Lori I. Robins, Philip Gafken, Chenwei Lin, Lisa Jones, Sarah E. Hooper
Pseudomonas aeruginosa is found in 48%–52% of chronic wound biofilms, where its resistance to antimicrobials and host immunity presents a major clinical challenge. Although hypochlorous acid (HOCl) is known to be an effective antimicrobial, its mechanism of action remains unclear because standard experimental conditions often produce a mixture of HOCl and hypochlorite (OCl⁻), making it difficult to isolate the effects of HOCl. Here, we use proteomic profiling to investigate the effects of a pure, stable HOCl gel on P. aeruginosa biofilms in a physiologically relevant chronic wound model. We applied HOCl gel (5.7 mM, pH 6) to mature P. aeruginosa biofilms established in a wound-mimicking flow model. Proteins were analyzed using tandem mass tag (TMT)-based quantitative proteomics, identifying 1,878 proteins. HOCl treatment significantly reduced biofilm viability and altered the abundance of 330 proteins. We observed substantial depletion of proteins involved in biosynthesis, virulence, antibiotic resistance, and biofilm formation, alongside enrichment of stress response proteins. These findings indicate a shift toward survival phenotypes and weakened pathogenicity. Our data reveal that HOCl disrupts multiple pathways essential for P. aeruginosa survival and virulence. Crucially, our experimental design eliminates confounding factors that can lead to unintentional testing of mixed HOCl and OCl⁻ species, allowing us to assess the specific effects of HOCl. These findings call for a re-evaluation of HOCl research methodologies and reiterate the importance of realistic infection models in antimicrobial testing.
铜绿假单胞菌存在于48%-52%的慢性伤口生物膜中,其对抗菌剂和宿主免疫的耐药性是一个重大的临床挑战。虽然我们知道次氯酸(HOCl)是一种有效的抗菌药物,但它的作用机制仍然不清楚,因为标准的实验条件经常会产生HOCl和次氯酸(OCl)的混合物,这使得很难分离HOCl的作用。在这里,我们使用蛋白质组学分析来研究纯的、稳定的HOCl凝胶在生理相关的慢性伤口模型中对铜绿假单胞菌生物膜的影响。我们将HOCl凝胶(5.7 mM, pH 6)应用于在模拟伤口流动模型中建立的成熟铜绿假单胞菌生物膜。采用基于串联质量标签(TMT)的定量蛋白质组学方法对蛋白质进行分析,鉴定出1878个蛋白质。HOCl处理显著降低了生物膜活力,改变了330个蛋白的丰度。我们观察到与生物合成、毒力、抗生素耐药性和生物膜形成相关的蛋白质大量减少,同时应激反应蛋白富集。这些发现表明了向生存表型和致病性减弱的转变。我们的数据显示HOCl破坏了铜绿假单胞菌生存和毒力所必需的多种途径。至关重要的是,我们的实验设计消除了可能导致HOCl和OCl混合测试的混杂因素,使我们能够评估HOCl的具体效果。这些发现呼吁对HOCl研究方法进行重新评估,并重申现实感染模型在抗菌药物检测中的重要性。
{"title":"Dissecting HOCl Action in Chronic Wound Biofilms: Proteomic Insights From a Host-Relevant Model of Pseudomonas aeruginosa","authors":"Lori I. Robins, Philip Gafken, Chenwei Lin, Lisa Jones, Sarah E. Hooper","doi":"10.1002/mbo3.70181","DOIUrl":"https://doi.org/10.1002/mbo3.70181","url":null,"abstract":"<p><i>Pseudomonas aeruginosa</i> is found in 48%–52% of chronic wound biofilms, where its resistance to antimicrobials and host immunity presents a major clinical challenge. Although hypochlorous acid (HOCl) is known to be an effective antimicrobial, its mechanism of action remains unclear because standard experimental conditions often produce a mixture of HOCl and hypochlorite (OCl⁻), making it difficult to isolate the effects of HOCl. Here, we use proteomic profiling to investigate the effects of a pure, stable HOCl gel on <i>P. aeruginosa</i> biofilms in a physiologically relevant chronic wound model. We applied HOCl gel (5.7 