Oxydifficidin, a potent Neisseria gonorrhoeae antibiotic due to DedA assisted uptake and ribosomal protein RplL sensitivity

Gonorrhea, which is caused by Neisseria gonorrhoeae, is the second most prevalent sexually transmitted infection worldwide. The increasing appearance of isolates that are resistant to approved therapeutics raises the concern that gonorrhea may become untreatable. Here, we serendipitously identified oxydifficidin as a potent N. gonorrhoeae antibiotic through the observation of a Bacillus amyloliquefaciens contaminant in a lawn of N. gonorrhoeae. Oxydifficidin is active against both wild-type and multidrug-resistant N. gonorrhoeae. It’s potent activity results from a combination of DedA-assisted uptake into the cytoplasm and the presence of an oxydifficidin-sensitive ribosomal protein L7/L12 (RplL). Our data indicates that oxydifficidin binds to the ribosome at a site that is distinct from other antibiotics and that L7/L12 is uniquely associated with its mode of action. This study opens a potential new avenue for addressing antibiotic resistant gonorrhea and underscores the possibility of identifying overlooked natural products from cultured bacteria, particularly those with activity against previously understudied pathogens.

Gonorrhea is the second most prevalent sexually transmitted infection worldwide, its causative agent is the bacterium Neisseria gonorrhoeae.According to the World Health Organization (WHO) approximately 82.4 million new adult gonorrhea infections occurred globally in 2020.(1) The high dose (500 mg) of the cephalosporin ceftriaxone is currently the only recommended therapy for treating gonorrhea infections.(2) The growing instances of drug resistant "superbugs", together with the limited clinical treatment options, underscore the urgent need for additional antibiotics that target N. gonorrhoeae.(3)(4)(5)(6)(7)(8) The characterization of antibacterial active natural products inspired the development of both ceftriaxone and azithromycin.(9,10) Bacterial natural products have been a key source of antibiotics with diverse modes of action and the most fruitful source of therapeutically useful antibiotics.(11)(12)(13) Here we describe the serendipitous identification of the natural product oxydifficidin (14) , (15) as a potent N. gonorrhoeae active antibiotic and show that this activity arises from a combination of DedA flippase assisted uptake and ribosomal protein L7/L12 (RplL) sensitivity.Oxydifficidin provides a new therapeutic lead structure for addressing the growing problem of antibiotic resistant gonorrhea.Over the last century, bacteria were extensively examined for antibiotic production in screens that often focused on a small number of pathogens.This study suggests that reexamining cultured bacteria for antibiotics active against today's emerging pathogens may be fruitful as metabolites with specific potent activity against historically less problematic pathogens may have been overlooked.

