Abstract

Actinobaculum massiliense, a Gram-positive anaerobic coccoid rod colonizing the human urinary tract, belongs to the taxonomic class of Actinobacteria. We identified A. massiliense as a cohabitant of urethral catheter biofilms (CB). The CBs also harbored more common uropathogens, such as Proteus mirabilis and Aerococcus urinae, supporting the notion that A. massiliense is adapted to a life style in polymicrobial biofilms. We isolated a clinical strain from a blood agar colony and used 16S rRNA gene sequencing and shotgun proteomics to confirm its identity as A. massiliense. We characterized this species by quantitatively comparing the bacterial proteome derived from in vitro growth with that of four clinical samples. The functional relevance of proteins with emphasis on nutrient import and the response to hostile host conditions, showing evidence of neutrophil infiltration, was analyzed. Two putative subtilisin-like proteases and a heme/oligopeptide transporter were abundant in vivo and are likely important for survival and fitness in the biofilm. Proteins facilitating uptake of xylose/glucuronate and oligopeptides, also highly expressed in vivo, may feed metabolites into mixed acid fermentation and peptidolysis pathways, respectively, to generate energy. A polyketide synthase predicted to generate a secondary metabolite that interacts with either the human host or co-colonizing microbes was also identified. The product of the PKS enzyme may contribute to A. massiliense fitness and persistence in the CBs.

Highlights

  • Actinobaculum massiliense is a Gram-positive, facultatively anaerobic coccoid rod and apparently rare pathogen able to infect the human urinary tract [1]

  • Evaluating the literature, the most common opportunistic pathogen of this genus is Actinobaculum schaalii which has been associated with urinary tract infection (UTI), catheter-associated UTI (CAUTI), abscesses, urosepsis, and bacteremia [4,5]

  • For patients P1 and P5 who were part of a study to understand the microbial complexity of urethral catheter biofilms (CB) in a hostile host milieu, we observed A. massiliense to be a cohabitant of polymicrobial biofilms

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Summary

Introduction

Actinobaculum massiliense is a Gram-positive, facultatively anaerobic coccoid rod and apparently rare pathogen able to infect the human urinary tract [1]. A case report described the species as the cause of catheter-associated recurrent cystitis in an elderly female patient with resistance to the antibiotics trimethoprim/sulfamethoxazole and rifamycin while sensitive to doxycycline [1]. A different report associated A. massiliense with urosepsis [2]. The genus Actinobaculum was distinguished from Actinomycetes and Arcanobacteria by Lawson et al based on 16S rRNA gene sequence comparisons [3]. Evaluating the literature, the most common opportunistic pathogen of this genus is Actinobaculum schaalii which has been associated with urinary tract infection (UTI), catheter-associated UTI (CAUTI), abscesses, urosepsis, and bacteremia [4,5].

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