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Updated: Apr 19, 2026

Immunometabolic Circuits in Infection for Advancing Host Directed Therapies
Published on: September 13, 2024
The acetate switch of an intestinal pathogen disrupts host insulin signaling and lipid metabolism
Saiyu Hang1, Alexandra E Purdy1, William P Robins2
1Division of Infectious Diseases, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.
Abstract:
Vibrio cholerae is lethal to the model host Drosophila melanogaster through mechanisms not solely attributable to cholera toxin. To examine additional virulence determinants, we performed a genetic screen in V. cholerae-infected Drosophila and identified the two-component system CrbRS. CrbRS controls transcriptional activation of acetyl-CoA synthase-1 (ACS-1) and thus regulates the acetate switch, in which bacteria transition from excretion to assimilation of environmental acetate. The resultant loss of intestinal acetate leads to deactivation of host insulin signaling and lipid accumulation in enterocytes, resulting in host lethality. These metabolic effects are not observed upon infection with ΔcrbS or Δacs1 V. cholerae mutants. Additionally, uninfected flies lacking intestinal commensals, which supply short chain fatty acids (SCFAs) such as acetate, also exhibit altered insulin signaling and intestinal steatosis, which is reversed upon acetate supplementation. Thus, acetate consumption by V. cholerae alters host metabolism, and dietary acetate supplementation may ameliorate some sequelae of cholera.
Insights
Vibrio cholerae virulence involves more than cholera toxin. The CrbRS system and acetate consumption disrupt host insulin signaling and cause lethality in Drosophila, suggesting acetate supplementation as a potential therapy.
Area of Science:
- Microbiology
- Molecular Biology
- Host-Pathogen Interactions
Background:
- Vibrio cholerae causes lethal cholera through complex mechanisms.
- Cholera toxin is a known virulence factor, but other determinants are implicated.
- The model host Drosophila melanogaster is used to study V. cholerae pathogenesis.
Purpose of the Study:
- To identify novel V. cholerae virulence factors beyond cholera toxin.
- To elucidate the role of bacterial metabolism in host lethality.
- To investigate the impact of V. cholerae infection on host metabolic pathways.
Main Methods:
- Genetic screening of V. cholerae in infected Drosophila melanogaster.
- Analysis of the two-component system CrbRS and its target acetyl-CoA synthase-1 (ACS-1).
- Assessment of host insulin signaling, lipid accumulation, and intestinal steatosis.
Main Results:
- The CrbRS two-component system was identified as a key virulence determinant.
- CrbRS regulates acetate assimilation by V. cholerae via ACS-1.
- V. cholerae's consumption of intestinal acetate disrupts host insulin signaling and causes lethal steatosis.
- Acetate supplementation reversed metabolic alterations in uninfected flies lacking commensals.
Conclusions:
- Vibrio cholerae utilizes the CrbRS system to manipulate host acetate levels, leading to metabolic disruption and lethality.
- Bacterial acetate consumption is a significant virulence mechanism in this model.
- Dietary acetate supplementation may offer a therapeutic strategy against cholera-related metabolic complications.
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