DOE PAGES title logo U.S. Department of Energy
Office of Scientific and Technical Information

Title: Stenotrophomonas maltophilia differential gene expression in synthetic cystic fibrosis sputum reveals shared and cystic fibrosis strain-specific responses to the sputum environment.

Abstract

Stenotrophomonas maltophilia is a Gram-negative opportunistic pathogen that can infect the lungs of people with cystic fibrosis (CF). The highly viscous mucus in the CF lung, expectorated as sputum, serves as the primary nutrient source for microbes colonizing this site and induces virulence-associated phenotypes and gene expression in several CF pathogens. Here, we characterized the transcriptional responses of three S. maltophilia strains during exposure to synthetic CF sputum media (SCFM2) to gain insight into how this organism interacts with the host in the CF lung. These efforts led to the identification of 881 transcripts differentially expressed by all three strains, many of which reflect the metabolic pathways used by S. maltophilia in sputum, as well as altered stress responses. The latter correlated with increased resistance to peroxide exposure after pre-growth in SCFM2 for two of the strains. We also compared the SCFM2 transcriptomes of two S. maltophilia CF isolates to that of the acute infection strain, S. maltophilia K279a, allowing us to identify CF isolate-specific signatures in differential gene expression. Expression of genes from the accessory genomes was also differentially altered in response to SCFM2. Finally, a number of biofilm-associated genes were differentially induced in SCFM2, particularly in K279a, whichmore » corresponded to increased aggregation and biofilm formation in this strain relative to both CF strains. Collectively, this work details the response ofS. maltophiliato an environment that mimics important aspects of the CF lung, identifying potential survival strategies and metabolic pathways used byS. maltophiliaduring infections.Importance Stenotrophomonas maltophilia is an important infecting bacterium in the airways of people with cystic fibrosis (CF). However, compared to the other CF pathogens, S. maltophilia has been relatively understudied. The significance of our research is to provide insight into the global transcriptomic changes of S. maltophilia in response to a medium that was designed to mimic important aspects of the CF lung. This work allows us to understand the overall metabolic changes that occur when S. maltophilia encounters the CF lung, and generates a roadmap of candidate genes to test using in vitro and in vivo models of CF.« less

Authors:
 [1];  [1];  [2];  [1];  [1];  [2];  [3]; ORCiD logo [1]
  1. Univ. of Vermont, Burlington, VT (United States)
  2. Sandia National Lab. (SNL-CA), Livermore, CA (United States)
  3. Univ. of Michigan Medical School, Ann Arbor, MI (United States)
Publication Date:
Research Org.:
Sandia National Lab. (SNL-CA), Livermore, CA (United States)
Sponsoring Org.:
USDOE National Nuclear Security Administration (NNSA)
OSTI Identifier:
1530532
Report Number(s):
SAND-2019-7061J
Journal ID: ISSN 0021-9193; 676680
Grant/Contract Number:  
AC04-94AL85000
Resource Type:
Accepted Manuscript
Journal Name:
Journal of Bacteriology
Additional Journal Information:
Journal Volume: 201; Journal Issue: 15; Journal ID: ISSN 0021-9193
Publisher:
American Society for Microbiology
Country of Publication:
United States
Language:
English
Subject:
59 BASIC BIOLOGICAL SCIENCES

