Models to Elucidate Intraspecies Interactions Between Staphylococcus aureus and Pseudomonas aeruginosa Restricted; Files Only

Luu, Justin (Fall 2025)

Permanent URL: https://etd.library.emory.edu/concern/etds/cv43nz40z?locale=en
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Abstract

Pseudomonas aeruginosa and Staphylococcus aureus are pathogenic bacteria of serious public

health concern. These bacteria can cause various infections in immunocompromised people, including

chronic respiratory infections in patients with cystic fibrosis (CF). In CF patients, bacterial respiratory

infections remain a leading cause of morbidity. P. aeruginosa and S. aureus are the two most frequently

isolated bacteria from CF respiratory samples. In addition, these bacteria can often be concurrently isolated

(co-isolated) together. Co-infection with these P. aeruginosa and S. aureus has been associated with worse

clinical outcomes compared to infections with a single species. Therefore, understanding the dynamics

between P. aeruginosa and S. aureus during co-infection is paramount in elucidating its impact on CF

patients. The work presented in this dissertation characterizes the interactions between a P. aeruginosa and

S. aureus co-isolated pair derived from a CF respiratory sample. We found that this P. aeruginosa isolate

was hyper aggressive towards S. aureus compared to our laboratory P. aeruginosa when competed in

environmental conditions designed to mimic CF sputum. This aggressiveness towards S. aureus was also

observed in the secreted products from this P. aeruginosa isolate. In addition, we identified that the S.

aureus co-isolate can increase its tolerance to the co-isolated P. aeruginosa by acquiring mutations in the

genes for the aspartate transporter gltT and the regulator of a fatty efflux pump farR. Our findings identified

potentially new mechanisms of antagonism and tolerance between co-isolated P. aeruginosa and S. aureus

strains. We also began to develop an in vivo model that recapitulates how these bacteria are acquired in CF

patients, where S. aureus is acquired in earlier stages of life and P. aeruginosa is acquired in later stages.

We found that culturing S. aureus in environmental conditions that mimic CF sputum prior to infection can

increase lung colonization in both acute and long-term infections. Finally, we developed and validated an

efficient protocol that gauges antagonistic bacterial interactions between species using fluorescence.

Collectively, these studies have expanded our knowledge on how P. aeruginosa and S. aureus interact and

developed tools to address promising questions in future studies.

Table of Contents

Table of Contents

Chapter 1. Introduction: Models to elucidate intraspecies interactions between

Staphylococcus aureus and Pseudomonas aeruginosa .................................................................1

The importance of Pseudomonas aeruginosa and Staphylococcus aureus ............................................... 2

P. aeruginosa and S. aureus Infections in Cystic Fibrosis Patients .......................................................... 3

Interactions Between P. aeruginosa and S. aureus ................................................................................... 4

Current Approaches to Characterize Interactions between these Species ................................................. 9

Outstanding questions on the interactions between P. aeruginosa and S. aureus .................................. 12

References ................................................................................................................................. 15

Chapter 2. Growing Staphylococcus aureus in Synthetic Cystic Fibrosis Medium Promotes

Colonization in a Murine Pneumonia Model ............................................................................ 27

Abstract ................................................................................................................................................... 28

Importance ............................................................................................................................................... 28

Introduction ............................................................................................................................................. 29

Results ..................................................................................................................................................... 32

Discussion ............................................................................................................................................... 50

Materials and Methods ............................................................................................................................ 54

Acknowledgements ................................................................................................................................. 59

Supplemental Materials ........................................................................................................................... 60

References ............................................................................................................................................... 64

Chapter 3. Mutations in genes encoding the amino acid transporter pump gltT and fatty

efflux pump regulator farR increase Staphylococcus aureus survival from Pseudomonas

aeruginosa antagonism in Synthetic Cystic Fibrosis Medium ................................................. 74

Introduction ............................................................................................................................................. 75

Results ..................................................................................................................................................... 77

Discussion ............................................................................................................................................... 93

Material and Methods .............................................................................................................................. 96

References ............................................................................................................................................. 104

Chapter 4. A Fluorescence-Based Protocol to Monitor Bacterial Antagonism ................... 112

Abstract ................................................................................................................................................. 113

Importance ............................................................................................................................................. 113

Introduction ........................................................................................................................................... 114

Results ................................................................................................................................................... 119

Discussion ............................................................................................................................................. 127

Material and Methods ............................................................................................................................ 129

Acknowledgments ................................................................................................................................. 132

Supplemental Materials ......................................................................................................................... 133

References ............................................................................................................................................. 137

Chapter 5. Discussion and Future Directions.......................................................................... 143

Interactions between Pseudomonas aeruginosa and Staphylococcus aureus during murine pneumonia

infection. ................................................................................................................................................ 144

Interactions between concurrently isolated (co-isolated) Pseudomonas aeruginosa and Staphylococcus

aureus in vitro ....................................................................................................................................... 151

Methods to measure bacterial competition in vitro ............................................................................... 154

Concluding remarks .............................................................................................................................. 156

References ............................................................................................................................................. 158

Appendix 1. Host-Microbe transcriptomic analysis of Staphylococcus aureus in a murine

model of acute pneumonia......................................................................................................... 164

Introduction ........................................................................................................................................... 165

Results and Discussion .......................................................................................................................... 166

Materials and Methods .......................................................................................................................... 171

References ............................................................................................................................................. 174

Appendix 2. Transcriptomics of Staphylococcus aureus and Pseudomonas aeruginosa after

co-culture on agar plates ........................................................................................................... 177

Introduction ........................................................................................................................................... 178

Results and Discussion .......................................................................................................................... 179

Material and Methods ............................................................................................................................ 190

References ............................................................................................................................................. 192

Tables .................................................................................................................................................... 195

List of Figures

Chapter 2.

