170 polymorphonuclear leukocytes are suppressed by quorum sensing in a cf mouse model of chronic...

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$46 Journal of Cystic Fibrosis 4 (2005) $34 $58 169 Burkholderia cepacia complex killing of the nematode Caenorhabditis elegans as a model of infection K.M. Mar key, C.A. Hart, C. Winst anley Department Medical Microbiology am] Genitourinary Medicine, University of Liverpool, Duncan Building, Liverpool, UK Inrmduetlon The B. cepacia complex (BCC) comprises a family of at least ten different species. Marked variability is observed in the clinical outcome among the different species of the complex with B. cetu~cepacia and B. muItivorans widely considered to be the most prevalent and virulent in CF patients. Recently the soil borne nematode Caetu)rhabditis elegans has emerged as versatile alternative model to study BCC infection. Aims The aims of this study were (i) to assess variability ha the rates of C. elegans killing by members of the different species of the B CC, and (ii) to assess the model as a tool for better understanding the role of type III secretion ('YFS) and dinucleoside polyphosphate hydr olase (apart) genes in virulence. Methods Three different assays were used to assess the pathogenicity of BCC strains: fast and slow solid media based C. elegans killing assays, and a liquid based feeding inhibition assay. In addition, specific mutants ha the TTS s3,slem and the apart gene were constructed in B. cetu~cepacia mad compared to wild type strains. Results Variation in the pathogenicity of the different species comprising B CC was observed, ha addition, both TTS and apart mutants were less virulent than wild type strains ha C. elegans killing assays. There was a large degree of correlation between the different C. eIegans assays used, especially between the slow killing (infection) and liquid feeding assays. Conclusions Slow killing and liquid C eIegans assays can be used to study variations in the virulence of the B CC. The C. eIegans model should be a useful tool for characterizing the roles of TFS systems and the apart gene in pathogenicity. This work was futuled by the UK CF Trust 171 Localisation, growth and performance of Pseudomonas aeruginosa in flow chambers and in the CF lung J.A.J. Haagensen 1, M. Klausen 1, L. Jelsbak 1, H. Krogh Johansen2, T. Tolker Nielsea 1, S. Molin 1 iBioCentrum-DTU, Center for Biomedical Microbiology, Technical University of Denmark, Lyngby, Denmark, 2Department of Clinical Microbiology, RigshospitiaIet, Copenhagen, Det~rtark Pseudomonas aeruginosa is an oppor tLmistic pathogen frequently causing persistent microbial colonization mad cbr onic bacterial infections ha the lungs of patients with cystic fibrosis, CE We have investigated/~ aerug#u)sa flow chamber biofilms of a laboratory strain (PAO1) as well as sputum samples from different CF patients. Biofilms were established ha flow~chambers, and their development and responses to addition of colistin were monitored by confccal microscopy together with use of live/dead staining. Specific resistant subpopulations were identified in P. aeruginosa biofilms and indicated that sub population differentiation plays an important role. Modification of LPS seems to be an important factor ha relation to colistin tolerance development and may be the initiator of cell differentiation as pmr mutant biofilms of PAO1 show sensitivity to colistin. In sputum samples from CF patients, localization and identification of/~ aerug#u)sa populations were carried out using live/dead staining and FISH. The structural distribution of the /~ aeruginosa population was visualized and viability and differentiation of the single cells in the sputum environment before and after additional antibiotic treatment was monitored using confccal microscopy. Growth dynamics were determined in relation to stages of infection and treatment of the patients. After isolation of single clones from the sputum samples, biofilm attachment investigations were cmried out and initial results show variations within clones from each patient and indicate a heterogeneous population ha the lungs of CF patients. 170 Polymorphonuclear leukocytes are suppressed by quorum sensing in a CF-mouse model of chronic Pseudomonas aeruginosa lung infection N. Hoffmann, Z. Song, P. flstrup Jensen, H. Krogh Johansen, N. H0iby Department of Clinical Microbiology, Rigshospitalet, Cope~u~ge~ De~rtark Quorum sensing (QS) plays an important role for Pseudomotw~s aeruginosa (PA) due to its ability to coordinate virulence expression and establishment of biofilms ha the lungs of cystic fibrosis (CF) patients. In vitro studies have shown that PAN acyl homoserine lact ones signal molecules suppress the activation of polymolphonuclear leukc~ytes (PMNs). ha order to elucidate the interaction of QS and PMNs in vivo, we compared a mucoid PA CF isolate with QS to an isogenic mucoid isolate without QS in a model of chronic lung infection in CF mice (Cf~r t~lu~x) without artificial embedding of the bacteria. Mice intratracheally challenged with PA with QS had a lower activation of PMNs at day 1 and 5 ha both br oncheoalveolar fluid and blood compared to mice infected with PA without QS. In accordance, the number PA with QS in the lung was higher compared to PA without QS at day 5 and the accumulative mortality was higher at day 5 among mice infected with PA with QS (7/17, 41%) compared to PA without QS (2/18, 11%). In conclusion, PA with QS s~appresses the activation of PMNs in CF mice and influence the outcome recorded by a lower bacterial clearance and a higher mortality. 172 Abstract withdrawn

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$ 4 6 Journal o f Cystic Fibrosis 4 (2005) $34 $58

