Neutrophil Extracellular Trap (NET)-Mediated Killing of Pseudomonas aeruginosa: Evidence of Acquired Resistance within the CF Airway, Independent of CFTR
2011

Neutrophil Extracellular Trap Killing of Pseudomonas aeruginosa in Cystic Fibrosis

Sample size: 9 publication 10 minutes Evidence: high

Author Information

Author(s): Young Robert L., Malcolm Kenneth C., Kret Jennifer E., Caceres Silvia M., Poch Katie R., Nichols David P., Taylor-Cousar Jennifer L., Saavedra Milene T., Randell Scott H., Vasil Michael L., Burns Jane L., Moskowitz Samuel M., Nick Jerry A.

Primary Institution: National Jewish Health, Denver, Colorado, United States of America

Hypothesis

NET-mediated killing of P. aeruginosa is impaired in the context of CF airway infection.

Conclusion

Neutrophils can kill P. aeruginosa via NETs, but CF strains of the bacteria may develop resistance to this killing mechanism over time.

Supporting Evidence

  • P. aeruginosa induced NET formation by neutrophils from healthy donors in a bacterial density dependent fashion.
  • CF neutrophils demonstrated no impairment in NET formation or function against P. aeruginosa.
  • Clinical isolates of P. aeruginosa from CF patients showed acquired resistance to NET-mediated killing.

Takeaway

Neutrophils can trap and kill bacteria using special nets, but some bacteria can learn to escape these nets over time.

Methodology

The study involved isolating neutrophils from healthy donors and CF patients, exposing them to P. aeruginosa, and measuring NET formation and bacterial killing under various conditions.

Limitations

The study primarily focused on in vitro conditions, which may not fully replicate the complex environment of the CF airway.

Participant Demographics

Neutrophils were isolated from healthy donors and cystic fibrosis patients.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1371/journal.pone.0023637

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