A novel bacteriophage Tail-Associated Muralytic Enzyme (TAME) from Phage K and its development into a potent antistaphylococcal protein

Background Staphylococcus aureus is a major cause of nosocomial and community-acquired infections. However, the rapid emergence of antibiotic resistance limits the choice of therapeutic options for treating infections caused by this organism. Muralytic enzymes from bacteriophages have recently gained attention for their potential as antibacterial agents against antibiotic-resistant gram-positive organisms. Phage K is a polyvalent virulent phage of the Myoviridae family that is active against many Staphylococcus species. Results We identified a phage K gene, designated orf56, as encoding the phage tail-associated muralytic enzyme (TAME). The gene product (ORF56) contains a C-terminal domain corresponding to cysteine, histidine-dependent amidohydrolase/peptidase (CHAP), which demonstrated muralytic activity on a staphylococcal cell wall substrate and was lethal to S. aureus cells. We constructed N-terminal truncated forms of ORF56 and arrived at a 16-kDa protein (Lys16) that retained antistaphylococcal activity. We then generated a chimeric gene construct encoding Lys16 and a staphylococcal cell wall-binding SH3b domain. This chimeric protein (P128) showed potent antistaphylococcal activity on global clinical isolates of S. aureus including methicillin-resistant strains. In addition, P128 was effective in decolonizing rat nares of S. aureus USA300 in an experimental model. Conclusions We identified a phage K gene that encodes a protein associated with the phage tail structure. The muralytic activity of the phage K TAME was localized to the C-terminal CHAP domain. This potent antistaphylococcal TAME was combined with an efficient Staphylococcus-specific cell-wall targeting domain SH3b, resulting in the chimeric protein P128. This protein shows bactericidal activity against globally prevalent antibiotic resistant clinical isolates of S. aureus and against the genus Staphylococcus in general. In vivo, P128 was efficacious against methicillin-resistant S. aureus in a rat nasal colonization model.


Background
Peptidoglycan-degrading enzymes or murein hydrolases have the ability to digest bacterial cell walls. Such enzymes from bacteriophages represent a unique class of antibacterial agents because of their ability to cleave bacterial peptidoglycan in a species-specific or genusspecific manner. Thus, they provide a means to selectively target pathogens [1][2][3].
At the end of the bacteriophage infection process, progeny are released from the host cell by lysis, which is mediated by two phage-encoded gene products, endolysins and holins [4]. Holins are transmembrane proteins that create lesions in the cytoplasmic membrane through which peptidoglycan-degrading enzymes (endolysins) gain access to the peptidoglycan layer [4,5]. Bacteriophages encode another peptidoglycan-degrading enzyme involved in the initial stages of infection that facilitates phage DNA injection into the host cell. These proteins, which are distinct from endolysins, aid in the rapid lysis of host cells by a phenomenon referred to as "lysis from without" upon infection with high multiplicities of phage [6]. Enzymes involved in DNA injection are an integral component of the virion structure of many phages [7][8][9].
S. aureus is an important human pathogen responsible for a wide variety of diseases and is a common cause of nosocomial and community-acquired infections. The emergence of antibiotic-resistant S. aureus strains underscores the need to develop alternate novel therapies [16][17][18][19]. In this context, we evaluated phage K, a known polyvalent phage with a broad host range that includes coagulase-positive and coagulase-negative staphylococci [20,21].
We report here the identification of the phage tailassociated muralytic enzyme (TAME) of phage K (PCT publication no. WO2007/130655: publication date November 15, 2007) [22] and generation of a chimeric protein that combines the lethal activity of TAME with the SH3b staphylococcal cell wall-binding domain of lysostaphin [23]. We demonstrated the efficacy of this chimeric protein in vivo using a rat nasal colonization model. Some of these findings were presented at the 2009 Madison Molecular Genetics of Bacteria and Bacteriophage meeting at the University of Wisconsin [24].

