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5 The role of quorum-sensing in the virulence of Pseudomonas ...

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5.3.1 Over-expression <strong>of</strong> <strong>quorum</strong>-<strong>sens<strong>in</strong>g</strong> products as a marker for<br />

<strong>virulence</strong> <strong>in</strong> an acute respiratory model<br />

Several LES isolates have been highlighted to exhibit an over-expression <strong>of</strong><br />

<strong>quorum</strong>-<strong>sens<strong>in</strong>g</strong> products labelled as <strong>the</strong> hyper<strong>virulence</strong> phenotype (Fo<strong>the</strong>rgill et al.<br />

2007, Salunkhe et al. 2005). An <strong>in</strong>creased <strong>virulence</strong> <strong>of</strong> LES isolates with <strong>the</strong><br />

hyper<strong>virulence</strong> phenotype was first noted <strong>in</strong> a Drosophila fly model <strong>of</strong> <strong>in</strong>fection<br />

(Salunkhe et al. 2005); when compar<strong>in</strong>g over-express<strong>in</strong>g <strong>quorum</strong>-<strong>sens<strong>in</strong>g</strong> products<br />

isolate LES431 to that <strong>of</strong> a <strong>quorum</strong>-<strong>sens<strong>in</strong>g</strong> deficient isolate LES400. <strong>The</strong>se<br />

f<strong>in</strong>d<strong>in</strong>gs were later replicated <strong>in</strong> a C. elegans model <strong>of</strong> <strong>in</strong>fection (W<strong>in</strong>stanley C,<br />

University <strong>of</strong> Liverpool, unpublished), where isolates with <strong>the</strong> hyper<strong>virulence</strong><br />

phenotype (<strong>in</strong>clud<strong>in</strong>g LESB58 and LESB65) had a lower LT50 <strong>in</strong> <strong>the</strong> slow kill<strong>in</strong>g<br />

assay.<br />

Previously published work has shown that a deficiency <strong>in</strong> <strong>the</strong> <strong>quorum</strong>-<strong>sens<strong>in</strong>g</strong><br />

system can reduce <strong>virulence</strong> <strong>in</strong> a number <strong>of</strong> acute mur<strong>in</strong>e <strong>in</strong>fection models. <strong>The</strong> use<br />

<strong>of</strong> <strong>quorum</strong>-<strong>sens<strong>in</strong>g</strong> deficient mutants <strong>in</strong> a mur<strong>in</strong>e burns <strong>in</strong>jury model led to a<br />

reduction <strong>in</strong> mortality <strong>of</strong> <strong>the</strong> mice and <strong>the</strong> ability <strong>of</strong> <strong>the</strong> bacteria to dissem<strong>in</strong>ate<br />

(Rumbaugh et al. 1999). In a mur<strong>in</strong>e <strong>in</strong>terperiontal <strong>in</strong>fection model <strong>the</strong>y noted that<br />

clearance <strong>of</strong> <strong>the</strong> bacteria was more rapid <strong>in</strong> <strong>quorum</strong>-<strong>sens<strong>in</strong>g</strong> deficient mutants<br />

(Christensen et al. 2007). <strong>The</strong>re have also been two previous studies (Pearson et al.<br />

2000, Tang et al. 1996) that have shown that <strong>in</strong> a neonatal mur<strong>in</strong>e acute respiratory<br />

model <strong>the</strong> loss <strong>of</strong> <strong>quorum</strong>-<strong>sens<strong>in</strong>g</strong> related genes resulted <strong>in</strong> a reduction <strong>in</strong> morbidity<br />

and mortality. <strong>The</strong> models <strong>in</strong>volved us<strong>in</strong>g 7 to 10 day old Balb/c mice <strong>in</strong>oculat<strong>in</strong>g<br />

<strong>the</strong>m with ei<strong>the</strong>r 5x10 6 CFU (Tang et al. 1996) or 1 x10 9 CFU (Pearson et al. 2000)<br />

per mice. Pearson et al, constructed a PAO1 mutant which lacked two <strong>quorum</strong>-<br />

<strong>sens<strong>in</strong>g</strong> associated genes (lasI and rhlI), termed PAO_JP2. Us<strong>in</strong>g this mutant <strong>in</strong> <strong>the</strong><br />

neonatal respiratory model <strong>in</strong>creased <strong>the</strong> survival <strong>of</strong> <strong>the</strong> mice (21% versus 5%), as<br />

well reduc<strong>in</strong>g <strong>the</strong> chance <strong>of</strong> develop<strong>in</strong>g pneumonia (56% versus 10%) and<br />

bacteraemia (~50% versus ~15%) 18 hours post-<strong>in</strong>fection when compared with <strong>the</strong><br />

wild-type, PAO1. Tang et al, presented similar results us<strong>in</strong>g a lasR mutant <strong>of</strong><br />

PAO1.<br />

154

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