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Published on: January 8, 2020
Reduction of virulence factor pyocyanin production in multidrug-resistant Pseudomonas aeruginosa
Katsuhiro Fuse1, Shigeru Fujimura, Toshiaki Kikuchi
1Department of Respiratory Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.
Abstract:
Nosocomial infections caused by metallo-β-lactamase (MBL)-producing multidrug-resistant (MDR) Pseudomonas aeruginosa have become a worldwide problem. Pyocyanin, a representative pigment produced by P. aeruginosa, is the major virulence factor of this organismThe aim of this study was to investigate the pyocyanin-producing ability of MBL-producing MDR P. aeruginosa. A total of 50 clinical isolates of P. aeruginosa, including 20 MDR strains, were collected at 18 general hospitals in Japan. The chromaticity and luminosity produced by pyocyanin in each isolate were measured. The quantity of pyocyanin and the expression of the phzM and phzS genes coding a pyocyanin synthesis enzyme were measured. MDR strains showed a bright yellow-green, while non-MDR strains tended to show a dark blue-green. The quantities of pyocyanin in MBL-producing strains and non-producing strains were 0.015 ± 0.002 and 0.41 ± 0.10 μg, respectively. The expression of the phzM and phzS genes in the MDR strains was 11 and 14 %, respectively, of the expression in the non-MDR strains. When the MBL gene was transduced into P. aeruginosa and it acquired multidrug resistance, it was shown that the pyocyanin-producing ability decreased. The pathogenicity of MBL-producing MDR P. aeruginosa may be lower than that of non-MDR strains. These MBL-producing MDR strains may be less pathogenic than non-MDR strains. This may explain why MDR-P. aeruginosa is unlikely to cause infection but, rather, causes subclinical colonization only.
Insights
Metallo-β-lactamase (MBL)-producing multidrug-resistant (MDR) Pseudomonas aeruginosa strains exhibit reduced pyocyanin production. This decreased pyocyanin may explain their lower pathogenicity and tendency towards colonization rather than infection.
Area of Science:
- Microbiology
- Infectious Diseases
- Genetics
Background:
- Nosocomial infections caused by multidrug-resistant (MDR) Pseudomonas aeruginosa are a global health concern.
- Metallo-β-lactamase (MBL) production contributes to MDR in P. aeruginosa.
- Pyocyanin, a pigment produced by P. aeruginosa, is a key virulence factor.
Purpose of the Study:
- To investigate the pyocyanin production capability of MBL-producing MDR P. aeruginosa.
- To correlate pyocyanin production with the expression of pyocyanin synthesis genes (phzM and phzS).
- To assess the potential impact of MBL production and MDR on P. aeruginosa pathogenicity.
Main Methods:
- Collected 50 clinical P. aeruginosa isolates (20 MDR) from Japanese hospitals.
- Measured pyocyanin chromaticity, luminosity, and quantity.
- Quantified phzM and phzS gene expression.
- Transduced MBL genes into P. aeruginosa to induce MDR and observed changes in pyocyanin production.
Main Results:
- MDR strains exhibited significantly lower pyocyanin quantities (0.015 μg) compared to non-MDR strains (0.41 μg).
- MDR strains showed reduced expression of phzM (11%) and phzS (14%) genes.
- Acquisition of MBL genes and MDR led to decreased pyocyanin production.
- MBL-producing MDR P. aeruginosa strains displayed less intense coloration (yellow-green) versus non-MDR strains (blue-green).
Conclusions:
- MBL-producing MDR P. aeruginosa strains have a reduced ability to produce pyocyanin.
- This diminished pyocyanin production may contribute to lower pathogenicity in these strains.
- MDR P. aeruginosa may be more prone to subclinical colonization than active infection.
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