatory mutations appear to restore the ability of EF-G to undergo the necessary conformational changes for efficient function while maintaining an altered fusidic acid-binding pocket
Improved translation efficiency: The double mutant (F88L/M16I) shows improved translation rates compared to the single F88L mutant
Reduced tRNA drop-off: Compensatory mutations decrease the rate of premature tRNA dissociation during translation
Enhanced ribosome recycling: The secondary mutations help restore efficient ribosome recycling capability
Based on research protocols, recombinant S. aureus EF-G can be optimally purified using the following approach:
Expression system selection:
E. coli BL21(DE3) or similar expression strains
Expression vector containing the S. aureus fusA gene with an N-terminal His6-tag
IPTG-inducible promoter system
Purification protocol:
Affinity chromatography using Ni-NTA resin for initial capture
Intermediate purification using ion exchange chromatography
Final polishing with size exclusion chromatography
Buffer optimization:
Inclusion of 5-10 mM MgCl₂ in all buffers (critical for GTPase stability)
Addition of 10% glycerol to prevent protein aggregation
Maintenance of reducing conditions with DTT or β-mercaptoethanol
This multi-step purification approach yields highly pure and active recombinant S. aureus EF-G suitable for functional and structural studies .
Several complementary assays can be used to evaluate the function of recombinant S. aureus EF-G:
GTPase activity assay:
Ribosomal complex formation assay:
Translocation assay:
Ribosome recycling assay:
These assays provide a comprehensive functional profile of wild-type and mutant EF-G variants, enabling detailed mechanistic studies of antibiotic resistance and fitness compensation .
Site-directed mutagenesis is a powerful approach for studying specific residues in S. aureus EF-G:
Technical approach:
PCR-based methods using complementary primers containing the desired mutation
Template digestion with DpnI to remove parental DNA
Transformation into competent E. coli cells followed by sequencing verification
Successful applications:
Functional validation:
Research has demonstrated that introduction of mutant fusA alleles encoding EF-G derivatives with the exchanges P406L, H457Y, and L461K into susceptible S. aureus confers fusidic acid resistance comparable to clinical isolates with the same mutations, confirming the direct role of these specific amino acid substitutions in resistance .
The high-resolution (1.9 Å) crystal structure of S. aureus EF-G provides valuable information for rational antibiotic design:
Target site identification:
The unique conformation of S. aureus EF-G compared to other bacterial species offers opportunities for selective inhibition
Differences in the switch I and switch II regions could be exploited for developing S. aureus-specific inhibitors
The 25 Å displacement of domain IV relative to domain G presents unique binding sites not found in other bacteria
Resistance circumvention:
Understanding how mutations like F88L confer resistance can guide the design of new drugs that maintain activity against resistant strains
Identification of conserved regions less prone to resistance-conferring mutations
Development of compounds that bind to EF-G through different interactions than fusidic acid
Structure-based approaches:
Virtual screening against the S. aureus EF-G structure
Fragment-based drug discovery targeting critical functional regions
Rational modification of existing translation inhibitors based on binding pocket analysis
The species-specific structural features of S. aureus EF-G provide promising opportunities for the development of narrow-spectrum antibiotics with potentially reduced resistance emergence .
Research has revealed critical insights into the relationship between EF-G conformational dynamics and antibiotic resistance:
The F88L mutation is particularly interesting as it affects a residue (Phe-88) thought to be important for transmitting conformational changes between the GTP and GDP forms of EF-G. This provides direct evidence for the crucial role of conformational dynamics in both EF-G function and antibiotic resistance .
The study of S. aureus EF-G has made significant contributions to our understanding of bacterial translation:
Conformational dynamics:
Energy transduction mechanisms:
Species-specific adaptations:
Antibiotic mechanisms:
This research exemplifies how studies motivated by clinical concerns (antibiotic resistance) simultaneously advance our understanding of fundamental biological processes (translation) and provide practical benefits (new drug development strategies).
Several promising approaches for developing new S. aureus EF-G inhibitors include:
Structure-guided modification of fusidic acid:
Creating derivatives that maintain activity against resistant variants
Modifying fusidic acid to interact with conserved regions less prone to mutations
Developing analogs with improved pharmacokinetic properties
Targeting novel binding sites:
Exploiting the unique conformation of S. aureus EF-G to identify binding pockets distinct from the fusidic acid binding site
Developing allosteric inhibitors that affect EF-G function through different mechanisms
Targeting the interfaces between EF-G domains that are critical for conformational changes
Combination approaches:
Designing dual-action inhibitors that target both EF-G and other components of the translational machinery
Developing compounds that synergize with existing antibiotics
Rational design based on resistance mechanisms:
Genomic surveillance of fusA mutations could inform clinical treatment decisions in several ways:
Resistance prediction:
Treatment guidance:
Informing appropriate antibiotic selection early in treatment
Avoiding fusidic acid monotherapy in infections with high prevalence of resistance mutations
Guiding combination therapy approaches
Resistance monitoring:
Tracking the emergence and spread of specific fusA mutations in healthcare settings
Informing infection control measures and antibiotic stewardship programs
Novel mutation detection:
Identifying previously unreported fusA mutations
Correlating these with treatment outcomes to expand our understanding of resistance mechanisms
The detailed molecular understanding of how specific fusA mutations affect fusidic acid binding and EF-G function provides a strong foundation for developing such surveillance approaches .
Advanced techniques that could provide deeper insights into EF-G conformational dynamics include:
Time-resolved cryo-electron microscopy:
Capturing EF-G in different conformational states during the translation cycle
Visualizing transient intermediates not accessible by traditional structural methods
Single-molecule FRET studies:
Monitoring real-time conformational changes in EF-G during interaction with the ribosome
Comparing dynamics of wild-type and mutant EF-G variants
Hydrogen-deuterium exchange mass spectrometry:
Probing conformational flexibility and solvent accessibility changes
Identifying regions with altered dynamics in resistant and compensated EF-G variants
Molecular dynamics simulations:
Predicting conformational transitions between different functional states
Assessing how specific mutations alter the energy landscape of EF-G conformations
NMR spectroscopy:
Investigating solution dynamics of EF-G domains
Characterizing transient interactions between domains
These techniques could significantly enhance our understanding of how EF-G conformational dynamics contribute to function and how mutations alter these dynamics to confer resistance while maintaining or restoring fitness .