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Visualization of Pseudomonas aeruginosa within the Sputum of Cystic Fibrosis Patients
Published on: July 16, 2020
Targeting iron uptake to control Pseudomonas aeruginosa infections in cystic fibrosis
Daniel J Smith1, Iain L Lamont, Greg J Anderson
1The Prince Charles Hospital, Brisbane.
Abstract:
The aerobic Gram-negative bacterium Pseudomonas aeruginosa is an opportunistic pathogen responsible for life-threatening acute and chronic infections in humans. As part of chronic infection P. aeruginosa forms biofilms, which shield the encased bacteria from host immune clearance and provide an impermeable and protective barrier against currently available antimicrobial agents. P. aeruginosa has an absolute requirement for iron for infection success. By influencing cell-cell communication (quorum sensing) and virulence factor expression, iron is a powerful regulator of P. aeruginosa behaviour. Consequently, the imposed perturbation of iron acquisition systems has been proposed as a novel therapeutic approach to the treatment of P. aeruginosa biofilm infection. In this review, we explore the influence of iron availability on P. aeruginosa infection in the lungs of the people with the autosomal recessive condition cystic fibrosis as an archetypal model of chronic P. aeruginosa biofilm infection. Novel therapeutics aimed at disrupting P. aeruginosa are discussed, with an emphasis placed on identifying the barriers that need to be overcome in order to translate these promising in vitro agents into effective therapies in human pulmonary infections.
Insights
This study reviews how iron impacts Pseudomonas aeruginosa biofilm infections, particularly in cystic fibrosis patients. Targeting iron acquisition offers a promising therapeutic strategy against these difficult-to-treat bacterial infections.
Area of Science:
- Microbiology
- Infectious Diseases
- Pulmonary Medicine
Background:
- Pseudomonas aeruginosa is an opportunistic pathogen causing severe human infections.
- P. aeruginosa forms biofilms, conferring resistance to antibiotics and host defenses.
- Iron is crucial for P. aeruginosa virulence and regulates quorum sensing and gene expression.
Purpose of the Study:
- To review the role of iron availability in P. aeruginosa lung infections.
- To explore P. aeruginosa biofilm infections in cystic fibrosis as a model.
- To discuss novel therapeutics targeting iron acquisition systems.
Main Methods:
- Literature review focusing on iron metabolism in P. aeruginosa.
- Analysis of P. aeruginosa biofilm formation and virulence.
- Examination of therapeutic strategies targeting iron acquisition.
Main Results:
- Iron significantly influences P. aeruginosa behavior, including biofilm formation and virulence.
- Iron acquisition systems are critical for P. aeruginosa infection success.
- Cystic fibrosis lung infections serve as a model for chronic P. aeruginosa biofilm infections.
Conclusions:
- Perturbing iron acquisition systems is a potential therapeutic approach for P. aeruginosa infections.
- Translating in vitro therapies to clinical settings requires overcoming specific barriers.
- Further research is needed to develop effective treatments for chronic P. aeruginosa pulmonary infections.
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