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Updated: Jan 27, 2026

Rat Burn Model to Study Full-Thickness Cutaneous Thermal Burn and Infection
Published on: August 23, 2022
Targeting bacterial quorum sensing shows promise in improving intestinal barrier function following burn‑site
Fatemeh Adiliaghdam1, Marianna Almpani1, Mohammad Hadi Gharedaghi1
1Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.
Abstract:
Burn‑site infections, commonly due to Pseudomonas aeruginosa, have been associated with deranged intestinal integrity, allowing bacteria and their products to translocate from the gut to the circulatory system. The P. aeruginosa quorum sensing (QS) transcription factor MvfR (PqsR) controls the expression of numerous virulence factors, and the synthesis of several toxic products. However, the role of QS in intestinal integrity alterations, to the best of our knowledge, has not been previously investigated. Using a proven anti‑MvfR, anti‑virulence agent, the in vivo results of the present study revealed that inhibition of MvfR function significantly decreased Fluorescein Isothiocyanate‑Dextran (FITC‑Dextran) flow from the intestine to the systemic circulation, diminished bacterial translocation from the intestine to mesenteric lymph nodes (MLNs), and improved tight junction integrity in thermally injured and infected mice. In addition, the MvfR antagonist administration alleviates the intestinal inflammation, as demonstrated by reduced ileal TNF‑α and fecal lipocalin‑2 concentrations. In addition, it is associated with lower levels of circulating endotoxin and decreased P. aeruginosa dissemination from the burn wound to the ileum. Collectively, these results hold great promise that the inhibition of this QS system mitigates gut hyperpermeability by attenuating the derangement of morphological and immune aspects of the intestinal barrier, suggesting that MvfR function is crucial in the deterioration of intestinal integrity following P. aeruginosa burn‑site infection. Therefore, an anti‑virulence approach targeting MvfR, could potentially offer a novel therapeutic approach against multi‑drug resistant P. aeruginosa infections following thermal injuries. Since this approach is targeting virulence pathways that are non‑essential for growth or viability, our strategy is hypothesized to minimize the development of bacterial resistance, and preserve the beneficial enteric microbes, while improving intestinal integrity that is deranged as a result of burn and infection.
Insights
Targeting Pseudomonas aeruginosa quorum sensing (QS) factor MvfR improved intestinal integrity in burn-injured mice. This anti-virulence strategy reduced bacterial translocation and inflammation, offering a novel therapeutic approach.
Area of Science:
- Microbiology
- Immunology
- Gastroenterology
Background:
- Burn-site infections, often caused by Pseudomonas aeruginosa, can lead to compromised intestinal integrity and bacterial translocation.
- Pseudomonas aeruginosa quorum sensing (QS) regulates virulence factors, but its role in intestinal barrier dysfunction is unexplored.
- The QS transcription factor MvfR (PqsR) is a key regulator of P. aeruginosa virulence.
Purpose of the Study:
- To investigate the role of MvfR in P. aeruginosa-induced intestinal integrity alterations following thermal injury.
- To evaluate the efficacy of an anti-MvfR agent in mitigating gut hyperpermeability and inflammation in a murine burn infection model.
Main Methods:
- Utilized a P. aeruginosa burn-site infection mouse model.
- Administered an anti-MvfR agent to assess its impact on intestinal permeability (FITC-Dextran assay).
- Quantified bacterial translocation to mesenteric lymph nodes (MLNs) and measured inflammatory markers (TNF-α, lipocalin-2).
Main Results:
- Inhibition of MvfR significantly reduced intestinal permeability and bacterial translocation to MLNs.
- MvfR antagonism improved tight junction integrity and alleviated intestinal inflammation.
- Treatment decreased circulating endotoxin levels and P. aeruginosa dissemination to the ileum.
Conclusions:
- MvfR plays a critical role in P. aeruginosa-induced gut hyperpermeability following burn injury.
- Targeting MvfR with anti-virulence agents can restore intestinal barrier function and reduce infection severity.
- This strategy offers a promising therapeutic avenue against multi-drug resistant P. aeruginosa infections, potentially minimizing resistance development.
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