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Ethanol Stimulates WspR-Controlled Biofilm Formation as Part of a Cyclic Relationship Involving Phenazines


In many human infections, several species of microbes are often present. This is typically the case with the disease cystic fibrosis, characterized by thick mucus in the lungs that is colonized by bacteria and fungi. Here, we show evidence that interactions between the bacterium Pseudomonas aeruginosa and the fungus Candida albicans result in attributes of infection that are worse for the human host. We found that ethanol, such as that produced by C. albicans, causes increased levels of a signaling molecule in P. aeruginosa that promotes biofilm formation. Biofilm formation by P. aeruginosa is associated with infections that are more difficult to treat. Ethanol stimulated P. aeruginosa colonization of plastic surfaces and airway cells, and we identified components of this mechanism. Fungally-produced ethanol also changes the spectrum of phenazine toxins produced by P. aeruginosa, and phenazines are associated with worse lung function in people with cystic fibrosis. In light of the fact that phenazines interact with C. albicans to promote ethanol production, we propose a positive feedback loop between C. albicans and P. aeruginosa that contributes to worse disease. Our findings could have implications for the study and treatment of multi-species infections.


Vyšlo v časopise: Ethanol Stimulates WspR-Controlled Biofilm Formation as Part of a Cyclic Relationship Involving Phenazines. PLoS Pathog 10(10): e32767. doi:10.1371/journal.ppat.1004480
Kategorie: Research Article
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.ppat.1004480

Souhrn

In many human infections, several species of microbes are often present. This is typically the case with the disease cystic fibrosis, characterized by thick mucus in the lungs that is colonized by bacteria and fungi. Here, we show evidence that interactions between the bacterium Pseudomonas aeruginosa and the fungus Candida albicans result in attributes of infection that are worse for the human host. We found that ethanol, such as that produced by C. albicans, causes increased levels of a signaling molecule in P. aeruginosa that promotes biofilm formation. Biofilm formation by P. aeruginosa is associated with infections that are more difficult to treat. Ethanol stimulated P. aeruginosa colonization of plastic surfaces and airway cells, and we identified components of this mechanism. Fungally-produced ethanol also changes the spectrum of phenazine toxins produced by P. aeruginosa, and phenazines are associated with worse lung function in people with cystic fibrosis. In light of the fact that phenazines interact with C. albicans to promote ethanol production, we propose a positive feedback loop between C. albicans and P. aeruginosa that contributes to worse disease. Our findings could have implications for the study and treatment of multi-species infections.


Zdroje

1. FilkinsLM, HamptonTH, GiffordAH, GrossMJ, HoganDA, et al. (2012) Prevalence of streptococci and increased polymicrobial diversity associated with cystic fibrosis patient stability. J Bacteriol 194: 4709–4717.

2. ZhaoJ, SchlossPD, KalikinLM, CarmodyLA, FosterBK, et al. (2012) Decade-long bacterial community dynamics in cystic fibrosis airways. Proc Natl Acad Sci U S A 109: 5809–5814.

3. FodorAA, KlemER, GilpinDF, ElbornJS, BoucherRC, et al. (2012) The adult cystic fibrosis airway microbiota is stable over time and infection type, and highly resilient to antibiotic treatment of exacerbations. PLoS One 7: e45001.

4. DelhaesL, MonchyS, FrealleE, HubansC, SalleronJ, et al. (2012) The airway microbiota in cystic fibrosis: a complex fungal and bacterial community–implications for therapeutic management. PLoS One 7: e36313.

5. LeclairLW, HoganDA (2010) Mixed bacterial-fungal infections in the CF respiratory tract. Med Mycol 48: S125–S132.

6. ChotirmallSH, O'DonoghueE, BennettK, GunaratnamC, O'NeillSJ, et al. (2010) Sputum Candida albicans presages FEV1 decline and hospitalized exacerbations in cystic fibrosis. Chest 138: 1186–1195.

