Pseudomonas aeruginosa (Pa) is an opportunistic pathogen that infects the lungs of patients with COPD, Cystic Fibrosis (CF), and is an important cause of pneumonia. Pa contributes to 5-10% of the acute exacerbations in COPD, which afflicts 24 million Americans, and is the 3rd leading cause of death in the US. Moreover, ~85% of CF patients are chronically infected with antibiotic resistant strains of Pa. In the last fundin period we demonstrated that outer membrane vesicles (OMVs) secreted by Pa fuse with lipid rafts in human bronchial epithelial (HBE) cells and decrease wt-CFTR mediated Cl secretion by delivering Cif (CFTR inhibitory factor), a virulence factor, into cells. Pa also produces another virulence factor(s) in OMVs, in addition to Cif, that inhibits delF508-CFTR Cl secretion in CF HBE cells that have been treated with the Vertex investigational drug VX-809. In this application, we demonstrate that a non-Cif factor in OMVs enhances the lysosomal degradation of delF508-CFTR in CF HBE cells by increasing tyrosine phosphorylated Lyn, a Src-tyrosine kinase. In addition, we report that disruption of lipid rafts with filipin blocks the OMV induced degradation of delF508-CFTR. Because OMVs also increase phosphorylated Lyn in mouse lung, and because Lyn phosphorylates c-Cbl, an E3 ligase that increases the ubiquitination and lysosomal degradation of wt-CFTR, we propose studies to test the hypothesis that non-Cif virulence factors in OMVs inhibit VX-809 stimulated delF508-CFTR Cl secretion in CF-HBE cells and in CF mouse lung by increasing phosphoryated Lyn, which phosphorylates c-Cbl and delF508-CFTR, thereby increasing the ubiquitination and degradation of delF508-CFTR. Studies will also be conducted to block Cif and non-Cif inhibition of delF508-CFTR Cl secretion using cyclodextrins that are in clinical trials and simvastatin (Zocor), which also disrupt lipid rafts. These studies will provide novel insight into the molecular mechanism(s) whereby OMVs reduce VX-809 stimulated delF508-CFTR Cl secretion, and thereby increase the severity of Pa lung infections, which cause considerable morbidity and mortality in the US. In addition, because filipin mitigates the effect of OMVs on delF508-CFTR Cl secretion, we anticipate that studies with cyclodextrins and simvastatin will lead to a novel treatment that, in combination with antibiotics, will ameliorate Pa infections in patients with CF as well as COPD and pneumonia.

Public Health Relevance

P. aeruginosa is a Gram-negative, opportunistic pathogen that causes pneumonia and is a major cause of morbidity and mortality in patients with chronic obstructive pulmonary disease (COPD) and Cystic Fibrosis (CF). Because all Gram-negative bacteria are highly resistant to antibiotics, and they secrete OMVs, our studies will be relevant t all Gram-negative infections, will provide novel insight into the molecular mechanism(s) whereby OMV virulence factors affect host cell biology, and we anticipate that our studies will lead to novel and effective therapeutic approaches to treat Gram-negative bacterial infections.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
2R01HL074175-10A1
Application #
8967868
Study Section
Special Emphasis Panel (ZRG1-CVRS-H (02))
Program Officer
Smith, Robert A
Project Start
2003-08-15
Project End
2019-06-30
Budget Start
2015-07-03
Budget End
2016-06-30
Support Year
10
Fiscal Year
2015
Total Cost
$405,000
Indirect Cost
$155,000
Name
Dartmouth College
Department
Microbiology/Immun/Virology
Type
Schools of Medicine
DUNS #
041027822
City
Hanover
State
NH
Country
United States
Zip Code
03755
Hvorecny, Kelli L; Dolben, Emily; Moreau-Marquis, Sophie et al. (2018) An epoxide hydrolase secreted by Pseudomonas aeruginosa decreases mucociliary transport and hinders bacterial clearance from the lung. Am J Physiol Lung Cell Mol Physiol 314:L150-L156
Barnaby, Roxanna; Koeppen, Katja; Nymon, Amanda et al. (2018) Lumacaftor (VX-809) restores the ability of CF macrophages to phagocytose and kill Pseudomonas aeruginosa. Am J Physiol Lung Cell Mol Physiol 314:L432-L438
Stanton, Bruce A (2017) Effects ofPseudomonas aeruginosaon CFTR chloride secretion and the host immune response. Am J Physiol Cell Physiol 312:C357-C366
Koeppen, Katja; Stanton, Bruce A; Hampton, Thomas H (2017) ScanGEO: parallel mining of high-throughput gene expression data. Bioinformatics 33:3500-3501
Torres, Iviana M; Demirdjian, Sally; Vargas, Jennifer et al. (2017) Acidosis increases the susceptibility of respiratory epithelial cells to Pseudomonas aeruginosa-induced cytotoxicity. Am J Physiol Lung Cell Mol Physiol 313:L126-L137
Seidler, Darius; Griffin, Mary; Nymon, Amanda et al. (2016) Throat Swabs and Sputum Culture as Predictors of P. aeruginosa or S. aureus Lung Colonization in Adult Cystic Fibrosis Patients. PLoS One 11:e0164232
Hogan, Deborah A; Willger, Sven D; Dolben, Emily L et al. (2016) Analysis of Lung Microbiota in Bronchoalveolar Lavage, Protected Brush and Sputum Samples from Subjects with Mild-To-Moderate Cystic Fibrosis Lung Disease. PLoS One 11:e0149998
Greene, Casey S; Foster, James A; Stanton, Bruce A et al. (2016) COMPUTATIONAL APPROACHES TO STUDY MICROBES AND MICROBIOMES. Pac Symp Biocomput 21:557-67
Hollomon, Jeffrey M; Grahl, Nora; Willger, Sven D et al. (2016) Global Role of Cyclic AMP Signaling in pH-Dependent Responses in Candida albicans. mSphere 1:
Koeppen, Katja; Hampton, Thomas H; Jarek, Michael et al. (2016) A Novel Mechanism of Host-Pathogen Interaction through sRNA in Bacterial Outer Membrane Vesicles. PLoS Pathog 12:e1005672

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