Adaptation of Pseudomonas aeruginosa to the lung allograft environment in lung transplant patients

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1. Verfasser: Köhler, Thilo
Format: Recurso digital
Sprache:Englisch
Veröffentlicht: Zenodo 2026
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author Köhler, Thilo
author_facet Köhler, Thilo
contents <p><span lang="EN-GB">Lung transplantation (LT) is the ultimate treatment option for patients suffering from end stage cystic fibrosis (CF) or chronic obstructive lung diseases. Most LT-patients, colonized pre-LT by <em>Pseudomonas aeruginosa</em> witness colonization of their non-CF allograft within a few days or weeks post-LT, thereby compromising graft and life expectancy. How <em>P. aeruginosa</em> isolates adapted for years to the specific CF lung environment efficiently colonize and survive in the non-CF allograft environment remains unclear. To address this question, we collected sequential isolates from CF LT-recipients and non-CF LT control patients and performed phenotypic and genetic analyses of pairs of early and late isolates from LT-patients. We found evidence for mutations compatible with a switch from biofilm to planktonic lifestyle as well as loss of mucoid phenotypes. Hypermutators, characteristic of chronic CF-adapted isolates, were also found in four LT-patients. Their persistence in the non-CF allograft environment suggests a continuous seeding from the sinuses. Our results suggest that in CF LT-recipients efficient colonisation by <em>P. aeruginosa</em> of the allograft implies both adaptation and continuous seeding from the sinuses to the lower respiratory tract.</span></p>
format Recurso digital
id zenodo_https___doi_org_10_5281_zenodo_17779534
institution Zenodo
language eng
publishDate 2026
publisher Zenodo
record_format zenodo
spellingShingle Adaptation of Pseudomonas aeruginosa to the lung allograft environment in lung transplant patients
Köhler, Thilo
Pseudomonas aeruginosa
Lung Transplantation
<p><span lang="EN-GB">Lung transplantation (LT) is the ultimate treatment option for patients suffering from end stage cystic fibrosis (CF) or chronic obstructive lung diseases. Most LT-patients, colonized pre-LT by <em>Pseudomonas aeruginosa</em> witness colonization of their non-CF allograft within a few days or weeks post-LT, thereby compromising graft and life expectancy. How <em>P. aeruginosa</em> isolates adapted for years to the specific CF lung environment efficiently colonize and survive in the non-CF allograft environment remains unclear. To address this question, we collected sequential isolates from CF LT-recipients and non-CF LT control patients and performed phenotypic and genetic analyses of pairs of early and late isolates from LT-patients. We found evidence for mutations compatible with a switch from biofilm to planktonic lifestyle as well as loss of mucoid phenotypes. Hypermutators, characteristic of chronic CF-adapted isolates, were also found in four LT-patients. Their persistence in the non-CF allograft environment suggests a continuous seeding from the sinuses. Our results suggest that in CF LT-recipients efficient colonisation by <em>P. aeruginosa</em> of the allograft implies both adaptation and continuous seeding from the sinuses to the lower respiratory tract.</span></p>
title Adaptation of Pseudomonas aeruginosa to the lung allograft environment in lung transplant patients
topic Pseudomonas aeruginosa
Lung Transplantation
url https://doi.org/10.5281/zenodo.17779534