“…This pioneer work reveals a perhaps unexpected high degree of stability in the peptidoglycan-related features in very diverse clinical strains of P. aeruginosa , including those highly adapted to the particular environment of the CF airway. In contrast with previous works defending that adaptation to CF could include the selection of changes driving to reduced inflammatory capacity of the peptidoglycan (Cigana et al, 2009, 2011), or several studies in other gram negative species showing that cell wall can accumulate adaptations to better resist within the host (Rosenthal et al, 1982; Swim et al, 1983; Costa et al, 1999; Dillard and Hackett, 2005; Chaput et al, 2006; Humann and Lenz, 2009; Wang et al, 2009, 2010, 2012; Davis and Weiser, 2011; Sukhithasri et al, 2013; Hernández et al, 2015; Frirdich et al, 2019; Schaub and Dillard, 2019a, b), our results with extensive collections of P. aeruginosa suggest that its peptidoglycan is conserved to a higher extent (even including comparisons between exponential and stationary growth phases), and probably, less susceptible of accumulating adaptive changes. Nevertheless, these results do not ensure that if analyzing the peptidoglycans of our strains grown in conditions mimicking their originative host features (i.e., presence of antibiotics, immune compounds, and mainly biofilm growth in CF), the same overall stability would have been observed.…”