Citation Formats

Willsey, Graham G., Eckstrom, Korin, LaBauve, Annette E., Hinkel, Lauren A., Schutz, Kristin, Meagher, Robert J., LiPuma, John J., and Wargo, Matthew J. Stenotrophomonas maltophilia differential gene expression in synthetic cystic fibrosis sputum reveals shared and cystic fibrosis strain-specific responses to the sputum environment.. United States: N. p., 2019. Web. doi:10.1128/JB.00074-19.
Willsey, Graham G., Eckstrom, Korin, LaBauve, Annette E., Hinkel, Lauren A., Schutz, Kristin, Meagher, Robert J., LiPuma, John J., & Wargo, Matthew J. Stenotrophomonas maltophilia differential gene expression in synthetic cystic fibrosis sputum reveals shared and cystic fibrosis strain-specific responses to the sputum environment.. United States. https://doi.org/10.1128/JB.00074-19
Willsey, Graham G., Eckstrom, Korin, LaBauve, Annette E., Hinkel, Lauren A., Schutz, Kristin, Meagher, Robert J., LiPuma, John J., and Wargo, Matthew J. Mon . "Stenotrophomonas maltophilia differential gene expression in synthetic cystic fibrosis sputum reveals shared and cystic fibrosis strain-specific responses to the sputum environment.". United States. https://doi.org/10.1128/JB.00074-19. https://www.osti.gov/servlets/purl/1530532.
@article{osti_1530532,
title = {Stenotrophomonas maltophilia differential gene expression in synthetic cystic fibrosis sputum reveals shared and cystic fibrosis strain-specific responses to the sputum environment.},
author = {Willsey, Graham G. and Eckstrom, Korin and LaBauve, Annette E. and Hinkel, Lauren A. and Schutz, Kristin and Meagher, Robert J. and LiPuma, John J. and Wargo, Matthew J.},
abstractNote = {Stenotrophomonas maltophilia is a Gram-negative opportunistic pathogen that can infect the lungs of people with cystic fibrosis (CF). The highly viscous mucus in the CF lung, expectorated as sputum, serves as the primary nutrient source for microbes colonizing this site and induces virulence-associated phenotypes and gene expression in several CF pathogens. Here, we characterized the transcriptional responses of three S. maltophilia strains during exposure to synthetic CF sputum media (SCFM2) to gain insight into how this organism interacts with the host in the CF lung. These efforts led to the identification of 881 transcripts differentially expressed by all three strains, many of which reflect the metabolic pathways used by S. maltophilia in sputum, as well as altered stress responses. The latter correlated with increased resistance to peroxide exposure after pre-growth in SCFM2 for two of the strains. We also compared the SCFM2 transcriptomes of two S. maltophilia CF isolates to that of the acute infection strain, S. maltophilia K279a, allowing us to identify CF isolate-specific signatures in differential gene expression. Expression of genes from the accessory genomes was also differentially altered in response to SCFM2. Finally, a number of biofilm-associated genes were differentially induced in SCFM2, particularly in K279a, which corresponded to increased aggregation and biofilm formation in this strain relative to both CF strains. Collectively, this work details the response ofS. maltophiliato an environment that mimics important aspects of the CF lung, identifying potential survival strategies and metabolic pathways used byS. maltophiliaduring infections.Importance Stenotrophomonas maltophilia is an important infecting bacterium in the airways of people with cystic fibrosis (CF). However, compared to the other CF pathogens, S. maltophilia has been relatively understudied. The significance of our research is to provide insight into the global transcriptomic changes of S. maltophilia in response to a medium that was designed to mimic important aspects of the CF lung. This work allows us to understand the overall metabolic changes that occur when S. maltophilia encounters the CF lung, and generates a roadmap of candidate genes to test using in vitro and in vivo models of CF.},
doi = {10.1128/JB.00074-19},
journal = {Journal of Bacteriology},
number = 15,
volume = 201,
place = {United States},
year = {Mon May 20 00:00:00 EDT 2019},
month = {Mon May 20 00:00:00 EDT 2019}
}

Journal Article:
Free Publicly Available Full Text
Publisher's Version of Record

Citation Metrics:
Cited by: 8 works
Citation information provided by
Web of Science

Save / Share:

Works referenced in this record:

Pseudomonas aeruginosa and other predictors of mortality and morbidity in young children with cystic fibrosis
journal, July 2002

  • Emerson, Julia; Rosenfeld, Margaret; McNamara, Sharon
  • Pediatric Pulmonology, Vol. 34, Issue 2
  • DOI: 10.1002/ppul.10127

Chronic Stenotrophomonas maltophilia infection and mortality or lung transplantation in cystic fibrosis patients
journal, September 2013


Evidence and Role for Bacterial Mucin Degradation in Cystic Fibrosis Airway Disease
journal, August 2016


Chronic pulmonary infection with Stenotrophomonas maltophilia and lung function in patients with cystic fibrosis
journal, September 2011


BLAT---The BLAST-Like Alignment Tool
journal, March 2002


Synthetic Cystic Fibrosis Sputum Medium Regulates Flagellar Biosynthesis through the flhF Gene in Burkholderia cenocepacia
journal, June 2016

  • Kumar, Brijesh; Cardona, Silvia T.
  • Frontiers in Cellular and Infection Microbiology, Vol. 6
  • DOI: 10.3389/fcimb.2016.00065

Pathophysiology and Management of Pulmonary Infections in Cystic Fibrosis
journal, October 2003

  • Gibson, Ronald L.; Burns, Jane L.; Ramsey, Bonnie W.
  • American Journal of Respiratory and Critical Care Medicine, Vol. 168, Issue 8
  • DOI: 10.1164/rccm.200304-505SO

In Vivo Evidence of Pseudomonas aeruginosa Nutrient Acquisition and Pathogenesis in the Lungs of Cystic Fibrosis Patients
journal, August 2007