Figure 1. Strains used in this study exhibit genetic diversity. ..................................................................... 34

Figure 2. Culturing S. aureus in SCFM2 led to similar growth kinetics compared to growth in LB for

most strains. ................................................................................................................................................. 36

Figure 3. Schematic of the S. aureus preparation workflows used in this study. ........................................ 39

Figure 4. Culturing S. aureus in SCFM2 generally increases lung colonization in mice during acute

pneumonia independent of mouse strain. .................................................................................................... 41

Figure 5. Compared to agar plate preparation, culturing WU1 in SCFM2 improves colonization for the

first 2 days post-infection in the throat and for 4 days post-infection in the lungs. .................................... 43

Figure 6. Infections with WU1 cultured in SCFM2 leads to increased inflammation and neutrophil

recruitment in both lung lobes compared to agar plate preparation. ........................................................... 46

Figure 7. Cytokine profile from lungs infected with WU1 cultured on agar plates and SCFM2. ............... 49

Supplemental Figure 1. Impact of different culture conditions on nasal cavity colonization in mice during

acute pneumonia. ......................................................................................................................................... 61

Supplemental Figure 2. Workflow for lung lobe separation for cytokine analysis and histology. ............. 62

Chapter 3.

Figure 1. Pa32 is hyper aggressive towards S. aureus when competed in SCFM2 compared to PAO1. .... 80

Figure 2. Sa46 is more sensitive to secreted products from Pa32 than PAO1 secreted products when

cultured in SCFM2. ..................................................................................................................................... 84

Figure 3. Mutation in both gltT and farR are required in Sa46 to increase tolerance to Pa32. ................... 90

Figure 4. Complementation of either gltT or farR into ECR restores sensitivity towards Pa32 ................. 91

Chapter 4.

Figure 1. Schematic representation of the fluorescence-based protocol. .................................................. 117

Figure 2. Reporter strains show significantly higher fluorescence than competitor bacteria. ................... 120

Figure 3. Reporter strain growth corresponds to red fluorescent protein (RFP) production. .................... 122

Figure 4. Co-culturing with competitor strain results in reduction in both CFUs and RFUs. ................... 125

Figure 5: SA RFP signal is reduced when co-cultured with PA in liquid. ................................................ 126

Supplemental figure 1. A reduction in RFUs in SA corresponds to a reduction in CFUs when co-cultured

the competitor strains under various conditions. ....................................................................................... 133

Supplemental figure 2. A reduction in RFUs in EC corresponds to a reduction in CFUs when co-cultured

with competitor strains under various conditions. ..................................................................................... 135

Appendix 1.

Figure 1. JE2 recovered after a 24-hour acute pneumonia murine infection. ............................................ 169

Appendix 2.

Figure 1. Bacteria recovery after co-culture. ............................................................................................. 183

Figure 2. RNA-seq visualizations of the co-culture between Pa24 and JE2. ............................................ 186

Figure 3. RNA-seq visualizations of the co-culture between PAO1 and JE2. .......................................... 189

List of Tables

Chapter 2.

Table S1. Average nucleotide identity values..................................................................................... 60

Chapter 3.

Table 1. Protein hits identified through mass spectrometry on the ~40 kDA band of Pa32..................... 86

Table 2. Mutations Identified in Evolved Colony Sensitive (ECS) and Evolved Colony Resistant (ECR)

relative to Sa46. ........................................................................................................................................... 92

Table 3. Mutations Identified in Evolved Population 2 at Passage 14 relative to Sa46. ............................. 92

Table 4. Bacterial strains utilized in this study. ........................................................................................... 97

Table 5. Plasmids utilized in this study. ...................................................................................................... 97

Table 6. Primers utilized in this study. ........................................................................................................ 97

Chapter 4.

Table 1. Strains used in this study. ............................................................................................................ 118

Appendix 1.

Table 1. RNA-sequencing Reads and Mapping Results to JE2 ................................................................. 170

Appendix 2.

Table 1. Differentially expressed genes in Pa24 when co-cultured with JE2............................................ 195

Table 2. Differentially expressed genes in JE2 when co-cultured with Pa24. .......................................... 202

Table 3. Differentially expressed genes in PAO1 when co-cultured with JE2.......................................... 210

Table 4. Differentially expressed genes in JE2 when co-cultured with PAO1. ........................................ 211

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