ABSTRACT
Staphylococcus aureus is one of the most important and studies gram positive bacterial strains, which have a great potential to infect human being as well as other mammals. Staphylococcus aureus is a major cause of infections responsible for much life threatening diseases like toxic-shock syndrome, staphylococcal scarlet fever, meningitis, osteomyelitis etc. infection due to these strains are difficult to treat. This research work focused on the identification of drug target enzymes in staphylococcus aureus. These drug target enzymes development of the new antibiotic which can kill or suppress the growth of pathogen with no effect in the host. The E-value threshold cut-off was set to 0.001.
TABLE OF CONTENTS
Title
page i
Certification
ii
Dedication
iii
Acknowledgement
iv
Abstract
v
Table
of content vi
CHAPTER ONE
Introduction
CHAPTER TWO
Material
and methods
CHAPTER THREE
Result
CHAPTER FOUR
Discussion
CHAPTER FIVE
Conclusion
References
CHAPTER ONE
INTRODUCTION
Staphylococcus
aureus a member of staphylococcaceae is considered as an opportunistic pathogen
for the different mammals including livestock as well as humans (Lowy1998,
projan and novick, 1995). It has been reported that staphylococcus aureus is
resistance against varies antibiotics present in the market (Lowy, 1998; walsh
and bowe, 2002). this bacterial strain word widely known for causing many of
the severe and deadly disease like osteomyelitis bacteremia , endocarditic,
meningitis, scalded skin syndrome, toxic shock syndrome, food poisoning, etc(
Lowy, 1998; drekema et al ., 2001 ). It is the primary cause of lower
respiratory tract infections surgical site infection (Richard, et al., 1993)
and the second leading of nosocomial
bacteremia (wisplinghoff et al ., 2004) pneumonia, and cardiovascular
infections (Richard et al., 1993). Beside these disease, it is also found on
the skin of the human beings and causing major problems like pimples, sour
throat, hair follicle infection, acne, and sties (a sty is an inflammation of a
gland in the eyelid). It is also causes boils, which are deeper pus-filled
abscesses of the skin and underlying tissue (freeman-cook and freeman-cook,
2006 Carleton et al., 2004; king et al., 2006). In common with other
facultative aerobes, staphylococcus aureus can grow in the absence of oxygen
either by fermentation or by using an alternative terminal electron acceptor,
such as nitrate.
Various studies suggest that oxygen play a
role in the pathogenesis of staphylococcus aureus, in both is capacity to
produce virulence factors and its ability to persist and grow in different and
often hostile environment niches (Chan and foster, in 1998; clement and foster,
ohisen et al., 1997; Ross and onderdonk, 2000). The bacteria contain or can
produce a variety virulence factor like adhesion, colonization, exoenzyme and exotoxins,
capsule etc.These virulence factors help the bacteria to attack to the host
cell, it can bind to protein such as fibronectin, laminin, vitronectin, and
collagen, which form the extra cellular matrix of epithelia and endothelia
surfaces (Gillaspy et al., 1990; freeman-cook, 2006). The resistance to antibiotics
emerged and spread rapidly among strains of staphylococcus aureus, about 90% of
staphylococcus aureus strains are currently resistant to penicillin and
derivatives. To combat this problem, new derivatives of penicillin were introduced
(Lowry, 2003; freeman-cook, 2006).
Today, around 50% of all staphylococcus
infections are multidrug resistant (resistant to penicillin, methicillin,
tetracycline, and erythromycin). One antibiotic stood for years as a drug that
did not cause resistant bacteria to emerge. It often thought of as “last resort
“, the name implies exactly how it has been used. Thus, the battle between
human and bacteria continues (Freeman- cook et al., 2006). The computational
approach has been use to investigate novel drug targets in other pathogenic
organisms such as pseudomonas aeruginosa (sakharkar et al., 2004; perumal et
al., 2007) and in helicobacter pylori (outla et al., 2006). As most currently
known, antibacterial are essentially inhibitors of certain bacterial enzymes.
