2008
DOI: 10.1016/j.trsl.2008.10.003
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Evolution of Pseudomonas aeruginosa type III secretion in cystic fibrosis: a paradigm of chronic infection

Abstract: Pseudomonas aeruginosa (PA) from acute and chronic (e.g. cystic fibrosis [CF]) infections differ in several respects though they can worsen prognosis in each context. Factors that facilitate conversion from an acute to chronic phenotype are poorly understood. Type III (T3) secretion proteins are virulence factors associated with poorer outcomes in acute infections, but little is known about their role in CF. We wished to characterize T3 secretion in CF PA isolates and examine its role in clinical outcomes. One… Show more

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Cited by 45 publications
(48 citation statements)
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“…Patients with chronic P. aeruginosa infections preferentially express virulence factors that increase persistence and immune system evasion (138)(139)(140)(141)(142). Examples of RsmA-regulated virulence factors associated with chronic disease include the ability to form biofilm and the type VI secretion system (T6SS), described below (80,143,144).…”
Section: P Aeruginosamentioning
confidence: 99%
See 1 more Smart Citation
“…Patients with chronic P. aeruginosa infections preferentially express virulence factors that increase persistence and immune system evasion (138)(139)(140)(141)(142). Examples of RsmA-regulated virulence factors associated with chronic disease include the ability to form biofilm and the type VI secretion system (T6SS), described below (80,143,144).…”
Section: P Aeruginosamentioning
confidence: 99%
“…One reason for this is the frequent occurrence of mutations affecting the MucA/AlgU and AlgZ/AlgR signal transduction systems (141,142). MucA is a membranebound anti-sigma factor that sequesters AlgU (sigma 22), preventing it from activating the expression of ϳ300 genes, including genes for the T3SS (184)(185)(186)(187).…”
Section: P Aeruginosamentioning
confidence: 99%
“…A common phenotype observed in CF isolates is the loss of T3SS gene expression (12,13). One mechanism that accounts for reduced T3SS expression involves the MucA/AlgU signal transduction system (see Fig.…”
mentioning
confidence: 99%
“…Type 3 secretion system (T3SS) expression has been linked to increased risk of P. aeruginosa infection in hospitalized patients (1) and to increased morbidity and mortality in VAP caused by this organism (2). Initial infections in patients with CF also are associated with T3SS-positive strains (3). In contrast, T3SS-negative strains are isolated with increasing frequency from chronically infected CF patients over time, and animal models of chronic infection indicate important roles in other virulence traits, such as biofilm formation and quorum-sensing systems (4).…”
mentioning
confidence: 99%