mM, pH 6) to mature <i>P. aeruginosa</i> biofilms established in a wound-mimicking flow model. Proteins were analyzed using tandem mass tag (TMT)-based quantitative proteomics, identifying 1,878 proteins. HOCl treatment significantly reduced biofilm viability and altered the abundance of 330 proteins. We observed substantial depletion of proteins involved in biosynthesis, virulence, antibiotic resistance, and biofilm formation, alongside enrichment of stress response proteins. These findings indicate a shift toward survival phenotypes and weakened pathogenicity. Our data reveal that HOCl disrupts multiple pathways essential for <i>P. aeruginosa</i> survival and virulence. Crucially, our experimental design eliminates confounding factors that can lead to unintentional testing of mixed HOCl and OCl⁻ species, allowing us to assess the specific effects of HOCl. These findings call for a re-evaluation of HOCl research methodologies and reiterate the importance of realistic infection models in antimicrobial testing.</p>","PeriodicalId":18573,"journal":{"name":"MicrobiologyOpen","volume":"14 6","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mbo3.70181","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145626345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jadelynn Aki, Sara B. Papp, Bayley Polk, Sean Jeffreys, Megan P. Tompkins, Anwar A. Kalalah, Mark Eppinger, Guoquan Zhang, M. N. Guentzel, James P. Chambers, Bernard P. Arulanandam, Jieh-Juen Yu
Acinetobacter baumannii is a multi-drug resistant Gram-negative coccobacillus. It is responsible for high mortality among patients in the intensive care unit. Reported A. baumannii virulence factors include the thioredoxin system which plays a critical role in gene regulation and protein reduction. The Type IV pilus (T4P) is a well-known bacterial virulence factor that is associated with adhesion and molecular exchange. Previously, our laboratory revealed the role of A. baumannii thioredoxin A (TrxA) in pathogenesis by studying a trxA deletion mutant that downregulates T4P gene expression. TrxA, a potent disulfide bond reducer, might affect the assembly of pili by targeting T4P component proteins, including PilA, the major pilin protein of T4P which contains multiple cysteine residues required for disulfide bond formation. Using a transposon library derived from the AB5075 clinical isolate, we phenotypically characterized a pilA mutant strain and compared its pathogenesis to the wild type (WT) strain as well as another trxA mutant. Whole genome sequencing was conducted to confirm the disruption of trxA and pilA genes in the corresponding mutant strains of AB5075. Alteration of bacterial surface appendages in ΔtrxA and ΔpilA was visualized by Scanning electron microscopy. Like ΔtrxA, the T4P mutant ΔpilA had marked reduction of surface pili. Bacterial attachment to excised intestinal surfaces was greatly reduced for ΔtrxA and ΔpilA. Attenuation of ΔtrxA and ΔpilA in pathogenesis was further confirmed using a mouse sepsis model. Collectively, this characterized ΔpilA deficiency in A. baumannii resulted in attenuation of virulence making it a potential therapeutic target.
