Several cellular and subcellular fractions were prepared from Pseudomonas aeruginosa strain PA-7. Those found to be immunogenic in rabbits included a heat-stable lipopolysaccharide, a protein-lipopolysaccharide complex, a cell wall preparation arid a formalin-killed whole cell vaccine. However, a lipopolysaccharide preparation extracted with phenol and water was found to be a poor immunogen in rabbits. The cell wall fraction proved to be the most effective immunogen in terms of the amount of antibody evoked, and of the duration of the serum antibody response. Hyperimmune sera produced against all four antigens were found to contain a mixed population of 2-mercaptoethanol sensitive and 2-mercaptdethanol resistant antibodies. Gel filtration and ion exchange chromatography studies established the presence of both IgM and IgG immunoglobulins in all four types of hyperimmune serum. Whole immune serum, as well as the IgM and IgG serum fractions, afforded passive protection to mice challenged with twenty or more LD₅₀ of viable organisms. There was an indication that the IgG fraction of two of the four serum types provided better protection than did the IgM fraction, but precipitation studies indicated that this may have been due to greater numbers of IgG immunoglobulins. In addition serum containing a high proportion of 2-mercaptoethanol resistant antibody-was found to promote faster clearance of injected bacteria than did serum taken earlier in the response. Immunodiffusion studies indicated that all four antigenic preparations contained at least one common immunogen; moreover, all serum types were able to react with sheep red blood cells coated with the heat-stable lipopolysaccharide preparation in passive hemagglutination and hemolysin tests. / Science, Faculty of / Microbiology and Immunology, Department of / Graduate

The major outer membrane protein OprF from Pseudomonas aeruginosa was compared with OprF from the fluorescent phytopathogen Pseudomonas syringae. The P. syringae oprF gene was subcloned and sequenced and found to code for a sequence of 344 amino acids containing a 24 amino acid leader sequence. The mature protein, with a deduced molecular weight of 34,225, contained four cysteine residues and an alanine-proline rich area. Comparison of the P. syringae OprF amino acid sequence with the P. aeruginosa OprF and the E. coli OmpA sequences showed that the sequences were most similar at the carboxy-terrninal ends. Restriction enzyme site heterogeneity near the oprF gene from nine different P. syringae pathovars was determined. All pathovars had a conserved SalI site within the gene and conserved PstI. and BamHI sites near the ends of the gene. The location of the PstI and the SalI sites outside the gene was variable, although similar. Immunological relatedness between P. syringae OprF from the different pathovars and P. aeruginosa OprF was confirmed. Protein OprF from all the pathovars was shown to be 2-mercaptoethanol modifiable and more easily heat modifiable than was OprF from P. aeruginosa. / Science, Faculty of / Microbiology and Immunology, Department of / Graduate

The oprF gene encoding porin protein F from Pseudomonas aeruginosa was cloned onto a cosmid vector into Escherichia coli. Protein F was expressed in large amounts in E. coli and retained its heat- and reduction-modifiable and immunological characteristics. The cloned oprF gene product was purified from E. coli and characterized with respect to pore-forming ability in black lipid bilayers. Small channels, with an average single channel conductance of approximately 0.4 nS, were observed. A similar small channel size was observed for native protein F. The oprF sequences were used as a DNA-DNA hybridization probe with chromosomal DNA from the 17 IATS (International Antigen Typing Scheme) strains of P. aeruginosa, 52 clinical isolates and the non-aeruginosa Pseudomonads. Conservation of oprF sequences was observed among all the P. aeruginosa strains and to a lesser extent among the non-aeruginosa strains of the P. fluorescens rRNA homology group. Insertion mutations in the oprF gene were created in vivo by Tn1mutagenesis of the cloned gene in E. coli and in vitro by insertion of the streptomycin-encoding Ω fragment into the cloned gene, followed by transfer of the mutated protein F gene back into P. aeruginosa and homologous recombination with the chromosome. The oprF mutants were characterized by gel electrophoresis and immunoblotting, and it was shown that the mutants had lost protein F. The P. aeruginosa oprF mutants were characterized with respect to growth rates, antibiotic permeability and cell surface hydrophobicity. The results of these studies indicated that major alterations in the cell surface had occurred and that the cells were unable to grow in a non-defined liquid medium without added electrolytes. Marginal differences were observed in MICs (minimum inhibitory concentrations) of hydrophilic antibiotics for the oprF mutants compared with their protein F-sufficient parents. The putative roles of protein F in antibiotic permeability and general outer membrane permeability are discussed. Evidence for extensive homologies between protein F, the OmpA protein of E. coli and PHIII of Neisseria gonorrhoeae are presented. A role for protein F in prophylactic anti-Pseudomonas therapy, as a target for vaccine development, is proposed. / Science, Faculty of / Microbiology and Immunology, Department of / Graduate

