RT Journal Article T1 Relationship Between the Quorum Network (Sensing/Quenching) and Clinical Features of Pneumonia and Bacteraemia Caused by A. baumannii. A1 Fernandez-Garcia, Laura A1 Ambroa, Anton A1 Blasco, Lucia A1 Bleriot, Ines A1 Lopez, Maria A1 Alvarez-Marin, Rocio A1 Fernandez-Cuenca, Felipe A1 Martinez-Martinez, Luis A1 Vila, Jordi A1 Rodriguez-Baño, Jesus A1 Garnacho-Montero, Jose A1 Cisneros, Jose Miguel A1 Pascual, Alvaro A1 Pachon, Jeronimo A1 Bou, German A1 Smani, Younes A1 Tomas, Maria K1 Acinetobacter K1 Bacteraemia K1 Pneumonia K1 Quorum K1 Sensing/quenching AB Acinetobacter baumannii (Ab) is one of the most important pathogens associated with nosocomial infections, especially pneumonia. Interest in the Quorum network, i.e., Quorum Sensing (QS)/Quorum Quenching (QQ), in this pathogen has grown in recent years. The Quorum network plays an important role in regulating diverse virulence factors such as surface motility and bacterial competition through the type VI secretion system (T6SS), which is associated with bacterial invasiveness. In the present study, we investigated 30 clinical strains of A. baumannii isolated in the “II Spanish Study of A. baumannii GEIH-REIPI 2000-2010” (Genbank Umbrella Bioproject PRJNA422585), a multicentre study describing the relationship between the Quorum network in A. baumannii and the development of pneumonia and associated bacteraemia. Expression of the aidA gene (encoding the AidA protein, QQ enzyme) was lower (P < 0.001) in strains of A. baumannii isolated from patients with bacteraemic pneumonia than in strains isolated from patients with non-bacteraemic pneumonia. Moreover, aidA expression in the first type of strain was not regulated in the presence of environmental stress factors such as the 3-oxo-C12-HSL molecule (substrate of AidA protein, QQ activation) or H2O2 (inhibitor of AidA protein, QS activation). However, in the A. baumannii strains isolated from patients with non-bacteraemic pneumonia, aidA gene expression was regulated by stressors such as 3-oxo-C12-HSL and H2O2. In an in vivo Galleria mellonella model of A. baumannii infection, the A. baumannii ATCC 17978 strain was associated with higher mortality (100% at 24 h) than the mutant, abaI-deficient, strain (carrying a synthetase enzyme of Acyl homoserine lactone molecules) (70% at 24 h). These data suggest that the QS (abaR and abaI genes)/QQ (aidA gene) network affects the development of secondary bacteraemia in pneumonia patients and also the virulence of A. baumannii. PB Frontiers Research Foundation SN 1664-302X YR 2018 FD 2018-11-30 LK http://hdl.handle.net/10668/13389 UL http://hdl.handle.net/10668/13389 LA en NO Fernandez-Garcia L, Ambroa A, Blasco L, Bleriot I, López M, Alvarez-Marin R, et al. Relationship Between the Quorum Network (Sensing/Quenching) and Clinical Features of Pneumonia and Bacteraemia Caused by A. baumannii. Front Microbiol. 2018 Dec 17;9:3105 NO This study was funded by grant PI16/01163 awarded to MT within the State Plan for R+D +I 2013-2016 (National Plan for Scientific Research , Technological Development and Innovation 2008-2011) and co-financed by the ISCIII-Deputy General Directorate for Evaluation and Promotion of Research —European Regional Development Fund A way of Making Europe and Instituto de Salud Carlos III FEDER, Spanish Network for the Research in Infectious Diseases (REIPI, RD16/0016/0001, RD16/0016/0006, RD16/0016/0008, RD16/0016/0009, and RD16/0016/0010) and by the Study Group on Mechanisms of Action and Resistance to Antimicrobials, GEMARA (SEIMC, http://www.seimc.org/). MT was financially supported by the Miguel Servet Research Programme (SERGAS and ISCIII). LF-G was financially supported by a predoctoral fellowship from the Xunta de Galicia (GAIN, Axencia de Innovación). DS RISalud RD Apr 19, 2025