Mucoid Acinetobacter baumannii enhances anti-phagocytosis through reducing C3b deposition

Xiaoxia Gong1, Qian Zhao1,2, Yifan Wu1

  • 1National Center for Veterinary Drug Safety Evaluation, College of Veterinary Medicine, China Agricultural University, Beijing, China.

Frontiers in Medicine
|October 3, 2022
PubMed
Abstract

Insights

Multidrug-resistant Acinetobacter baumannii with a mucoid phenotype causes severe infections. Hyper mucoid strains resist phagocytosis by inhibiting complement C3b deposition, aiding bacterial survival.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Bacterial Pathogenesis

Background:

  • Multidrug-resistant (MDR) Acinetobacter baumannii is a significant threat in intensive care units.
  • The increasing prevalence of mucoid Acinetobacter baumannii necessitates understanding its characteristics and host interactions.

Purpose of the Study:

  • To investigate the biological characteristics of mucoid Acinetobacter baumannii isolates.
  • To analyze the interaction of mucoid Acinetobacter baumannii with host cells, including macrophages and epithelial cells.
  • To determine the role of capsular components and complement C3b deposition in bacterial virulence.

Main Methods:

  • Phenotypic characterization of mucoid Acinetobacter baumannii isolates (mucoid type, antimicrobial susceptibility, biofilm formation, acid/peroxide tolerance).
  • Assessment of phagocytic resistance and invasive capacity against macrophages and epithelial cells.
  • Quantification of complement factor C3b deposition on bacterial surfaces and analysis of its relationship with capsule abundance.

Main Results:

  • Mucoid Acinetobacter baumannii strains exhibited MDR and high tolerance to acid and hydrogen peroxide.
  • Hyper mucoid (HM) strains showed increased virulence in Galleria mellonella models, reduced biofilm formation, higher capsule molecular weight, and enhanced anti-phagocytic activity.
  • HM strains demonstrated significantly reduced C3b deposition on their surface, correlating with increased capsule abundance and high tuf gene expression, leading to a low-opsonization phenotype.

Conclusions:

  • Capsular characteristics in hyper mucoid Acinetobacter baumannii are crucial for anti-phagocytic activity by reducing C3b deposition.
  • Mucoid Acinetobacter baumannii demonstrates significant resistance to phagocytosis by both macrophages and epithelial cells, contributing to its pathogenicity.

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