Virulence role of the outer membrane protein CarO in carbapenem-resistant Acinetobacter baumannii

Gema Labrador-Herrera1,2, Antonio J Pérez-Pulido3, Rocío Álvarez-Marín1,2

  • 1Clinical Unit of Infectious Diseases, Microbiology, and Preventive Medicine, University Hospital Virgen del Rocío , Seville, Spain.

Virulence
|December 10, 2020
PubMed

Insights

Carbapenem-resistant Acinetobacter baumannii (CRAB) infections require new treatments. The CarO protein, previously unnoticed, may be a target for anti-virulence drugs against CRAB.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Genomics

Background:

  • Novel therapies are crucial for treating carbapenem-resistant Acinetobacter baumannii (CRAB) infections.
  • Anti-virulence drugs offer a promising alternative to traditional antibiotics, but target identification remains limited.

Purpose of the Study:

  • To identify potential virulence factors of CRAB by comparing clinical isolates from patients with different outcomes.
  • To investigate the role of the CarO protein in A. baumannii virulence.

Main Methods:

  • Whole-genome sequencing of CRAB clinical isolates from patients with ventilator-associated pneumonia.
  • Proteomic and immunoblot analyses to corroborate gene findings.
  • In vitro (cell adhesion and invasion assays) and in vivo virulence studies of A. baumannii mutants.

Main Results:

  • The carO gene was found to be interrupted in CRAB isolates from surviving patients, but intact in isolates from non-surviving patients.
  • Isogenic ΔcarO mutants and CRAB isolates with truncated CarO exhibited reduced adherence to and invasion of A549 cells.
  • A. baumannii lacking functional CarO showed decreased in vivo virulence.

Conclusions:

  • The outer membrane protein CarO plays a previously unrecognized role in A. baumannii virulence.
  • CarO is a potential therapeutic target for developing novel anti-virulence strategies against CRAB infections.

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