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Updated: Oct 10, 2025

Immunometabolic Circuits in Infection for Advancing Host Directed Therapies
Published on: September 13, 2024
Immunometabolites Drive Bacterial Adaptation to the Airway
Kira L Tomlinson1, Alice S Prince1, Tania Wong Fok Lung1
1Department of Pediatrics, Vagelos College of Physicians & Surgeons, Columbia University, New York, NY, United States.
Abstract:
Pseudomonas aeruginosa and Staphylococcus aureus are both opportunistic pathogens that are frequently associated with chronic lung infections. While bacterial virulence determinants are critical in initiating infection, the metabolic flexibility of these bacteria promotes their persistence in the airway. Upon infection, these pathogens induce host immunometabolic reprogramming, resulting in an airway milieu replete with immune-signaling metabolites. These metabolites are often toxic to the bacteria and create a steep selection pressure for the emergence of bacterial isolates adapted for long-term survival in the inflamed lung. In this review, we discuss the main differences in the host immunometabolic response to P. aeruginosa and S. aureus, as well as how these pathogens alter their own metabolism to adapt to airway metabolites and cause persistent lung infections.
Insights
This review explores how Pseudomonas aeruginosa and Staphylococcus aureus adapt their metabolism to survive chronic lung infections. It details how host immune responses create toxic environments that drive bacterial adaptation for persistent airway colonization.
Area of Science:
- Microbiology
- Immunology
- Metabolic Engineering
Background:
- Pseudomonas aeruginosa and Staphylococcus aureus are opportunistic pathogens causing chronic lung infections.
- Bacterial virulence and metabolic flexibility are key to pathogen persistence in the airway.
- Host immunometabolic reprogramming generates a metabolite-rich airway environment during infection.
Purpose of the Study:
- To compare host immunometabolic responses to P. aeruginosa and S. aureus.
- To examine how these pathogens modify their metabolism for survival in the airway.
- To understand the mechanisms driving persistent lung infections by these bacteria.
Main Methods:
- Review of existing literature on host-pathogen interactions in chronic lung infections.
- Analysis of metabolic adaptations of P. aeruginosa and S. aureus.
- Comparison of host immunometabolic reprogramming induced by each pathogen.
Main Results:
- Distinct host immunometabolic responses are elicited by P. aeruginosa and S. aureus.
- These pathogens exhibit significant metabolic flexibility to utilize or resist airway metabolites.
- Metabolic adaptation is crucial for bacterial survival and persistence in the inflamed lung.
Conclusions:
- Understanding pathogen metabolic adaptation is vital for treating chronic lung infections.
- Targeting bacterial metabolism could offer new therapeutic strategies against P. aeruginosa and S. aureus.
- Host-pathogen metabolic interplay dictates the outcome of persistent airway infections.
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