169 Burkholderia cepacia complex killing of the nematode Caenorhabditis elegans as a model of infection K.M. Mar key, C.A. Hart, C. Winst anley Department Medical Microbiology am] Genitourinary Medicine, University of Liverpool, Duncan Building, Liverpool, UK

I n r m d u e t l o n The B. cepacia complex (BCC) comprises a fami ly of at least ten different species. Marked variabi l i ty is observed in the c l in ica l outcome among the different species of the complex wi th B. cetu~cepacia and B. muItivorans widely considered to be the most prevalent and virulent in CF patients. Recently the soil borne nematode Caetu)rhabditis elegans has emerged as versat i le al ternat ive model to study BCC infection. A i m s The a ims of this study were (i) to assess variabil i ty ha the rates of C. elegans ki l l ing by members of the different species of the B CC, and (ii) to assess the model as a tool for better understanding the role of type III secretion ('YFS) and dinucleoside polyphosphate hydr olase (apart) genes in virulence. Methods Three different assays w e r e used to assess the pathogenicity of BCC strains: fast and slow solid media based C. elegans ki l l ing assays, and a l iquid based feeding inhibi t ion assay. In addition, specific mutants ha the TTS s3,slem and the apart g e n e w e r e constructed in B. cetu~cepacia mad compared to wi ld type strains. Results Variat ion in the pathogenicity of the different species comprising B CC was observed, ha addition, both TTS and apart mutants were less virulent than wi ld type strains ha C. elegans ki l l ing assays. There was a large degree of correlat ion between the different C. eIegans assays used, especially be tween the slow k i l l ing (infection) and l iquid feeding assays. Conclus ions Slow k i l l ing and l iquid C eIegans assays can be used to study variations in the virulence of the B CC. The C. eIegans model should be a useful tool for character izing the roles of TFS systems and the apart gene in pathogenicity. This work was futuled by the UK CF Trust

171 Localisation, growth and performance of Pseudomonas aeruginosa in flow chambers and in the CF lung J.A.J. Haagensen 1, M. Klausen 1, L. Jelsbak 1, H. Krogh Johansen 2, T. Tolker Nie l sea 1, S. Mol in 1 iBioCentrum-DTU, Center for Biomedical Microbiology, Technical University of Denmark, Lyngby, Denmark, 2Department of Clinical Microbiology, RigshospitiaIet, Copenhagen, Det~rtark

Pseudomonas aeruginosa is an oppor tLmistic pathogen frequently causing persistent microbial colonization mad cbr onic bacterial infections ha the lungs of patients wi th cystic fibrosis, CE We have invest igated/~ aerug#u)sa f low chamber biof i lms of a laboratory strain (PAO1) as we l l as sputum samples f rom different CF patients. Biof i lms were established ha flow~chambers, and their development and responses to addition of colist in were monitored by confccal microscopy together wi th use of l ive /dead s taining. Specif ic resis tant subpopulat ions w e r e ident i f ied in P. aeruginosa biofi lms and indicated that sub population differentiat ion plays an important role. Modificat ion of LPS seems to be an important factor ha relat ion to colistin tolerance development and may be the init iator of cell differentiat ion as pmr mutant biofi lms of PAO1 show sensitivity to colistin. In sputum samples from CF patients, localization and identification of/~ aerug#u)sa populations were carried out us ing l ive/dead staining and FISH. The structural distribution of the /~ aeruginosa population was visualized and viabili ty and differentiat ion of the s ingle cells in the sputum environment before and after additional antibiotic t reatment was monitored us ing confccal microscopy. Growth dynamics were determined in relat ion to stages of infection and treatment of the patients. After isolation of s ingle clones f rom the sputum samples, b iof i lm attachment investigations w e r e cmried out and ini t ia l results show variations wi th in clones f rom each patient and indicate a heterogeneous populat ion ha the lungs of CF patients.

170 Polymorphonuclear leukocytes are suppressed by quorum sensing in a CF-mouse model of chronic Pseudomonas aeruginosa lung infection N. Hoffmann, Z. Song, P. f lstrup Jensen, H. Krogh Johansen, N. H0iby Department of Clinical Microbiology, Rigshospitalet, Cope~u~ge~ De~rtark

Quorum sensing (QS) plays an important ro le for Pseudomotw~s aeruginosa (PA) due to its abil i ty to coordinate virulence expression and establishment of biof i lms ha the lungs of cystic fibrosis (CF) patients. In vitro studies have shown that P A N acyl homoserine lact ones s ignal molecules suppress the activation of polymolphonuclear leukc~ytes (PMNs). ha order to elucidate the interaction of QS and PMNs in vivo, w e compared a mucoid PA CF isolate wi th QS to an isogenic mucoid isolate without QS in a model of chronic lung infection in CF mice (Cf~r t~lu~ x) without artificial embedding of the bacteria. Mice intratracheally chal lenged wi th PA wi th QS had a lower activation of PMNs at day 1 and 5 ha both br oncheoalveolar f lu id and blood compared to mice infected wi th PA wi thout QS. In accordance, the number PA wi th QS in the lung was h igher compared to PA without QS at day 5 and the accumulat ive mortali ty was h igher at day 5 among mice infected wi th PA wi th QS (7/17, 41%) compared to PA wi thout QS (2/18, 11%). In conclusion, PA wi th QS s~appresses the activation of PMNs in CF mice and influence the outcome recorded by a lower bacterial c learance and a h igher mortality.

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Abstract wi thdrawn