ISSN: 1948-5964
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Research Article - (2010) Volume 2, Issue 2
Non-nucleoside reverse transcriptase inhibitor (NNRTI) -based antiretroviral therapy (ART) regimens have been recommended and widely used in resource-limited settings because of their reliable effi cacy, low pill burden, and low cost. This study sought to determine outcomes and toxicities of NNRTI-based ART over a period of 208 weeks. A total of 244 HIV/AIDS Thai patients with a mean (±SD) age of 36 (±8.1) years initiated NNRTI-based ART in 2004. The median (inter-quartile range) baseline CD4 cell counts and HIV RNA levels were 34 (13-101) cells/mm3 and 5.4 (4.96-5.79) log copies/ml, respectively. At week 208, 84.6% of patients achieved HIV RNA loads <50 copies/ml, 88.5% continued NNRTI based regimens, 6.1% developed virologic resistance to NNRTIs, and 3.3% lost to follow up. Baseline CD4<50 cell/mm3 (p=0.019), and viral load ?50 copies/ml at 6 months post-ARV (p<0.001) were associated with treatment failure. At the end of the study, 39.8% lipoatrophy and 35.7% hyperlipidemia were identified. In conclusion, NNRTI-based regimens result in high virologic success; early undetectable viral load is key to predicting long-term virologic success.
<Keywords: Therapeutic target; Homologs; Chemotaxis; Orthologous; Mycoplasma pneumoniae
As of December 2009, the complete genome sequence was known of about 2274 viruses (http://www.ncbi.nlm.nih.gov/genomes/MICROBES/microbial_taxtree.html), 1007 bacterial species and roughly 56 eukaryote organisms, of which about half are fungi (http://www.ncbi.nlm.nih.gov/genomeprj) and a number of bioinformatics tools are also developed to analyze those genome (Kaminski, 2000). Completion of Human Genome Project is one of the major revolutions in the field of drug discovery against human pathogen. At present time genomic approach is in tradition (Galperin and Koonin, 1999). Identification of novel therapeutic targets is one of the major tasks in order to design a novel drug.
There are many approaches to identify potential drug target such as virulence genes, uncharacterized essential genes, species–specific gene, unique enzyme and membrane transporter etc (Galperin and Koonin, 1999). Comparative genomic provide a new approach to identified novel drug target among previously known targets based on their related biological function in pathogen and host.
In the proposed work subtractive genomic approach is used, where subtraction dataset comparing two genomes i.e. pathogen and human. This approach is successfully used in many other bacteria such as Pseudomonas aeruginosa (Sakharkar et al., 2004), Helicobacter pylori (Dutta et al., 2006), Burkholderia pseudomalleii (Chong et al., 2006) etc.
The effort has been made to find the minimal number of genes required for a self-replicating cell, since the complete genome of Mycoplasma has been sequenced. A minimal gene set required for a species, which could be deduced from conserved genes in the analyzed genome (Overbeek et al., 1999). “A smallest possible group of genes that would be sufficient to sustain a functioning cellular life form under the most favorable conditions imaginable, that is, in the presence of full complement of essential nutrients and in the absence of environmental stress” is defined as minimal gene set or essential genes (Koonin, 2000; Koonin, 2003; Gil et al., 2004). In Mycoplasma genitalium 265-350 protein coding genes are identified as essential under laboratory growth condition, which is orthologous to the Mycoplasma pneumoniae (Hutchison et al., 1999).
In the subsequent work subtractive genomics and Database of Essential Gene (DEG) is used to analyze the genes of Mycoplasma pneumoniae for finding potential target at the outer surface of pathogen, might be used as drug target. Mycoplasma pneumoniae is a cell wall less bacterial pathogen and surrounded by a cytoplasmic membrane only. It causes atypical pneumonia in human (Chanock et al., 1963). Mycoplasma pneumoniae is transmitted from person-toperson contact through respiratory secretions during coughing and sneezing. The incubation period is usually 14-21 days. The entire genome of Mycoplasma pneumoniae has been sequence. The M129 strain of Mycoplasma pneumoniae is linear single stranded of length 816,394 base pairs with an average G+C contain of 40.0 mol % (Himmelreich et al., 1996).