Oxydifficidin isomers selectively and potently inhibit N. gonorrhoeae
In our day to day experiments we regularly use agar plates containing lawns of pathogenic bacteria.During these experiments we often find random environmental bacteria growing on these plates.On one lawn of N. gonorrhoeae we observed an environmental contaminant that was surrounded by a zone of growth inhibition suggesting that it produced an anti-N.gonorrhoeae metabolite (Figure 1a).When we screened this contaminant for antibacterial activity against lawns of other Gram-negative bacteria it did not produce a zone of growth of inhibition against any of the bacteria we tested (e.g., Escherichia coli, Vibrio cholerae, Caulobacter crescentus).Since antibiotics that preferentially inhibit the growth N. gonorrhoeae are rare, we looked at this contaminant in more detail.Sequencing of the contaminant's genome and genome clustering analysis (Figure S1a) revealed that it was most closely related to Bacillus amyloliquefaciens, which is a root-colonizing bacterium that is used as a biocontrol agent.(16) We named the anti-N.gonorrhoeae contaminant Bacillus amyloliquefaciens BK.
To identify the biosynthetic gene cluster (BGC) responsible for the observed antibiosis we screened B. amyloliquefaciens BK transposon mutants for strains that no longer produced anti-N.gonorrhoeae activity.The sequencing of one non-producer strain revealed that it surprisingly contained four transposon insertions and one frame shift mutation (Figure S1b).The frame shift mutation and one transposon insertion were predicted to each disrupt unique BGCs.The transposon inserted into the bacillomycin (mycosubtilin) BGC, while the frame shift mutation was predicted to disrupt the (oxy)difficidin BGC.To determine which of these two BGCs was responsible for the N. gonorrhoeae activity we tested B. amyloliquefaciens strains with targeted disruptions of each BGC for activity against N. gonorrhoeae.(17) Only disruption of the (oxy)difficidin BGC eliminated the anti-N.gonorrhoeae activity (Figure S1c).To confirm the identity of the N. gonorrhoeae active antibiotic we carried out a bioassay guided fractionation of B. amyloliquefaciens BK culture broth.(14) , (15) HRMS and NMR data from the major active peak we isolated were consistent with its being an oxydifficidin isomer (Figure 1b, Figure S5 -11, and Table S2).Oxydifficidin contains a 27-carbon polyketide backbone that is cyclized through a terminal carboxylic acid and an oxidation at position 21.This hydrophobic core is phosphorylated at C16. Oxydifficidin occurs naturally as a collection of interconverting thermal isomers (Figure 1b).As reported previously, we observed an interconversion of isomers with the compound we purified from B. amyloliquefaciens BK cultures.(14) , (15) All assays were performed using the mixture of interconverting oxydifficidin isomers we obtained from B. amyloliquefaciens BK cultures.We tested oxydifficidin for activity against diverse bacterial pathogens.Oxydifficidin showed only weak activity against most pathogens, however we observed potent activity against N. gonorrhoeae (Figure 1c).When we examined other Neisseria species, we found that oxydifficidin was consistently more active against Neisseria than any of the other bacteria we tested.Among Neisseria spp., oxydifficidin was most active against N. gonorrhoeae underscoring a unique narrow spectrum of potent activity.A key issue with the current treatment of N. gonorrhoeae infections is the development of resistance to existing therapeutics.Resistance to the standard of care cephalosporins is particularly problematic.Oxydifficidin was more potent against wild-type (WT) N. gonorrhoeae than almost all other antibiotics we tested.In fact, it was only slightly less active than the highly optimized third-generation cephalosporin, ceftazidime.(18)However, unlike third-generation cephalosporins, oxydifficidin retained activity against the multidrug resistant H041 clinical isolate (Table 1).(4)H041 is resistant to the "standard of care" cephalosporin ceftriaxone (2 µg/mL) as well as a number of other antibiotics that are normally active against N. gonorrhoeae (penicillin G, 4 µg/mL; cefixime, 8 µg/mL; levofloxacin, 32 µg/mL).Oxydifficidin's structure is interesting as phosphorylated antibiotics, and moreover natural products in general, remain rare.(19,20) Its structure together with its specific and potent activity against drug resist N. gonorrhoeae suggested it might have a unique mode of action (MOA).This is appealing from the perspective of developing therapeutics that are capable of circumventing clinically problematic resistance mechanisms and therefore we focused on characterizing the mechanism of oxydifficidin's potent anti-N.gonorrhoeae activity.

