Salmonella enterica serovar Typhimurium (Salmonella) is one of the most significant food-borne pathogens affecting both humans and agriculture. We have determined that Salmonella encodes an uptake and utilization pathway specific for a novel nutrient, fructose-asparagine (F-Asn), which is essential for Salmonella fitness in the inflamed intestine (modeled using germ-free, streptomycin-treated, ex-germ-free with human microbiota, and IL10−/− mice). The locus encoding F-Asn utilization, fra, provides an advantage only if Salmonella can initiate inflammation and use tetrathionate as a terminal electron acceptor for anaerobic respiration (the fra phenotype is lost in Salmonella SPI1− SPI2− or ttrA mutants, respectively). The severe fitness defect of a Salmonella fra mutant suggests that F-Asn is the primary nutrient utilized by Salmonella in the inflamed intestine and that this system provides a valuable target for novel therapies.

he current health care environment is extremely complex. Systems span regional and state boundaries to provide state-of-the-art care to patients with a wide variety of medical needs. Coronavirus disease 2019 (COVID-19) is a rapidly spreading pandemic that is challenging health care systems across the globe. Systems have faced varying complexities adapting to the new reality, and patients may pay a grievous price when the demand for medical and critical care exceeds the supply. This pandemic continues to escalate rapidly in hot spots nationally and internationally, and the worst strain on our health care systems may be yet to come.The importance of preparation is highlighted when we consider the needs of our own family members, whether for COVID-19associated care or another urgent medical condition. The inability to access potentially life-saving care because of lost opportunities to prepare is heartbreaking. The purpose of this article is to provide a road map developed from lessons learned from our experience in the

Insertions in the Salmonella enterica fra locus, which encodes the fructose-asparagine (F-Asn) utilization pathway, are highly attenuated in mouse models of inflammation (>1000-fold competitive index). Here, we report that F-Asn is bacteriostatic to a fraB mutant (IC50 19 μM), but not to the wild-type or a fra island deletion mutant. We hypothesized that the presence of FraD kinase and absence of FraB deglycase causes build-up of a toxic metabolite: 6-phosphofructose-aspartate (6-P-F-Asp). We used biochemical assays to assess FraB and FraD activities, and mass spectrometry to confirm that the fraB mutant accumulates 6-P-F-Asp. These results, together with our finding that mutants lacking fraD or the fra island are not attenuated in mice, suggest that the extreme attenuation of a fraB mutant stems from 6-P-F-Asp toxicity. Salmonella FraB is therefore an excellent drug target, a prospect strengthened by the absence of the fra locus in most of the gut microbiota.

No abstract

No abstract