  • Son, Mike S.; Matthews, Wallace J.; Kang, Yun
  • Infection and Immunity, Vol. 75, Issue 11
  • DOI: 10.1128/IAI.01807-06

Adaptation of Pseudomonas aeruginosa to the cystic fibrosis airway: an evolutionary perspective
journal, November 2012

  • Folkesson, Anders; Jelsbak, Lars; Yang, Lei
  • Nature Reviews Microbiology, Vol. 10, Issue 12
  • DOI: 10.1038/nrmicro2907

In vitro interaction of Stenotrophomonas maltophilia with human monocyte-derived dendritic cells
journal, July 2015


Trimmomatic: a flexible trimmer for Illumina sequence data
journal, April 2014


Improvements to PATRIC, the all-bacterial Bioinformatics Database and Analysis Resource Center
journal, November 2016

  • Wattam, Alice R.; Davis, James J.; Assaf, Rida
  • Nucleic Acids Research, Vol. 45, Issue D1
  • DOI: 10.1093/nar/gkw1017

Peregrine: A rapid and unbiased method to produce strand-specific RNA-Seq libraries from small quantities of starting material
journal, April 2013

  • Langevin, Stanley A.; Bent, Zachary W.; Solberg, Owen D.
  • RNA Biology, Vol. 10, Issue 4
  • DOI: 10.4161/rna.24284

Analysis of Phylogenetic Variation of Stenotrophomonas maltophilia Reveals Human-Specific Branches
journal, April 2018


Characterization of the core and accessory genomes of Pseudomonas aeruginosa using bioinformatic tools Spine and AGEnt
journal, January 2014


BLAST Ring Image Generator (BRIG): simple prokaryote genome comparisons
journal, August 2011

  • Alikhan, Nabil-Fareed; Petty, Nicola K.; Ben Zakour, Nouri L.
  • BMC Genomics, Vol. 12, Issue 1
  • DOI: 10.1186/1471-2164-12-402

Evolution of Stenotrophomonas maltophilia in Cystic Fibrosis Lung over Chronic Infection: A Genomic and Phenotypic Population Study
journal, August 2017

  • Esposito, Alfonso; Pompilio, Arianna; Bettua, Clotilde
  • Frontiers in Microbiology, Vol. 8
  • DOI: 10.3389/fmicb.2017.01590

In Vitro Efficacy of High-Dose Tobramycin against Burkholderia cepacia Complex and Stenotrophomonas maltophilia Isolates from Cystic Fibrosis Patients
journal, October 2014

  • Ratjen, Anina; Yau, Yvonne; Wettlaufer, Jillian
  • Antimicrobial Agents and Chemotherapy, Vol. 59, Issue 1
  • DOI: 10.1128/AAC.04123-14

Nutritional Cues Control Pseudomonas aeruginosa Multicellular Behavior in Cystic Fibrosis Sputum
journal, September 2007

  • Palmer, Kelli L.; Aye, Lindsay M.; Whiteley, Marvin
  • Journal of Bacteriology, Vol. 189, Issue 22
  • DOI: 10.1128/JB.01138-07

Improvement of Phylogenies after Removing Divergent and Ambiguously Aligned Blocks from Protein Sequence Alignments
journal, August 2007


Immunostimulatory Properties of the Emerging Pathogen Stenotrophomonas maltophilia
journal, January 2007

  • Waters, Valerie J.; Gómez, Marisa I.; Soong, Grace
  • Infection and Immunity, Vol. 75, Issue 4
  • DOI: 10.1128/IAI.01469-06

Pseudomonas aeruginosa biofilms in the respiratory tract of cystic fibrosis patients
journal, June 2009

  • Bjarnsholt, Thomas; Jensen, Peter Østrup; Fiandaca, Mark J.
  • Pediatric Pulmonology, Vol. 44, Issue 6
  • DOI: 10.1002/ppul.21011

A Winogradsky-based culture system shows an association between microbial fermentation and cystic fibrosis exacerbation
journal, December 2014

  • Quinn, Robert A.; Whiteson, Katrine; Lim, Yan-Wei
  • The ISME Journal, Vol. 9, Issue 4
  • DOI: 10.1038/ismej.2014.234

RAxML-VI-HPC: maximum likelihood-based phylogenetic analyses with thousands of taxa and mixed models
journal, August 2006


Increasing Incidence of Multidrug Resistance Among Cystic Fibrosis Respiratory Bacterial Isolates
journal, January 2017

  • Rutter, W. Cliff; Burgess, Donna R.; Burgess, David S.
  • Microbial Drug Resistance, Vol. 23, Issue 1
  • DOI: 10.1089/mdr.2016.0048