DedA assists the uptake of oxydifficidin into N. gonorrhoeae
As a first step to understanding the MOA of oxydifficidin, we raised resistant mutants by directly plating N. gonorrhoeae cultures on antibiotic containing plates (1 μg/ml, 4x MIC) (Figure 2a).Out of the >1.5X10 10 cells we screened, only one resistant mutant appeared.Oxydifficidin's MIC against this mutant increased by 8-fold (2 μg/ml).No increase in MIC was observed for any other antibiotic we tested (Figure 2a).Sequencing and comparison of this mutant's genome to the sensitive parent genome revealed a single mutation that introduced a frame shift in one of the three predicted dedA genes found in the N. gonorrhoeae MS11 (NCBI:txid528354 dedA NGFG_RS04905( 21)).To confirm that DedA was necessary for oxydifficidin's potent activity, we created a dedA deletion mutant in a clean N. gonorrhoeae background.This mutant showed the same 8-fold increase in oxydifficidin's MIC, .CC-BY 4.0 International license available under a confirming that the deletion of dedA is sufficient to reduce oxydifficidin's potent activity.Interestingly, not only was dedA deficient N. gonorrhoeae less susceptible to oxydifficidin, oxydifficidin also kills this mutant more slowly (Figure 2b) than WT N. gonorrhoeae.The DedA protein superfamily is highly conserved, with examples in almost every sequenced genome across all domains of life.(22) DedA family members are predicted to be transmembrane proteins with still largely, poorly defined, functions.However, a few recent studies indicate that DedA homologs are flippases.They have been reported to flip phospholipids (phosphatidylethanolamine, phosphatidylserine) or phospholipid like structures (C55-isoprenyl pyrophosphate) across prokaryotic and eukaryotic lipid bilayers.(23)(24)(25)(26) Although oxydifficidin is not a phospholipid, its overall structure resembles that of reported DedA protein substrates, especially C55-isoprenyl pyrophosphate (Figure 3a).Interestingly, among the two characterized bacterial family members, the DedA protein associated with oxydifficidin potency is most closely related to the C55-isoprenyl pyrophosphate flippase YghB from Vibrio cholerae (Figure S2).( 23) As oxydifficidin's activity was not completely abrogated in the dedA knockout we postulated that DedA was not the direct target of oxydifficidin, but it instead acted to increase oxydifficidin's potency in N. gonorrhoeae.The structural similarity between oxydifficidin and the known substrates of DedA homologs led us to explore the possibility that DedA was responsible for assisting with oxydifficidin uptake into N. gonorrhoeae.We examined the effect of DedA on antibiotic accumulation by comparing the amount of compound found in the cell pellet collected from antibiotic treated cultures of wild type and dedA knockout N. gonorrhoeae strains (Figure 3b).In the case of oxydifficidin we saw 6 times more antibiotic in cells from wild type cultures than from dedA deletion strain cultures.For the other antibiotics we tested (tetracycline and chloramphenicol) this ratio was less than two.Based on DedA homologs flipping phospholipid-like structures across a lipid bilayer our data is consistent with DedA flipping oxydifficidin across the inner membrane to increase its cytoplasmic concentration and in turn increase its potency against N. gonorrhoeae.A DedA assisted uptake mechanism could also explain the slower rate of killing we observed for oxydifficidin against dedA deficient N. gonorrhoeae compared to wild type N. gonorrhoeae.While we cannot definitely rule out the possibility that DedA accumulation of oxydifficidin in the membrane could also have a direct toxicity effect, we did not detect any cell lysis or membrane depolarization at even 100 times oxydifficidin's MIC (Figure S3).