Methods
Bacterial strains, bacteriophages, plasmids, and growth conditions All bacterial strains used in this study are listed in two tables (additional file 1, Table S1, additional file 2, Table  S2). Cell culture media were obtained from HiMedia labs (India). Phage K was obtained from the National Collection of Type Culture (NC07814-02) and propagated on S. aureus RN4220 [25]. The methicillin-resistant S. aureus (MRSA) strain B911 was used for bactericidal activity assays, and RN4220 was used for zymograms.Plasmid pET21a (Novagen, USA) was used for cloning and the constructs were expressed under the control of a T7 promoter. Plasmid pRG5 (ATCC) carrying full-length lysostaphin was used as a template for amplifying the SH3b domain. All cultures were grown in Luria Bertani (LB) broth at 37°C, 200 rpm. Ampicillin (100 μg/ml) or isopropyl β-D-1-thiogalactopyranoside (IPTG, 1 mM) were added to the cultures as needed. All reagents used in this study were purchased from Sigma (USA) unless otherwise stated.

Sequence analysis and Identification of TAME
The DNA sequence of phage K was obtained from the National Center for Biotechnology Information (NCBI) [GenBank: AY176327] [26]. Database searches were performed using BLASTN and BLASTP [27]http://www. ncbi.nlm.nih.gov. Domain identification and protein family allocation was performed with the Pfam database [28]http://pfam.sanger.ac.uk/ and the Conserved Domain Architecture Retrieval Tool [29]http://www.ncbi.nlm.nih. gov/Structure/lexington/lexington.cgi using the default parameters.
Cloning of orf56 and its truncated forms Phage K DNA was prepared as previously described [26]. All DNA manipulations were performed according to the methods of Sambrook and Russell [30]. Briefly, the full-length orf56 gene was amplified from phage K DNA by polymerase chain reaction (PCR) using a forward primer containing a unique NdeI site: 5'-CCGGAATTCCATATGCGTAGAATAAGACCTAAG-3' and a reverse primer incorporating an XhoI site: 5'-CCGCCGCTCGAGTTATTTCTTATCGTAAATGAA TTGTGC-3'. Amplification was carried out using a Smart Cycler (BioRad, USA). The 2427-bp PCR product was gel-purified (GenElute™ gel extraction kit, Sigma, USA) and then digested with NdeI and XhoI. After gel purification, the DNA sequence was ligated into the pET21a vector. Escherichia coli DH5α cells were transformed with the ligation mixture, and transformants were selected on LB plates containing 100 μg/ml ampicillin. Plasmids (clones) were isolated from the transformants, screened by NdeI/XhoI digestion, and sequenced. The plasmid containing the full-length orf56 was designated as pGMB617. Truncated forms of orf56 were generated by PCR amplification using sets of primers for specific regions and cloned into the pET21a vector. Clone integrity was verified by restriction analysis and DNA sequencing.

Construction of chimera P128
The DNA fragment encoding Lys16, excluding the stop codon, was PCR-amplified incorporating an NdeI site in the forward primer and XhoI site in the reverse primer. The fragment was cloned into the pET21a vector to generate pGDC108. The SH3b binding domain of lysostaphin was PCR-amplified from the plasmid pRG5 with XhoI restriction sites in both primers: forward primer 5'-CCGCCGCTCGAGACGCCGAATACAGGTTGGA AAACAAAC-3' and reverse primer 5'-CCGCCG CTCGAGTCACTTTATAGTTCCCCAAAGAAC-3'. The 300-bp PCR product was then cloned into pGDC108 to generate pGDC128. Transcription of the chimeric gene Lys16-SH3b in pGDC128 was driven by the T7 promoter.

Protein expression and purification
The highly inducible T7 expression system of E. coli was used for hyperexpression of the target proteins. E. coli ER2566 (NEB Inc, MA, USA) harboring the different constructs was grown in LB at 37°C until absorbance at 600 nm (A 600 ) reached 0.8, as determined by spectrophotometry (BioRad, CA, USA). Protein expression was induced by incubation with 1 mM IPTG at 37°C for 4 h. Cells were harvested by centrifugation at 7500 × g for 10 min, resuspended in 25 mM Tris-HCl (pH 7.5), and disrupted by ultrasonication. The cell lysate soluble and insoluble fractions were separated by centrifugation at 11000 × g for 15 min, and protein expression was analyzed by 12% polyacrylamide gel electrophoresis (PAGE). A crude soluble fraction containing the protein of interest was used for zymogram analysis and the bactericidal activity assay. After ammonium sulphate precipitation, soluble P128 was purified by two-step ion-exchange chromatography.

