Adherence to and penetration of human intestinal Caco-2 epithelial cell monolayers by Pseudomonas aeruginosa

Y Hirakata1, K Izumikawa, T Yamaguchi

  • 1Department of Laboratory Medicine, Nagasaki University School of Medicine, Sakamoto, Japan. hirakata@net.nagasaki-u.ac.jp

Insights

Clinical Pseudomonas aeruginosa from blood, unlike sputum isolates, readily invade intestinal cells and disrupt barrier function. This suggests a potential method for evaluating bacterial virulence factors.

Area of Science:

  • Microbiology
  • Cell Biology
  • Infectious Diseases

Background:

  • Pseudomonas aeruginosa is an opportunistic pathogen causing various infections.
  • Understanding P. aeruginosa virulence factors is crucial for developing effective treatments.
  • Intestinal epithelial barriers play a key role in host defense against pathogens.

Purpose of the Study:

  • To investigate the adherence and invasion capabilities of clinical Pseudomonas aeruginosa isolates from different sources (blood vs. sputum) using an in vitro intestinal model.
  • To assess the impact of P. aeruginosa isolates on intestinal epithelial barrier integrity.
  • To evaluate the utility of the Caco-2 cell monolayer system for studying bacterial virulence.

Main Methods:

  • Utilized Caco-2 cell monolayers as an in vitro model of the intestinal epithelium.
  • Quantified adherence and penetration of Pseudomonas aeruginosa isolates from blood and sputum.
  • Measured transepithelial electrical resistance (TEER) to assess barrier function.
  • Tested an avirulent exotoxin A mutant (PAO-PR1) of P. aeruginosa PAO1.

Main Results:

  • Clinical isolates of P. aeruginosa from blood demonstrated significantly higher adherence to and penetration of Caco-2 cell monolayers compared to isolates from sputum.
  • Exposure to blood-derived P. aeruginosa isolates caused a substantial decrease in transepithelial electrical resistance, indicating severe disruption of the intestinal barrier.
  • The avirulent exotoxin A mutant PAO-PR1 did not induce a significant decrease in transepithelial electrical resistance, suggesting the role of exotoxin A in virulence.
  • The Caco-2 cell model effectively differentiated the virulence potential of P. aeruginosa isolates.

Conclusions:

  • Clinical Pseudomonas aeruginosa isolates from bloodstream infections exhibit enhanced ability to breach intestinal epithelial barriers compared to respiratory isolates.
  • The Caco-2 cell monolayer system serves as a valuable tool for evaluating the virulence of P. aeruginosa, particularly its effects on intestinal barrier function.
  • Exotoxin A appears to be a significant virulence factor contributing to the disruption of intestinal epithelial integrity by P. aeruginosa.