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The contribution of nutrient metal acquisition and metabolism to Acinetobacter baumannii survival within the host
Brittany L Mortensen1, Eric P Skaar1
1Department of Pathology, Microbiology, and Immunology, Vanderbilt University School of Medicine Nashville, TN, USA.
Abstract:
Acinetobacter baumannii is a significant contributor to intensive care unit (ICU) mortality causing numerous types of infection in this susceptible ICU population, most notably ventilator-associated pneumonia. The substantial disease burden attributed to A. baumannii and the rapid acquisition of antibiotic resistance make this bacterium a serious health care threat. A. baumannii is equipped to tolerate the hostile host environment through modification of its metabolism and nutritional needs. Among these adaptations is the evolution of mechanisms to acquire nutrient metals that are sequestered by the host as a defense against infection. Although all bacteria require nutrient metals, there is diversity in the particular metal needs among species and within varying tissue types and bacterial lifecycles. A. baumannii is well-equipped with the metal homeostatic systems required for the colonization of a diverse array of tissues. Specifically, iron and zinc homeostasis is important for A. baumannii interactions with biotic surfaces and for growth within vertebrates. This review discusses what is currently known regarding the interaction of A. baumannii with vertebrate cells with a particular emphasis on the contributions of metal homeostasis systems. Overall, published research supports the utility of exploiting these systems as targets for the development of much-needed antimicrobials against this emerging infectious threat.
Insights
Acinetobacter baumannii, a major cause of ICU infections, uses metal homeostasis systems to survive. Targeting these systems offers a promising strategy for developing new antimicrobials against this resilient pathogen.
Area of Science:
- Microbiology
- Infectious Diseases
- Medical Science
Background:
- Acinetobacter baumannii is a significant cause of mortality in intensive care units (ICUs), leading to various infections like ventilator-associated pneumonia.
- The bacterium's rapid antibiotic resistance and substantial disease burden pose a serious healthcare threat.
- A. baumannii adapts to host environments by modifying metabolism and acquiring essential nutrient metals sequestered by the host.
Purpose of the Study:
- To review the current understanding of Acinetobacter baumannii's interaction with vertebrate cells.
- To emphasize the role of metal homeostasis systems in A. baumannii colonization and virulence.
- To explore the potential of targeting metal homeostasis systems for novel antimicrobial development.
Main Methods:
- Literature review of published research on Acinetobacter baumannii.
- Analysis of bacterial adaptation mechanisms, focusing on nutrient metal acquisition.
- Examination of the contribution of metal homeostasis systems to bacterial-host interactions.
Main Results:
- A. baumannii possesses robust metal homeostasis systems, crucial for colonizing diverse tissues.
- Iron and zinc homeostasis are particularly important for A. baumannii's surface interactions and growth in vertebrates.
- These metal homeostasis systems are integral to the bacterium's survival in the host environment.
Conclusions:
- Metal homeostasis systems are critical for Acinetobacter baumannii's ability to thrive in host organisms.
- Exploiting these bacterial metal acquisition and regulation systems presents a viable strategy for developing new antimicrobial therapies.
- Targeting metal homeostasis offers a promising avenue to combat the growing threat of multidrug-resistant A. baumannii infections.
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