All the major classes of cellular process and metabolic pathway are briefly described. A number of activities/functions present in Mycoplasma pneumoniae according to experimental evidence, but genes or proteins involved in motility, chemotaxis and management of oxidative stress are not known still. The M129 strain of Mycoplasma pneumoniae is used here because it involves in cytadherence and pathogenicity studies (Wenzel and Herrmann, 1989).
Sequence retrieval of host and pathogen
The complete genome, genes and protein sequences of Mycoplasma pneumoniae strain M129 as well as Homo sapiens were retrieved from the NCBI (National Center for Biotechnology Information) and Swiss-Prot Protein knowledgebase (http://www.expasy.ch/sprot/). From the complete genome sequence data, the genes of the organism that coded for proteins whose sequence were greater than 100 amino acids were selected out. This was on the assumption that proteins less than 100 amino acids in length were unlikely to represent essential proteins, yet be unique to the organism.
Identification of duplicate protein
The Mycoplasma pneumoniae proteins were eliminated at 60% using CD-HIT suite (http://weizhong-lab.ucsd.edu/cdhit_suite/cgi-bin/index.cgi?cmd=cd-hit) to identify the paralogs or duplicates proteins within the proteome of Mycoplasma pneumoniae. The prologs were excluded and the remaining sets of protein were used for further analysis.
Similarity search
The nonparalogs proteins were subjected to NCBI BlastP (http://www.ncbi.nlm.nih.gov/blast) (Altschul et al., 1990) against Homo sapiens protein sequences using threshold expectation value 10-3 as parameter to find out the nonhuman homologues proteins of Mycoplasma pneumoniae. The human homologous were excluded and the list of non-homologs was compiled. The selected nonhuman homologues proteins were then subjected to similarity search using standard NCBI TBLASTN against the Database of Essential Genes (DEG) (http://tubic.tju.edu.cu/deg1). A random expectation value (E-value) cut-off of 10-100 and a minimum bit-score cut-off of 100 were used to screen out proteins that appeared to represent essential proteins.
Metabolic pathway analysis
Metabolic pathway analysis of the essential proteins of Mycoplasma pneumoniae was done by KAAS server at KEGG (http://www.genome.jp/tools/kaas/) for the identification of potential targets. KAAS (KEGG Automatic Annotation Server) provides functional annotation of genes by BLAST comparisons against the manually curated KEGG GENES database. The result contains KO (KEGG Orthology) assignments and automatically generated KEGG pathways.
Surface protein identification
Prediction of protein localization is an important to predict the protein function and genome annotation, and it can assist the identification of targets. Sub-cellular localization analysis of the essential protein sequences has been done by Proteome Analyst Specialized Subcellular Localization Server v2.5 (PA-SUB) (http://webdocs.cs.ualberta.ca/~bioinfo/PA/Sub/) to identify the surface membrane proteins which could be feasible vaccine target.
Classify functions for the uncharacterized essential proteins
Functional family prediction of the putative uncharacterized essential proteins was done by using the SVMProt web server (http://jing.cz3.nus.edu.sg/cgi-bin/svmprot.cgi.) (Cai et al., 2003). SVMProt utilizes Support Vector Machine for classification of a protein into functional family from its primary sequence.
The increasing number of complete bacterial genomes available in the public databases offers new opportunities for understanding the relationship between genotype and phenotype using in-silico genome comparisons. Subtractive genome analysis is an attempt to link genome content and phenotypic features according to the presence or absence of genes. The method is based on the assumption that the genes responsible for a specific function are conserved during evolution but lost in those genomes not showing that phenotype. Therefore, this method is used to search for those genes which are present in a group of genomes having a common phenotype, but which are absent in another group not showing this phenotype, as for instance the capacity to grow in the presence of an antibiotic or the ability to synthesize an outer membrane. This strategy may be a first step in the understanding of adaptive mechanisms of microorganisms. Although experimental and computational methods have been previously employed for the study of essential genes, to our knowledge, this is the initial report of essential gene or protein identification as probable drug targets in M. pneumoniae by subtractive genomics approach. By applying this approach, following results were obtained as described below (Table 1). The objective of that analysis was to find out the essential proteins, which play a key role in survival of bacteria within human and identify them as drug target to block the bacterial pathogenesis.
