Host-Specific Interactions Between Staphylococcus aureus and Pseudomonas aeruginosa Impair Epithelial Repair in

Xiaohan Sun1,2, Mahnaz Ramezanpour1,2, George Bouras1,2

  • 1Department of Surgery-Otolaryngology, Head and Neck Surgery, Central Adelaide Local Health Network, Woodville, South Australia, Australia.

Abstract

Insights

Interactions between Staphylococcus aureus and Pseudomonas aeruginosa from the same chronic rhinosinusitis patient worsen epithelial healing and increase inflammation. These patient-specific bacterial interactions may drive disease severity.

Area of Science:

  • Microbiology
  • Immunology
  • Cell Biology

Background:

  • Chronic rhinosinusitis (CRS) often involves polymicrobial biofilms, including Staphylococcus aureus and Pseudomonas aeruginosa.
  • The impact of exoproteins from patient-matched bacterial cocultures on nasal epithelium is not well understood.

Purpose of the Study:

  • To investigate the effects of exoproteins from same-patient and cross-patient cocultures of S. aureus and P. aeruginosa on human nasal epithelial cells.
  • To characterize the exoproteomic differences associated with these interactions.

Main Methods:

  • Co-culturing clinical isolates of S. aureus and P. aeruginosa from CRS patients.
  • Applying cell-free exoproteins to primary human nasal epithelial cells.
  • Assessing epithelial repair, cytotoxicity, oxidative stress, and inflammation (IL-6).
  • Proteomic analysis of exoprotein profiles.

Main Results:

  • Exoproteins from same-patient cocultures significantly impaired epithelial wound closure, increased cytotoxicity, and elevated oxidative stress and IL-6 secretion compared to monocultures or cross-patient cocultures.
  • Cross-patient coculture exoproteins yielded responses similar to monocultures.
  • Proteomics revealed distinct exoproteome organization in same-patient cocultures, with increased proteins related to redox balance and metabolism.

Conclusions:

  • Patient-specific interactions between S. aureus and P. aeruginosa exoproteins heighten epithelial stress and inflammation.
  • These host-specific bacterial interactions may contribute to the virulence and persistence of chronic rhinosinusitis.

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