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Published on: January 5, 2024
Acinetobacter Metabolism in Infection and Antimicrobial Resistance
Xiaomei Ren1, Lauren D Palmer1
1Department of Microbiology and Immunology, University of Illinois Chicago, Chicago, Illinois, USA.
Abstract:
Acinetobacter infections have high rates of mortality due to an increasing incidence of infections by multidrug-resistant (MDR) and extensively-drug-resistant (XDR) strains. Therefore, new therapeutic strategies for the treatment of Acinetobacter infections are urgently needed. Acinetobacter spp. are Gram-negative coccobacilli that are obligate aerobes and can utilize a wide variety of carbon sources. Acinetobacter baumannii is the main cause of Acinetobacter infections, and recent work has identified multiple strategies A. baumannii uses to acquire nutrients and replicate in the face of host nutrient restriction. Some host nutrient sources also serve antimicrobial and immunomodulatory functions. Hence, understanding Acinetobacter metabolism during infection may provide new insights into novel infection control measures. In this review, we focus on the role of metabolism during infection and in resistance to antibiotics and other antimicrobial agents and discuss the possibility that metabolism may be exploited to identify novel targets to treat Acinetobacter infections.
Insights
New treatments are needed for multidrug-resistant Acinetobacter infections. Understanding Acinetobacter metabolism during infection offers novel strategies to combat these dangerous bacteria and develop new therapies.
Area of Science:
- Microbiology
- Infectious Diseases
- Metabolic Pathways
Background:
- Acinetobacter infections, particularly those caused by multidrug-resistant (MDR) and extensively-drug-resistant (XDR) strains, exhibit high mortality rates.
- Acinetobacter baumannii is the primary pathogen responsible for these severe infections.
- There is an urgent need for novel therapeutic strategies to treat Acinetobacter infections.
Purpose of the Study:
- To review the critical role of Acinetobacter metabolism during host infection.
- To explore how bacterial metabolism contributes to resistance against antibiotics and antimicrobial agents.
- To identify potential metabolic targets for developing new treatments against Acinetobacter.
Main Methods:
- Literature review focusing on Acinetobacter metabolism in the context of infection.
- Analysis of nutrient acquisition strategies employed by Acinetobacter baumannii.
- Examination of the interplay between host nutrient sources, bacterial metabolism, and antimicrobial functions.
Main Results:
- Acinetobacter spp. are Gram-negative, aerobic coccobacilli capable of utilizing diverse carbon sources.
- Acinetobacter baumannii employs various strategies to acquire nutrients and replicate under host nutrient restriction.
- Host-derived nutrients can possess antimicrobial and immunomodulatory properties.
Conclusions:
- Understanding Acinetobacter metabolism during infection is crucial for developing novel infection control measures.
- Exploiting bacterial metabolic pathways presents a promising avenue for identifying new therapeutic targets.
- Metabolic insights can guide the development of effective treatments against challenging Acinetobacter infections.
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