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Growing a Cystic Fibrosis-Relevant Polymicrobial Biofilm to Probe Community Phenotypes
Published on: April 19, 2024
Quorum Sensing as Antivirulence Target in Cystic Fibrosis Pathogens
Viola Camilla Scoffone1, Gabriele Trespidi2, Laurent R Chiarelli3
1Dipartimento di Biologia e Biotecnologie, Università degli Studi di Pavia, 27100 Pavia, Italy. viola.scoffone@unipv.it.
Abstract:
Cystic fibrosis (CF) is an autosomal recessive genetic disorder which leads to the secretion of a viscous mucus layer on the respiratory epithelium that facilitates colonization by various bacterial pathogens. The problem of drug resistance has been reported for all the species able to colonize the lung of CF patients, so alternative treatments are urgently needed. In this context, a valid approach is to investigate new natural and synthetic molecules for their ability to counteract alternative pathways, such as virulence regulating quorum sensing (QS). In this review we describe the pathogens most commonly associated with CF lung infections: Staphylococcus aureus, Pseudomonas aeruginosa, species of the Burkholderia cepacia complex and the emerging pathogens Stenotrophomonas maltophilia, Haemophilus influenzae and non-tuberculous Mycobacteria. For each bacterium, the QS system(s) and the molecules targeting the different components of this pathway are described. The amount of investigations published in the last five years clearly indicate the interest and the expectations on antivirulence therapy as an alternative to classical antibiotics.
Insights
Cystic fibrosis (CF) patients need new treatments due to antibiotic resistance. This review explores antivirulence therapies targeting bacterial quorum sensing (QS) pathways as a promising alternative.
Area of Science:
- Microbiology
- Pharmacology
- Genetics
Background:
- Cystic fibrosis (CF) involves viscous mucus, increasing bacterial lung infections.
- Antibiotic resistance is a major challenge in treating CF patients.
- Targeting bacterial virulence pathways offers an alternative to traditional antibiotics.
Purpose of the Study:
- To review bacterial pathogens commonly found in CF lung infections.
- To describe quorum sensing (QS) systems in these pathogens.
- To identify molecules that target QS pathways for potential antivirulence therapy.
Main Methods:
- Literature review of studies published in the last five years.
- Focus on pathogens: Staphylococcus aureus, Pseudomonas aeruginosa, Burkholderia cepacia complex, Stenotrophomonas maltophilia, Haemophilus influenzae, and non-tuberculous Mycobacteria.
- Analysis of QS systems and potential QS-inhibiting molecules for each pathogen.
Main Results:
- Detailed description of QS systems for major CF pathogens.
- Identification of various natural and synthetic molecules targeting QS pathways.
- Evidence of growing research interest in antivirulence strategies.
Conclusions:
- Antivirulence therapy targeting QS is a promising alternative to antibiotics for CF infections.
- Further research into QS inhibitors is warranted.
- This approach could help combat drug resistance in CF pathogens.
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