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Published on: May 11, 2020
Hypoxia modulates infection of epithelial cells by Pseudomonas aeruginosa
Bettina Schaible1, Siobhán McClean, Andrew Selfridge
1UCD School of Medicine and Medical Science and The Conway Institute, University College Dublin, Dublin, Ireland.
Abstract:
Pseudomonas aeruginosa (P. aeruginosa) is an opportunistic pathogen commonly associated with lung and wound infections. Hypoxia is a frequent feature of the microenvironment of infected tissues which induces the expression of genes associated with innate immunity and inflammation in host cells primarily through the activation of the hypoxia-inducible factor (HIF) and Nuclear factor kappaB (NF-κB) pathways which are regulated by oxygen-dependent prolyl-hydroxylases. Hypoxia also affects virulence and antibiotic resistance in bacterial pathogens. However, less is known about the impact of hypoxia on host-pathogen interactions such as bacterial adhesion and infection. In the current study, we demonstrate that hypoxia decreases the internalization of P. aeruginosa into cultured epithelial cells resulting in decreased host cell death. This response can also be elicited by the hydroxylase inhibitor Dimethyloxallyl Glycine (DMOG). Reducing HIF-2α expression or Rho kinase activity diminished the effects of hypoxia on P. aeruginosa infection. Furthermore, in an in vivo pneumonia infection model, application of DMOG 48 h before infection with P. aeruginosa significantly reduced mortality. Thus, hypoxia reduces P. aeruginosa internalization into epithelial cells and pharmacologic manipulation of the host pathways involved may represent new therapeutic targets in the treatment of P. aeruginosa infection.
Insights
Hypoxia reduces Pseudomonas aeruginosa (P. aeruginosa) entry into host cells, decreasing infection severity and mortality. Pharmacological targeting of host pathways offers potential new therapies for P. aeruginosa infections.
Area of Science:
- Microbiology
- Host-Pathogen Interactions
- Cellular Physiology
Background:
- Pseudomonas aeruginosa is an opportunistic pathogen causing lung and wound infections.
- Hypoxia, common in infected tissues, influences host immunity and bacterial virulence.
- The impact of hypoxia on host-pathogen interactions like bacterial adhesion is not well understood.
Purpose of the Study:
- To investigate the effect of hypoxia on P. aeruginosa internalization into host epithelial cells.
- To explore the role of hypoxia-inducible factor (HIF) and Rho kinase pathways in this interaction.
- To evaluate the therapeutic potential of targeting these pathways in P. aeruginosa infections.
Main Methods:
- In vitro studies using cultured epithelial cells and P. aeruginosa.
- Pharmacological inhibition of hydroxylases (DMOG) and Rho kinase.
- Genetic manipulation of HIF-2α expression.
- In vivo pneumonia infection model in mice.
Main Results:
- Hypoxia significantly decreased P. aeruginosa internalization into epithelial cells, reducing host cell death.
- The hydroxylase inhibitor DMOG mimicked hypoxia's effect.
- Reduced HIF-2α expression or Rho kinase activity diminished hypoxia's impact.
- DMOG treatment before infection in vivo markedly reduced mortality.
Conclusions:
- Hypoxia impairs P. aeruginosa internalization into epithelial cells.
- Pharmacological modulation of host HIF and Rho kinase pathways shows therapeutic promise.
- Targeting host pathways involved in hypoxia response could be a novel strategy for treating P. aeruginosa infections.
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