Resistance to leukocytes ties benefits of quorum sensing dysfunctionality to biofilm infection

Nat Microbiol. 2019 Jul;4(7):1114-1119. doi: 10.1038/s41564-019-0413-x. Epub 2019 Apr 1.

Abstract

Social interactions play an increasingly recognized key role in bacterial physiology1. One of the best studied is quorum sensing (QS), a mechanism by which bacteria sense and respond to the status of cell density2. While QS is generally deemed crucial for bacterial survival, QS-dysfunctional mutants frequently arise in in vitro culture. This has been explained by the fitness cost an individual mutant, a 'quorum cheater', saves at the expense of the community3. QS mutants are also often isolated from biofilm-associated infections, including cystic fibrosis lung infection4, as well as medical device infection and associated bacteraemia5-7. However, despite the frequently proposed use of QS blockers to control virulence8, the mechanisms underlying QS dysfunctionality during infection have remained poorly understood. Here, we show that in the major human pathogen Staphylococcus aureus, quorum cheaters arise exclusively in biofilm infection, while in non-biofilm-associated infection there is a high selective pressure to maintain QS control. We demonstrate that this infection-type dependence is due to QS-dysfunctional bacteria having a significant survival advantage in biofilm infection because they form dense and enlarged biofilms that provide resistance to phagocyte attacks. Our results link the benefit of QS-dysfunctional mutants in vivo to biofilm-mediated immune evasion, thus to mechanisms that are specific to the in vivo setting. Our findings explain why QS mutants are frequently isolated from biofilm-associated infections and provide guidance for the therapeutic application of QS blockers.

Publication types

  • Research Support, N.I.H., Intramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Bacterial Proteins / genetics
  • Biofilms / growth & development*
  • Catheter-Related Infections / immunology
  • Catheter-Related Infections / microbiology*
  • Cells, Cultured
  • Disease Models, Animal
  • Female
  • Humans
  • Immune Evasion*
  • Leukocytes / immunology*
  • Mice, Inbred C57BL
  • Microbial Viability
  • Mutation
  • Quorum Sensing / genetics
  • Quorum Sensing / physiology*
  • Staphylococcal Infections / immunology
  • Staphylococcal Infections / microbiology*
  • Staphylococcal Skin Infections / immunology
  • Staphylococcal Skin Infections / microbiology
  • Staphylococcus aureus / genetics
  • Staphylococcus aureus / growth & development
  • Staphylococcus aureus / immunology*
  • Staphylococcus aureus / physiology
  • Trans-Activators / genetics

Substances

  • Agr protein, Staphylococcus aureus
  • Bacterial Proteins
  • Trans-Activators