Oxydifficidin inhibits protein synthesis by interacting with RplL
To look for an intracellular target of oxydifficidin we carried out a second round of resistant mutant screening.In this case, we used the N. gonorrhoeae dedA deletion strain and searched for colonies with an even higher tolerance to oxydifficidin.From ~1x10 10 cells plated on 8 μg/ml oxydifficidin (4x MIC for N. gonorrhoeae dedA deletion strain) we identified 12 resistant mutants.In each case the oxydifficidin MIC increased to 16 μg/ml.Sequencing of these strains revealed that each contained a point mutation in the gene encoding for the large ribosomal protein(s) L7/L12 (rplL).Eleven strains contained the same R76C mutation and one contained a K84E mutation (Table S1).To determine if mutations in the rplL gene alone were sufficient to confer oxydifficidin resistance, we created an RplL R76C mutant in a wild type N. gonorrhoeae background (i.e., non dedA deletion).This mutant exhibited an 8-fold increase in oxydifficidin's MIC (2 μg/ml) compared to the parent strain, confirming that the R76C mutation in L7/L12 alone was sufficient to increase the MIC of oxydifficidin.Ribosomal proteins L7 and L12 have the same sequence, however L12 has an N-terminal acetylation.(27) L7/L12 is part of the L10/L7 stalk of the large (50S) subunit of the bacterial ribosome and is critical to a number of processes including GTP hydrolysis.(27,28) The appearance of resistance mutations in rplL suggested that oxydifficidin inhibited protein synthesis, which would be consistent with isotope feeding studies performed with difficidin and E. coli.(29) We initially tested this hypothesis in vitro using a coupled transcription/translation system.While this reaction mixture contained all the components necessary to produce a protein from DNA, no protein was produced in the presence of oxydifficidin (Figure 3c).Using a coupled system, it was not possible to distinguish between inhibition of RNA or protein synthesis, and therefore, to rule out inhibition of transcription, we next looked directly at RNA synthesis in vitro.In this case we saw no inhibition of RNA synthesis, even at the highest oxydifficidin concentration we tested (13.4 μg/ml) (Figure 3d).Taken together these two experiments indicate that oxydifficidin inhibits translation but not transcription and are consistent with rplL mutations providing resistance to oxydifficidin.To the best of our knowledge rplL mutations have not been previously associated with antibiotic resistance and no characterized antibiotics have been found to bind L7/L12.When we screened for cross resistance, the L7/L12 R76C mutation did not confer resistance to any other antibiotics we tested (Table 2).These included ribosome targeting antibiotics with diverse binding sites.Antibiotics that bind different regions of the 30S decoding center, including tetracycline, gentamicin and spectinomycin showed no increase in MIC with the L7/L12 R76C mutation.(30,31) Similarly, the L7/L12 R76C mutation did not confer resistance to chloramphenicol or erythromycin, which interact with distinct regions of the 50S peptidyl transferase center.(30,31) Antibiotics that bind away from these two hot spots also showed no cross resistance.(30)(31)(32) The activity of avilamycin, which binds in a unique site in the 50S subunit at the entrance to the A-site tRNA accommodating corridor was also not affected by the L7/L12 R76C mutation.(33) In the case of thiostrepton A (34), which targets the L11 protein GTPaseassociated center and is part of the only class of antibiotics known to bind the ribosome in the vicinity of L10/L7 stalk, we also observed no change in MIC for N. gonorrhoeae with the L7/L12 R76C mutation.The inability of the L7/L12 R76C mutation to confer cross resistance to known antibiotics suggests that oxydifficidin binds to a different site on the ribosome and that L7/L12 is uniquely associated with oxydifficidin's mode of action.To determine whether the DedA and RplL mutations we observed were specific to oxydifficidin resistance in N. gonorrhoeae, we selected for resistant mutants using two other Neisseria species: Neisseria subflava and Neisseria cinerea.Both strains were natively less susceptible to oxydifficidin than N. gonorrhoeae.In the case of N. cinerea all resistance mutants contained the RplL K84E mutation that we first observed in N. gonorrhoeae, and in the case of N. subflava all resistance mutants contained mutations in dedA (Table S1).Other Neisseria species likely show higher MICs than N. gonorrhoeae because of either the absence of DedA assisted uptake or reduced RplL protein oxydifficidin sensitivity.The model that arises from our studies is that high oxydifficidin sensitivity results from a combination of DedA assisted oxydifficidin uptake into the cytoplasm and the presence of an oxydifficidin sensitive RplL protein (Figure 3e).N. gonorrhoeae is uniquely sensitive to oxydifficidin because it contains both.DedA is critical to oxydifficidin's potent activity as it not only sensitizes N. gonorrhoeae to oxydifficidin but also decreases its kill time, both of which are appealing from a clinical development perspective.Discussion Almost 60% of clinically approved antibiotics target the ribosome.(35) Although it is the most common target for natural product antibiotics, most of these molecules inhibit the ribosome by binding to only a small number of sites.(30,36) Clinically approved antibiotics generally inhibit protein synthesis by binding in either the ribosomal decoding center, peptidyl transfer center or the peptide exit tunnel.Targeting unexploited sites of the ribosome is considered a key step to developing next generation antibiotics that can circumvent the existing antibiotic resistance mechanisms.Our data suggest that oxydifficidin has a distinct binding site in the ribosome compared to other clinically used antibiotics making it an appealing therapeutic candidate.In our resistance mutant screening experiments with N. gonorrhoeae the frequency of mutations in either dedA or rplL was quite low (~10 -9 ).The dedA deletion mutant also showed an altered cell morphology with reduced membrane integrity and lower formation of micro-colonies (Figure S4), indicating that it should show reduced pathogenesis and fitness, and, as a result, not accumulate in a clinical setting, which adds to the therapeutic appeal of oxydifficidin.While most natural product research efforts are focused on identifying novel chemical entities, the work presented here suggests that reexamining old sources through the lens of today's most important pathogens may also be a productive approach for identifying therapeutically appealing antibiotics.Increasing rates of antibiotic resistance present a significant clinical threat as they have the potential of rendering gonorrhea infections untreatable.The recent appearance of N. gonorrhoeae "superbugs" with high-level resistance to all currently recommended drugs treating gonorrhea infections, is particularly concerning.(4, 5) One appealing feature in the original reports of the discovery of oxydifficidin was its activity in an animal model, a key hurdle for many natural products.(15) Unfortunately oxydifficidin's clinical significance was limited because of the weak activity it exhibited against most bacterial pathogens.Our identification of oxydifficidin as being specifically potent against N. gonorrhoeae including multi-drug resistant N. gonorrhoeae, provides a potential new path forward for this structurally interesting natural antibiotic.

