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Updated: Jun 17, 2025

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Staphylococcus aureus adapts to exploit collagen-derived proline during chronic infection.

Andreacarola Urso1,2,3, Ian R Monk4, Ying-Tsun Cheng1,3

  • 1Department of Pediatric Infectious Diseases, Columbia University, New York, NY, USA.

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Staphylococcus aureus utilizes host collagen, releasing proline for energy. This metabolic adaptation helps bacteria outcompete others in chronic lung infections, suggesting fibrosis promotes bacterial survival.

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Area of Science:

  • Microbiology
  • Pulmonary Medicine
  • Bacterial Pathogenesis

Background:

  • Staphylococcus aureus is a significant cause of lung infections, but current vaccines are ineffective.
  • Understanding bacterial adaptation mechanisms is crucial for developing new treatments.

Purpose of the Study:

  • To investigate the metabolic adaptations of Staphylococcus aureus during chronic pulmonary infections.
  • To identify host-derived factors that support bacterial survival and out-competition.

Main Methods:

  • Transcriptomic analysis of clinical S. aureus isolates from initial and chronic infections.
  • Metabolomics of bronchoalveolar lavage fluid.
  • Fibroblast infection assays and bacterial growth experiments.
  • Analysis of bacterial mutant strains.

Main Results:

  • Chronic infection isolates showed increased expression of collagenase and proline transporter genes.
  • Airway fibroblasts produce collagen during S. aureus infection.
  • Degradation of host collagen by bacterial collagenase releases proline, which S. aureus imports for oxidative metabolism.
  • Proline metabolism provides a competitive metabolic advantage to host-adapted S. aureus.

Conclusions:

  • Staphylococcus aureus adapts to the host environment by utilizing fibroblast-derived collagen for proline, fueling its metabolism.
  • This proline metabolic pathway enhances bacterial fitness and out-competition, particularly in fibrotic lung environments.
  • Airway repair and fibrosis create a niche favoring S. aureus adaptation and persistent infection.