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Updated: May 13, 2026

Methods for Detecting Cytotoxic Amyloids Following Infection of Pulmonary Endothelial Cells by Pseudomonas aeruginosa
Published on: July 12, 2018
Type III secretion of ExoU is critical during early Pseudomonas aeruginosa pneumonia
Heather A Howell1, Latania K Logan, Alan R Hauser
1Department of Microbiology/Immunology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.
Unlabelled:
The Pseudomonas aeruginosa type III secretion system has been associated with poor outcomes in both animal models and human patients. Despite a large number of studies exploring the regulation of type III secretion in vitro, little is known about the timing of secretion during mammalian infection. Here we demonstrate that the exoU gene, which encodes the highly cytotoxic type III effector ExoU, is induced early during acute P. aeruginosa pneumonia. Immunofluorescence microscopy indicated that the amount of ExoU protein in the lung also increased over time. The importance of early expression was examined using a strain of P. aeruginosa with inducible production of ExoU. Delays in expression as short as 3 h led to reduced bacterial burdens in the lungs of mice and improved survival. Our results demonstrate that early expression of exoU is critical to bacterial survival during pneumonia and suggest that therapeutic interventions that delay ExoU secretion for even short periods of time may be efficacious.
Importance:
Pseudomonas aeruginosa is a major contributor to the large numbers of health care-associated infections occurring annually, particularly for immunocompromised patients. Although this organism possesses many virulence factors, the type III secretion system plays an especially important role in both animal models and humans. This system forms a needle-like apparatus that injects toxins directly into eukaryotic cells. The most toxic protein secreted by this molecular machine is ExoU, which causes rapid cell death. In this study, we demonstrated that exoU was expressed and ExoU was produced early during acute pneumonia in a mouse model. Delaying expression of exoU by as little as 3 h enhanced clearance of bacteria and survival of infected mice. Our findings highlight the importance of understanding the regulation of virulence factor expression during infection when designing therapeutic strategies to inhibit the toxic effects of these proteins.
Insights
Early expression of the Pseudomonas aeruginosa exoU gene is critical for bacterial survival during pneumonia. Delays in ExoU secretion significantly reduced bacterial burden and improved survival in mouse models.
Area of Science:
- Microbiology
- Infectious Diseases
- Bacterial Pathogenesis
Background:
- Pseudomonas aeruginosa is a significant cause of healthcare-associated infections, especially in immunocompromised patients.
- The type III secretion system (T3SS) is a key virulence factor, injecting toxins like ExoU into host cells.
- ExoU is a highly cytotoxic effector protein causing rapid host cell death.
Purpose of the Study:
- To investigate the timing of type III effector ExoU secretion during acute Pseudomonas aeruginosa pneumonia in a mammalian model.
- To determine the impact of early ExoU expression on bacterial survival and host outcomes.
Main Methods:
- Utilized a mouse model of acute P. aeruginosa pneumonia.
- Employed immunofluorescence microscopy to track ExoU protein levels in the lung over time.
- Generated a P. aeruginosa strain with inducible ExoU production to control secretion timing.
Main Results:
- The exoU gene was induced and ExoU protein was produced early during acute pneumonia.
- Increased ExoU protein levels were observed in the lung over the course of infection.
- A delay in ExoU expression by as little as 3 hours led to reduced bacterial burdens and improved survival in mice.
Conclusions:
- Early expression of exoU is critical for P. aeruginosa survival and virulence during pneumonia.
- Therapeutic strategies targeting the timing of ExoU secretion may be effective.
- Understanding virulence factor regulation is crucial for developing novel anti-infective therapies.
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