Role of Iron Uptake Systems in Pseudomonas aeruginosa Virulence and Airway Infection
Pseudomonas aeruginosais a leading cause of hospital-acquired pneumonia and chronic lung infections in cystic fibrosis patients. Iron is essential for bacterial growth, andP. aeruginosaexpresses multiple iron uptake systems, whose role in lung infection deserves further investigation.P. aeruginosaFe3+uptake systems include the pyoverdine and pyochelin siderophores and two systems for heme uptake, all of which are dependent on the TonB energy transducer.P. aeruginosaalso has the FeoB transporter for Fe2+acquisition. To assess the roles of individual iron uptake systems inP. aeruginosalung infection, single and double deletion mutants were generated inP. aeruginosaPAO1 and characterizedin vitro, using iron-poor media and human serum, andin vivo, using a mouse model of lung infection. The iron uptake-null mutant (tonB1 feoB) and the Fe3+transport mutant (tonB1) did not grow aerobically under low-iron conditions and were avirulent in the mouse model. Conversely, the wild type and thefeoB,hasR phuR(heme uptake), andpchD(pyochelin) mutants grewin vitroand caused 60 to 90% mortality in mice. The pyoverdine mutant (pvdA) and the siderophore-null mutant (pvdA pchD) grew aerobically in iron-poor media but not in human serum, and they caused low mortality in mice (10 to 20%). To differentiate the roles of pyoverdine in iron uptake and virulence regulation, apvdA fpvRdouble mutant defective in pyoverdine production but expressing wild-type levels of pyoverdine-regulated virulence factors was generated. Deletion offpvRin thepvdAbackground partially restored the lethal phenotype, indicating that pyoverdine contributes to the pathogenesis ofP. aeruginosalung infection by combining iron transport and virulence-inducing capabilities.