Acinetobacter baumannii maintains its virulence after long-time starvation

PLoS One. 2018 Aug 22;13(8):e0201961. doi: 10.1371/journal.pone.0201961. eCollection 2018.

Abstract

Acinetobacter baumannii is a cause of healthcare-associated infections. Although A. baumannii is an opportunistic pathogen, its infections are notoriously difficult to treat due to intrinsic and acquired antimicrobial resistance, often limiting effective therapeutic options. A. baumannii can survive for long periods in the hospital environment, particularly on inanimate surfaces. Such environments may act as a reservoir for cross-colonization and infection outbreaks and should be considered a substantial factor in infection control practices. Moreover, clothing of healthcare personnel and gadgets may play a role in the spread of nosocomial bacteria. A link between contamination of hospital surfaces and A. baumannii infections or between its persistence in the environment and its virulence has not yet been established. Bacteria under stress (i.e., long-term desiccation in hospital setting) could conserve factors that favor infection. To investigate whether desiccation and/or starvation may be involved in the ability of certain strains of A. baumannii to retain virulence factors, we have studied five well-characterized clinical isolates of A. baumannii for which survival times were determined under simulated hospital conditions. Despite a considerable reduction in the culturability over time (up to 88% depending on strain and the condition tested), some A. baumannii strains were able to maintain their ability to form biofilms after rehydration, addition of nutrients, and changing temperature. Also, after long-term desiccation, several clinical strains were able to grow in the presence of non-immune human serum as fine as their non-stressed homologs. Furthermore, we also show that the ability of bacterial strains to kill Galleria mellonella larvae does not change although A. baumannii cells were stressed by long-term starvation (up to 60 days). This means that A. baumannii can undergo a rapid adaptation to both the temperature shift and nutrients availability, conditions that can be easily found by bacteria in a new patient in the hospital setting.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acinetobacter Infections / immunology
  • Acinetobacter Infections / microbiology*
  • Acinetobacter baumannii / pathogenicity
  • Acinetobacter baumannii / physiology*
  • Acinetobacter baumannii / ultrastructure
  • Animals
  • Biofilms
  • Disease Models, Animal
  • Environment
  • Host-Pathogen Interactions / immunology
  • Humans
  • Microbial Viability
  • Microscopy, Confocal
  • Nutritional Physiological Phenomena*
  • Virulence

Grants and funding

Research in our laboratory is supported by the Spanish Instituto de Salud Carlos III, Spain (grant PI16/01103 to José Ramos-Vivas) and the Plan Nacional de I+D+i 2008-2011 and Instituto de Salud Carlos III, Subdirección General de Redes y Centros de Investigación Cooperativa, Ministerio de Economía y Competitividad, Spanish Network for Research in Infectious Diseases (REIPI RD12/0015) - co-financed by European Development Regional Fund "A way to achieve Europe" ERDF. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.