Zymogram
Denaturing SDS-PAGE (Sodium Dodecyl Sulfate -Polyacrylamide Gel Electrophoresis) and zymograms were performed as previously described [31]. Briefly, muralytic activity was detected by separating protein samples by 12% SDS-PAGE on gels containing 0.2% of autoclaved S. aureus RN4220 cells. After electrophoresis, the zymograms were washed for 30 min with distilled water at room temperature, transferred to a buffer containing 25 mM Tris-HCl (pH 7.5) and 0.1% Triton X-100, and incubated for 16 h at 37°C for in situ protein renaturation. The zymograms were rinsed with distilled water, stained with 0.1% methylene blue and 0.001% KOH for 2 h at room temperature, and then destained with distilled water. Peptidoglycan hydrolase activity was detected as a clear zone against the dark blue background of methylene blue.

Electron microscopy
Phage K particles were purified by CsCl density-gradient ultracentrifugation. Immunoelectron microscopy was performed by incubating approximately 5 × 10 8 phage particles with Lys16 antibodies conjugated to 10-nm gold particles (1:100) at room temperature overnight. The 1-ml samples were briefly centrifuged at 16000 × g, and the supernatant was collected and centrifuged at 16000 × g for 150 min. The resulting pellet was resuspended in 25 mM Tris-HCl (pH 7.5). A 20-μl aliquot of this sample was loaded onto Formvar-coated grids (TAAB Laboratories Equipment Ltd, UK) and dried. The grids were stained with 1% phosphotungstic acid and observed by transmission electron microscopy (Tecnai G 2 Spirit).

Bactericidal activity assay
Bactericidal activity was assessed by measuring reduction in viable cells (CFU) after addition of P128 protein.
The method is a modified version of the National Committee on Clinical Laboratory Standards assay used for determination of Minimum Bactericidal concentration [32]. Briefly, the MRSA clinical isolate B911 was grown in LB broth until A 600 reached 1.0, and then an aliquot was diluted in LB broth to obtain 1 × 10 8 cells/ml. Aliquots (100 μl) were transferred to 1.5-ml microfuge tubes, treated with 100 μl crude or purified protein, and incubated at 37°C for 60 min at 200 rpm. Unless otherwise indicated, bactericidal activity was always performed using 10 μg/ml of P128. Residual viable cells were enumerated as colony-forming units (CFUs) by serial dilution and plating on LB agar plates.

Turbidity reduction assay
Exponentially growing cells were harvested and resuspended in 25 mM Tris-HCl (pH 7.5). For gram-negative cultures, cells were pelleted, resuspended in CHCl 3saturated 50 mM Tris-HCl (pH 7.5), incubated for 45 min to expose the peptidoglycan layer, and then centrifuged at 3000 × g. The resulting pellet was resuspended in 25 mM Tris-HCl (pH 7.5), and the concentration was adjusted to about A 600 of 0.8 for use as substrate for the assay. Purified P128 (50 μg/ml) was added, and A 600 was determined at different time points (total assay volume 1 ml).
In vivo efficacy of P128 in a rat nasal colonization model

Evaluation of commensal nasal flora
The commensal nasal flora of the rats was evaluated by nasal swabbing. Rat nares were swabbed by gentle insertion and withdrawal of a sterile Microbrush×(Microbrush ® International), which was moistened with sterile 0.85% NaCl. The swab portions of the Microbrush were cut and then completely immersed in 0.85% NaCl (150 μl) in microfuge tubes. Tubes were thoroughly vortexed, and the supernatant was diluted as needed and plated on agar containing 5% sheep blood. Staphylococcus colonies were identified based on morphology, biochemical tests and also analyzed using the HiStaph™ Identification kit (HiMedia). An S. aureus-specific enzyme-linked immunosorbent assay (ELISA) was used for confirmation.
Rats were grouped and anaesthetized by intraperitoneal injection of ketamine (90 mg/kg body weight) and xylazine (9 mg/kg body weight). A 10-μl aliquot of S. aureus cell suspension was instilled into the nares of all animals on day 1. After 24 h, twice daily intranasal treatments to anaesthetized rats were initiated according to treatment group: P128 formulated as a hydrogel (50 mg/dose containing 100 μg P128), placebo gel that contained phosphate buffered saline in place of the protein, or Bactroban Nasal (30 mg/dose, 2% mupirocin ointment, GlaxoSmithKline). On day 3, the rats were euthanized by anesthetic overdose. The nasal tissue (except for the skin around the nares) was removed and processed for quantitative evaluation of colonization as described previously [33,34]. Aliquots of the supernatant (diluted as needed) were plated on nutrient agar containing 5% sheep blood and incubated overnight at 37°C . The S. aureus USA300 colonies were enumerated by tentative identification of hemolytic phenotype. Representative colonies from each USA300-positive animal were then purified on LB agar for biochemical characterization and confirmation by ELISA.