Crude Extraction and Disc Diffusion Test
Bacillus strains were grown overnight at 30 °C on LB agar. 3 ml of methanol was added to the top of the plate and spread uniformly by gentle shaking.The supernatant was then collected, centrifuged at 15,000 rpm for 2 min and filtered through a 0.2 μm cellulose acetate membrane (VWR).Then, 10 μl of the crude extract was added onto a paper disc (VWR) and after 5 min drying the paper disc was transferred on top of GCB agar plate lawned (swabbed from a single colony) with N. gonorrhoeae cells.The plate was incubated at 37 °C with 5% CO2 overnight and the inhibition zone was visually inspected.

Fermentation of Bacillus amyloliquefaciens BK
A single colony of Bacillus amyloliquefaciens BK was grown in 250 ml LB in a 1 L flask at 30 °C on a rotary shaker (200 rpm) overnight, then 50 ml of the overnight culture was transferred to 1 L modified Landy medium (20 g glucose, 5 g glutamic acid, 1 g yeast extract, 1 g K2HPO4, 0.5 g MgSO4, 0.5 g KCl, 1.6 mg CuSO4, 1.2 mg Fe2(SO4)3, 0.4 mg MnSO4 per 1 L deionized H2O, pH adjusted to 6.5 before autoclaving) in a 2.8 L triple baffled flask and fermented at 30 °C on a rotary shaker (200 rpm) for 3 days.

Isolation of Oxydifficidin
The isolation process followed the published protocol (14) with adjustments.The fermentation culture (5 L) was centrifuged at 4,000 rpm for 10 min and the supernatant was acidified to pH 3.0 before extraction with 5 L of ethyl acetate.The crude extract was concentrated under reduced pressure (60 mBar) on a rotary evaporator to a final volume of about 20 ml.The concentrated sample was then loaded onto Diaion HP-20 resin (Sigma-Aldrich) and the resin was then washed by 500 ml of water, 500 ml of methanol-water (3:7) and 500 ml of methanol-water (7:3).The oxydifficidin rich cut was then obtained by eluting the resin with 500 ml of methanol.This rich cut was concentrated and absorbed onto DEAE-Sephadex A-25 (Cl -) resin (Sigma-Aldrich).The resin was washed with 250 ml of methanolwater (2:8), 500 ml of methanol-water (9:1), and a rich cut was then obtained by eluting the resin with 100 ml methanol-water (2:8) with 3% ammonium chloride.The rich cut from A-25 resin was then diluted with 300 ml of water and adsorbed onto Amberlite XAD-16N resin (Sigma-Aldrich) and washed successively with 500 ml of water, 250 ml of 0.075 M K2HPO4 (pH 7) and 250 ml of methanol-water (2:8), followed by elution with 100 ml of methanol.This oxydifficidin-containing eluate was diluted with 100 ml of 0.075 M K2HPO4 (pH 7) and applied to a RediSep Rf C18 column (Teledyne ISCO, 100 Å, 20 -40 µm, 300 ± 50 m²/g) with a reverse-phase linear gradient system (5-100% 0.075 M K2HPO4/MeOH, 45 min).Fractions containing oxydifficidin was monitored by anti-N.gonorrhoeae activity and further purified by semipreparative HPLC using a reverse-phase C18 column (Waters,130 Å, 5 µm, 10 mm × 150 mm) with an isocratic system (0.075 M K2HPO4/MeOH (32:68)).The purified oxydifficidin was then desalted by Amberlite XAD-16N resin (Sigma-Aldrich).Electrospray Ionization LC-MS and NMR Analysis LC-high-resolution mass spectrometry (HRMS) data were acquired using a SCIEX ExionLC HPLC system coupled to an X500R QTOF mass spectrometer (The Rockefeller University).The system was equipped with a Phenomenex Kinetex PS C18 100 Å column (150 mm × 2.1 mm, 2.6 µm) and operated with SCIEX OS v.2.1 software.The following chromatographic conditions were used for LC-HRMS: 5% B to 2.0 min; 5 -95% B from 2.0 to 30.0 min; 95% B from 30.0 to 37.0 min; 95 -5% B from 37.0 to 38.0 min; and 5% B from 38.0 to 45.0 min (flow rate of 0.25 ml/min, 3 µl injection volume, A/B: water/acetonitrile, supplemented with 0.1% (v/v) formic acid).Both electrospray ionization modes (ESI) Full HRMS spectra were acquired in the range m/z 100-1000, applying a declustering potential of 80 V, collision energy of 5 V, source temperature of 500 °C and a spray voltage of 5500 V.A maximum of 7 candidate ions from every Full HRMS event were subjected to Q2-MS/MS experiments in the range m/z 60-1000, applying a collision energy of 35 ± 10 V for both ESI modes.Full HRMS and the most intense MS/MS spectra were analyzed with MestReNova software (14.3.0).Nuclear magnetic resonance (NMR) spectra were acquired on a Bruker Avance DMX 800MHz spectrometer equipped with cryogenic probes (New York Structural Biology Center).All spectra were recorded at 298 K in CD3OD -D2O (1:1).Chemical shift values are reported in parts per million (ppm) and referenced to residual solvent signals: 3.31 ppm (1H) and 49.0 ppm (C).Spectra analysis and visualization were carried out in TopSpin (3.6.0) and MestReNova (14.3.0).

