2017
DOI: 10.3390/genes8010043
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Burkholderia cepacia Complex Regulation of Virulence Gene Expression: A Review

Abstract: Burkholderia cepacia complex (Bcc) bacteria emerged as opportunistic pathogens in cystic fibrosis and immunocompromised patients. Their eradication is very difficult due to the high level of intrinsic resistance to clinically relevant antibiotics. Bcc bacteria have large and complex genomes, composed of two to four replicons, with variable numbers of insertion sequences. The complexity of Bcc genomes confers a high genomic plasticity to these bacteria, allowing their adaptation and survival to diverse habitats… Show more

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Cited by 38 publications
(33 citation statements)
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References 103 publications
(173 reference statements)
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“…Although Burkholderia has been previously demonstrated to be a member of vaginal communities, the prevalence has been underappreciated, and its role in the community is unclear. It should be noted that Burkholderia is intrinsically resistant to clinically relevant antibiotics, which might confer a positive effect on the subversion of immune functions and the elicitation of inflammation, thus potentially facilitating the occurrence of SIL.…”
Section: Discussionmentioning
confidence: 99%
“…Although Burkholderia has been previously demonstrated to be a member of vaginal communities, the prevalence has been underappreciated, and its role in the community is unclear. It should be noted that Burkholderia is intrinsically resistant to clinically relevant antibiotics, which might confer a positive effect on the subversion of immune functions and the elicitation of inflammation, thus potentially facilitating the occurrence of SIL.…”
Section: Discussionmentioning
confidence: 99%
“…Bacteria of the Burkholderia cepacia complex (BCC) are known opportunistic pathogens causing a plethora of infections and clinical complications, resulting in significant morbidity and mortality, especially in the hospitalized immunocompromised population and outbreak and intensive care settings (Sousa et al, 2017;Gautam et al, 2011;Mangram and Jarvis, 1996;Mahenthiralingam et al, 2008).…”
Section: Introductionmentioning
confidence: 99%
“…Mex1 has a unique sequence type (ST), the ST 423, but genetically it is closely related to internationally spread clones as it belongs to the clonal complex 31, the largest clonal complex of all STs reported in the Multi-Locus Sequence Typing (MLST) B. cepacia complex database [ 16 ]. Until now, the adaptation process of B. cenocepacia to the host environment has been investigated for clinical isolates only [ 40 ] and, despite the description of several virulent factors, understanding is still poor [ 41 ]. Considering environmental B. cenocepacia strains, increased fitness of the B. cenocepacia HI2424 strain, belonging to the recA lineage IIIB, has been shown suggesting the adaptation of a soil isolate to the onion model [ 42 ].…”
Section: Discussionmentioning
confidence: 99%
“…From our results, we can speculate that the ability of B. cenocepacia to survive and replicate in various growth niches is due to the high genomic plasticity of this bacterial species and to the expression of host specific virulence factors. When properly regulated, this may help it to compete for survival in different settings [ 41 ]. As also suggested by Koskiniemi and colleagues [ 48 ], following growth inside a host selection can benefit bacterial mutants through an altered expression of virulence genes that better suit the environment of the host.…”
Section: Discussionmentioning
confidence: 99%