Transcriptional Reprogramming of Staphylococcus aureus in Chronic Rhinosinusitis Reveals a Persistence-Associated

Lorena Tuchscherr1, Stefan Monecke2,3,4, Mateusz Jundzill5

  • 1Institute of Medical Microbiology, Jena University Hospital, 07740 Jena, Germany.

Insights

Chronic rhinosinusitis (CRS) bacteria show reduced virulence and altered metabolism, suggesting adaptation for long-term survival. This study reveals distinct bacterial gene expression linked to persistence in the CRS host environment.

Area of Science:

  • Microbiology
  • Immunology
  • Genomics

Background:

  • Chronic rhinosinusitis (CRS) is a persistent inflammatory condition often involving Staphylococcus aureus.
  • Staphylococcus aureus isolates from CRS patients (CSS) display reduced glycolytic activity and cytotoxicity, indicating a persistence phenotype.
  • Understanding bacterial adaptation in CRS is crucial for effective treatment.

Purpose of the Study:

  • To investigate the transcriptomic differences between Staphylococcus aureus isolates from CRS patients and healthy carriers.
  • To identify specific gene expression patterns associated with bacterial persistence in the CRS environment.

Main Methods:

  • Comparative RNA sequencing was performed on CSS isolates and control isolates (MIN) from healthy individuals.
  • Gene expression profiles were analyzed, focusing on virulence and metabolic pathways.

Main Results:

  • CSS isolates exhibited significantly lower expression of genes involved in canonical virulence pathways compared to MIN isolates, especially during early growth.
  • Transcriptomic profiles suggest a shift towards metabolic adaptations supporting survival in the chronically inflamed sinus.
  • Distinct transcriptional states indicate potential host-driven selection for persistence phenotypes.

Conclusions:

  • Staphylococcus aureus in CRS patients adopts a distinct transcriptional state characterized by reduced acute virulence and enhanced metabolic strategies for persistence.
  • The CRS host environment likely influences bacterial behavior, selecting for phenotypes that promote long-term survival.
  • Findings provide insights into chronic Staphylococcus aureus infections and potential therapeutic targets for disrupting persistence.

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