鲍曼不动杆菌是一种多重耐药革兰氏阴性球菌。它是重症监护病房病人死亡率高的原因。已报道的鲍曼不动杆菌毒力因子包括在基因调控和蛋白还原中起关键作用的硫氧还蛋白系统。IV型菌毛(T4P)是一种众所周知的细菌毒力因子,与粘附和分子交换有关。之前,我们实验室通过研究一个下调T4P基因表达的TrxA缺失突变体,揭示了鲍曼a.p ummannii thioredoxin A (TrxA)在发病机制中的作用。TrxA是一种有效的二硫键还原剂,它可能通过靶向T4P成分蛋白来影响毛毛的组装,包括T4P的主要毛蛋白PilA,它含有形成二硫键所需的多个半胱氨酸残基。利用AB5075临床分离物的转座子文库,我们对pilA突变株进行了表型表征,并将其发病机制与野生型(WT)菌株和另一种trxA突变株进行了比较。通过全基因组测序确认AB5075突变株中trxA和pilA基因的断裂。通过扫描电镜观察ΔtrxA和ΔpilA细菌表面附属物的变化。与ΔtrxA一样,T4P突变体ΔpilA表面毛明显减少。对于ΔtrxA和ΔpilA,细菌附着在切除的肠道表面大大减少。通过小鼠脓毒症模型进一步证实了ΔtrxA和ΔpilA在发病机制中的衰减作用。总的来说,这种特征的ΔpilA鲍曼芽胞杆菌缺乏导致毒力的衰减,使其成为潜在的治疗靶点。
{"title":"Characterization of Pilin A and Thioredoxin A Mutant Strains of Acinetobacter baumannii, From a Transposon Insertion Library, for Pili Production and Virulence-Associated Properties","authors":"Jadelynn Aki, Sara B. Papp, Bayley Polk, Sean Jeffreys, Megan P. Tompkins, Anwar A. Kalalah, Mark Eppinger, Guoquan Zhang, M. N. Guentzel, James P. Chambers, Bernard P. Arulanandam, Jieh-Juen Yu","doi":"10.1002/mbo3.70183","DOIUrl":"https://doi.org/10.1002/mbo3.70183","url":null,"abstract":"<p><i>Acinetobacter baumannii</i> is a multi-drug resistant Gram-negative coccobacillus. It is responsible for high mortality among patients in the intensive care unit. Reported <i>A. baumannii</i> virulence factors include the thioredoxin system which plays a critical role in gene regulation and protein reduction. The Type IV pilus (T4P) is a well-known bacterial virulence factor that is associated with adhesion and molecular exchange. Previously, our laboratory revealed the role of <i>A. baumannii</i> thioredoxin A (TrxA) in pathogenesis by studying a <i>trxA</i> deletion mutant that downregulates T4P gene expression. TrxA, a potent disulfide bond reducer, might affect the assembly of pili by targeting T4P component proteins, including PilA, the major pilin protein of T4P which contains multiple cysteine residues required for disulfide bond formation. Using a transposon library derived from the AB5075 clinical isolate, we phenotypically characterized a <i>pilA</i> mutant strain and compared its pathogenesis to the wild type (WT) strain as well as another <i>trxA</i> mutant. Whole genome sequencing was conducted to confirm the disruption of <i>trxA</i> and <i>pilA</i> genes in the corresponding mutant strains of AB5075. Alteration of bacterial surface appendages in Δ<i>trxA</i> and Δ<i>pilA</i> was visualized by Scanning electron microscopy. Like Δ<i>trxA</i>, the T4P mutant Δ<i>pilA</i> had marked reduction of surface pili. Bacterial attachment to excised intestinal surfaces was greatly reduced for Δ<i>trxA</i> and Δ<i>pilA</i>. Attenuation of Δ<i>trxA</i> and Δ<i>pilA</i> in pathogenesis was further confirmed using a mouse sepsis model. Collectively, this characterized Δ<i>pilA</i> deficiency in <i>A. baumannii</i> resulted in attenuation of virulence making it a potential therapeutic target.</p>","PeriodicalId":18573,"journal":{"name":"MicrobiologyOpen","volume":"14 6","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mbo3.70183","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The evolutionary profile of hepatitis B virus (HBV) quasispecies may influence the clinical course of chronic hepatitis B (CHB), but few studies have characterized quasispecies according to hepatitis B e antigen (HBeAg) status. In this study, we analyzed 289 full-length HBV clones from 19 treatment-naïve CHB patients with long-term infection (> 10 years), comprising nine HBeAg-positive and ten HBeAg-negative, using molecular cloning and Sanger sequencing. Compared with HBeAg-positive patients, HBeAg-negative patients displayed higher quasispecies diversity (mean intrapatient sequence divergence 1.09% vs. 0.44%) and more complex phylogenetic structures. They also exhibited a greater number of positively selected sites, with 70.8% located within known T- or B-cell epitope regions, predominantly in the surface (S), polymerase (Pol), and X regions. Classical basal core promoter (BCP) and precore (PreC) mutations were detected in 52.8% of HBeAg-negative clones, often coexisting with wild-type strains. In patients lacking these classical BCP/preC mutations but showing sustained viremia, intrahost recombination was observed. Moreover, overlapping reading frames, particularly +1 frameshifts in Pol/S region, demonstrated asymmetric distribution patterns. In patients harboring deletion mutations, intact quasispecies were also maintained. Collectively, these findings reveal multiple adaptive strategies that sustain HBV replication and immune escape in HBeAg-negative patients, providing mechanistic insights for disease monitoring and therapeutic interventions.