Confirmation of S. aureus by ELISA
Purified colonies were suspended in 0.05 M carbonatebicarbonate buffer (pH 9.6) to a cell density of about 1 × 10 9 cells/mL. A 200-μL aliquot of this cell suspension was used to coat 96-well plates and incubated overnight at 4°C. The wells were washed with Tris buffered saline with 0.1% Tween20 (TBST) and blocked with 1% bovine serum albumin (200 μL) in TBST for 1 h at 37°C. After repeated washes with TBST, rabbit polyclonal anti-RN4220 antiserum (100 μL, 1:20000) was added, and plates were incubated for 1 h at 37°C. The wells were washed again with TBST before adding alkaline phosphatase-labeled goat anti-rabbit antibody (100 μl, 1:5000). Plates were incubated for 1 h at 37°C. After washing the wells, the substrate p-nitro phenyl phosphate (100 μL) was added, the plates were incubated for 40 min, and absorbance at 405 nm was determined.

Identification of TAME of phage K
Our bioinformatics analysis indicated that phageK harbors two genes involved in host cell wall lysis. In addition to the endolysin gene in the lysis cassette encoded by open reading frames (orfs) 30/32 [26], we found another gene (orf56) encoding a muralytic enzyme near the genes encoding structural tail proteins (Figure 1). Orf56 codes for a 91.2-kDa protein of 808 amino acids that possesses a C-terminal peptidoglycan-degrading domain (amino acids 678-808). We assigned this domain to the cysteine, histidine-dependent amidohydrolase/ peptidase (CHAP) family through bioinformatic analysis (additional file 3, Figure S1) based on the reported characteristics of this domain [35].
Protein expression and activity of ORF56 and its Nterminal truncated forms CHAP domain-containing proteins have been reported to be lytic to staphylococci [36]. Incubating 100 μl crude preparation of ORF56 with 1 × 10 7 cells of MRSA clinical isolate B911 for 60 min reduced CFUs by 90% compared with the control, demonstrating its bactericidal activity against S. aureus (additional file 4, Figure S2).
To determine the function of ORF56, we cloned and expressed the full-length (2427-bp) orf56 gene. This yielded a 91-kDa protein as well as lower molecularweight proteins, all of which showed muralytic activity on zymograms. This observation led us to generate truncated forms of ORF56 (57, 50, 23, 19, 16, and 13 kDa) (Figure 2a), all of which showed muralytic activity on zymograms and bactericidal activity against live Staphylococcus cells, except for the 13-kDa form, which was active only on zymograms (data not shown). The truncated 16-kDa ORF56, designated as Lys16 (Figure 2b), which showed cell wall-degrading activity on zymogram ( Figure  2c) and lethal activity in S. aureus cultures (Figure 2d), was chosen for further characterization and development.

Confirmation of ORF56 as TAME
Immunogold electron microscopy was used to confirm that ORF56 is a part of the phage structure. We purified phage K by CsCl density gradient centrifugation and incubated phage particles with immunogold-labeled antibodies directed against Lys16. The gold-conjugated Lys16 antibody bound to the phage tail structure. This binding was confirmed to be specific (Figure 3).

Antistaphylococcal chimeric protein P128
We combined the muralytic protein Lys16 with SH3b [23], the staphylococcal cell wall-binding domain of  lysostaphin, to generate the chimeric protein P128 (Figure 4). The cloned sequence was verified, and the chimeric construct yielded a protein of about 27 kDa. The soluble form of P128 was produced in E. coli and purified (> 95%). This protein showed muralytic activity on a zymogram with S. aureus cells (Figure 5a, b).
The bactericidal activity of Lys16 and P128 was compared by treating cells with varying concentrations of the protein and enumerating residual CFUs. P128 demonstrated superior antistaphylococcal activity compared with Lys16. At 750 ng/ml, P128 reduced viable cell numbers by three orders of magnitude. Lys16 did not achieve comparable activity, even at 100-fold higher concentration (Figure 5c).