Minimum Inhibitory Concentration (MIC) Assay
Neisseria strains were grown on GCB agar plate overnight, cells were collected by a polyester swab tip (Puritan) and resuspended in 1 ml GCB medium followed by a 1 in 5,000-fold dilution.The stock solution of antibiotics was serial diluted 2-fold in a 96-well plate (ThermoFisher Scientific) containing GCB liquid medium, then an equal amount of diluted bacterial culture was added to each well and mixed by pipetting.The plates were incubated at 37 °C with 5% CO2 for 16 hours.E. coli, K. pneumoniae and M. morganii strains were grown at 37 °C in Tryptic Soy Broth (TSB) medium overnight.The stock solution of antibiotics was serial diluted 2-fold in a 96-well plate containing TSB agar medium, then 10 4 cells were spotted on each well.The plates were incubated at 37 °C for 16 hours.The top and bottom rows of plates contained an equal volume of media alone to prevent edge effect.The last column did not contain antibiotic to serve as a control for cell viability.The MIC of antibiotics was determined by visual inspection as the concentration in the well that prevents bacterial growth compared to control wells.The MIC assays were performed in duplicate.

Phylogenetic Tree Building
The phylogenetic trees for bacterial genomes were built using Genome Clustering function with default parameters in MicroScope (38).The bacterial DedA family protein sequences were downloaded from a previous study (39) and aligned using MUSCLE v5 (40) with the "Super5" algorithm.The phylogenetic tree was built using FastTree (41) with the Jones-Taylor-Thornton (default) mode of amino acid evolution.All trees were visualized and edited in iTOL.

Transposon Mutagenesis
Transposon mutagenesis was performed by electroporation using the EZ-Tn5 <KAN-2> Tnp Transposome kit (Lucigen).Briefly, an overnight culture of Bacillus amyloliquefaciens BK was diluted 100 fold in NCM medium (42) and grown at 37 °C on a rotary shaker (200 rpm) until an OD600nm of 0.5.The cell culture was then supplemented with glycine, DL-threonine and Tween 80 at a final concentration of 3.89%, 1.06% and 0.03% respectively, and grown at 37 °C on a rotary shaker (200 rpm) for 1 h.The culture was then cooled on ice for 30 min and collected by centrifugation (4,000 g, 10 min) at 4 °C.The cell pellet was washed three times with ETM(43) buffer.The washed cell pellet was resuspended in 100 μl of ETM buffer containing 0.25 mM KH2PO4 and 0.25 mM K2HPO4 and 1 μl of the EZ-Tn5 transposome was added.The cell mixture was transferred to a 1 mm electroporation cuvette and pulsed using a Gene Pulser Xcell Electroporation System (Bio-Rad) using 2.1 kV/cm, 150 Ω and 36 μF.The mixture was immediately and gently mixed with 1 ml NCM medium containing 0.38 M mannitol and recovered in a round bottom tube (VWR) at 37 °C on a rotary shaker (120 rpm) for 3 h.After recovery, the cells were concentrated by centrifugation and spread on a LB plate with 50 μg/ml kanamycin and incubated at 37 °C overnight and single colonies collected for subsequent analysis.

