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

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urns-sepsis model, but not <strong>in</strong> <strong>the</strong> nematode worm Caenorhabditis elegans model.<br />

<strong>The</strong> second study <strong>in</strong> 2006 <strong>in</strong>volved sequenc<strong>in</strong>g <strong>the</strong> genome <strong>of</strong> PA14 and directly<br />

analysed <strong>the</strong> two genomes toge<strong>the</strong>r (Lee et al. 2006). <strong>The</strong>ir aim was to discover if<br />

<strong>the</strong> difference <strong>in</strong> <strong>virulence</strong> between PAO1 and PA14 was due to <strong>the</strong> presence <strong>of</strong><br />

pathogenicity islands present <strong>in</strong> PA14 but absent <strong>in</strong> PAO1. <strong>The</strong>y discovered that<br />

PA14 has a slightly larger genome than PAO1, 6.5Mb versus 6.3Mb and that PA14<br />

has 58 additional gene clusters than PAO1. <strong>The</strong>y tried to analyse <strong>the</strong>se 58 clusters <strong>in</strong><br />

two ways. Firstly, <strong>the</strong>y screened 20 P. aerug<strong>in</strong>osa stra<strong>in</strong>s (<strong>in</strong>clud<strong>in</strong>g PA14 and<br />

PAO1) and compared <strong>the</strong>ir <strong>virulence</strong> <strong>in</strong> a C. elegans model <strong>of</strong> <strong>in</strong>fection and used<br />

this data to rank <strong>the</strong> stra<strong>in</strong>s. <strong>The</strong>y <strong>the</strong>n proceeded to analyse <strong>the</strong> stra<strong>in</strong>s for <strong>the</strong><br />

presence <strong>of</strong> PA14-specific gene regions with respect to PAO1. <strong>The</strong> results<br />

demonstrated no correlation between <strong>virulence</strong> and <strong>the</strong> presence <strong>of</strong> PA14-specific<br />

gene regions. A second approach taken was to create a transposon <strong>in</strong>sertion mutant<br />

library for PA14. <strong>The</strong>y screened <strong>the</strong> library us<strong>in</strong>g <strong>the</strong> C. elegans model <strong>of</strong> <strong>in</strong>fection<br />

for those <strong>in</strong> <strong>the</strong> PA14-specific gene regions for attenuation. <strong>The</strong>y discovered 9<br />

genes that caused attenuation. <strong>The</strong> presence <strong>of</strong> <strong>the</strong>se regions with<strong>in</strong> <strong>the</strong> o<strong>the</strong>r P.<br />

aerug<strong>in</strong>osa stra<strong>in</strong>s, showed no set trend as to presence <strong>of</strong> <strong>the</strong>se PA14-specific<br />

regions and <strong>the</strong> ranked <strong>virulence</strong>. This led <strong>the</strong> group to conclude that <strong>the</strong> presence <strong>of</strong><br />

<strong>the</strong>se gene regions with<strong>in</strong> ano<strong>the</strong>r P. aerug<strong>in</strong>osa stra<strong>in</strong> was not an <strong>in</strong>dicator <strong>of</strong> its<br />

<strong>virulence</strong> with<strong>in</strong> <strong>the</strong> C. elegans model <strong>of</strong> <strong>in</strong>fection. This study did not take <strong>in</strong>to<br />

account <strong>the</strong> <strong>in</strong>dividual contribution to <strong>virulence</strong> each gene cluster makes and<br />

<strong>the</strong>refore <strong>the</strong> rank<strong>in</strong>g <strong>of</strong> <strong>virulence</strong> may not give a true reflection <strong>of</strong> PA14 <strong>virulence</strong>.<br />

Despite <strong>the</strong> extensive use <strong>of</strong> plants and <strong>in</strong>vertebrate models <strong>of</strong> <strong>in</strong>fection for P.<br />

aerug<strong>in</strong>osa, <strong>in</strong> order to evaluate how <strong>the</strong>se <strong>virulence</strong> factors affect and <strong>in</strong>teract <strong>in</strong><br />

human <strong>in</strong>fection <strong>the</strong>y must be tested <strong>in</strong> a mammalian model <strong>of</strong> <strong>in</strong>fection. <strong>The</strong> host<br />

immune response is more complex <strong>in</strong> mammals and <strong>the</strong>refore a mur<strong>in</strong>e model <strong>of</strong><br />

<strong>in</strong>fection such as described <strong>in</strong> this <strong>the</strong>sis will provide a more valuable <strong>in</strong>sight <strong>in</strong>to<br />

human disease.<br />

A recent study (He et al. 2004) suggested that differences <strong>in</strong> <strong>virulence</strong> between<br />

PAO1 and PA14 could be due to <strong>the</strong> presence <strong>of</strong> two pathogenicity islands found <strong>in</strong><br />

PA14 that are absent <strong>in</strong> PAO1, named <strong>Pseudomonas</strong> aerug<strong>in</strong>osa pathogenicity<br />

island 1 (PAPI-1) and <strong>Pseudomonas</strong> aerug<strong>in</strong>osa pathogenicity island 2 (PAPI-2).<br />

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