{"title":"Adaptive Evolution and Distinct Mutation Signatures of Full-Length HBV Quasispecies in HBeAg-Negative Chronic Hepatitis B","authors":"Changhui Wu, Fengwei Liu, Xiao Li, Xiaojin Li, Hui Li, Sihang Zhang, Xiaohui Yan, Taicheng Zhou, Jia Wei","doi":"10.1002/mbo3.70175","DOIUrl":"https://doi.org/10.1002/mbo3.70175","url":null,"abstract":"<p>The evolutionary profile of hepatitis B virus (HBV) quasispecies may influence the clinical course of chronic hepatitis B (CHB), but few studies have characterized quasispecies according to hepatitis B e antigen (HBeAg) status. In this study, we analyzed 289 full-length HBV clones from 19 treatment-naïve CHB patients with long-term infection (> 10 years), comprising nine HBeAg-positive and ten HBeAg-negative, using molecular cloning and Sanger sequencing. Compared with HBeAg-positive patients, HBeAg-negative patients displayed higher quasispecies diversity (mean intrapatient sequence divergence 1.09% vs. 0.44%) and more complex phylogenetic structures. They also exhibited a greater number of positively selected sites, with 70.8% located within known <i>T</i>- or <i>B</i>-cell epitope regions, predominantly in the surface (S), polymerase (Pol), and <i>X</i> regions. Classical basal core promoter (BCP) and precore (PreC) mutations were detected in 52.8% of HBeAg-negative clones, often coexisting with wild-type strains. In patients lacking these classical BCP/preC mutations but showing sustained viremia, intrahost recombination was observed. Moreover, overlapping reading frames, particularly +1 frameshifts in Pol/S region, demonstrated asymmetric distribution patterns. In patients harboring deletion mutations, intact quasispecies were also maintained. Collectively, these findings reveal multiple adaptive strategies that sustain HBV replication and immune escape in HBeAg-negative patients, providing mechanistic insights for disease monitoring and therapeutic interventions.</p>","PeriodicalId":18573,"journal":{"name":"MicrobiologyOpen","volume":"14 6","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mbo3.70175","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gladys Maria Pangga, Stephen Bamford, Anne Richmond, Nicolae Corcionivoschi, Umer Zeeshan Ijaz, Ozan Gundogdu
The gut microbiome of breeder hens plays a pivotal role in reproductive efficiency, egg quality, and progeny development. Its composition is shaped by host factors such as age and genetics, as well as environmental influences, including diet and management practices. Importantly, the breeder gut microbiome is not only dynamic but also responsive to targeted interventions that can enhance intestinal health, metabolic function, and laying performance. Vertical transmission of maternal microbes through the cloaca and egg components provides offspring with a foundational microbial community, with the yolk sac serving as a critical reservoir for early colonisers that influence gut maturation, immunity, and growth. Emerging evidence further demonstrates that maternal nutritional strategies can programme the gut microbiota of progeny and intestinal development, highlighting the breeder microbiome as both a determinant and mediator of transgenerational performance. These insights underscore the potential of microbiome-focused approaches to improve reproductive success and sustainability in poultry production.
