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Strain Specific Variations in Acinetobacter Baumannii Complement Sensitivity

Kamuyu, Gathoni; Ercoli, Giuseppe; Ramos-Sevillano, Elisa; Willcocks, Sam; Kewcharoenwong, Chidchamai; Kiratisin, Pattarachai; Taylor, Peter; ... Brown, Jeremy; + view all (2022) Strain Specific Variations in Acinetobacter Baumannii Complement Sensitivity. Frontiers in Immunology , 13 , Article 853690. 10.3389/fimmu.2022.853690. Green open access

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Abstract

The complement system is required for innate immunity against Acinetobacter baumannii, an important cause of antibiotic resistant systemic infections. A. baumannii strains differ in their susceptibility to the membrane attack complex (MAC) formed from terminal complement pathway proteins, but the reasons for this variation remain poorly understood. We have characterized in detail the complement sensitivity phenotypes of nine A. baumannii clinical strains and some of the factors that might influence differences between strains. Using A. baumannii laboratory strains and flow cytometry assays, we first reconfirmed that both opsonization with the complement proteins C3b/iC3b and MAC formation were inhibited by the capsule. There were marked differences in C3b/iC3b and MAC binding between the nine clinical A. baumannii strains, but this variation was partially independent of capsule composition or size. Opsonization with C3b/iC3b improved neutrophil phagocytosis of most strains. Importantly, although C3b/iC3b binding and MAC formation on the bacterial surface correlated closely, MAC formation did not correlate with variations between A. baumannii strains in their levels of serum resistance. Genomic analysis identified only limited differences between strains in the distribution of genes required for serum resistance, but RNAseq data identified three complement-resistance genes that were differentially regulated between a MAC resistant and two MAC intermediate resistant strains when cultured in serum. These data demonstrate that clinical A. baumannii strains vary in their sensitivity to different aspects of the complement system, and that the serum resistance phenotype was influenced by factors in addition to the amount of MAC forming on the bacterial surface.

Type: Article
Title: Strain Specific Variations in Acinetobacter Baumannii Complement Sensitivity
Open access status: An open access version is available from UCL Discovery
DOI: 10.3389/fimmu.2022.853690
Publisher version: https://doi.org/10.3389/fimmu.2022.853690
Language: English
Additional information: © 2022 Kamuyu, Ercoli, Ramos-Sevillano, Willcocks, Kewcharoenwong, Kiratisin, Taylor, Wren, Lertmemongkolchai, Stabler and Brown. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Keywords: Complement resistance/ sensitivity, Acinetobacter baumanii, Multi-drug resistance (MDR), Virulence, Gram - negative bacteria
UCL classification: UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy > Pharmaceutics
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10149720
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