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Pulmonary infection by Yersinia pestis rapidly establishes a permissive environment for microbial proliferation
Paul A Price1, Jianping Jin, William E Goldman
1Department of Microbiology and Immunology, School of Medicine, University of North Carolina, Chapel Hill, NC 27599, USA.
Abstract:
Disease progression of primary pneumonic plague is biphasic, consisting of a preinflammatory and a proinflammatory phase. During the long preinflammatory phase, bacteria replicate to high levels, seemingly uninhibited by normal pulmonary defenses. In a coinfection model of pneumonic plague, it appears that Yersinia pestis quickly creates a localized, dominant anti-inflammatory state that allows for the survival and rapid growth of both itself and normally avirulent organisms. Yersinia pseudotuberculosis, the relatively recent progenitor of Y. pestis, shows no similar trans-complementation effect, which is unprecedented among other respiratory pathogens. We demonstrate that the effectors secreted by the Ysc type III secretion system are necessary but not sufficient to mediate this apparent immunosuppression. Even an unbiased negative selection screen using a vast pool of Y. pestis mutants revealed no selection against any known virulence genes, demonstrating the transformation of the lung from a highly restrictive to a generally permissive environment during the preinflammatory phase of pneumonic plague.
Insights
Yersinia pestis manipulates the lung environment, creating an anti-inflammatory state during pneumonic plague. This allows rapid bacterial growth and immune suppression, transforming the lung into a permissive environment.
Area of Science:
- Microbiology
- Immunology
- Pathogen-host interactions
Background:
- Pneumonic plague, caused by Yersinia pestis, exhibits biphasic disease progression with distinct preinflammatory and proinflammatory phases.
- During the preinflammatory phase, Y. pestis replicates extensively, evading pulmonary defenses.
- The mechanisms underlying Y. pestis-mediated immune evasion during the early stages of infection are not fully understood.
Purpose of the Study:
- To investigate the mechanisms by which Yersinia pestis establishes an immunosuppressive environment during the preinflammatory phase of pneumonic plague.
- To determine the role of the Ysc type III secretion system in Y. pestis-induced immune modulation.
- To identify bacterial factors contributing to the transformation of the lung into a permissive environment for pathogen growth.
Main Methods:
- Coinfection model of pneumonic plague using Yersinia pestis.
- Analysis of Ysc type III secretion system effector function.
- Unbiased negative selection screen of Y. pestis mutants.
Main Results:
- Yersinia pestis actively induces a localized, dominant anti-inflammatory state in the lung.
- This immunosuppression facilitates the survival and rapid growth of Y. pestis and coinfecting avirulent organisms.
- Effectors from the Ysc type III secretion system are required, but not sufficient, for this immunosuppressive effect.
- No known Y. pestis virulence genes were found to be under negative selection, indicating a broad environmental permissiveness.
Conclusions:
- Yersinia pestis transforms the lung into a permissive environment during the preinflammatory phase of pneumonic plague through active immune modulation.
- The Ysc type III secretion system plays a critical role in establishing this immunosuppressive state.
- These findings provide novel insights into the pathogenesis of pneumonic plague and potential therapeutic targets.
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