Urinary tract colonization is enhanced by a plasmid that regulates uropathogenic Acinetobacter baumannii chromosomal

Gisela Di Venanzio1, Ana L Flores-Mireles2,3, Juan J Calix4

  • 1Department of Molecular Microbiology, Washington University School of Medicine, St Louis, MO, 63110, USA.

Nature Communications
|June 26, 2019
PubMed

Insights

Multidrug-resistant Acinetobacter baumannii is a significant threat. This study reveals its role as a uropathogen, demonstrating how plasmids influence bacterial infections by regulating chromosomal genes.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Genetics

Background:

  • Multidrug-resistant (MDR) Acinetobacter baumannii is a critical global health concern.
  • Pathogenesis research has largely overlooked urinary tract infections (UTIs), despite frequent isolation of A. baumannii from urinary sites.

Purpose of the Study:

  • To investigate the role of A. baumannii as a uropathogen.
  • To develop a murine model for catheter-associated urinary tract infection (CAUTI) caused by A. baumannii.
  • To elucidate the impact of plasmid pAB5 on A. baumannii virulence and niche adaptation.

Main Methods:

  • Development of a novel murine CAUTI model using a clinical MDR A. baumannii isolate (UPAB1).
  • Characterization of plasmid pAB5, identified as a repressor of the type VI secretion system (T6SS).
  • Comparative proteomic and transcriptomic analyses to identify plasmid-regulated chromosomal virulence factors.

Main Results:

  • The plasmid pAB5 enhances A. baumannii survival in the urinary tract (CAUTI model) but reduces virulence in a pneumonia model, indicating niche specificity.
  • pAB5 was shown to regulate multiple chromosomally-encoded virulence factors beyond the T6SS.
  • The study established a functional link between plasmid carriage and modulation of chromosomal gene expression.

Conclusions:

  • Plasmids play a significant role in bacterial pathogenesis by controlling the expression of chromosomal genes.
  • Acinetobacter baumannii is an important uropathogen, and its virulence is influenced by extrachromosomal elements like plasmids.
  • The developed CAUTI model provides a valuable tool for studying A. baumannii urinary tract infections.

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