The human opportunistic pathogen, Pseudomonas aeruginosa PAO1, has been shown to kill the nematode Caenorhabditis elegans. C. elegans has been a valuable model for the study of bacterial pathogenesis, and has reinforced the notion that common virulence and host defense mechanisms exist. Recently, the pyrimidine pathway was shown to regulate virulence levels. Therefore, mutations in the pyrimidine pathway of PAO1 showed decrease virulence in the nematode. When starving the nematode, bacterial resistance was also shown to increase. It was hypothesized that starvation induced the DAF pathway, which regulates the transcription of genes involved with the antibacterial defense mechanism. Further research will be conducted to test this theory by performing RNAi experiments for the genes functioning in the antibacterial defense mechanism.

Pseudomonas aeruginosa, a ubiquitous environmental bacterium and an opportunistic human pathogen, is one of the most and best studied biofilm-forming organisms and has emerged as a model organism in the study of surface- and biofilm-induced gene expression. P. aeruginosa forms biofilms through a series of interactions between the cells and adherence to surfaces, which is mediated by surface appendages such as flagella and type IV pili. A gene cluster, designated htpABCDEFGI, which appears to encode protein products with homology to those encoded by recently described novel pilus biogenesis and assembly systems, has been identified in P. aeruginosa PAO1. Since the pili produced by these systems, designated Flp, are associated with the ability of the bacteria to bind non-specifically to inert surfaces, the aims of this study were to characterize the transcriptional organization of the putative P. aeruginosa PAO1 htp gene cluster and to determine the functional importance of the htp gene cluster in the ability of P. Aeruginosa PAO1 to adhere to surfaces. In silico evidence has suggested that the pilin subunit gene flp is not part of the P. Aeruginosa htp gene cluster thought to encode proteins involved in the synthesis, assembly and export of these pili. To determine the transcriptional organization of this gene cluster, total RNA from P. aeruginosa PAO1 was analyzed by reverse transcriptase-polymerase chain reaction (RTPCR). Primers designed to amplify regions spanning gene junctions yielded amplicons at each individual gene junction from htpA to htpI, as well as an amplicon for flp. Moreover, corresponding sigma 70 (σ70) consensus sequences were identified in the intergenic region between the htpA and flp genes and promoter function of the flp and htpA upstream region was subsequently confirmed using lacZ reporter gene constructs transformed into P.aeruginosa PAO1. The results therefore indicated that the htp gene cluster is an operon transcribed as a polycistronic message, whilst the flp gene is transcribed independently as a monocistronic message. To determine the functional importance of thehtp gene cluster in P. aeruginosa PAO1, the htpD gene, encoding a putative NTPase, was inactivated by in vivo homologous recombination with an appropriately constructed allelic exchange vector to generate the isogenic mutant strain PAOHtpD. Comparative analysis of the wild-type P. aeruginosa PAO1 and mutant PAOHtpD strain revealed that the mutant strain was impaired in its ability to attach to a glass wool substratum and also in its ability to grow as a biofilm. Since the mutant PAOHtpD strain was not growth-impaired, these results indicate that the htp gene cluster plays a role in P. aeruginosa PAO1 biofilm development under the culturing conditions used in this study. Thus, it can be proposed that the flp and htp gene cluster of P. aeruginosa PAO1 may play a role in its ability to successfully colonize abiotic surfaces. / Dissertation (MSc)--University of Pretoria, 2010. / Microbiology and Plant Pathology / unrestricted