In this study, we have adopted a strategy for comparative pathway analysis to
find out some potential target against staphylococcus aureus. Only those
enzymes which show unique properties than the host were selected as the target.
Staphylococcus aureus is a vanguard for both nosocomial and community- acquired infection. It is the primary cause of surgical infection and lower respiratory tract infections, (Richard et al., 1993) and the second leading cause of cardiovascular infections, and pneumonia (Richards et al., 1999). Because of evolved resistance to antimicrobial drugs such as penicillin newer narrow-spectrum β-lactamase-resistant penicillin antimicrobial drugs (e.g. methicillin, oxacillin) infection with staphylococcus aureus are especially difficult to treat and this resistance appeared soon after they were introduced into clinical practice respectively in 1940s and 1960s (Lowy et al., 2003 ). Initially resistance to penicillin was restrained to small number of hospitalized patients, but as use of penicillin increased, resistance spread first to other hospitals and then into the community (chambers at el., 2001). Greater than 80% of community and hospital- acquired staphylococcus aureus isolated were resistant to penicillin by the late 1960s (Lowy et al., 2003). Current report suggests that the spread and evolution of methicillin-resistant staphylococcus aureus (MRSA) seems be following identical wavelike emergence pattern (Chamber et al., 2001). In many US hospitals, MRSA is now endemic and epidemic along term care facilities and communities (Straus Baugh et al., 1960). National nosomial infections surveillance system’s data suggest that the proportion of staphylococcus aureus isolate that are resistant to methicillin has increased to 59.5%-64.4%, in intensive care unit (klevens et al ., 2006). Accurate national estimate of incidence are needed for understanding the magnitude of the problem. Nevertheless, national studies examine the effect of staphylococcus aureus or MRSA on the healthcare system are greater than 5years old (Kuehnert et al., 2005). Noskin et al., estimated that there were 290,000 staphylococcus aureus related hospitalization for 1999-2000 and reported that 125, 969 (43.2%) were likely resistant to methicillin (Kuehnert et al., 2005). The infections caused by this pathogen range from mild infections such as skin infections, poisoning to life threatening infections such as pneumonia, sepsis, osteomyelitis and infection endocarditic. Methicillin- resistant staphylococcus aureus is considered as super bug which was first reported in 1961 and now-a-days cause mortality rate of 39% while MRSA cause 24% death [laupland et al .., 2008].
The currently known targets of staphylococcus aureus include PBP (penicillin binding protein) of peptidoglycan biosynthesis pathway. Previously, beta-lactam antibiotics were knows to be effective against them, but due to production of altered form of PBP protein as well as beta-lactamase enzyme synthesis those drugs are not effective now, hence, our current study involves identifying targets apart from PBP(Hao et al., 2012). Another antibiotics prescribed is fluroquinolone. Fluroquinolone target DNA Gyrase A enzyme-essential for the replication, supercoiling of DNA. But according to Stephen et al., a highly signification associate between levofloxaxin and ciprofloxacin treatment and subsequent isolation of MRSA is reported (Weber et al., 2003). Linezolid, a new class of antibiotic called oxazolidinones is used to treat MRSA, which involve the mechanism of binding to bacterial 23s ribosomal RNA but of the 50s subunit and thus inhibiting the formation of functional 70s initiation complex but between April 13 and June 26 ,2008,12 patient were identified by LRSA (linezolid resistant staphylococcus aureus). All the isolates were detected with a point mutation in 23s RNA. It was concluded that the clinical outbreak of LRSA medicated by the (Fr gene was related with extensive usage of linezolid (Tsiodras et al., 2001). In this study, we have tried to search for some potential therapeutic targets other than the target discussed above. We have implemented an approach considering two pathogen in the senses that it must be associated with replication as well as viability of the pathogen. Secondly, the target should not be homologous to human. The non homologous property of these proteins helps to establish highly selective drug against the pathogen preventing the possibility of the cross reaction.