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A high-frequency phenotypic switch links bacterial virulence and environmental survival in Acinetobacter baumannii.

Chui Yoke Chin | Kyle A Tipton | Marjan Farokhyfar | Eileen M Burd | David S Weiss | Philip N Rather
Nature microbiology | 2018

Antibiotic-resistant infections lead to 700,000 deaths per year worldwide 1 . The roles of phenotypically diverse subpopulations of clonal bacteria in the progression of diseases are unclear. We found that the increasingly pathogenic and antibiotic-resistant pathogen Acinetobacter baumannii harbours a highly virulent subpopulation of cells responsible for disease. This virulent subpopulation possesses a thicker capsule and is resistant to host antimicrobials, which drive its enrichment during infection. Importantly, bacteria harvested from the bloodstream of human patients belong exclusively to this virulent subpopulation. Furthermore, the virulent form exhibits increased resistance to hospital disinfectants and desiccation, indicating a role in environmental persistence and the epidemic spread of disease. We identified a transcriptional 'master regulator' of the switch between avirulent and virulent cells, the overexpression of which abrogates virulence. Furthermore, the overexpression strain is capable of vaccinating mice against lethal challenge. This work highlights a phenotypic subpopulation of bacteria that drastically alters the outcome of infection, and illustrates how knowledge of the regulatory mechanisms controlling such phenotypic switches can be harnessed to attenuate bacteria and develop translational interventions.

Pubmed ID: 29693659

Research resources used in this publication

None found

Antibodies used in this publication

None found

Associated grants

  • Agency: BLRD VA, United States
    Id: IK6 BX004470
  • Agency: NIAID NIH HHS, United States
    Id: R21 AI115183
  • Agency: NCATS NIH HHS, United States
    Id: UL1 TR000454
  • Agency: NCATS NIH HHS, United States
    Id: UL1 TR002378
  • Agency: NIAID NIH HHS, United States
    Id: R21 AI098800
  • Agency: NIAID NIH HHS, United States
    Id: R33 AI098800
  • Agency: BLRD VA, United States
    Id: I01 BX001725
  • Agency: BLRD VA, United States
    Id: I01 BX002788
  • Agency: NIH HHS, United States
    Id: P51 OD011132

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