Tolerance of Listeria monocytogenes to Quaternary Ammonium Sanitizers Is Mediated by a Novel Efflux Pump Encoded by emrE
ABSTRACTA novel genomic island (LGI1) was discovered inListeria monocytogenesisolates responsible for the deadliest listeriosis outbreak in Canada, in 2008. To investigate the functional role of LGI1, the outbreak strain 08-5578 was exposed to food chain-relevant stresses, and the expression of 16 LGI1 genes was measured. LGI1 genes with putative efflux (L. monocytogenesemrE[emrELm]), regulatory (lmo1851), and adhesion (sel1) functions were deleted, and the mutants were exposed to acid (HCl), cold (4°C), salt (10 to 20% NaCl), and quaternary ammonium-based sanitizers (QACs). Deletion oflmo1851had no effect on theL. monocytogenesstress response, and deletion ofsel1did not influence Caco-2 and HeLa cell adherence/invasion, whereas deletion ofemrEresulted in increased susceptibility to QACs (P< 0.05) but had no effect on the MICs of gentamicin, chloramphenicol, ciprofloxacin, erythromycin, tetracycline, acriflavine, and triclosan. In the presence of the QAC benzalkonium chloride (BAC; 5 μg/ml), 14/16 LGI1 genes were induced, andlmo1861(putative repressor gene) was constitutively expressed at 4°C, 37°C, and 52°C and in the presence of UV exposure (0 to 30 min). Following 1 h of exposure to BAC (10 μg/ml), upregulation ofemrE(49.6-fold),lmo1851(2.3-fold),lmo1861(82.4-fold), andsigB(4.1-fold) occurred. Reserpine visibly suppressed the growth of the ΔemrELmstrain, indicating that QAC tolerance is due at least partially to efflux activity. These data suggest that a minimal function of LGI1 is to increase the tolerance ofL. monocytogenesto QACs viaemrELm. Since QACs are commonly used in the food industry, there is a concern thatL. monocytogenesstrains possessingemrEwill have an increased ability to survive this stress and thus to persist in food processing environments.