Publicación a texto completo no autorizada por el autor / El documento digital no refiere asesor / Determina los factores de riesgo asociados a la adquisición de PARC en los pacientes hospitalizados en el Hospital Nacional Arzobispo Loayza. Estudio tipo casos y controles, de carácter retrospectivo y descriptivo cuya población fue las interconsultas de pacientes con al menos un aislamiento para pseudomonas aeruginosa en cultivo, entre enero 2012 a diciembre 2013 con una muestra de 108 pacientes. En el análisis univariado se identificaron como factores de riesgo para la adquisición de PARC, procedencia de áreas críticas (Unidad de cuidados intermedios, Unidad de cuidados intensivos), antecedente de hospitalizaciones previas y estancia en Unidad de cuidados intensivos, hemodiálisis, ventilación mecánica, dispositivos invasivos como catéter venoso central y catéter urinario, uso previo de antibióticos como Imipenem, Meropenem y Ceftazidima; no obstante al realizar el análisis multivariado, solo se constituyeron como factores de riesgo independientes el uso previo de Imipenem (OR: 31.25; IC95%: 0.004 – 0.256, p: 0.001), Meropenem (OR: 11.7; IC95%: 0.014 – 0.512, p: 0.007) y Ceftazidima (OR:5.7; IC95%: 0.042 – 0.711, p: 0.015). El uso previo de antibióticos Carbapenemicos, sobre todo Imipenem y Ceftazidima están relacionados de manera independiente con la adquisición de Pseudomonas aeruginosa resistente a Carbapenems (PARC). El aislamiento de PARC se relaciona más con una permanencia en hospitalización mayor a 30 días, en comparación con el aislamiento de Pseudomonas aeruginosa sensible a Carbapenems. El tratamiento correcto: antibiótico adecuado por el tiempo adecuado es indispensable para mejorar el pronóstico del paciente con infección por PARC. / Trabajo de investigación

Background: The incidence of Pseudomonas aeruginosa bacteremia has not been defined in a population-based investigation. Methods: We performed a retrospective, population-based incidence study using resources of the Rochester Epidemiology Project of Olmsted County, Minnesota. We identified all Olmsted County residents with P. aeruginosa bacteremia between January 1, 1997, and December 31, 2006, by microbiology records in the only 2 laboratories in the county. Medical records were reviewed to confirm diagnosis, residency status, and clinical characteristics. Results: Age-adjusted incidence per 100,000 person-years was 10.8 (95% confidence interval [CI], 7.5-14.0) in men and 3.7 (95% CI, 2.2-5.2) in women for total P. aeruginosa bacteremia, and 8.4 (95% CI, 5.5-11.2) in men and 2.5 (95% CI, 1.3-3.8) in women for monomicrobial P. aeruginosa bacteremia. There was no significant change in incidence of total P. aeruginosa bacteremia during the past decade (P = .418). Incidence increased exponentially with age, with a greater magnitude of increase in men compared with women for total and monomicrobial P. aeruginosa bacteremia (P = .007 and P = .015, respectively). In patients with monomicrobial P. aeruginosa bacteremia, the median age was 69 years, and 78.4% of cases were either nosocomial or health care associated. Most patients had multiple comorbid conditions. The urinary tract was the most common primary source of infection. The 28-day all-cause mortality of monomicrobial P. aeruginosa bacteremia was 25.5%. In vitro susceptibility to ciprofloxacin was 95.3%. Conclusion: To our knowledge, this is the first population-based incidence study of P. aeruginosa bacteremia. The incidence of P. aeruginosa bacteremia has remained stable during the past decade. Fluoroquinolone susceptibility is high among local P. aeruginosa bacteremia isolates.

Life on Earth is incredibly diverse. The process of diversification that gives rise to this diversity is not the same for all lineages. Diversification is often driven by ecological opportunity. Pseudomonas aeruginosa is an opportunistic pathogen present in a variety of environments that causes chronic lung infections in cystic fibrosis (CF) patients. It diversifies rapidly within the CF lung and CF lung-like environments. Here we aim to assess both ecological and genetic factors in diversification of several strains of P. aeruginosa. We evolved 12 replicate populations of 8 different strains of P. aeruginosa in a nutritionally complex (LB) and simple environment (MIN) for 750 generations. We then measured diversity over time by observing the number of colony morphologies in each population every 250 generations. We also measured competitive fitness relative to the ancestor for endpoint populations. To provide a more complete analysis, phylogeny was factored into our statistical models. First, we found no significant differences in diversification between populations evolved in LB versus MIN media. Ancestor population size had no significant effect on diversification. We found that in both selection environments, CF strains diversified less than environmental strains, but this difference was marginally significant and only present when comparing these two niches directly and excluding acute strains. Finally, we found no correlation between gains in fitness and endpoint diversity. Our results suggest that diversification is limited by niche specialization (domestication) of P. aeruginosa to the CF lung.