{"title":"The Transgenerational Link: Breeder Gut Microbiota and Broiler Progeny Development","authors":"Gladys Maria Pangga, Stephen Bamford, Anne Richmond, Nicolae Corcionivoschi, Umer Zeeshan Ijaz, Ozan Gundogdu","doi":"10.1002/mbo3.70174","DOIUrl":"https://doi.org/10.1002/mbo3.70174","url":null,"abstract":"<p>The gut microbiome of breeder hens plays a pivotal role in reproductive efficiency, egg quality, and progeny development. Its composition is shaped by host factors such as age and genetics, as well as environmental influences, including diet and management practices. Importantly, the breeder gut microbiome is not only dynamic but also responsive to targeted interventions that can enhance intestinal health, metabolic function, and laying performance. Vertical transmission of maternal microbes through the cloaca and egg components provides offspring with a foundational microbial community, with the yolk sac serving as a critical reservoir for early colonisers that influence gut maturation, immunity, and growth. Emerging evidence further demonstrates that maternal nutritional strategies can programme the gut microbiota of progeny and intestinal development, highlighting the breeder microbiome as both a determinant and mediator of transgenerational performance. These insights underscore the potential of microbiome-focused approaches to improve reproductive success and sustainability in poultry production.</p>","PeriodicalId":18573,"journal":{"name":"MicrobiologyOpen","volume":"14 6","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mbo3.70174","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Guillain–Barré Syndrome (GBS) is a rapidly progressing immune-mediated neuropathy that remains the leading cause of acute flaccid paralysis worldwide. A substantial proportion of GBS cases are precipitated by infectious agents, most notably Campylobacter jejuni and Haemophilus influenzae, which initiate pathogenic autoimmunity via molecular mimicry. This narrative review aimed to synthesize current evidence on the microbial triggers of GBS and elucidate the immune mechanisms linking infection to neuropathic damage. We discuss the evolving landscape of GBS pathogenesis, emphasizing the roles of ganglioside-like lipooligosaccharide (LOS), host genetic predisposition, and dysregulated immune responses. The clinical heterogeneity of GBS subtypes, including axonal and demyelinating variants, was analyzed in relation to serotype-specific antibody profiles that inform the diagnosis and prognosis. Current therapeutic interventions, including intravenous immunoglobulin and plasma exchange, are critically assessed alongside experimental strategies, such as monoclonal antibody therapies, microbiome modulation, and LOS-targeted vaccines. This review highlights microbial surveillance and precision immunotherapy in the management of GBS. Collectively, this study underscores the central role of microbiological insights in redefining the prevention, diagnosis, and treatment of this complex neuroimmune disorder.
{"title":"Infectious Triggers and Immune Dynamics in Guillain–Barré Syndrome: Revisiting Campylobacter jejuni and the Silent Role of Haemophilus influenzae","authors":"Aswathi Ramesh, Rajasekaran Subbarayan, Dhasarathdev Srinivasan, Ranjith Balakrishnan, Rupendra Shrestha, Ankush Chauhan","doi":"10.1002/mbo3.70177","DOIUrl":"https://doi.org/10.1002/mbo3.70177","url":null,"abstract":"<p>Guillain–Barré Syndrome (GBS) is a rapidly progressing immune-mediated neuropathy that remains the leading cause of acute flaccid paralysis worldwide. A substantial proportion of GBS cases are precipitated by infectious agents, most notably <i>Campylobacter jejuni</i> and <i>Haemophilus influenzae</i>, which initiate pathogenic autoimmunity via molecular mimicry. This narrative review aimed to synthesize current evidence on the microbial triggers of GBS and elucidate the immune mechanisms linking infection to neuropathic damage. We discuss the evolving landscape of GBS pathogenesis, emphasizing the roles of ganglioside-like lipooligosaccharide (LOS), host genetic predisposition, and dysregulated immune responses. The clinical heterogeneity of GBS subtypes, including axonal and demyelinating variants, was analyzed in relation to serotype-specific antibody profiles that inform the diagnosis and prognosis. Current therapeutic interventions, including intravenous immunoglobulin and plasma exchange, are critically assessed alongside experimental strategies, such as monoclonal antibody therapies, microbiome modulation, and LOS-targeted vaccines. This review highlights microbial surveillance and precision immunotherapy in the management of GBS. Collectively, this study underscores the central role of microbiological insights in redefining the prevention, diagnosis, and treatment of this complex neuroimmune disorder.