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Phenotypic and Metabolic Variations in High-Risk Clones of Multidrug-Resistant Pseudomonas aeruginosa
Sonia J Gutierrez1, Juan David Escobar Prieto2, Deninson Alejandro Vargas3,4
1Biology Department, Faculty of Natural and Exact Sciences, Universidad del Valle, Cali 760031, Colombia.
Abstract:
The global spread of high-risk clo1nes (HRCs) of multidrug-resistant (MDR) Pseudomonas aeruginosa has hindered infection control and treatment strategies worldwide. In Colombia, globally relevant HRCs such as ST235 and ST111 have been widely reported. In this study, we evaluated phenotypic and metabolic variations associated with intracellular survival and dissemination in P. aeruginosa. A total of 100 clinical isolates were collected from 22 hospitals in Colombia. The isolates had been previously characterized and classified as MDR or susceptible strains (SSs), and their sequence types (STs) had been earlier determined. Based on this prior characterization, isolates were grouped in this study as multidrug-resistant high-risk clones (HRC, n = 50; corresponding to sequence types ST235 and ST111), multidrug-resistant non-high-risk clones (NHRCs, n = 27; non-ST235/ST111), and susceptible strains (SS, n = 23; also, non-ST235/ST111). Phenotypic traits, including motility, spontaneous mutation frequency, biofilm formation, and pigment production, were evaluated. In addition, a subset of 30 isolates was assessed for intracellular survival in vitro and metabolomic profiling using liquid chromatography-mass spectrometry. HRC isolates exhibited significantly reduced motility compared with NHRC and SS isolates (swarming: HRC vs. NHRC, p = 0.0032; HRC vs. SS, p = 0.010; swimming: HRC vs. NHRC and SS, p < 0.0001; twitching: HRC vs. SS, p = 0.0004), as well as lower pigment production (pyocyanin: HRC vs. NHRC and SS, p < 0.0001; pyoverdine: HRC vs. NHRC, p < 0.0001). Metabolomic analysis revealed increased concentrations of metabolites associated with iron acquisition and siderophore-related pathways in HRC isolates. Overall, these findings suggest that P. aeruginosa HRCs display distinct phenotypic and metabolic patterns that may contribute to persistence and dissemination in clinical settings, contributing to their epidemiological success.
Insights
High-risk clones (HRCs) of multidrug-resistant Pseudomonas aeruginosa show reduced motility and distinct metabolic profiles, aiding their spread. Understanding these traits is key for infection control against these persistent bacterial strains.
Area of Science:
- Microbiology
- Infectious Diseases
- Genetics
Background:
- The global rise of high-risk clones (HRCs) of multidrug-resistant (MDR) *Pseudomonas aeruginosa* poses significant challenges to infection control and treatment.
- Globally significant HRCs, such as ST235 and ST111, are prevalent in Colombia, necessitating further investigation into their characteristics.
Purpose of the Study:
- To investigate the phenotypic and metabolic variations in *P. aeruginosa* isolates, focusing on differences between HRCs and other strains.
- To understand how these variations contribute to intracellular survival and dissemination in clinical settings.
Main Methods:
- Collected and categorized 100 clinical *P. aeruginosa* isolates from Colombian hospitals into HRCs (ST235, ST111), multidrug-resistant non-high-risk clones (NHRCs), and susceptible strains (SSs).
- Evaluated phenotypic traits: motility (swarming, swimming, twitching), spontaneous mutation frequency, biofilm formation, and pigment production (pyocyanin, pyoverdine).
- Conducted in vitro intracellular survival assays and metabolomic profiling using liquid chromatography-mass spectrometry on a subset of 30 isolates.
Main Results:
- HRC isolates demonstrated significantly reduced motility (swarming, swimming, twitching) compared to NHRC and SS isolates.
- HRCs exhibited lower production of pigments pyocyanin and pyoverdine.
- Metabolomic analysis revealed elevated levels of metabolites related to iron acquisition and siderophore pathways in HRCs, suggesting enhanced iron-scavenging capabilities.
Conclusions:
- *P. aeruginosa* HRCs possess distinct phenotypic and metabolic characteristics, including reduced motility and altered pigment production.
- Metabolic profiling indicates a potential advantage in iron acquisition for HRCs, possibly contributing to their persistence.
- These identified traits likely play a crucial role in the epidemiological success and dissemination of *P. aeruginosa* HRCs in healthcare environments.
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