4.3 Review

Pathogenic arsenal of Pseudomonas aeruginosa: an update on virulence factors

Journal

FUTURE MICROBIOLOGY
Volume 17, Issue 6, Pages 465-481

Publisher

FUTURE MEDICINE LTD
DOI: 10.2217/fmb-2021-0158

Keywords

drug efflux; multidrug resistance; Pseudomonas aeruginosa; quorum sensing; secretion system; two-component systems; virulence factors

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This review discusses the virulence factors and regulatory systems of Pseudomonas aeruginosa, including cell-associated and extracellular factors, as well as the role of quorum-sensing systems in virulence factor expression. Understanding the dynamic and constantly evolving expression of these factors is critical for better clinical management of infections.
The emergence of Pseudomonas aeruginosa as a potential threat in persistent infections can be attributed to the plethora of virulence factors expressed by it. This review discusses the various virulence factors that help this pathogen to establish an infection and regulatory systems controlling these virulence factors. Cell-associated virulence factors such as flagella, type IV pili and non-pilus adhesins have been reviewed. Extracellular virulence factors have also been explained. Quorum-sensing systems present in P. aeruginosa play a cardinal role in regulating the expression of virulence factors. The identification of novel virulence factors in hypervirulent strains indicate that the expression of virulence is dynamic and constantly evolving. An understanding of this is critical for the better clinical management of infections.

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