Acinetobacter baumannii is an important gram-negative non-fermenting opportunistic pathogen that causes hospital-acquired pneumonia and ventilator-associated pneumonia easily in hospital patients with low immunity[1]. Due to the rapid development of its antibiotic resistance, the World Health Organization has listed carbapenem-resistant A.baumannii as one of the pathogens in urgent need of exploring new drugs[2]. In addition to studying its drug resistance mechanism, more and more virulence-related studies on A.baumannii have been conducted in recent years. The major virulence factors found include adherence(Ata, TFP)[3, 4], effector delivery system(T2SS,T6SS)[5, 6], exotoxin(phospholipase C, phospholipase D)[7, 8], exoenzyme(CpaA)[9], immune modulation(capsule, LPS, ompA, pbpG)[10–13],biofilm(adeFGH efflux pump, Bap, Csu fimbriae, PNAG, Quorom sensing)[14–18], nutritional/metabolic factor(Acinetobactin, HemO cluster)[19, 20]. With the absence of some virulence factors, the pathogenicity of the highly virulent strain in the mouse infection model is remarkably reduced[21]. Therefore, the regulation of different virulence factors may point to a new direction in the treatment of A.baumannii infection.
The clustered regularly interspaced short palindromic repeats (CRISPR)-Cas system is an acquired immune system widely present in genomes of archaea and bacteria, which acts as a defense mechanism against the invasion of exogenous nucleic acids such as phages and plasmids[22]. CRISPR-Cas systems consists of the CRISPR arrays, leader sequences, and CRISPR-associated (cas) genes. Type I CRISPR-Cas system is the most widely distributed in bacteria, and Type I-F CRISPR-Cas system is the main type existing in A.baumannii[23]. Type I-F CRISPR-Cas system is characterized by the fusion of Cas2 and Cas3 (Cas2/3), as well as the integration of the Cas1-mediated spacer to the CRISPR site[24]. The cas gene of the I-Fa type CRISPR-Cas system contains cas1, cas3, csy2, csy3 and csy6(Fig. 1). Cas3 is the marker of type I CRISPR-Cas system, which encodes a protein that may form cascade-like complexes with different compositions, in addition, it encodes a large protein with independent helicase and deoxyribonuclease activities [25].
Apart from its role in adaptive immunity, CRISPR-Cas system also plays an important role in regulating gene expression, especially in the regulation of bacterial virulence and population behavior[26]. Previous studies have shown that the CRISPR-Cas system can regulate the synthesis of outer membrane proteins of Salmonella typhi by regulating the outer membrane protein synthesis gene OmpR[27]. The biofilm formation, virulence and pathogenicity of Salmonella are reduced after cas3 deleted in Salmonella [28]. Jose Solbiati et al. found that virulence of the pathogen Porphyromonas gingivalis is controlled by the CRISPR-Cas protein Cas3[29]. These all indicated that CRISPR-Cas system might be a potential virulence regulatory factor. Our previous research mainly focused on the effect of type I-Fb CRISPR-Cas system on the biological traits in A.baumannii[30, 31], and conducted the whole genome analysis of the related strains[32]. We found that different subtypes (I-Fa and I-Fb) cas gene had low homology and identity, the results showed that complete I-Fb CRISPR-Cas system could inhibit the drug resistance and reduce the virulence of bacteria[31]. However, the role of type I-Fa CRISPR-Cas system in the drug resistance and virulence of A.baumannii is still unclear. Cas3 is a key protein of I-F CRISPR-Cas system, in order to further understand the role of cas3 gene in the virulence of A.baumannii, we constructed type I-Fa cas3 gene knockout and complementary strains in A.baumannii ATCC19606, explored the effect of cas3 gene on bacteria growth, biofilm formation, adhesion and invasion. We also established a bacteremia model of A.baumannii infection in mice to evaluate the role of cas3 in A.baumannii infection. In conclusion, our results indicated that type I-Fa cas3 is essential for the biofilm formation and virulence of A.baumannii.