BdlA, DipA and Induced Dispersion Contribute to Acute Virulence and Chronic Persistence of <i>Pseudomonas aeruginosa</i>

<div><p>The human pathogen <i>Pseudomonas aeruginosa</i> is capable of causing both acute and chronic infections. Differences in virulence are attributable to the mode of growth: bacteria growing planktonically cause acute infections, while bacteria growing in matrix-enclosed aggregates known as biofilms are associated with chronic, persistent infections. While the contribution of the planktonic and biofilm modes of growth to virulence is now widely accepted, little is known about the role of dispersion in virulence, the active process by which biofilm bacteria switch back to the planktonic mode of growth. Here, we demonstrate that <i>P. aeruginosa</i> dispersed cells display a virulence phenotype distinct from those of planktonic and biofilm cells. While the highest activity of cytotoxic and degradative enzymes capable of breaking down polymeric matrix components was detected in supernatants of planktonic cells, the enzymatic activity of dispersed cell supernatants was similar to that of biofilm supernatants. Supernatants of non-dispersing Δ<i>bdlA</i> biofilms were characterized by a lack of many of the degradative activities. Expression of genes contributing to the virulence of <i>P. aeruginosa</i> was nearly 30-fold reduced in biofilm cells relative to planktonic cells. Gene expression analysis indicated dispersed cells, while dispersing from a biofilm and returning to the single cell lifestyle, to be distinct from both biofilm and planktonic cells, with virulence transcript levels being reduced up to 150-fold compared to planktonic cells. In contrast, virulence gene transcript levels were significantly increased in non-dispersing Δ<i>bdlA</i> and Δ<i>dipA</i> biofilms compared to wild-type planktonic cells. Despite this, <i>bdlA</i> and <i>dipA</i> inactivation, resulting in an inability to disperse <i>in vitro</i>, correlated with reduced pathogenicity and competitiveness in cross-phylum acute virulence models. In contrast, <i>bdlA</i> inactivation rendered <i>P. aeruginosa</i> more persistent upon chronic colonization of the murine lung, overall indicating that dispersion may contribute to both acute and chronic infections.</p>