Total Number of proteins | 693 |
---|---|
Protein >100 amino acid | 661 |
Duplicates (>60% identical) in CD-HIT | 71 |
Non-paralogs | 590 |
Non-human homologous proteins (E-value 10-3) | 375 |
Essential protein in DEG (E-value 10-10) | 220 |
Essential proteins involved in metabolic pathways | 112 |
Proteins involved in unique pathways | 27 |
Membrane associated non-human homolog of essential genes (Outer membrane/Extra-cellular) | 12 |
Table1: Subtractive proteomic and metabolic pathway analysis result for Mycoplasma pneumoniae.
In silico subtractive/differential genome analysis is a powerful approach for identifying genus- or species-specific genes, or groups of genes that are responsible for a unique phenotype. By this method, one searches for genes present in one group of bacteria and absent in another group. In current study, non-human homolog essential genes of Mycoplasma pneumoniae as well as their protein products was identified by applying subtractive genomic approach, which are likely to lead development of drugs that strongly bind with the pathogen. Flow diagram of step by step approach used in current study is described in Figure 1. The above analysis reveals that 693 proteins are present in Mycoplasma pneumoniae M129 strain. The duplicate proteins were identified using 60% identity as threshold via CD-HIT tool. Out of 693 proteins 71 were found duplicate or paralogs proteins. Thereafter paralogs were excluded and remaining 590 were underwent for similarity search using BlasatP against human proteome, which resulted 375 proteins were non-human homolog. Among these 375 proteins, 220 proteins were essential proteins of Mycoplasma pneumoniae.
The result of metabolic pathway analysis using by KAAS server at KEGG revels that out of these 220 proteins of Mycoplasma pneumoniae 112 essential proteins might be concluded to be unique and are consistently linked with essential metabolic and signal transduction pathways. Testing of drug like molecule against such protein target might be helpful to block the pathogenesis. Metabolic pathway analysis of these 112 essential proteins resulted that 15 proteins are involved in Carbohydrate Metabolism, 9 in Energy Metabolism, 17 in Nucleotide Metabolism, 4 in Amino Acid Metabolism, 4 in Metabolism of Co-factors and Vitamins, 42 in genetic information processing and 21 in environmental information processing (Table 2 (Included as Supplement material)). Out of 42 proteins involved in genetic information processing 9 proteins were take part in replication of M. pneumoniae. If these proteins are bind by inhibitors then the replication of bacteria will be interrupt. Therefore the functionality of these proteins is needed for replication and pathogenesis. Thus these proteins are important targets for drug development against M. pneumoniae infection.
S. N. | Protein name | Accession no. | Sub-cellular location |
---|---|---|---|
1. | YCPN Uncharacterized protein MG075 homolog | P75556 | Outer membrane |
2. | YCPN ATP synthase subunit b | Q50327 | Outer membrane |
3. | YCPN Uncharacterized protein MPN_438 | P75340 | Outer membrane/Extra-cellular |
4. | YCPN Uncharacterized protein MG144 homolog | P75588 | Extra-cellular |
5. | YCPN Uncharacterized lipoprotein MG045 homolog | P75056 | Extra-cellular |
6. | YCPN Uncharacterized lipoprotein MG186 homolog | P75265 | Extra-cellular |
7. | YCPN Putative adhesin P1-like protein MPN_286 | P75491 | Extra-cellular |
8. | YCPN Uncharacterized protein MPN_586 | P75194 | Extra-cellular |
9. | YCPN Uncharacterized lipoprotein MPN_582 | P75198 | Extra-cellular |
10. | YCPN Uncharacterized lipoprotein MPN_585 | P75195 | Extra-cellular |
11. | YCPN Uncharacterized protein MPN_591 | Q50336 | Extra-cellular |
12. | YCPN Oligoendopeptidase F homolog | P54125 | Extra-cellular |
Table3: Membrane associated protein in Mycoplasma pneumoniae with their swiss-prot Accession number and sub cellular locations.
