2015
DOI: 10.1016/j.chom.2015.07.006
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Regional Isolation Drives Bacterial Diversification within Cystic Fibrosis Lungs

Abstract: Summary Bacterial lineages that chronically infect cystic fibrosis (CF) patients genetically diversify during infection. However, the mechanisms driving diversification are unknown. By dissecting 10 CF lung pairs and studying ~12,000 regional isolates, we were able to investigate whether clonally-related Pseudomonas aeruginosa inhabiting different lung regions evolve independently and differ functionally. Phylogenetic analysis of genome sequences showed that regional isolation of P. aeruginosa drives divergent… Show more

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Cited by 281 publications
(317 citation statements)
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“…Most importantly, it does not address the role of oral anaerobes or bacterial nutrient acquisition in late stages of CF disease (Fig 8D). In chronic airway infections, bacterial diversity often declines and lung microbiota becomes predominated by P. aeruginosa [50,51]. Therefore, it is probable that P. aeruginosa does not rely upon mucin fermentation in late stages, but rather contributions from the host inflammatory response.…”
Section: Discussionmentioning
confidence: 99%
“…Most importantly, it does not address the role of oral anaerobes or bacterial nutrient acquisition in late stages of CF disease (Fig 8D). In chronic airway infections, bacterial diversity often declines and lung microbiota becomes predominated by P. aeruginosa [50,51]. Therefore, it is probable that P. aeruginosa does not rely upon mucin fermentation in late stages, but rather contributions from the host inflammatory response.…”
Section: Discussionmentioning
confidence: 99%
“…Diversity, genetic or otherwise, underpins the persistence of P. aeruginosa infections, such as those colonizing the lungs of cystic fibrosis patients (31). In this context, bacterial populations become spatially isolated (58) and are subjected to variations in environmental redox potential (57). Since drug efficacy is largely dependent on the genotype of the target, clonal diversity can lead to further complications when treating bacterial infections with antibiotics.…”
Section: Discussionmentioning
confidence: 99%
“…This pattern appears to hold in P. aeruginosa following lung infection of a CF patient. From a single inoculating clone, the descendant bacteria evolve into multiple populations with different nutrient requirements, antibiotic resistance, and virulence (198). This within-host diversification is frequently aided by evolution of higher mutation rates (199) and eventually an attenuation of virulence that could foster coexistence among the populations (200,201).…”
Section: Models Of Speciation: Rapidly Speciating Taxa the Speedy Spementioning
confidence: 99%