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Chronic  Pseudomonas aeruginosa  lung infection is the most severe complication in patients with cystic fibrosis (CF). The infection is characterized by the formation of biofilm surrounded by numerous polymorphonuclear leukocytes (PMNs) and strong O 2  depletion in the endobronchial mucus. We have reported that O 2  is mainly consumed by the activated PMNs, while O 2  consumption by aerobic respiration is diminutive and nitrous oxide (N 2 O) is produced in infected CF sputum. This suggests that the reported growth rates of  P. aeruginosa  in lungs and sputum may result from anaerobic respiration using denitrification. The growth rate of  P. aeruginosa  achieved by denitrification at physiological levels (~400 μM) of nitrate (NO −  3 ) is however, not known. Therefore, we have measured growth rates of anoxic cultures of PAO1 and clinical isolates ( n  = 12) in LB media supplemented with NO −  3  and found a significant increase of growth when supplementing PAO1 and clinical isolates with ≥150 μM NO −  3  and 100 μM NO −  3 , respectively. An essential contribution to growth by denitrification was demonstrated by the inability to establish a significantly increased growth rate by a denitrification deficient Δ nirS-N  mutant at <1 mM of NO −  3 . Activation of denitrification could be achieved by supplementation with as little as 62.5 μM of NO −  3  according to the significant production of N 2 O by the nitrous oxide reductase deficient Δ nosZ  mutant. Studies of the promoter activity, gene transcripts, and enzyme activity of the four N-oxide reductases in PAO1 (Nar, Nir, Nor, Nos) further verified the engagement of denitrification, showing a transient increase in activation and expression and rapid consumption of NO −  3  followed by a transient increase of NO −  2 . Growth rates obtained by denitrification in this study were comparable to our reported growth rates in the majority of  P. aeruginosa  cells in CF lungs and sputum. Thus, we have demonstrated that denitrification is required for  P. aeruginosa  growth in infected endobronchial CF mucus.

frontiers in microbiology

Physiological levels of nitrate support anoxic growth by denitrification of Pseudomonas aeruginosa at growth rates reported in cystic fibrosis lungs and sputum