肺病原体のジレンマ:抗生物質への感染か抵抗か?(A lung pathogen’s dilemma: infect or resist antibiotics?)

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2024-10-28 スイス連邦工科大学ローザンヌ校(EPFL)

EPFLの新研究によると、肺感染を引き起こす細菌「緑膿菌」は、感染拡大と抗生物質耐性のバランスを取る必要がある。感染環境で、緑膿菌はバイオフィルムを形成して抗生物質から身を守るが、移動力や栄養摂取能力が制限されるため感染拡大が難しくなる。研究チームはこの調整を解明し、バイオフィルム形成や代謝経路を標的とする治療法が有効になる可能性を示唆。

<関連情報>

緑膿菌は、気道感染時に粘膜コロニー形成と抗生物質耐性の間で適応力のトレードオフに直面している Pseudomonas aeruginosa faces a fitness trade-off between mucosal colonization and antibiotic tolerance during airway infection

Lucas A. Meirelles,Evangelia Vayena,Auriane Debache,Eric Schmidt,Tamara Rossy,Tania Distler,Vassily Hatzimanikatis & Alexandre Persat
Nature Microbiology  Published:25 October 2024
DOI:https://doi.org/10.1038/s41564-024-01842-3

肺病原体のジレンマ:抗生物質への感染か抵抗か?(A lung pathogen’s dilemma: infect or resist antibiotics?)

Abstract

Pseudomonas aeruginosa frequently causes antibiotic-recalcitrant pneumonia, but the mechanisms driving its adaptation during human infections remain unclear. To reveal the selective pressures and adaptation strategies at the mucosal surface, here we investigated P. aeruginosa growth and antibiotic tolerance in tissue-engineered airways by transposon insertion sequencing (Tn-seq). Metabolic modelling based on Tn-seq data revealed the nutritional requirements for P. aeruginosa growth, highlighting reliance on glucose and lactate and varying requirements for amino acid biosynthesis. Tn-seq also revealed selection against biofilm formation during mucosal growth in the absence of antibiotics. Live imaging in engineered organoids showed that biofilm-dwelling cells remained sessile while colonizing the mucosal surface, limiting nutrient foraging and reduced growth. Conversely, biofilm formation increased antibiotic tolerance at the mucosal surface. Moreover, mutants with exacerbated biofilm phenotypes protected less tolerant but more cytotoxic strains, contributing to phenotypic heterogeneity. P. aeruginosa must therefore navigate conflicting physical and biological selective pressures to establish chronic infections.

医療・健康
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