Specificity of P128 and dose-dependent activity
Purified P128 (50 μg/mL) was tested then for activity against Escherichia coli, Enterococcus faecalis, Sterptococcus pyogenes, Staphylococcus epidermidis Klebsiella pneumoniae, Pseudomonas aeruginosa, Staphylococcus carnosus, Staphylococcus aureus COL, and Staphylococcus aureus USA300. P128 was specific to Staphylococcus strains and caused significant reduction in the turbidity of the cultures, measured by optical density at 600 nm (A 600 ). The cultures lysed within 15 minutes of addition of the protein. In contrast, the gram-negative cultures tested were not affected by P128 (Figure 6a).
The bactericidal activity of P128 against Staphylococcus strains was dose-dependent.
The minimum concentration of P128 required achieve > 99.9% killing was determined by a bactericidal activity assay with the MRSA COL strain. We found that concentrations ≥ 2.5 μg/mL killed > 99.9% of the cells (Figure 6b).

Activity against global panel of S. aureus strains
To further characterize P128, its antimicrobial activity was tested on a panel of typed S. aureus strains, representing more than 3000 isolates worldwide. This panel included several MRSA strains and the clinically significant strains USA100, USA300, and USA400 (see additional file 1, Table S1). P128 reduced the cell numbers  of these strains by 99% to 99.99%, demonstrating its efficacy against isolates of clinical significance (Figure 7).

Experimental colonization of rat nares
Before initiating MRSA colonization, we evaluated the commensal bacterial flora of the rat nares in several experiments. In these Wistar rats, we found Staphylococcus strains including S. sciuri subsp. rodentium, S. chromogenes, and S. equorum; however, S. aureus was not detected (data not shown). Multiple experiments were performed using a total of 50 rats to establish the rate and the degree of colonization of MRSA USA300 on day 3 after instillation. Overall, 47 of 50 animals (94%) were colonized, and the median CFU recovered from the colonized animals was 2 × 10 4 (additional file 5, Table S3).

Evaluation of P128 efficacy in vivo
At the time of treatment, one death had occurred in each of the placebo and P128 treatment groups. In the remaining rats, P128 hydrogel was found to completely decolonize four of nine (44.4%) animals (Table 1). Median CFU numbers recovered in the P128 hydrogel-treated group was two orders of magnitude lower than those of the other groups. All animals in the colonization control group and the groups treated with placebo or mupirocin remained colonized, as demonstrated by the large number of recoverable bacteria (Figure 8). To our knowledge, this is the first demonstration of efficacy against mupirocin-resistant community-associated MRSA USA300 in a nasal colonization model.