Mutant development
For natural mutagenesis, single colonies of N. gonorrhoeae cells were swabbed on GCB agar plates and grown at 37 °C with 5% CO2 for 16 hours.The grown cells were collected by polyester swab tip (Puritan) in GCB medium and cell number was calculated by measuring optical density (OD, estimated value of OD 0.7 = 5 x 10 8 CFU (Colony-forming unit)/ml).Cells were then uniformly spread out on GCB agar plate containing 4x MIC of oxydifficidin (1 μg/ml for WT and 8 μg/ml for ∆dedA) and grown at 37 °C with 5% CO2 until mutant colonies are observed.

Mutant construction
For dedA gene deletion, the 3' (Primer: dedA 3' overhang F/R) and 5' (Primer: dedA 5' overhang F/R) overhang regions of N. gonorrhoeae dedA gene and a kanamycin resistance cassette (Primer: kan R (kanamycin resistance) cassette F/R) were amplified using GoTaq master mix (Promega).The fragments were then assembled using NEBuilder HiFi DNA assembly master mix (NEB) to place the cassette sequence positioned in the middle.Transformation of the construct to N. gonorrhoeae was done by using spot transformation protocol (44).For mutant rplL_R76C, the mutated rplL gene including the 3' and 5' overhangs (Primer: rplL_R76C F/R) was amplified using N. gonorrhoeae MS11 ∆dedA rplL_R76C as the PCR template.Another construct incorporating a kanamycin resistance cassette with the 3' (Primer: trpB-lga 3' overhang F/R) and 5' (Primer: trpB-lga 5' overhang F/R) overhangs from locus 272,353 bp (trpB-lga) of N. gonorrhoeae WT genome was assembled using HiFi assembly.These 2 constructs were co-transformed(45) into N. gonorrhoeae WT cells.The sequence verification was carried out using Sanger sequencing services provided by Genewiz.

Genomic Sequencing and Mutational Analysis
Genomic DNA from Neisseria WT and resistance mutants was isolated using PureLink Microbiome DNA purification kit (Invitrogen) according to manufacturer's instructions.The whole-genome sequencing was performed by a MiSeq Reagent Kit v3 using Illumina MiSeq system following manufacturer's instructions.Genomes were assembled and mapped using corresponding reference genomes.The single nucleotide polymorphism (SNP) was detected by aligning the mutant's sequencing reads to the genomic sequence of the WT strain.Time Dependent Killing Assay N. gonorrhoeae cells were grown on a GCB agar plate at 37 °C with 5% CO2 for 16 hours and the overnight cells were normalized to ~10 5 CFU/ml with GCB medium in a 14 ml round-bottom tube (VWR).The normalized cell culture was supplemented with 8x MIC of oxydifficidin (2 μg/ml for WT and 16 μg/ml for ∆DedA) and incubated at 37 °C with 5% on a rotary shaker (200 rpm).100 μl of the culture was collected and mixed thoroughly into 10 ml of GCB medium at 5 min, 10 min, and 30 min respectively, then 200 μl of the diluted culture was spread on an GCB agar plate and grown at 37 °C with 5% CO2 overnight.Colonies were counted the following day.The killing assays were done in triplicate.

Cell Lysis assay
The cell lysis assay was conducted using SYTOX green (Invitrogen) following manufacturer's instructions.Briefly, 1 ml of cell suspension in Live Cell Imaging Solution at OD 0.7 was stained by adding 0.4 μl of 5 mM SYTOX solution and incubated in the dark at RT for 5 min.Subsequently, 30 μl of the stained culture was added into a 384-well Flat Clear Bottom Black plate (Corning) and the fluorescence signal was recorded by an Infinite M NANO + (TECAN) with Excitation/Emission = 488/523 nm.The interval time was set to 7 s.Once the signal reached equilibrium, 30 μl of antibiotics diluted in Live Cell Imaging Solution at 16x MIC was added to the culture and mixed thoroughly.The fluorescence signal monitoring was then continued for 1 h.The cell lysis assays were done in triplicate.