7. NavarroJ, RainisioM, HarmsHK, HodsonME, KochC, et al. (2001) Factors associated with poor pulmonary function: cross-sectional analysis of data from the ERCF. European Epidemiologic Registry of Cystic Fibrosis. Eur Respir J 18: 298–305.

8. ParsekMR, SinghPK (2003) Bacterial biofilms: an emerging link to disease pathogenesis. Annu Rev Microbiol 57: 677–701.

9. DaveyME, O'TooleGA (2000) Microbial biofilms: from ecology to molecular genetics. Microbiol Mol Biol Rev 64: 847–867.

10. MahTF, O'TooleGA (2001) Mechanisms of biofilm resistance to antimicrobial agents. Trends Microbiol 9: 34–39.

11. RomlingU, GalperinMY, GomelskyM (2013) Cyclic di-GMP: the first 25 years of a universal bacterial second messenger. Microbiol Mol Biol Rev 77: 1–52.

12. BaraquetC, HarwoodCS (2013) Cyclic diguanosine monophosphate represses bacterial flagella synthesis by interacting with the Walker A motif of the enhancer-binding protein FleQ. Proc Natl Acad Sci U S A 110: 18478–18483.

13. IrieY, BorleeBR, O'ConnorJR, HillPJ, HarwoodCS, et al. (2012) Self-produced exopolysaccharide is a signal that stimulates biofilm formation in Pseudomonas aeruginosa. Proc Natl Acad Sci U S A 109: 20632–20636.

14. KuchmaSL, GriffinEF, O'TooleGA (2012) Minor pilins of the type IV pilus system participate in the negative regulation of swarming motility. J Bacteriol 194: 5388–5403.

15. HunterRC, Klepac-CerajV, LorenziMM, GrotzingerH, MartinTR, et al. (2012) Phenazine content in the cystic fibrosis respiratory tract negatively correlates with lung function and microbial complexity. Am J Respir Cell Mol Biol 47: 738–745.

16. RadaB, LetoTL (2013) Pyocyanin effects on respiratory epithelium: relevance in Pseudomonas aeruginosa airway infections. Trends Microbiol 21: 73–81.

17. DenningGM, IyerSS, ReszkaKJ, O'MalleyY, RasmussenGT, et al. (2003) Phenazine-1-carboxylic acid, a secondary metabolite of Pseudomonas aeruginosa, alters expression of immunomodulatory proteins by human airway epithelial cells. Am J Physiol Lung Cell Mol Physiol 285: L584–592.

18. MoralesDK, GrahlN, OkegbeC, DietrichLE, JacobsNJ, et al. (2013) Control of Candida albicans metabolism and biofilm formation by Pseudomonas aeruginosa phenazines. MBio 4: e00526-00512.

19. MoralesDK, JacobsNJ, RajamaniS, KrishnamurthyM, Cubillos-RuizJR, et al. (2010) Antifungal mechanisms by which a novel Pseudomonas aeruginosa phenazine toxin kills Candida albicans in biofilms. Mol Microbiol 78: 1379–1392.

20. GuvenerZT, HarwoodCS (2007) Subcellular location characteristics of the Pseudomonas aeruginosa GGDEF protein, WspR, indicate that it produces cyclic-di-GMP in response to growth on surfaces. Mol Microbiol 66: 1459–1473.

21. HickmanJW, TifreaDF, HarwoodCS (2005) A chemosensory system that regulates biofilm formation through modulation of cyclic diguanylate levels. Proc Natl Acad Sci U S A 102: 14422–14427.

22. KulasakaraH, LeeV, BrencicA, LiberatiN, UrbachJ, et al. (2006) Analysis of Pseudomonas aeruginosa diguanylate cyclases and phosphodiesterases reveals a role for bis-(3′-5′)-cyclic-GMP in virulence. Proc Natl Acad Sci U S A 103: 2839–2844.

