Microorganisms that are involved in microbial invasion keratitis infiltrate the cornea and cause eye pain. Despite the administration of antimicrobial treatment, patients with amoebic keratitis develop bacterial coinfections.
Pseudomonas aeruginosa
infection accounts for 50% of the reported bacterial coinfections in these patients. However, the role of pathogenic bacteria in amoeba-induced corneal damage remains unclear. In our current study, we conducted assays to examine cytopathic effects and observed increased corneal cell damage in the group with secondary
P. aeruginosa
infections. Imaging revealed that the presence of
A. castellanii
enhanced the accumulation of
P. aeruginosa
in areas of cell monolayer leakage. We demonstrated that treatment of
P. aeruginosa
with amoeba-soluble antigen resulted in higher adhesion ability, increased biofilm formation, and more severe corneal cell damage. Overall, this research significantly contributes to our understanding of the risk of
P. aeruginosa
coinfection in the progression of Acanthamoeba keratitis.
IMPORTANCE
At the National Cheng Kung University Hospital, numerous cases of amoebic keratitis had been identified with concurrent bacterial infections. Among these bacterial coinfections,
Pseudomonas aeruginosa
accounted for 50% of the reported cases. However, the impact of pathogenic bacteria on amoeba-induced corneal damage remains unclear. In our study, we successfully demonstrated that
P. aeruginosa
accumulated on the
Acanthamoeba castellanii
surface and caused more severe corneal damage. We also indicated that the exposure of
P. aeruginosa
to amoeba-soluble antigens enhanced its adhesion ability, promoted biofilm formation, and led to more severe corneal cell damage. These findings significantly contributed to our understanding of the risk associated with
P. aeruginosa
coinfection in the progression of amoeba keratitis.