Systemic infection facilitates transmission of Pseudomonas aeruginosa in mice

Kelly E R Bachta1,2, Jonathan P Allen3,4, Bettina H Cheung3

  • 1Department of Microbiology-Immunology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA. kelly.bachta@northwestern.edu.

Nature Communications
|January 30, 2020
PubMed

Insights

Pseudomonas aeruginosa bacteremia can spread from the bloodstream to the gallbladder, facilitating transmission to others. This finding challenges the notion that these infections are a dead-end for bacterial spread.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Medical Research

Background:

  • Health care-associated infections, like Pseudomonas aeruginosa bacteremia, represent a significant clinical threat to hospitalized individuals.
  • Systemic P. aeruginosa infections have been historically considered a "dead-end" regarding pathogen transmission.

Purpose of the Study:

  • To investigate the potential transmission routes of P. aeruginosa from the bloodstream during bacteremia.
  • To determine if P. aeruginosa bacteremia can lead to onward transmission of the pathogen.

Main Methods:

  • A mouse infection model was utilized to study the dynamics of P. aeruginosa during bacteremia.
  • The study tracked the movement of P. aeruginosa from the bloodstream to other organs and its shedding into feces.

Main Results:

  • Pseudomonas aeruginosa was observed to spread from the bloodstream to the gallbladder in the mouse model.
  • The gallbladder served as a reservoir for high-level replication of P. aeruginosa.
  • Gallbladder bacteria subsequently colonized the intestines and feces, enabling transmission to susceptible cage-mates.

Conclusions:

  • The gallbladder plays a critical role in the dissemination of P. aeruginosa from the bloodstream to feces during bacteremia.
  • This pathway promotes the transmission of P. aeruginosa in the studied experimental system.
  • Further clinical research is warranted to ascertain the relevance of these findings in human patients.

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