The indirect pathogenicity of Stenotrophomonas maltophilia

Daisuke Kataoka1, Hiromitsu Fujiwara, Tomoko Kawakami

  • 1Department of Microbiology and Pathology, Faculty of Medicine, Tottori University, 86 Nishi-cho, Yonago 683-8503, Japan. dkataoka@grape.med.tottori-u.ac.jp

Insights

Stenotrophomonas maltophilia releases beta-lactamases that promote the growth of other bacteria, even with antibiotics. This highlights a critical gap in chemotherapy against this indirect pathogen.

Area of Science:

  • Microbiology
  • Antimicrobial Resistance
  • Pathogenesis

Background:

  • Stenotrophomonas maltophilia possesses inducible beta-lactamases (L1 and L2) capable of hydrolyzing most beta-lactam antimicrobials.
  • The indirect pathogenic potential of S. maltophilia in co-infections remains incompletely understood.

Purpose of the Study:

  • To investigate the indirect pathogenicity of S. maltophilia.
  • To determine if S. maltophilia promotes the growth of susceptible bacteria in mixed cultures under antibiotic pressure.

Main Methods:

  • Bacterial growth was assessed by counting colony-forming units (CFU).
  • Cultures included pure and mixed setups with S. maltophilia and beta-lactam-susceptible bacteria (Serratia marcescens, Pseudomonas aeruginosa).
  • Antibiotic agents imipenem and ceftazidime were supplemented to assess their efficacy in preventing growth.

Main Results:

  • Beta-lactamase leakage from S. maltophilia was observed.
  • This leakage facilitated the growth of Serratia marcescens and Pseudomonas aeruginosa.
  • Growth promotion occurred even when imipenem or ceftazidime was present.

Conclusions:

  • S. maltophilia exhibits indirect pathogenicity by enabling the survival and growth of other bacteria.
  • Beta-lactamase activity is a key mechanism for this indirect effect.
  • This finding reveals a significant limitation in current chemotherapy strategies against S. maltophilia infections.

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