Analysis of host-pathogen gene association networks reveals patient-specific response to streptococcal and

Sanjeevan Jahagirdar1, Lorna Morris2, Nirupama Benis1,3

  • 1Laboratory of Systems and Synthetic Biology, Wageningen University & Research, Stippeneng 4, 6708, WE, Wageningen, the Netherlands.

BMC Medicine
|May 3, 2022
PubMed
Abstract

Insights

Necrotising soft tissue infections (NSTIs) involve complex host-pathogen interactions. This study reveals distinct bacterial and host responses in monomicrobial versus polymicrobial NSTIs, highlighting patient-specific mechanisms.

Area of Science:

  • Microbiology
  • Immunology
  • Genomics

Background:

  • Necrotising soft tissue infections (NSTIs) are severe bacterial infections with high mortality.
  • Pathogenic mechanisms in NSTIs, whether monomicrobial (e.g., Streptococcus pyogenes) or polymicrobial, remain poorly understood.
  • Understanding host-pathogen interactions is crucial for developing effective treatments.

Purpose of the Study:

  • To elucidate the underlying pathogenic mechanisms of NSTIs.
  • To build host-pathogen interactomes at population and individual levels.
  • To identify aetiology-dependent and patient-specific responses in NSTIs.

Main Methods:

  • Dual RNA-Seq transcriptomic profiling of patient biopsies.
  • Construction of host-pathogen interaction networks at population and individual levels.
  • Analysis of gene expression patterns to infer pathogenic mechanisms and host responses.

Main Results:

  • Distinct host responses were identified for monomicrobial (S. pyogenes) and polymicrobial NSTIs.
  • The S. pyogenes subnetwork showed enrichment in cytokine production and stress response genes.
  • Polymicrobial networks revealed interactions between multiple bacterial species and host genes involved in immune responses.
  • Specific virulence factors and bacterial housekeeping genes were found to interact with host stress and immune pathways.

Conclusions:

  • Host responses to NSTIs are dependent on the causative aetiology (monomicrobial vs. polymicrobial).
  • Patient-specific networks revealed variations in host factors (collagens, cytoskeleton) interacting with bacterial virulence factors.
  • These findings suggest differing bacterial entry and immune evasion strategies tailored to individual patient phenotypes.

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