Virulence and cellular interactions of Burkholderia multivorans in chronic granulomatous disease

Adrian M Zelazny1, Li Ding, Houda Z Elloumi

  • 1Microbiology Service, Department of Laboratory Medicine, National Institutes of Health, 10 Center Dr., Bethesda, MD 20892, USA. azelazny@mail.nih.gov

Insights

Chronic granulomatous disease (CGD) patients show increased susceptibility to Burkholderia multivorans infections. Specific CGD isolates exhibit enhanced virulence and inflammatory responses in CGD patients and mouse models.

Area of Science:

  • Immunology
  • Microbiology
  • Infectious Diseases

Background:

  • Chronic granulomatous disease (CGD) impairs phagocyte function, increasing susceptibility to infections.
  • The Burkholderia cepacia complex, including Burkholderia multivorans, poses a significant threat to CGD patients.
  • Understanding host-pathogen interactions is crucial for managing CGD-related infections.

Purpose of the Study:

  • To compare the interaction of different Burkholderia multivorans strains with leukocytes from CGD patients and healthy donors.
  • To investigate the virulence and cytokine induction of B. multivorans strains in a CGD mouse model.
  • To elucidate the mechanisms underlying CGD patient susceptibility to specific pathogens.

Main Methods:

  • Leukocyte association and invasion assays using CGD and healthy donor cells.
  • Cytokine induction analysis (interleukin-1beta) upon bacterial challenge.
  • In vivo virulence assessment in a mouse model of CGD.

Main Results:

  • B. multivorans strains showed significantly higher cell association and invasion with CGD patient leukocytes compared to healthy donor cells.
  • A CGD isolate (CGD1) demonstrated greater virulence and higher splenic bacterial loads in CGD mice than an environmental isolate (Env1).
  • Higher levels of interleukin-1beta were observed in CGD1-infected mice, correlating with increased bacterial burden.

Conclusions:

  • CGD patient leukocytes exhibit enhanced interaction with B. multivorans, contributing to increased susceptibility.
  • Specific B. multivorans strains possess enhanced virulence factors that are particularly detrimental in the context of CGD.
  • These findings highlight the pathogen-specific nature of CGD susceptibility and inform potential therapeutic strategies.

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