</p>","PeriodicalId":18573,"journal":{"name":"MicrobiologyOpen","volume":"14 6","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mbo3.70177","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145619143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Next-generation sequencing (NGS) has emerged as a transformative tool for infectious disease diagnosis, offering broad pathogen detection, antimicrobial resistance profiling, and syndromic panel testing. However, widespread clinical adoption remains hindered by insurance reimbursement challenges, high costs, and regulatory barriers. Unlike polymerase chain reaction (PCR), which enjoys well-established Current Procedural Terminology (CPT) codes and reimbursement pathways, many NGS-based tests lack standardized billing mechanisms, discouraging laboratories from integrating NGS into routine diagnostics. This article explores the economic, clinical, and technological considerations of targeted amplicon sequencing (tNGS) versus PCR and whole-genome sequencing (WGS), demonstrating how optimized multiplexing strategies, emerging NGS platforms, and regulatory advancements can enhance feasibility. It is argued that insurance policies must evolve to recognize NGS's superior clinical utility in detecting polymicrobial infections, emerging pathogens, and antimicrobial resistance determinants, ultimately improving patient outcomes and reducing healthcare costs. Current reagent-only costs now average US $65 per microbial genome, US $600 per 30× human genome, and US $130–600 per metagenomic sample when multiplexed; these figures continue to fall with higher multiplexing. To accelerate equitable adoption, we recommend near-term payer coverage pilots for clearly defined clinical indications, dedicated CPT pathways for infectious-disease sequencing (including metagenomic assays), and pragmatic validation frameworks that acknowledge genotype–phenotype limits while leveraging multiplexing and centralized reference workflows.
{"title":"Next-Generation Sequencing in Infectious-Disease Diagnostics: Economic, Regulatory, and Clinical Pathways to Adoption","authors":"John Osei Sekyere","doi":"10.1002/mbo3.70104","DOIUrl":"https://doi.org/10.1002/mbo3.70104","url":null,"abstract":"<p>Next-generation sequencing (NGS) has emerged as a transformative tool for infectious disease diagnosis, offering broad pathogen detection, antimicrobial resistance profiling, and syndromic panel testing. However, widespread clinical adoption remains hindered by insurance reimbursement challenges, high costs, and regulatory barriers. Unlike polymerase chain reaction (PCR), which enjoys well-established Current Procedural Terminology (CPT) codes and reimbursement pathways, many NGS-based tests lack standardized billing mechanisms, discouraging laboratories from integrating NGS into routine diagnostics. This article explores the economic, clinical, and technological considerations of targeted amplicon sequencing (tNGS) versus PCR and whole-genome sequencing (WGS), demonstrating how optimized multiplexing strategies, emerging NGS platforms, and regulatory advancements can enhance feasibility. It is argued that insurance policies must evolve to recognize NGS's superior clinical utility in detecting polymicrobial infections, emerging pathogens, and antimicrobial resistance determinants, ultimately improving patient outcomes and reducing healthcare costs. Current reagent-only costs now average US $65 per microbial genome, US $600 per 30× human genome, and US $130–600 per metagenomic sample when multiplexed; these figures continue to fall with higher multiplexing. To accelerate equitable adoption, we recommend near-term payer coverage pilots for clearly defined clinical indications, dedicated CPT pathways for infectious-disease sequencing (including metagenomic assays), and pragmatic validation frameworks that acknowledge genotype–phenotype limits while leveraging multiplexing and centralized reference workflows.</p>","PeriodicalId":18573,"journal":{"name":"MicrobiologyOpen","volume":"14 6","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mbo3.70104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145626164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clostridium tertium is a pathogenic bacterium that directly colonizes the gastrointestinal mucosa, causing inflammation and neutropenia. The virulence factors and pathogenic mechanisms of C. tertium are not well known. In this study, C. tertium HGMC01 was isolated by enrichment culture of human feces, and its whole chromosome genome was sequenced without extra plasmids. C. tertium HGMC01 had a larger genome and a higher gene count compared with five other C. tertium strains. A pangenome analysis of six strains showed that C. tertium HGMC01 had the highest number of unique genes and the lowest number of accessory genes clustered phylogenetically with C. tertium src5, a strain of animal origin. C. tertium HGMC01 genome showed a variety of secreted glycoside hydrolases and carbohydrate-binding modules for mucin O-glycan degradation and sialic acid catabolism including sialidase and sialic acid transporter. These genes strongly suggested that the strain could interact the human gut cells through recognition or adhesion to mucin glycans. Moreover, various mobile genetic elements in its genome also indicated the genetic diversity and plasticity of the strain to gain virulence factors and antibiotic/multidrug-resistant genes potentially acquired by horizontal gene transfer for the evolution of the pathogenicity. Additionally, experiments with human embryonic kidney cells revealed that components of C. tertium HGMC01 cell wall may play roles as virulence factors by modulating cytokine signaling pathways dependent on Toll-like receptors. Overall, this comparative genomic analysis provides information about how C. tertium strains cause disease through mucin glycan degradation, colonization, multidrug resistance, and modulation of immune responses.
