Bacterial Adaptation during Chronic Respiratory Infections

Chronic lung infections are associated with increased morbidity and mortality for individuals with underlying respiratory conditions such as cystic fibrosis (CF) and chronic obstructive pulmonary disease (COPD). The process of chronic colonisation allows pathogens to adapt over time to cope with cha...

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Main Authors: Louise Cullen, Siobhán McClean
Format: Article
Language:English
Published: MDPI AG 2015-03-01
Series:Pathogens
Subjects:
Online Access:http://www.mdpi.com/2076-0817/4/1/66
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author Louise Cullen
Siobhán McClean
author_facet Louise Cullen
Siobhán McClean
author_sort Louise Cullen
collection DOAJ
description Chronic lung infections are associated with increased morbidity and mortality for individuals with underlying respiratory conditions such as cystic fibrosis (CF) and chronic obstructive pulmonary disease (COPD). The process of chronic colonisation allows pathogens to adapt over time to cope with changing selection pressures, co-infecting species and antimicrobial therapies. These adaptations can occur due to environmental pressures in the lung such as inflammatory responses, hypoxia, nutrient deficiency, osmolarity, low pH and antibiotic therapies. Phenotypic adaptations in bacterial pathogens from acute to chronic infection include, but are not limited to, antibiotic resistance, exopolysaccharide production (mucoidy), loss in motility, formation of small colony variants, increased mutation rate, quorum sensing and altered production of virulence factors associated with chronic infection. The evolution of Pseudomonas aeruginosa during chronic lung infection has been widely studied. More recently, the adaptations that other chronically colonising respiratory pathogens, including Staphylococcus aureus, Burkholderia cepacia complex and Haemophilus influenzae undergo during chronic infection have also been investigated. This review aims to examine the adaptations utilised by different bacterial pathogens to aid in their evolution from acute to chronic pathogens of the immunocompromised lung including CF and COPD.
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spelling doaj.art-eac5de9598e34b45bddc85fbba6c68762022-12-22T04:28:26ZengMDPI AGPathogens2076-08172015-03-0141668910.3390/pathogens4010066pathogens4010066Bacterial Adaptation during Chronic Respiratory InfectionsLouise Cullen0Siobhán McClean1Centre of Microbial Host Interactions, Institute of Technology Tallaght, Dublin 24, IrelandCentre of Microbial Host Interactions, Institute of Technology Tallaght, Dublin 24, IrelandChronic lung infections are associated with increased morbidity and mortality for individuals with underlying respiratory conditions such as cystic fibrosis (CF) and chronic obstructive pulmonary disease (COPD). The process of chronic colonisation allows pathogens to adapt over time to cope with changing selection pressures, co-infecting species and antimicrobial therapies. These adaptations can occur due to environmental pressures in the lung such as inflammatory responses, hypoxia, nutrient deficiency, osmolarity, low pH and antibiotic therapies. Phenotypic adaptations in bacterial pathogens from acute to chronic infection include, but are not limited to, antibiotic resistance, exopolysaccharide production (mucoidy), loss in motility, formation of small colony variants, increased mutation rate, quorum sensing and altered production of virulence factors associated with chronic infection. The evolution of Pseudomonas aeruginosa during chronic lung infection has been widely studied. More recently, the adaptations that other chronically colonising respiratory pathogens, including Staphylococcus aureus, Burkholderia cepacia complex and Haemophilus influenzae undergo during chronic infection have also been investigated. This review aims to examine the adaptations utilised by different bacterial pathogens to aid in their evolution from acute to chronic pathogens of the immunocompromised lung including CF and COPD.http://www.mdpi.com/2076-0817/4/1/66respiratory pathogensbacterial adaptationchronic infectionevolutiondiversificationcystic fibrosischronic obstructive pulmonary disease (COPD)
spellingShingle Louise Cullen
Siobhán McClean
Bacterial Adaptation during Chronic Respiratory Infections
Pathogens
respiratory pathogens
bacterial adaptation
chronic infection
evolution
diversification
cystic fibrosis
chronic obstructive pulmonary disease (COPD)
title Bacterial Adaptation during Chronic Respiratory Infections
title_full Bacterial Adaptation during Chronic Respiratory Infections
title_fullStr Bacterial Adaptation during Chronic Respiratory Infections
title_full_unstemmed Bacterial Adaptation during Chronic Respiratory Infections
title_short Bacterial Adaptation during Chronic Respiratory Infections
title_sort bacterial adaptation during chronic respiratory infections
topic respiratory pathogens
bacterial adaptation
chronic infection
evolution
diversification
cystic fibrosis
chronic obstructive pulmonary disease (COPD)
url http://www.mdpi.com/2076-0817/4/1/66
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