23. ChinAWTF, Thomas-OatesJE, LugtenbergBJ, BloembergGV (2001) Introduction of the phzH gene of Pseudomonas chlororaphis PCL1391 extends the range of biocontrol ability of phenazine-1-carboxylic acid-producing Pseudomonas spp. strains. Mol Plant Microbe Interact 14: 1006–1015.

24. GibsonJ, SoodA, HoganDA (2009) Pseudomonas aeruginosa-Candida albicans interactions: localization and fungal toxicity of a phenazine derivative. Appl Environ Microbiol 75: 504–513.

25. CuginiC, MoralesDK, HoganDA (2010) Candida albicans-produced farnesol stimulates Pseudomonas quinolone signal production in LasR-defective Pseudomonas aeruginosa strains. Microbiology 156: 3096–3107.

26. O'TooleGA, KolterR (1998) Flagellar and twitching motility are necessary for Pseudomonas aeruginosa biofilm development. Mol Microbiol 30: 295–304.

27. MernDS, HaSW, KhodaverdiV, GlieseN, GorischH (2010) A complex regulatory network controls aerobic ethanol oxidation in Pseudomonas aeruginosa: indication of four levels of sensor kinases and response regulators. Microbiology 156: 1505–1516.

28. KretzschmarU, SchobertM, GorischH (2001) The Pseudomonas aeruginosa acsA gene, encoding an acetyl-CoA synthetase, is essential for growth on ethanol. Microbiology 147: 2671–2677.

29. LiberatiNT, UrbachJM, MiyataS, LeeDG, DrenkardE, et al. (2006) An ordered, nonredundant library of Pseudomonas aeruginosa strain PA14 transposon insertion mutants. Proc Natl Acad Sci 103: 2833–2838.

30. TamayoR, PrattJT, CamilliA (2007) Roles of cyclic diguanylate in the regulation of bacterial pathogenesis. Annu Rev Microbiol 61: 131–148.

31. HaDG, RichmanME, O'TooleGA (2014) Deletion mutant library for investigation of functional outputs of cyclic diguanylate metabolism in Pseudomonas aeruginosa PA14. Appl Environ Microbiol 80: 3384–3393.

32. D'ArgenioDA, CalfeeMW, RaineyPB, PesciEC (2002) Autolysis and autoaggregation in Pseudomonas aeruginosa colony morphology mutants. J Bacteriol 184: 6481–6489.

33. FriedmanL, KolterR (2004) Genes involved in matrix formation in Pseudomonas aeruginosa PA14 biofilms. Mol Microbiol 51: 675–690.

34. HuangyutithamV, GuvenerZT, HarwoodCS (2013) Subcellular clustering of the phosphorylated WspR response regulator protein stimulates its diguanylate cyclase activity. MBio 4: e00242-00213.

35. AndersonGG, Moreau-MarquisS, StantonBA, O'TooleGA (2008) In vitro analysis of tobramycin-treated Pseudomonas aeruginosa biofilms on cystic fibrosis-derived airway epithelial cells. Infect Immun 76: 1423–1433.

36. Moreau-MarquisS, BombergerJM, AndersonGG, Swiatecka-UrbanA, YeS, et al. (2008) The DeltaF508-CFTR mutation results in increased biofilm formation by Pseudomonas aeruginosa by increasing iron availability. Am J Physiol Lung Cell Mol Physiol 295: L25–37.

37. ElaminE, JonkersD, Juuti-UusitaloK, van IjzendoornS, TroostF, et al. (2012) Effects of ethanol and acetaldehyde on tight junction integrity: in vitro study in a three dimensional intestinal epithelial cell culture model. PLoS One 7: e35008.

38. MaTY, NguyenD, BuiV, NguyenH, HoaN (1999) Ethanol modulation of intestinal epithelial tight junction barrier. Am J Physiol 276: G965–974.