Even though it has been decades since antibiotics were put into widespread use, bacterial infections are a worsening source of morbidity and mortality worldwide. This is partially due to the formation of biofilms. Biofilms are populations of microbial cells embedded in self-produced matrices and their formation can enhance survival of the pathogen in the host. Pseudomonas aeruginosa is a major cause of acute and chronic infections and an excellent model for the study of opportunistic, biofilm-based infections. It produces a plethora of virulence factors and we do not fully understand how it harms the host. This thesis investigates the synthesis and characteristics of the Refractile-body (R-body), a newly identified P. aeruginosa virulence factor and potential roles of this virulence factor during host colonization. R-bodies are large proteinaceous polymers that are produced as a coiled ribbon but can extend to form a spear-like structure that is longer than a bacterial cell. Further, the R-body is produced stochastically and the producing minority is thought to contribute to success of the population through altruistic suicide. The purpose of this thesis is to characterize yet another virulence factor in the arsenal of the notorious pathogen P. aeruginosa. Further, the capacity for R-body production is present in diverse bacteria, and characterization of its function could be pertinent for our understanding of other bacteria with roles in medicine, agriculture, and industry. In Chapter 1, I introduce concepts from the fields of bacterial infectious disease, population biology and gene expression to provide context for my research findings on the R-body. In Chapter 2, I describe the discovery of R-body polymers in the P. aeruginosa PA14 biofilm. Using mass spectrometry analysis, I identified a novel P. aeruginosa R-body protein absent in the Caedibacter taeniospiralis and Azorhizobium caulinodans genomes, two bacteria for which R-body production had previously been described. Further, results in the chapter elucidate the role of R-bodies in P. aeruginosa PA14 colonization in the plant and virulence in the nematode hosts. The work described in Chapter 3 focuses on the transcription factor RcgA, which is required for R-body production. The gene encoding RcgA lies in a cluster and is co-expressed with R-body structural genes. Using established genetic tools, I asked the question, “what signal does RcgA sense?” I found that RcgA binding to a cyclic nucleotide is necessary for its function in turning on R-body genes. I present data in Chapter 3 and 4 that sheds light on the regulatory logic of R-body production in P. aeruginosa. Specifically, using single-cell resolution methods, I have been able to characterize the impact of various genes on stochasticity of R-body production in the population. Data presented in these chapters are another example of the importance of studying heterogeneity and stochasticity of virulence factor expression in the population. Taken together, the work in this thesis provides an expanded and multifaceted understanding of a fascinating virulence factor found across bacterial phylogeny. The R-body produced by P. aeruginosa, a notorious human pathogen, is unique in its makeup and should be further characterized. This work also underscores the necessity of studying bacterial pathogenicity in the context of the biofilm lifestyle.

Type IV pili (T4P) are long, thin, flexible surface appendages used by various bacteria for surface adhesion, cell-cell aggregation, DNA uptake, biofilm formation and motility. Pseudomonas aeruginosa is a Gram-negative opportunistic pathogen, and uses T4P as a key virulence factor to infect immunocompromised individuals. Four subcomplexes make up a functional T4P system in P. aeruginosa and the role of the alignment subcomplex is to physically connect the outer membrane pore with the inner membrane motor, allowing for efficient extrusion of the pilus fibre from the cell. Two alignment subcomplex proteins, PilN and PilO, form heterodimers and are required for proper function of the system. These proteins may be able to transduce signals between various T4P components to indicate extension and/or retraction of the pilus fibre. This thesis focused on characterization of the interaction interfaces between PilN and PilO, and on understanding the dynamics required for proper function of the system. We show that although PilN and PilO make extensive interaction contacts throughout their lengths, single point substitutions at key residues can successfully disrupt the function of the T4P system. Crosslinking PilN and PilO as homo- or heterodimers can disrupt motility and surface piliation, indicating that interfaces between these proteins must be dynamic to allow proper T4P function. A high resolution X-ray crystal structure of PilO was solved and exhibits new structural features previously unidentified. This work furthers our understanding of the structures and regions of interaction between PilN and PilO, as well as defining a role for these proteins in extension and retraction. / Dissertation / Doctor of Philosophy (PhD) / Pseudomonas aeruginosa is an opportunistic bacterium, able to infect individuals with weakened immune systems. It attaches to and moves along surfaces using long, thin, sticky, retractable fibres known as type IV pili. Similar to a grappling gun, a functional type IV pilus system requires four subcomplexes working in unison to allow for the extension, adherence, and retraction of pilus fibres, which pulls the cell forward towards the point of attachment. Two key proteins, PilN and PilO, are bound to each other and allow for efficient extension and retraction of the pilus fibre. This study focused on characterization of the interactions of PilN and PilO, and on understanding whether dynamic rearrangements of the interfaces between these proteins is required for proper function of the system. We show that although these proteins have extensive interaction interfaces, single residue substitutions in either of them can disrupt the ability of the bacteria to properly extend and/or retract their pili. This work furthers our understanding of the structures and regions of interaction between PilN and PilO, providing information that might allow disruption of these interfaces to block bacterial attachment or motility, both of which are important for infection.