Cell Depolarization assay
The cell depolarization assay was conducted using DiSC3( 5) dye (Invitrogen) following manufacturer's instructions.Briefly, 1 ml of cell suspension in Live Cell Imaging Solution at OD 0.7 was stained by adding 1 μl of 2 mM SYTOX solution and incubated in the dark at RT for 15 min.Then, 30 μl of the stained culture was added into a 384-well Flat Clear Bottom Black plate (Corning) and the fluorescence signal was recorded by an Infinite M NANO + (TECAN) with Excitation/Emission = 622/675 nm.The the number of green cells to red cells.Boiled cells were served as the negative control.The killing assays were done in 10 replicates.Microcolony Formation Assay 100 μl of cell suspension at OD 0.7 were added to 1 ml of fresh GCB medium in a 6-well plate (VWR) and incubated at 37 °C with 5% CO2 for 3 hours.Pictures were then taken using a 20x objective (Nikon).SEM of Neisseria gonorrhoeae 30 μl of cell suspension at OD 0.7 was spotted onto 12 mm glass or Aclar film round coverslips coated with 0.1% Poly-lysin.A drop of fixative (100 μl of 2% glutaraldehyde, 4% formaldehyde in 0.1 M sodium cacodylate buffer pH 7.2) was added on top of the coverslip for 30 min.Additional fixative was then added to the dish containing the coverslips and left it in the fridge overnight.Samples were gently washed three times with buffer for 5 -10 min each time and postfixed with osmium tetroxide 1% in 0.1 M sodium cacodylate buffer pH 7.2 for 1 hour at RT.After rinsing three times with buffer, samples were dehydrated in a graded series of ethanol concentrations 30%, 50%, 70%, 90% for 10 min each and three times in 100% ethanol with molecular sieves for 15 min each and critical point dried in a Tousimis Autosamdri 931.Samples were coated with 10 nm of iridium using a Leica ACE600 sputter coater.Imaging was done in a JEOL JSM-IT500HR at 5.0 kV.

Statistical Analysis
Statistical analysis was performed using Prism 10 (GraphPad).Group data are presented as means with SEM.The significance was determined using One-way ANOVA (and nonparametric or mixed).P values less than 0.05 were considered significant.

Figure 1 .
Figures and Tables

Fig. S1 .
Fig. S1.Mutagenesis results of oxydifficidin-producing Bacillus spp.a. Genome-based phylogenetic tree containing Bacillus amyloliquefaciens BK and closely related Bacillus spp..The tree was built using Genome Clustering of MicroScope.b.Disc diffusion assay of a methanol extract from cultures of WT Bacillus amyloliquefaciens BK (WT) and a Tn5 mutant.The test lawn was N. gonorrhoeae.The table shows all transposon insertion sites in the Tn5 mutant strain.The Tn5 also contains a frame-shift mutation in the difF gene.The red box highlights the location of frame-shift mutation in the oxydifficidin BGC.c. Disc diffusion assay of a methanol extract from cultures of WT and BGC knockout strains of Bacillus amyloliquefaciens FZB42.The test lawn was N. gonorrhoeae.Strain genotypes are shown in the table.Red arrow indicates that only strain 10A15 no longer produce the anti-N.gonorrhoeae compound.

Fig. S2 .
Fig. S2.Phylogenetic tree of 15,825 bacterial DedA family proteins.The tree was built by MUSCLE v5 and FastTree and visualized using iTOL.N. gonorrhoeae NGFG_RS04905 highlighted in red represents the DedA gene associated with the activity of oxydifficidin.N. gonorrhoeae NGFG_RS07420 and N. gonorrhoeae NGFG_RS00755 represents 2 other DedA family proteins in N. gonorrhoeae.

Fig. S3 .
Fig. S3.Oxydifficidin does not lyse or depolarize the membrane of N. gonorrhoeae.a. Lysis assay using SYTOX green dye and 8x the MIC of each antibiotic.b.Depolarization assay using DiSC3(5) dye and 8x the MIC of each antibiotic.c.Lysis assay using SYTOX green dye with 100x the MIC of oxydifficidin and 32x the MIC of nisin.d.Depolarization assay using DiSC3(5) dye with 100x the MIC of oxydifficidin and the 32x the MIC of melittin.(n = 3 for all assays)

Table 1 .
Susceptibilities of N. gonorrhoeae to antibiotics.

Table 2 .
Activity of antibiotics against N. gonorrhoeae rplL mutant.