Discussion
There has been considerable interest in phage endolysins as potential therapeutic targets. These cell walldegrading enzymes play a role in releasing phage progeny at the end of the phage replication cycle. However, in this study we focused on enzymes capable of similar cell wall-degrading activity. These proteins are present as part of phage structure and are involved in the initial phase of phage infection. Phage tail-like bacteriocins produced by many Pseudomonas strains [37,38] kill other Pseudomonas strains by adsorbing to them and causing a fatal lesion in the cell envelope [39]. Both bacteriophages and phage-tail-like bacteriocins exert their lethal activity using a structural component. Structurally associated muralytic enzymes of phages have been identified at the base of the tail (e.g., T4 phage), within the phage head (e.g., T7 phage), in the internal membrane of the capsid (e.g., PRD1), or in the nucleocapsid (e.g., Phi6). The localization of the enzyme is associated with the distinct mode of cell entry used by each phage. Considering that TAMEs are part of the infection apparatus, they have a direct role in the specificity of phage-host interaction. These proteins are constantly exposed to environments encountered by the phage, suggesting that they are inherently stable. Phage TAMEs would therefore be generally well suited for antibacterial therapy. The focus of our study is such a structural protein, phage K TAME, which possesses bactericidal properties.
In this study, we identified a gene (orf56) within the structural module of the staphylococcal phage K genome that codes for a muralytic protein. We also carried out functional analysis of the gene product, which we designated as a TAME. The orf56 sequence is located in the tail gene cluster of the phage genome and shows significant sequence similarity with putative tail lysins of other phages of gram-positive bacteria. The catalytic region that confers bactericidal activity to ORF56 is localized to the C-terminal CHAP domain.
We generated truncated versions of ORF56 by PCRamplifying specific lengths of orf56 gene followed by cloning and expression. Zymogram analysis showed that the truncated forms of ORF56 were active against S. aureus peptidoglycan. Through this analysis, we identified the 16-kDa C-terminal region as the minimum portion of ORF56 required for bactericidal activity. This 16-kDa protein (Lys16) containing the CHAP domain was purified and found to be stable. Adding 100 μg/ml purified Lys16 to MRSA clinical isolates reduced cell numbers by 99.9%, demonstrating its antibacterial property ( Figure 2). Using antibodies against Lys 16, we were able to localize the protein on the phage tail structure. CHAP domains are present in a wide variety of proteins, including phage endolysins, bacterial autolysins, and various eukaryotic proteins. Most proteins that contain a CHAP domain function are peptidoglycan hydrolases Figure 6 Specificity and dose-dependent bactericidal activity of P128. (a) P128 (50 μg/ml) was tested on log phase cells of gram positive and gram negative bacterial species by the turbidity reduction assay. P128 showed activity only against Staphylococcus species, which lysed rapidly after addition of the protein. No activity was observed against gram-negative bacteria or the other gram-positive bacteria tested. (b) The bactericidal effects of P128 are dose-dependent and 0.5 μg/ml was sufficient to reduce viable cell numbers by 90%. Reduction in viable cell numbers of over three orders of magnitude was observed in the concentration range of 2.5 -25 μg/ml. and are associated with amidases [35,40]. No other known domains were identified in ORF56. Like the tailassociated lysin Tal2009, ORF56 undergoes autoproteolysis upon hyperexpression in an E. coli host [41].
Phage-encoded lytic enzymes typically have a modular organization consisting of a catalytic domain that degrades the peptidoglycan and a binding domain that recognizes the cell wall of the target bacterium [42]. However, no cell wall-binding domain could be identified in ORF56. NCBI BLAST [27] and Pfam [28] databases were used to compare cell wall targeting/binding domains of various Staphylococcus spp and their phages to select a suitable domain that could be fused to Lys16.
Our objective was to generate a chimeric protein with high specificity of target recognition and potent antistaphylococcal activity. To this end, we combined the muralytic activity of Lys16 with the known specific bacterial cell wall-binding SH3b domain from lysostaphin [23]. The chimeric protein P128 displayed higher activity than Lys16 and was found to be potent against S. aureus (Figure 4).
P128 was effective on a panel of MRSA and methicillin-sensitive S. aureus clinical isolates representing more than 3,000 isolates ( Figure 7). In addition, we demonstrated the in vivo efficacy of P128 in a rat S. aureus nasal colonization model (Figure 8). We chose this model because growing evidence points to nasal carriage as the source of S. aureus infections in various clinical and community settings [43][44][45]. Although topical mupirocin is effective in clearing nasal S. aureus and reducing the incidence of infection, mupirocin resistance is limiting its preventative and therapeutic use [46,47]. In our study, we used USA300, which is a communityacquired mupirocin-resistant MRSA strain of high clinical significance [48]. To our knowledge, this is the first report of USA300 use in a nasal colonization model. P128 applied to rat nares in the form of an aqueous gel  P128 hydrogel 5/9 (55.5) 5 × 10 0 -7.5 × 10 3 Bactroban Nasal 10/10 (100) 1.5 × 10 3 -2.53 × 10 4 Figure 8 Evaluation of P128 in vivo efficacy. The median CFU number recovered in the P128 hydrogel-treated group was two orders of magnitude lower than that of the other groups.
either decolonized the nares of USA300 completely or significantly reduced cell numbers. Thus, P128 is a novel chimeric protein with potent antistaphylococcal activity and warrants further development for therapeutic use.

Conclusions
We report the development of a novel chimeric antistaphylococcal protein derived from phage K. The phage K gene, designated orf56 and encoding a TAME, was identified within the morphogenetic module of the phage genome. The 91-kDa gene product (ORF56) contained a sequence corresponding to the CHAP domain at the Cterminus. We cloned and expressed several N-terminal truncated forms of the orf56 gene to arrive at the smallest portion of the protein essential for antistaphylococcal activity. This 16-kDa protein (Lys16) was fused with an efficient staphylococcal cell-wall targeting domain (SH3b) derived from the bacterial protein lysostaphin to create the chimeric protein P128. P128 shows specific activity against Staphylococci and lethal effects against S. aureus isolates of clinical significance and global representation. We tested the protein in an experimental nasal colonization model using MRSA USA300 and found it effective in decolonizing S. aureus in rat nares. Taken together, our findings show that P128 is a promising therapeutic protein candidate against antibiotic-resistant Staphylococci.