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Updated: Apr 15, 2026

Growing a Cystic Fibrosis-Relevant Polymicrobial Biofilm to Probe Community Phenotypes
Published on: April 19, 2024
The microbiome and emerging pathogens in cystic fibrosis and non-cystic fibrosis bronchiectasis
Heather Green1, Andrew M Jones1
1Manchester Adult Cystic Fibrosis Centre, University Hospital of South Manchester NHS Trust, Manchester, United Kingdom.
Abstract:
Chronic pulmonary sepsis is the predominant cause of morbidity for patients with cystic fibrosis (CF) and non-CF bronchiectasis. Previously it was thought that respiratory infection in these patients was mostly limited to a very small number of typical pathogens; however, in recent years there have been increasing reports of infection with other emerging potential pathogens including Burkholderia, Stenotrophomonas, Achromobacter, Ralstonia, Pandoraea, nontuberculous mycobacteria, and fungal species. Furthermore, culture-independent methodologies have established that the lungs of patients with CF and non-CF bronchiectasis comprise mixed microbiological communities of aerobic and anaerobic bacteria, fungal and viral species, collectively referred to as the lung microbiome. This article addresses the clinical relevance of emerging pathogens and the lung microbiome in CF and non-CF bronchiectasis.
Insights
Emerging pathogens and the lung microbiome are increasingly recognized as significant factors in cystic fibrosis (CF) and non-CF bronchiectasis. Understanding these complex microbial communities is crucial for managing chronic pulmonary sepsis in these patients.
Area of Science:
- Pulmonary Medicine
- Microbiology
- Genetics
Background:
- Chronic pulmonary sepsis is a major cause of illness in cystic fibrosis (CF) and non-CF bronchiectasis.
- Infections were once thought to involve only a few common pathogens, but emerging microbes are now frequently reported.
Purpose of the Study:
- To discuss the clinical significance of emerging pathogens in CF and non-CF bronchiectasis.
- To explore the role of the lung microbiome in these conditions.
Main Methods:
- Review of recent literature on emerging pathogens.
- Discussion of culture-independent methodologies for analyzing lung microbiota.
Main Results:
- Identification of emerging pathogens such as Burkholderia, Stenotrophomonas, and nontuberculous mycobacteria.
- Confirmation of complex lung microbial communities (lung microbiome) in CF and non-CF bronchiectasis patients.
Conclusions:
- Emerging pathogens and the lung microbiome represent a critical area of clinical concern in CF and non-CF bronchiectasis.
- Further research into these complex interactions is needed for improved patient management.
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