Purpose
To assess the metabolites associated with
Pseudomonas aeruginosa
infection by analyzing the microbial diversity and metabolomics in lower respiratory tract of bronchiectasis patients and to explore the therapeutic approaches for
Pseudomonas aeruginosa
infection.
Methods
Bronchoalveolar lavage fluid samples from bronchiectasis patients and controls were analyzed by 16S rRNA and ITS sequencing, and metabolomic analysis was performed by liquid chromatography/mass spectrometry. A co-culture model of air-liquid interface cultured human bronchial epithelial cell with
Pseudomonas aeruginosa
was constructed to verify the correlation between sphingosine metabolism, acid ceramidase expression, and
Pseudomonas aeruginosa
infection.
Results
After screening, 54 bronchiectasis patients and 12 healthy controls were included. Sphingosine levels in bronchoalveolar lavage fluid were positively correlated with lower respiratory tract microbial diversity and negatively correlated with the abundance of
Pseudomonas
spp. Moreover, sphingosine levels in bronchoalveolar lavage fluid and acid ceramidase expression levels in lung tissue specimens were significantly lower in bronchiectasis patients than in healthy controls. Sphingosine levels and acid ceramidase expression levels were also significantly lower in bronchiectasis patients with positive
Pseudomonas aeruginosa
cultures than in bronchiectasis patients without
Pseudomonas aeruginosa
infection. Acid ceramidase expression in air-liquid interface cultured human bronchial epithelial cell had significantly increased after 6 h of
Pseudomonas aeruginosa
infection, while it had decreased significantly after 24 h of infection. In vitro experiments showed that sphingosine had a bactericidal effect on
Pseudomonas aeruginosa
by directly disrupting its cell wall and cell membrane. Furthermore, adherence of
Pseudomonas aeruginosa
on bronchial epithelial cells was significantly reduced after sphingosine supplementation.
Conclusion
Down-regulation of acid ceramidase expression in airway epithelial cells of bronchiectasis patients leads to insufficient metabolism of sphingosine, which has a bactericidal effect, and consequently weakens the clearance of
Pseudomonas aeruginosa
; thus, a vicious circle is formed. Exogenous supplementation with sphingosine aids bronchial epithelial cells in resisting
Pseudomonas aeruginosa
infection.