The role of type VI secretion system in resistance and pathogenicity of Acinetobacter baumannii
Jun Li1,2, Mengli Tang3, Zhaojun Liu1
1Department of Clinical Laboratory, Xiangya Hospital, Central South University, No.87 Xiangya Road, Changsha, 410008, Hunan, China.
Abstract:
The Type VI secretion system (T6SS) is a multi-component transmembrane apparatus that is crucial for substance acquisition and pathogenicity of bacteria. In this study we investigated Acinetobacter baumannii, a causative agent of bacteremia, to explore the mechanisms of T6SS in drug resistance and pathogenicity by contrasting virulence, drug sensitivity, conjugation, transformation, competition, and cell adhesion capacities. A total of 136 non-repetitive A. baumannii strains were collected, and 80.1% of patients received treatment in intensive care unit. Forty strains (29.4%) were classified as hypervirulent A. baumannii (hvAB), which exhibited a higher prevalence of the virulence gene abaI, a reduced capacity for biofilm formation, and a lower prevalence of the outer membrane protein gene carO. T6SS-positive strains exhibited enhanced antimicrobial resistance, elevated frequencies of resistance genes (blaOXA-23-like, blaTEM, adeB, adeR, adeS) and the virulence gene csuE. Differences were observed between strains with T6SS deletion and those with an intact T6SS concerning the HigAB toxin-antitoxin system and the RSF1010-like IncQ plasmid. T6SS may down-regulate the expression of effector genes due to the insertion sequence ISAba13. The critical role of the T6SS in the drug resistance and pathogenicity of A. baumannii necessitates strengthened surveillance and the prompt implementation of effective measures.
Insights
The Type VI secretion system (T6SS) in Acinetobacter baumannii significantly enhances antimicrobial resistance and pathogenicity. Understanding T6SS mechanisms is vital for combating drug-resistant bacterial infections.
Area of Science:
- Microbiology
- Bacterial Pathogenesis
- Molecular Biology
Background:
- The Type VI secretion system (T6SS) is a bacterial virulence factor essential for nutrient acquisition and pathogenesis.
- Acinetobacter baumannii is a significant cause of hospital-acquired infections, particularly in intensive care units, and is associated with high rates of antimicrobial resistance.
Purpose of the Study:
- To investigate the role of T6SS in the drug resistance and pathogenicity of Acinetobacter baumannii.
- To compare virulence, drug sensitivity, and other capacities between T6SS-positive and T6SS-deficient strains.
Main Methods:
- Analysis of 136 non-repetitive Acinetobacter baumannii strains.
- Characterization of hypervirulent strains (hvAB) and assessment of virulence genes (abaI, carO).
- Evaluation of antimicrobial resistance genes (blaOXA-23-like, blaTEM, adeB, adeR, adeS) and virulence gene (csuE) prevalence in T6SS-positive strains.
Main Results:
- T6SS-positive strains showed increased antimicrobial resistance and higher frequencies of specific resistance and virulence genes.
- Hypervirulent A. baumannii (hvAB) strains had distinct genetic profiles (e.g., abaI, carO) and reduced biofilm formation.
- T6SS deletion affected toxin-antitoxin systems and plasmid carriage, with ISAba13 potentially down-regulating effector genes.
Conclusions:
- The T6SS plays a critical role in Acinetobacter baumannii's drug resistance and pathogenicity.
- Findings highlight the need for enhanced surveillance and control measures targeting T6SS in A. baumannii infections.
- Further research into T6SS regulation, like ISAba13's role, is warranted.
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