The intestinal environment of surgical injury transforms Pseudomonas aeruginosa into a discrete hypervirulent

Trissa Babrowski1, Kathleen Romanowski, David Fink

  • 1Center for Surgical Infection Research and Therapeutics, University of Chicago Pritzker School of Medicine, Chicago, IL, USA.

Surgery
|August 7, 2012
PubMed
Abstract

Insights

Surgical injury transforms intestinal Pseudomonas aeruginosa into a hypervirulent pathogen, increasing peritonitis mortality. This bacterial virulence, influenced by surgical stress, is a key factor in patient outcomes.

Area of Science:

  • Microbiology
  • Surgical Infections
  • Pathogenesis

Background:

  • Secondary peritonitis has high mortality despite current treatments.
  • Bacterial virulence, not just host factors, may determine peritonitis outcomes.
  • Bacterial virulence is inducible by local cues present after surgical stress.

Purpose of the Study:

  • To investigate the role of bacterial virulence in peritonitis outcomes.
  • To determine if surgical injury alters bacterial virulence.
  • To identify specific bacterial morphotypes associated with lethal peritonitis.

Main Methods:

  • Pseudomonas aeruginosa was inoculated into mouse ceca.
  • Mice underwent surgical injury (hepatectomy) or sham surgery.
  • Bacterial strains were harvested and injected into naive mice to assess mortality.

Main Results:

  • P. aeruginosa from injured mice caused 100% mortality in naive mice.
  • A wrinkled morphotype of P. aeruginosa was lethal, while smooth morphotypes were not.
  • Wrinkled strains induced a more proinflammatory response compared to smooth strains.

Conclusions:

  • Surgical injury induces hypervirulence in intestinal P. aeruginosa.
  • Altered bacterial virulence in response to surgery impacts peritonitis outcomes.
  • Bacterial morphotype changes may predict peritonitis severity.

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