Comparative analysis of the metabolic pathways of the host(Homo sapiens) and the pathogen (Mycoplasma pneumoniae) by using Kyoto Encyclopedia of Genes and Genomes (KEGG) reveals 27 proteins were Proteins involved in unique pathways of Mycoplasma pneumoniae.
However these 27 unique proteins involved in various metabolic pathway of Mycoplasma pneumonia, which are essential for survival of bacteria in minimal medium as well as their regulatory function. Hence these unique proteins might be good target for drug.
Prediction of sub-cellular location of 220 essential protein of Mycoplasma pneumoniae using PA-SUB was result out that 12 proteins were found on the exposed surface of pathogen (Table 4). Out of these 12 proteins most were uncharacterized protein. The functional classification of the 12 putative uncharacterized essential proteins, exposed on surface of pathogen, was performed by using the SVMProt web server based on P value, which is the expected classification accuracy in terms of percentage. 2 proteins were classified as transmembrane proteins, 2 as zinc binding, 5 as lipidbinding, 2 as Hydrolases, 1 as Outer membrane (Table 4). Thus these membranes or surface associated non-human homolog proteins of Mycoplasma pneumoniae may be used as therapeutic target for vaccine designing.
S. No. | Accession No. | Protein Family Name | R-Value | P-Value (%) |
---|---|---|---|---|
1 | P75556 | Transmembrane | 6.0 | 99.0 |
2 | P75588 | Transmembrane | 6.0 | 99.0 |
3 | Q50327 | Hydrolases | 6.0 | 99.0 |
4 | Sodium-binding | 6.0 | 99.0 | |
5 | Transmembrane | 3.4 | 96.1 | |
6 | P75056 | Lipid-binding protein | 4.0 | 97.7 |
7 | P75340 | Lipid-binding protein | 2.1 | 85.4 |
8 | P75194 | Lipid-binding protein | 4.7 | 98.5 |
9 | Zinc-binding | 4.1 | 97.8 | |
10 | Transferases - Glycosyltransferases | 3.2 | 95.2 | |
11 | Electrochemical Potential-driven transporters | 1.8 | 80.4 | |
12 | P75198 | Lipid-binding protein | 6.7 | 99.1 |
13 | Hydrolases | 2.5 | 90.3 | |
14 | P75195 | Lipid-binding protein | 1.8 | 80.4 |
15 | Q50336 | Hydrolases | 2.8 | 92.9 |
16 | P54125 | Zinc-binding | 6.0 | 99.0 |
17 | Hydrolases (acting on peptide bonds) | 6.0 | 99.0 | |
18 | Hydrolases (Acting on Ester Bonds) | 1.9 | 82.2 |
Table 4: Membrane associated protein and their functions in Mycoplasma pneumonia.
In the whole study two parallel ways were used to identify the suitable drug target for Mycoplasma pneumoniae using subtraction of genomic information. This approach was already successfully used in many organisms such as Pseudomonas aeruginosa, Helicobacter pylori, Burkholderia pseudomallei, Mycobacterium tuberculosis H37Rv, Salmonella typhi and Neisseria meningitides serogroup B for drug target identification, which results constructive thoughts for further drug development.
A number of approaches for new vaccine development exist, such as sub-unit protein and DNA vaccines, recombinant vaccines, auxotrophic organisms to deliver genes and so on. Testing such candidates is tedious and expensive. In-silico approaches enable us to reduce substantially the number of such candidates to test and speed up drug discovery with least toxicity. The use of DEG database is more efficient than conventional methods for identification of essential genes and facilitates the exploratory identification of the most relevant drug targets in the pathogen. The subtractive genomic approach has been applied in the present study for the identification of several proteins that can be targeted for effective drug design and vaccine development against M. pneumoniae. The drugs developed against these will be specific to the pathogen, and therefore less or non toxic to the host. Structural modeling of these targets will help identify the best possible sites that can be targeted for drug design by simulation modeling. Virtual screening against these novel targets might be useful in the discovery of novel therapeutic compounds against M. pneumoniae.
The support of Department of Biotechnology, Ministry of Science and Technology, Government of India, to Bioinformatics Centre at Biotech Park Lucknow is gratefully acknowledged. Also extremely acknowledged to Department of Pharmacology, C.S.M.M. University, Lucknow, U. P. India.