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© Carmen Buchrieser, Marie-Christine Prevost
Legionella pneumophila et son flagelle, bactérie responsable de pneumopathie aigue grave. Bactérie de l'environnement , l'émergence récente de cette maladie s'explique par son affinité pour les systèmes modernes d'alimentation en eau comme les tours de refroidissement. Image colorisée.
Publication : Cell reports. Medicine

The respiratory tract microbiome, the pathogen load, and clinical interventions define severity of bacterial pneumonia.

Scientific Fields
Diseases
Organisms
Applications
Technique

Published in Cell reports. Medicine - 17 Aug 2023

Pérez-Cobas AE, Ginevra C, Rusniok C, Jarraud S, Buchrieser C

Link to Pubmed [PMID] – 37633274

Link to DOI – 10.1016/j.xcrm.2023.101167

Cell Rep Med 2023 Aug; (): 101167

Bacterial pneumonia is a considerable problem worldwide. Here, we follow the inter-kingdom respiratory tract microbiome (RTM) of a unique cohort of 38 hospitalized patients (n = 97 samples) with pneumonia caused by Legionella pneumophila. The RTM composition is characterized by diversity drops early in hospitalization and ecological species replacement. RTMs with the highest bacterial and fungal loads show low diversity and pathogen enrichment, suggesting high biomass as a biomarker for secondary and/or co-infections. The RTM structure is defined by a “commensal” cluster associated with a healthy RTM and a “pathogen” enriched one, suggesting that the cluster equilibrium drives the microbiome to recovery or dysbiosis. Legionella biomass correlates with disease severity and co-morbidities, while clinical interventions influence the RTM dynamics. Fungi, archaea, and protozoa seem to contribute to progress of pneumonia. Thus, the interplay of the RTM equilibrium, the pathogen load dynamics, and clinical interventions play a critical role in patient recovery.