Carbapenem-Resistant Pseudomonas aeruginosa in Chronic Lung Infection: Current Resistance Profile and Hypermutability in Patients with Cystic Fibrosis

Author(s):  
Mila M. Almeida ◽  
Meyvianne T. Freitas ◽  
Tania W. Folescu ◽  
Monica C. Firmida ◽  
Ana Paula D’A. Carvalho-Assef ◽  
...  
2012 ◽  
Vol 194 (23) ◽  
pp. 6617-6617 ◽  
Author(s):  
T. Ryan Withers ◽  
Shannon L. Johnson ◽  
Hongwei D. Yu

ABSTRACTPseudomonas aeruginosais an opportunistic pathogen that establishes a chronic lung infection in individuals afflicted with cystic fibrosis. Here, we announce the draft genome ofP. aeruginosastrain PAO579, an alginate-overproducing derivative of strain PAO381.


2011 ◽  
Vol 6 (1) ◽  
pp. 31-45 ◽  
Author(s):  
Susse Kirkelund Hansen ◽  
Martin Holm Rau ◽  
Helle Krogh Johansen ◽  
Oana Ciofu ◽  
Lars Jelsbak ◽  
...  

2008 ◽  
Vol 42 (4) ◽  
pp. 389-412 ◽  
Author(s):  
I Kukavica-Ibrulj ◽  
R C Levesque

Summary Cystic fibrosis (CF) is caused by a defect in the transmembrane conductance regulator (CFTR) protein that functions as a chloride channel. Dysfunction of the CFTR protein results in salty sweat, pancreatic insufficiency, intestinal obstruction, male infertility and severe pulmonary disease. In most patients with CF life expectancy is limited due to a progressive loss of functional lung tissue. Early in life a persistent neutrophylic inflammation can be demonstrated in the airways. The cause of this inflammation, the role of CFTR and the cause of lung morbidity by different CF-specific bacteria, mostly Pseudomonas aeruginosa, are not well understood. The lack of an appropriate animal model with multi-organ pathology having the characteristics of the human form of CF has hampered our understanding of the pathobiology and chronic lung infections of the disease for many years. This review summarizes the main characteristics of CF and focuses on several available animal models that have been frequently used in CF research. A better understanding of the chronic lung infection caused particularly by P. aeruginosa, the pathophysiology of lung inflammation and the pathogenesis of lung disease necessitates animal models to understand CF, and to develop and improve treatment.


2005 ◽  
Vol 49 (6) ◽  
pp. 2276-2282 ◽  
Author(s):  
Oana Ciofu ◽  
Bente Riis ◽  
Tacjana Pressler ◽  
Henrik Enghusen Poulsen ◽  
Niels Høiby

ABSTRACT Oxidative stress caused by chronic lung inflammation in patients with cystic fibrosis (CF) and chronic lung infection with Pseudomonas aeruginosa is characterized by the reactive oxygen species (ROS) liberated by polymorphonuclear leukocytes (PMNs). We formulated the hypothesis that oxidation of the bacterial DNA by ROS presents an increased risk for the occurrence of hypermutable P. aeruginosa. The occurrence of hypermutable P. aeruginosa isolates was investigated directly in the sputum of 79 CF patients and among 141 isolates collected from 11 CF patients (10 to 15 isolates/patient) collected from the 1st and up to the 25th year of their chronic lung infection. The level of oxidized guanine moiety 8-oxo-2′-deoxyguanosine (8-oxodG), which is a frequently investigated DNA oxidative lesion, was measured. Hypermutable P. aeruginosa isolates were found in the sputum bacterial population of 54.4% of the CF patients. The earliest mutator P. aeruginosa isolates were found after 5 years from the onset of the chronic lung infection, and once they were present in the CF lung, the prevalence increased with time. The hypermutable isolates were significantly more resistant to antipseudomonal antibiotics than nonhypermutable isolates (P ≤ 0.001). The level of 8-oxodG/106 deoxyguanosine (dG) was significantly higher in hypermutable P. aeruginosa isolates (87 ± 38) than in nonhypermutable P. aeruginosa isolates (59.4 ± 17) (P = 0.02), and an increase to 86.84 from 21.65 8-oxodG/106 dG was found after exposure of the reference strain PAO1 to activated PMNs. Our results suggest that the chronic PMN inflammation in the CF lung promotes oxidative stress and is associated with the occurrence of hypermutable bacteria in the lung. The hypermutable phenotype can associate with mutations that confer adaptation of the bacteria in the lung and persistence of the infection.


2017 ◽  
Vol 75 (6) ◽  
Author(s):  
Renan M. Mauch ◽  
Claudio L. Rossi ◽  
Talita B. Aiello ◽  
José D. Ribeiro ◽  
Antônio F. Ribeiro ◽  
...  

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