39. MukherjeePK, MohamedS, ChandraJ, KuhnD, LiuS, et al. (2006) Alcohol dehydrogenase restricts the ability of the pathogen Candida albicans to form a biofilm on catheter surfaces through an ethanol-based mechanism. Infect Immun 74: 3804–3816.

40. KannerD, GerberNN, BarthaR (1978) Pattern of phenazine pigment production by a strain of Pseudomonas aeruginosa. J Bacteriol 134: 690–692.

41. RecinosDA, SekedatMD, HernandezA, CohenTS, SakhtahH, et al. (2012) Redundant phenazine operons in Pseudomonas aeruginosa exhibit environment-dependent expression and differential roles in pathogenicity. Proc Natl Acad Sci U S A 109: 19420–19425.

42. DietrichLE, Price-WhelanA, PetersenA, WhiteleyM, NewmanDK (2006) The phenazine pyocyanin is a terminal signalling factor in the quorum sensing network of Pseudomonas aeruginosa. Mol Microbiol 61: 1308–1321.

43. WuichetK, AlexanderRP, ZhulinIB (2007) Comparative genomic and protein sequence analyses of a complex system controlling bacterial chemotaxis. Methods Enzymol 422: 1–31.

44. O'ConnorJR, KuwadaNJ, HuangyutithamV, WigginsPA, HarwoodCS (2012) Surface sensing and lateral subcellular localization of WspA, the receptor in a chemosensory-like system leading to c-di-GMP production. Mol Microbiol 86: 720–729.

45. IngramLO, ButtkeTM (1984) Effects of alcohols on microorganisms. Adv Microb Physiol 25: 253–300.

46. AzoulayE, TimsitJF, TaffletM, de LassenceA, DarmonM, et al. (2006) Candida colonization of the respiratory tract and subsequent pseudomonas ventilator-associated pneumonia. Chest 129: 110–117.

47. HimmelreichU, AllenC, DowdS, MalikR, ShehanBP, et al. (2003) Identification of metabolites of importance in the pathogenesis of pulmonary cryptococcoma using nuclear magnetic resonance spectroscopy. Microbes Infect 5: 285–290.

48. GrahlN, PuttikamonkulS, MacdonaldJM, GamcsikMP, NgoLY, et al. (2011) In vivo hypoxia and a fungal alcohol dehydrogenase influence the pathogenesis of invasive pulmonary aspergillosis. PLoS Pathog 7: e1002145.

49. MontuschiP, ParisD, MelckD, LucidiV, CiabattoniG, et al. (2012) NMR spectroscopy metabolomic profiling of exhaled breath condensate in patients with stable and unstable cystic fibrosis. Thorax 67: 222–228.

50. JacksonAA, GrossMJ, DanielsEF, HamptonTH, HammondJH, et al. (2013) Anr and its activation by PlcH activity in Pseudomonas aeruginosa host colonization and virulence. J Bacteriol 195: 3093–3104.

51. WargoMJ, GrossMJ, RajamaniS, AllardJL, LundbladLK, et al. (2011) Hemolytic phospholipase C inhibition protects lung function during Pseudomonas aeruginosa infection. Am J Respir Crit Care Med 184: 345–354.

52. DeVaultJD, KimbaraK, ChakrabartyAM (1990) Pulmonary dehydration and infection in cystic fibrosis: evidence that ethanol activates alginate gene expression and induction of mucoidy in Pseudomonas aeruginosa. Mol Microbiol 4: 737–745.

53. DereticV, GovanJR, KonyecsniWM, MartinDW (1990) Mucoid Pseudomonas aeruginosa in cystic fibrosis: mutations in the muc loci affect transcription of the algR and algD genes in response to environmental stimuli. Mol Microbiol 4: 189–196.

54. BoucherJC, YuH, MuddMH, DereticV (1997) Mucoid Pseudomonas aeruginosa in cystic fibrosis: characterization of muc mutations in clinical isolates and analysis of clearance in a mouse model of respiratory infection. Infect Immun 65: 3838–3846.

