2019
DOI: 10.3390/pathogens8040283
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Tasked with a Challenging Objective: Why Do Neutrophils Fail to Battle Pseudomonas aeruginosa Biofilms

Abstract: Multidrug-resistant (MDR) bacterial infections are a leading cause of mortality, affecting approximately 250,000 people in Canada and over 2 million people in the United States, annually. The lack of efficacy of antibiotic-based treatments is often caused by inability of the drug to penetrate bacterial biofilms in sufficient concentrations, posing a major therapeutic challenge. Here, we review the most recent information about the architecture of Pseudomonas aeruginosa biofilms in vivo and describe how advance… Show more

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Cited by 18 publications
(10 citation statements)
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“…Wang et al [98] reported that even Psl can interact with eDNA and, in in vitro grown P. aeruginosa biofilms, form fiber-like structures, where the two polymers colocalize. Psl-based fibers were further confirmed in vivo and found to emanate from the body of the biofilms [99]. However, the nature of the interaction between the Psl and eDNA remains unexplained.…”
Section: Interaction Of Edna With Biofilm Exopolysaccharidesmentioning
confidence: 86%
“…Wang et al [98] reported that even Psl can interact with eDNA and, in in vitro grown P. aeruginosa biofilms, form fiber-like structures, where the two polymers colocalize. Psl-based fibers were further confirmed in vivo and found to emanate from the body of the biofilms [99]. However, the nature of the interaction between the Psl and eDNA remains unexplained.…”
Section: Interaction Of Edna With Biofilm Exopolysaccharidesmentioning
confidence: 86%
“…The recognition of P. aeruginosa pathogen-associated molecular patterns (PAMPs) elicits a potent inflammatory response, which is critical for the recruitment of neutrophils and macrophages, facilitating the bacterial clearance ( Figure 2). However, an optimal host response is essential; a weak response with inefficient infiltration of phagocytic cells leads to unsuccessful bacterial killing and clearance, while an excessive response causes host tissue damage [49,[70][71][72][73][74]. Massive recruitment of neutrophils into the infected respiratory tract is a hallmark of P. aeruginosa infection.…”
Section: The Innate Immune Responsementioning
confidence: 99%
“…And the synthesis of extracellular polymeric substances (EPS) forms sticky and tangled fibers that connect bacteria cells to each other and to various surface[58]. Thus, we speculate that the biofilm lifestyle acts as a defense barrier that protects the bacteria embedded in the EPS matrix against innate host defense[59] and shear caused by fluid flow[60]. In addition, EPS produced on the surface of cancer cells inhibits the adhesion of cancer cells to endothelial cells, resulting in metastasis disruption[42, 61].…”
Section: Discussionmentioning
confidence: 99%