tertium梭菌是一种直接定植于胃肠道粘膜的致病菌,可引起炎症和中性粒细胞减少。其毒力因素和致病机制尚不清楚。本研究通过人粪便富集培养分离出C. tertium HGMC01,并对其全染色体基因组进行了测序,未发现额外的质粒。与其他5株C. tertium菌株相比,C. tertium HGMC01具有更大的基因组和更高的基因计数。对6株病原菌的全基因组分析表明,C. tertium HGMC01与动物源病原菌C. tertium src5在系统进化上聚集的独特基因数量最多,辅助基因数量最少。C. tertium HGMC01基因组显示出多种用于粘蛋白o聚糖降解和唾液酸分解代谢的糖苷水解酶和糖结合模块,包括唾液苷酶和唾液酸转运蛋白。这些基因强烈表明,该菌株可以通过识别或粘附粘蛋白聚糖与人类肠道细胞相互作用。此外,其基因组中各种可移动的遗传元件也表明该菌株具有遗传多样性和可塑性,可以通过水平基因转移获得毒力因子和抗生素/多重耐药基因,从而促进致病性的进化。此外,对人胚胎肾细胞的实验表明,C. tertium HGMC01细胞壁的成分可能通过调节依赖于toll样受体的细胞因子信号通路而发挥毒力因子的作用。总的来说,这一比较基因组分析提供了关于C. tertium菌株如何通过粘蛋白聚糖降解、定植、多药耐药和免疫反应调节引起疾病的信息。
{"title":"Comparative Genomics and Virulence Mechanisms to Identify Genes Related to Mucin O-Glycan Degradation and Pathogenicity in a Potentially Multidrug-Resistant Clostridium tertium Strain","authors":"Seonghun Kim, Ji Young Kang, Jung-Sook Lee","doi":"10.1002/mbo3.70169","DOIUrl":"10.1002/mbo3.70169","url":null,"abstract":"<p><i>Clostridium tertium</i> is a pathogenic bacterium that directly colonizes the gastrointestinal mucosa, causing inflammation and neutropenia. The virulence factors and pathogenic mechanisms of <i>C. tertium</i> are not well known. In this study, <i>C. tertium</i> HGMC01 was isolated by enrichment culture of human feces, and its whole chromosome genome was sequenced without extra plasmids. <i>C. tertium</i> HGMC01 had a larger genome and a higher gene count compared with five other <i>C. tertium</i> strains. A pangenome analysis of six strains showed that <i>C. tertium</i> HGMC01 had the highest number of unique genes and the lowest number of accessory genes clustered phylogenetically with <i>C. tertium</i> src5, a strain of animal origin. <i>C. tertium</i> HGMC01 genome showed a variety of secreted glycoside hydrolases and carbohydrate-binding modules for mucin O-glycan degradation and sialic acid catabolism including sialidase and sialic acid transporter. These genes strongly suggested that the strain could interact the human gut cells through recognition or adhesion to mucin glycans. Moreover, various mobile genetic elements in its genome also indicated the genetic diversity and plasticity of the strain to gain virulence factors and antibiotic/multidrug-resistant genes potentially acquired by horizontal gene transfer for the evolution of the pathogenicity. Additionally, experiments with human embryonic kidney cells revealed that components of <i>C. tertium</i> HGMC01 cell wall may play roles as virulence factors by modulating cytokine signaling pathways dependent on Toll-like receptors. Overall, this comparative genomic analysis provides information about how <i>C. tertium</i> strains cause disease through mucin glycan degradation, colonization, multidrug resistance, and modulation of immune responses.</p>","PeriodicalId":18573,"journal":{"name":"MicrobiologyOpen","volume":"14 6","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12641198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145587869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Akmal Zubair, Mohd Fazil, Muhammad Jawad, Safa Wdidi
