Abstract

Pseudomonas aeruginosa is a prevalent opportunistic pathogen that causes fatal infections in immunocompromised individuals. Quorum sensing (QS) is a cell-to-cell communication process that controls virulence gene expression and biofilm formation in P. aeruginosa. Here, the QS systems and the relevant virulence traits in clinical P. aeruginosa isolates were characterized. Eleven out of the ninety-four P. aeruginosa isolates exhibited a biofilm-deficient phenotype. Two biofilm-deficient isolates, one from blood and the one from pleural effusion, appeared to carry a same mutation in lasR. These two isolates differed in the ability to produce QS-regulated virulence factors, but contained the same functionally deficient LasR with the truncated C-terminal domains and belonged to the same multilocus sequence type (ST227). Chromosomal lasR complementation in these lasR mutants verified that lasR inactivation was the sole cause of las deficiency. LasR was not absolutely required for rhl signal in these lasR mutants, suggesting the presence of lasR-independent QS systems. We provided evidence that the virulence gene expression are not regulated in the same manner in these isolates. These results support the hypothesis that conventional QS hierarchy can be smashed by naturally occurring lasR mutation in clinical P. aeruginosa isolates and that complex QS hierarchy may play a role in maintaining infection of this opportunistic pathogen.

Highlights

  • Pseudomonas aeruginosa is a notoriously opportunistic pathogen that causes considerable morbidity and mortality in immunocompromised patients[1,2]

  • Feltner et al.[28] have reported that 22% of P. aeruginosa isolates from the lungs of cystic fibrosis (CF) patients are mutants and contain polypeptides that differed from LasR in laboratory strains

  • The present study aimed at exploring the relationship between quorum sensing (QS) and the relevant virulence traits in clinical P. aeruginosa isolates derived from Chinese patients

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Summary

Introduction

Pseudomonas aeruginosa is a notoriously opportunistic pathogen that causes considerable morbidity and mortality in immunocompromised patients[1,2]. Transcriptional regulator to activate the expression of QS genes, including lasR, lasI, rhlR, rhlI, and pqsR. It positively regulates the production of virulence factors, such as elastase LasB17, exotoxin A18, pyocyanin[19], and extracellular polymeric substrates (EPS)[20]. Feltner et al.[28] have reported that 22% of P. aeruginosa isolates from the lungs of CF patients are mutants and contain polypeptides that differed from LasR in laboratory strains. An increasing amount of clinical studies has linked lasR mutants to worsening disease progression of chronic and acute infections[29,32]. It is likely that complex QS hierarchy plays a role in maintaining the infection of this opportunistic pathogen

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