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Updated: Mar 24, 2026

Long Term Chronic Pseudomonas aeruginosa Airway Infection in Mice
Published on: March 17, 2014
Pseudomonas aeruginosa Activates PKC-Alpha to Invade Middle Ear Epithelial Cells
Rahul Mittal1, M'hamed Grati1, Denise Yan1
1Department of Otolaryngology, University of Miami Miller School of Medicine, Miami Florida, USA.
Abstract:
Otitis media (OM) is a group of complex inflammatory disorders affecting the middle ear which can be acute or chronic. Chronic suppurative otitis media (CSOM) is a form of chronic OM characterized by tympanic membrane perforation and discharge. Despite the significant impact of CSOM on human population, it is still an understudied and unexplored research area. CSOM is a leading cause of hearing loss and life-threatening central nervous system complications. Bacterial exposure especially Pseudomonas aeruginosa is the most common cause of CSOM. Our previous studies have demonstrated that P. aeruginosa invades human middle ear epithelial cells (HMEECs). However, molecular mechanisms leading to bacterial invasion of HMEECs are not known. The aim of this study is to characterize the role of PKC pathway in the ability of P. aeruginosa to colonize HMEECs. We observed that otopathogenic P. aeruginosa activates the PKC pathway, specifically phosphorylation of PKC-alpha (PKC-α) in HMEECs. The ability of otopathogenic P. aeruginosa to phosphorylate PKC-α depends on bacterial OprF expression. The activation of PKC-α was associated with actin condensation. Blocking the PKC pathway attenuated the ability of bacteria to invade HMEECs and subsequent actin condensation. This study, for the first time, demonstrates that the host PKC-α pathway is involved in invasion of HMEECs by P. aeruginosa and subsequently to cause OM. Characterizing the role of the host signaling pathway in the pathogenesis of CSOM will provide novel avenues to design effective treatment modalities against the disease.
Insights
Pseudomonas aeruginosa invasion of middle ear cells involves the PKC-alpha pathway. Blocking this pathway reduces bacterial colonization, offering new targets for treating chronic suppurative otitis media (CSOM).
Area of Science:
- Microbiology and Immunology
- Cell Biology
- Otolaryngology
Background:
- Otitis media (OM), particularly chronic suppurative otitis media (CSOM), is a significant health issue causing hearing loss and CNS complications.
- Pseudomonas aeruginosa is a primary pathogen in CSOM, known to invade human middle ear epithelial cells (HMEECs).
- The molecular mechanisms underlying P. aeruginosa invasion of HMEECs remain largely unknown.
Purpose of the Study:
- To investigate the role of the Protein Kinase C (PKC) pathway in P. aeruginosa colonization of HMEECs.
- To elucidate the specific PKC pathway components involved in bacterial invasion.
- To identify potential therapeutic targets for CSOM based on host-pathogen interactions.
Main Methods:
- Activation of the PKC pathway, specifically PKC-alpha (PKC-α) phosphorylation, by otopathogenic P. aeruginosa in HMEECs was assessed.
- The dependence of PKC-α phosphorylation on bacterial OprF expression was evaluated.
- The association between PKC-α activation and actin condensation was observed.
- The effect of blocking the PKC pathway on bacterial invasion and actin condensation was determined.
Main Results:
- Otopathogenic P. aeruginosa activates the PKC pathway, leading to PKC-α phosphorylation in HMEECs.
- PKC-α phosphorylation by P. aeruginosa is dependent on the bacterial OprF protein.
- PKC-α activation correlates with actin condensation within HMEECs.
- Inhibition of the PKC pathway significantly reduces P. aeruginosa invasion and subsequent actin condensation.
Conclusions:
- The host PKC-α pathway plays a crucial role in the invasion of HMEECs by P. aeruginosa.
- PKC-α activation, mediated by bacterial OprF, facilitates bacterial entry and cytoskeletal changes.
- This study reveals a novel host signaling pathway involved in CSOM pathogenesis, opening avenues for new treatment strategies.
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