Antimicrobial resistance (AMR) refers to the ability of microorganisms, such as bacteria and viruses, to resist antimicrobial medications. Current strategies for addressing this escalating issue are often labor-intensive and costly. However, advancements in artificial intelligence (AI) are enabling the rapid evaluation of extensive chemical libraries and the prediction of novel antimicrobial compounds. AI holds significant promise for medical research in treating multidrug-resistant infections by enhancing the development of new medications through the analysis of antibiotic usage, disease prevalence, and resistance patterns. The use of AI has the potential to greatly benefit research by accelerating the discovery of new antibiotics that effectively combat antibiotic-resistant microbes. Predicting trends in antibiotic resistance through the examination of large data sets by AI systems may pave the way for the creation of preventative medicines. The speed and accuracy with which AI can evaluate data are revolutionizing how scientists develop new medicines, assess potential health concerns, and find ways to prevent illness. AMR is a growing concern, and AI is playing an increasingly crucial role in this battle. Medical research utilizing AI has tremendous potential in the ongoing fight against antibiotic resistance. This review examines how AI aids in AMR diagnosis, small molecule drug development, and the detection of AMR symptoms. Further research into AMR detection and the creation of novel medications are two areas that could prove valuable in treating antimicrobial resistance.
{"title":"The Role of Machine Learning in Addressing Antibiotic Resistance: A New Era in Infectious Disease Control","authors":"Akmal Zubair, Mohd Fazil, Muhammad Jawad, Safa Wdidi","doi":"10.1002/mbo3.70160","DOIUrl":"10.1002/mbo3.70160","url":null,"abstract":"<p>Antimicrobial resistance (AMR) refers to the ability of microorganisms, such as bacteria and viruses, to resist antimicrobial medications. Current strategies for addressing this escalating issue are often labor-intensive and costly. However, advancements in artificial intelligence (AI) are enabling the rapid evaluation of extensive chemical libraries and the prediction of novel antimicrobial compounds. AI holds significant promise for medical research in treating multidrug-resistant infections by enhancing the development of new medications through the analysis of antibiotic usage, disease prevalence, and resistance patterns. The use of AI has the potential to greatly benefit research by accelerating the discovery of new antibiotics that effectively combat antibiotic-resistant microbes. Predicting trends in antibiotic resistance through the examination of large data sets by AI systems may pave the way for the creation of preventative medicines. The speed and accuracy with which AI can evaluate data are revolutionizing how scientists develop new medicines, assess potential health concerns, and find ways to prevent illness. AMR is a growing concern, and AI is playing an increasingly crucial role in this battle. Medical research utilizing AI has tremendous potential in the ongoing fight against antibiotic resistance. This review examines how AI aids in AMR diagnosis, small molecule drug development, and the detection of AMR symptoms. Further research into AMR detection and the creation of novel medications are two areas that could prove valuable in treating antimicrobial resistance.</p>","PeriodicalId":18573,"journal":{"name":"MicrobiologyOpen","volume":"14 6","pages":""},"PeriodicalIF":4.6,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mbo3.70160","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145596683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}