Therapeutic significance of surface-exposed virulence factors in Acinetobacter baumannii pathogenicity
Pooja Kumari1, Karpagavalli Palpandi1, Abhishek Kandikatla1
1Department of Biological Sciences, School of Engineering and Sciences (SEAS), SRM University-AP, Amaravati, 522 240, Andhra Pradesh, India.
Abstract:
Acinetobacter baumannii is a rapidly evolving opportunistic pathogen that has developed strategies to resist multiple antimicrobials and evade the host immune system. Its global emergence as a multidrug-resistant (MDR) pathogen has severely limited treatment options and increased mortality in hospital settings. Virulence factors associated with the cell envelope and outer membrane vesicles play central roles in bacterial survival and pathogenicity. In this context, this review aims to provide a concise overview of the virulence apparatus present on the surface of A. baumannii and evaluate its role in bacterial survival, pathogenicity, and host-pathogen interactions, while also exploring its potential as a therapeutic target. A scoping review of the published literature was conducted to address the structure, function, and host-interaction dynamics of surface-associated virulence factors and secreted outer membrane vesicles (OMVs) along with their translational therapeutic potential. Virulence factors associated with the bacterial cell envelope and OMVs play integral roles in the survival and pathogenicity of A. baumannii. These surface components are involved in biofilm formation, adhesion to both biotic and abiotic surfaces, and modulation of host cell responses. Their surface accessibility and functional conservation make them attractive therapeutic targets and candidate vaccine antigens. The efficacy of subunit vaccines targeting components of the virulence apparatus has also been explored in several studies. Additionally, secreted OMVs perform diverse biological functions and have demonstrated immunogenic potential. However, strategies targeting single virulence determinants have often shown limited efficacy due to functional redundancy and adaptive plasticity, whereas multi-target approaches (utilising combinations of multiple surface-associated virulence factors of A. baumannii) may represent as one of the effective anti-virulence therapy approaches to prevent disease progression caused by MDR strains, ultimately contributing to improved therapeutic outcomes and reducing the burden of hospital-acquired infections.
Insights
Acinetobacter baumannii uses surface virulence factors for survival and immune evasion. Targeting these factors, especially with multi-target approaches, offers potential therapies against multidrug-resistant strains.
Area of Science:
- Microbiology
- Infectious Diseases
- Immunology
Background:
- Acinetobacter baumannii is a growing threat due to antimicrobial resistance and immune evasion.
- Multidrug-resistant strains cause severe hospital-acquired infections with limited treatment options.
- Surface virulence factors and outer membrane vesicles (OMVs) are key to A. baumannii's pathogenicity.
Purpose of the Study:
- To review the virulence apparatus of A. baumannii.
- To evaluate its role in survival, pathogenicity, and host interactions.
- To explore its potential as a therapeutic target.
Main Methods:
- A scoping review of published literature was conducted.
- Focused on structure, function, and host-interaction dynamics of surface factors and OMVs.
- Assessed translational therapeutic potential.
Main Results:
- Surface virulence factors and OMVs are crucial for A. baumannii survival and pathogenicity.
- These factors mediate biofilm formation, adhesion, and host cell response modulation.
- They are accessible and conserved, making them potential therapeutic and vaccine targets.
Conclusions:
- Single-target therapies are often ineffective due to bacterial adaptability.
- Multi-target approaches against virulence factors show promise for treating multidrug-resistant A. baumannii infections.
- Targeting the virulence apparatus can improve therapeutic outcomes and reduce hospital-acquired infections.
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