Surfactant Protein A Recognizes Outer Membrane Protein OprH on Pseudomonas aeruginosa Isolates From Individuals With

Mohammad Qadi1, Carla Lopez-Causapé2,3, Sofia Izquierdo-Rabassa1

  • 1Instituto Universitario de Investigación en Ciencias de la Salud, Universidad de las Islas Baleares.

Insights

Pseudomonas aeruginosa in cystic fibrosis (CF) lungs reduces outer membrane protein OprH. This adaptation helps bacteria evade surfactant protein A (SP-A) immune clearance by macrophages.

Area of Science:

  • Pulmonary immunology
  • Microbial pathogenesis
  • Cystic Fibrosis research

Background:

  • Surfactant protein A (SP-A) is crucial for clearing Pseudomonas aeruginosa from the lungs.
  • Limited data exists on SP-A interactions with P. aeruginosa isolates from cystic fibrosis (CF) patients.

Purpose of the Study:

  • To investigate the interaction between SP-A and sequential P. aeruginosa isolates from CF patients.
  • To identify bacterial factors influencing SP-A binding and subsequent immune evasion.

Main Methods:

  • Characterization of isogenic sequential P. aeruginosa isolates from 7 CF patients.
  • Identification of SP-A ligands on P. aeruginosa outer membrane.
  • Assessment of SP-A binding affinity and SP-A-mediated phagocytic killing.

Main Results:

  • Outer membrane protein OprH identified as a novel SP-A ligand.
  • Late CF isolates exhibited significantly reduced SP-A binding compared to early isolates.
  • Reduced OprH expression correlated with decreased SP-A binding and increased resistance to SP-A-mediated killing.

Conclusions:

  • Downregulation of OprH is a potential adaptation by P. aeruginosa in CF lungs.
  • This adaptation allows bacteria to evade SP-A-mediated clearance by macrophages.
  • Understanding this mechanism may reveal new therapeutic targets for CF lung infections.