Vibrio vulnificus is a pathogenic marine bacterium posing a serious threat to human health, capable of causing severe sepsis and wound infections. With global warming and rising sea temperatures, the incidence and geographic distribution of V. vulnifi...
Vibrio vulnificus is a pathogenic marine bacterium posing a serious threat to human health, capable of causing severe sepsis and wound infections. With global warming and rising sea temperatures, the incidence and geographic distribution of V. vulnificus infections continue to expand worldwide. Bacterial efflux pumps play a crucial role in antibiotic resistance and the secretion of virulence factors. TolC is an outer membrane channel protein that interacts with inner membrane transporters to form part of a tripartite efflux pump, promoting the export of multiple substrates. TolCV1, a homolog of TolC in V. vulnificus, is essential for antibiotic resistance, RtxA1 secretion, cytotoxicity to host cells, bile salt resistance, and lethality in mice. In this study, the contribution of the ToxRS regulatory system was examined on TolCV1 secretion and stress adaptation. ToxR is a membrane-associated transcription regulator that, together with ToxS, senses environmental signals such as bile salts, pH, and membrane stress to control the expression of virulence genes, including those encoding outer membrane proteins. In-frame deletion mutants of toxRS were constructed in V. vulnificus MO6-24/O by homologous recombination. Western blot analysis revealed that secretion of TolCV1 was markedly reduced in a toxRS mutant compared with the wild-type, without affecting tolCV1 transcriptional activity. It was confirmed that TolCV1 protein was secreted via outer membrane vesicles (OMVs). The toxRS mutant, similar to the tolCV1 mutant, exhibited impaired growth in the presence of ampicillin (1μg/mL). Moreover, bile salt enhanced TolCV1 expression and secretion in the wild-type, whereas this induction was almost completely abolished by toxRS deletion. Checkerboard assays further demonstrated the synergistic antibacterial activity of ampicillin with the TolCV1 efflux pump inhibitors, phenylalanine-arginine-β-naphthamide (PAβN). In addition, the deletion of toxRS showed reduced cytotoxicity of V. vulnificus in HeLa cells. Collectively, these findings indicate that ToxRS regulates TolCV1 secretion, thereby contributing to antibiotic resistance, bile salt resistance, and host cell cytotoxicity in V. vulnificus.