55. KoremM, GovY, RosenbergM (2010) Global gene expression in Staphylococcus aureus following exposure to alcohol. Microb Pathog 48: 74–84.

56. NwugoCC, ArivettBA, ZimblerDL, GaddyJA, RichardsAM, et al. (2012) Effect of ethanol on differential protein production and expression of potential virulence functions in the opportunistic pathogen Acinetobacter baumannii. PLoS One 7: e51936.

57. CamarenaL, BrunoV, EuskirchenG, PoggioS, SnyderM (2010) Molecular mechanisms of ethanol-induced pathogenesis revealed by RNA-sequencing. PLoS Pathog 6: e1000834.

58. SmithMG, Des EtagesSG, SnyderM (2004) Microbial synergy via an ethanol-triggered pathway. Mol Cell Biol 24: 3874–3884.

59. SmithMG, GianoulisTA, PukatzkiS, MekalanosJJ, OrnstonLN, et al. (2007) New insights into Acinetobacter baumannii pathogenesis revealed by high-density pyrosequencing and transposon mutagenesis. Genes Dev 21: 601–614.

60. GoralJ, KaravitisJ, KovacsEJ (2008) Exposure-dependent effects of ethanol on the innate immune system. Alcohol 42: 237–247.

61. SzaboG, MandrekarP (2009) A recent perspective on alcohol, immunity, and host defense. Alcohol Clin Exp Res 33: 220–232.

62. KaravitisJ, KovacsEJ (2011) Macrophage phagocytosis: effects of environmental pollutants, alcohol, cigarette smoke, and other external factors. J Leukoc Biol 90: 1065–1078.

63. HappelKI, NelsonS (2005) Alcohol, immunosuppression, and the lung. Proc Am Thorac Soc 2: 428–432.

64. GuidotDM, HartCM (2005) Alcohol abuse and acute lung injury: epidemiology and pathophysiology of a recently recognized association. J Investig Med 53: 235–245.

65. GreenbergSS, ZhaoX, HuaL, WangJF, NelsonS, et al. (1999) Ethanol inhibits lung clearance of Pseudomonas aeruginosa by a neutrophil and nitric oxide-dependent mechanism, in vivo. Alcohol Clin Exp Res 23: 735–744.

66. ChinAWTF, BloembergGV, MuldersIH, DekkersLC, LugtenbergBJ (2000) Root colonization by phenazine-1-carboxamide-producing bacterium Pseudomonas chlororaphis PCL1391 is essential for biocontrol of tomato foot and root rot. Mol Plant Microbe Interact 13: 1340–1345.

67. BolwerkA, LagopodiAL, WijfjesAH, LamersGE, ChinAWTF, et al. (2003) Interactions in the tomato rhizosphere of two Pseudomonas biocontrol strains with the phytopathogenic fungus Fusarium oxysporum f. sp. radicis-lycopersici. Mol Plant Microbe Interact 16: 983–993.

68. BertaniG (1951) Studies on lysogenesis. I. The mode of phage liberation by lysogenic Escherichia coli. J Bacteriol 62: 293–300.

69. NeidhardtFC, BlochPL, SmithDF (1974) Culture medium for enterobacteria. J Bacteriol 119: 736–747.

70. CozensAL, YezziMJ, ChinL, SimonEM, FinkbeinerWE, et al. (1992) Characterization of immortal cystic fibrosis tracheobronchial gland epithelial cells. Proc Natl Acad Sci U S A 89: 5171–5175.

71. KohlerT, CurtyLK, BarjaF, van DeldenC, PechereJC (2000) Swarming of Pseudomonas aeruginosa is dependent on cell-to-cell signaling and requires flagella and pili. J Bacteriol 182: 5990–5996.

72. AbramoffMD, MagelhaesPJ, RamSJ (2004) Image Processing with ImageJ. Biophotonics International 11: 36–42.

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Hygiena a epidemiológia Infekčné lekárstvo Laboratórium

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