Sub-Inhibitory Antibiotic Exposure and Virulence in <i>Pseudomonas aeruginosa</i>
<i>Pseudomonas aeruginosa</i> is a prime opportunistic pathogen, one of the most important causes of hospital-acquired infections and the major cause of morbidity and mortality in cystic fibrosis lung infections. One reason for the bacterium’s pathogenic success is the large array of vir...
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2021
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oai:doaj.org-article:ef263f498e2a445a9eb1b80b5e1e97502021-11-25T16:24:37ZSub-Inhibitory Antibiotic Exposure and Virulence in <i>Pseudomonas aeruginosa</i>10.3390/antibiotics101113932079-6382https://doaj.org/article/ef263f498e2a445a9eb1b80b5e1e97502021-11-01T00:00:00Zhttps://www.mdpi.com/2079-6382/10/11/1393https://doaj.org/toc/2079-6382<i>Pseudomonas aeruginosa</i> is a prime opportunistic pathogen, one of the most important causes of hospital-acquired infections and the major cause of morbidity and mortality in cystic fibrosis lung infections. One reason for the bacterium’s pathogenic success is the large array of virulence factors that it can employ. Another is its high degree of intrinsic and acquired resistance to antibiotics. In this review, we first summarise the current knowledge about the regulation of virulence factor expression and production. We then look at the impact of sub-MIC antibiotic exposure and find that the virulence–antibiotic interaction for <i>P. aeruginosa</i> is antibiotic-specific, multifaceted, and complex. Most studies undertaken to date have been <i>in vitro</i> assays in batch culture systems, involving short-term (<24 h) antibiotic exposure. Therefore, we discuss the importance of long-term, <i>in vivo-</i>mimicking models for future work, particularly highlighting the need to account for bacterial physiology, which by extension governs both virulence factor expression and antibiotic tolerance/resistance.Charlotte NolanVolker BehrendsMDPI AGarticle<i>P. aeruginosa</i>antibioticscystic fibrosismetabolismvirulence factorsazithromycinTherapeutics. PharmacologyRM1-950ENAntibiotics, Vol 10, Iss 1393, p 1393 (2021) |
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<i>P. aeruginosa</i> antibiotics cystic fibrosis metabolism virulence factors azithromycin Therapeutics. Pharmacology RM1-950 |
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<i>P. aeruginosa</i> antibiotics cystic fibrosis metabolism virulence factors azithromycin Therapeutics. Pharmacology RM1-950 Charlotte Nolan Volker Behrends Sub-Inhibitory Antibiotic Exposure and Virulence in <i>Pseudomonas aeruginosa</i> |
description |
<i>Pseudomonas aeruginosa</i> is a prime opportunistic pathogen, one of the most important causes of hospital-acquired infections and the major cause of morbidity and mortality in cystic fibrosis lung infections. One reason for the bacterium’s pathogenic success is the large array of virulence factors that it can employ. Another is its high degree of intrinsic and acquired resistance to antibiotics. In this review, we first summarise the current knowledge about the regulation of virulence factor expression and production. We then look at the impact of sub-MIC antibiotic exposure and find that the virulence–antibiotic interaction for <i>P. aeruginosa</i> is antibiotic-specific, multifaceted, and complex. Most studies undertaken to date have been <i>in vitro</i> assays in batch culture systems, involving short-term (<24 h) antibiotic exposure. Therefore, we discuss the importance of long-term, <i>in vivo-</i>mimicking models for future work, particularly highlighting the need to account for bacterial physiology, which by extension governs both virulence factor expression and antibiotic tolerance/resistance. |
format |
article |
author |
Charlotte Nolan Volker Behrends |
author_facet |
Charlotte Nolan Volker Behrends |
author_sort |
Charlotte Nolan |
title |
Sub-Inhibitory Antibiotic Exposure and Virulence in <i>Pseudomonas aeruginosa</i> |
title_short |
Sub-Inhibitory Antibiotic Exposure and Virulence in <i>Pseudomonas aeruginosa</i> |
title_full |
Sub-Inhibitory Antibiotic Exposure and Virulence in <i>Pseudomonas aeruginosa</i> |
title_fullStr |
Sub-Inhibitory Antibiotic Exposure and Virulence in <i>Pseudomonas aeruginosa</i> |
title_full_unstemmed |
Sub-Inhibitory Antibiotic Exposure and Virulence in <i>Pseudomonas aeruginosa</i> |
title_sort |
sub-inhibitory antibiotic exposure and virulence in <i>pseudomonas aeruginosa</i> |
publisher |
MDPI AG |
publishDate |
2021 |
url |
https://doaj.org/article/ef263f498e2a445a9eb1b80b5e1e9750 |
work_keys_str_mv |
AT charlottenolan subinhibitoryantibioticexposureandvirulenceinipseudomonasaeruginosai AT volkerbehrends subinhibitoryantibioticexposureandvirulenceinipseudomonasaeruginosai |
_version_ |
1718413235008307200 |