Perturbation of Cytochrome c Maturation Reveals Adaptability of the Respiratory Chain in Mycobacterium tuberculosis
ABSTRACTMycobacterium tuberculosisdepends on aerobic respiration for growth and utilizes anaa3-type cytochromecoxidase for terminal electron transfer. Cytochromecmaturation in bacteria requires covalent attachment of heme to apocytochromec, which occurs outside the cytoplasmic membrane. We demonstrate that inM. tuberculosisthe thioredoxin-like protein Rv3673c, which we named CcsX, is required for heme insertion in cytochromec. Inactivation of CcsX resulted in loss ofc-type heme absorbance, impaired growth and virulence ofM. tuberculosis, and induced cytochromebdoxidase. This suggests that the bioenergetically less efficientbdoxidase can compensate for deficient cytochromecoxidase activity, highlighting the flexibility of theM. tuberculosisrespiratory chain. A spontaneous mutation in the active site of vitamin K epoxide reductase (VKOR) suppressed phenotypes of the CcsX mutant and abrogated the activity of the disulfide bond-dependent alkaline phosphatase, which shows that VKOR is the major disulfide bond catalyzing protein in the periplasm ofM. tuberculosis.IMPORTANCEMycobacterium tuberculosisrequires oxygen for growth; however, the biogenesis of respiratory chain components in mycobacteria has not been explored. Here, we identified a periplasmic thioredoxin, CcsX, necessary for heme insertion into cytochromec. We investigated the consequences of disrupting cytochromecmaturation (CCM) for growth and survival ofM. tuberculosis in vitroand for its pathogenesis. Appearance of a second-site suppressor mutation in the periplasmic disulfide bond catalyzing protein VKOR indicates the strong selective pressure for a functional cytochromecoxidase. The observation thatM. tuberculosisis able to partially compensate for defective CCM by upregulation of the cytochromebdoxidase exposes a functional role of this alternative terminal oxidase under normal aerobic conditions and during pathogenesis. This suggests that targeting both oxidases simultaneously might be required to effectively disrupt respiration inM. tuberculosis.