Type II Secretion-Dependent Degradative and Cytotoxic Activities Mediated by Stenotrophomonas maltophilia Serine Proteases StmPr1 and StmPr2
journal, July 2015

  • DuMont, Ashley L.; Karaba, Sara M.; Cianciotto, Nicholas P.
  • Infection and Immunity, Vol. 83, Issue 10
  • DOI: 10.1128/IAI.00672-15

Computational analysis of bacterial RNA-Seq data
journal, May 2013

  • McClure, Ryan; Balasubramanian, Divya; Sun, Yan
  • Nucleic Acids Research, Vol. 41, Issue 14
  • DOI: 10.1093/nar/gkt444

GO FEAT: a rapid web-based functional annotation tool for genomic and transcriptomic data
journal, January 2018


Longitudinal study of Stenotrophomonas maltophilia antibody levels and outcomes in cystic fibrosis patients
journal, January 2017

  • Wettlaufer, Jillian; Klingel, Michelle; Yau, Yvonne
  • Journal of Cystic Fibrosis, Vol. 16, Issue 1
  • DOI: 10.1016/j.jcf.2016.06.007

Factors Affecting the Incidence of Stenotrophomonas maltophilia Isolation in Cystic Fibrosis
journal, June 2002


Stenotrophomonas maltophilia Encodes a Type II Protein Secretion System That Promotes Detrimental Effects on Lung Epithelial Cells
journal, June 2013

  • Karaba, Sara M.; White, Richard C.; Cianciotto, Nicholas P.
  • Infection and Immunity, Vol. 81, Issue 9
  • DOI: 10.1128/IAI.00546-13

Mucus clearance as a primary innate defense mechanism for mammalian airways
journal, March 2002

  • Knowles, Michael R.; Boucher, Richard C.
  • Journal of Clinical Investigation, Vol. 109, Issue 5
  • DOI: 10.1172/JCI15217

Entropically driven aggregation of bacteria by host polymers promotes antibiotic tolerance in Pseudomonas aeruginosa
journal, October 2018

  • Secor, Patrick R.; Michaels, Lia A.; Ratjen, Anina
  • Proceedings of the National Academy of Sciences, Vol. 115, Issue 42
  • DOI: 10.1073/pnas.1806005115

Factors Associated with Worse Lung Function in Cystic Fibrosis Patients with Persistent Staphylococcus aureus
journal, November 2016


Detection of Host-Derived Sphingosine by Pseudomonas aeruginosa Is Important for Survival in the Murine Lung
journal, January 2014


Adhesion to and biofilm formation on IB3-1 bronchial cells by Stenotrophomonas maltophilia isolates from cystic fibrosis patients
journal, January 2010

  • Pompilio, Arianna; Crocetta, Valentina; Confalone, Pamela
  • BMC Microbiology, Vol. 10, Issue 1
  • DOI: 10.1186/1471-2180-10-102

De novo assembly of bacterial transcriptomes from RNA-seq data
journal, January 2015


Global and local selection acting on the pathogen Stenotrophomonas maltophilia in the human lung
journal, January 2017

  • Chung, Hattie; Lieberman, Tami D.; Vargas, Sara O.
  • Nature Communications, Vol. 8, Issue 1
  • DOI: 10.1038/ncomms14078

edgeR: a Bioconductor package for differential expression analysis of digital gene expression data
journal, November 2009


Essential genome of Pseudomonas aeruginosa in cystic fibrosis sputum
journal, March 2015

  • Turner, Keith H.; Wessel, Aimee K.; Palmer, Gregory C.
  • Proceedings of the National Academy of Sciences, Vol. 112, Issue 13
  • DOI: 10.1073/pnas.1419677112

Draft Genome Sequences of Two Cystic Fibrosis Strains of Stenotrophomonas maltophilia, AU30115 and AU32848
journal, September 2018

  • Eckstrom, Korin; Willsey, Graham G.; LiPuma, John J.
  • Microbiology Resource Announcements, Vol. 7, Issue 11
  • DOI: 10.1128/MRA.01137-18

Stenotrophomonas maltophilia produces an EntC-dependent catecholate siderophore that is distinct from enterobactin
journal, November 2017


Genetic adaptation by Pseudomonas aeruginosa to the airways of cystic fibrosis patients
journal, May 2006

  • Smith, E. E.; Buckley, D. G.; Wu, Z.
  • Proceedings of the National Academy of Sciences, Vol. 103, Issue 22
  • DOI: 10.1073/pnas.0602138103

Epidemiology of cystic fibrosis-related diabetes
journal, May 2005


Cystic Fibrosis Sputum Supports Growth and Cues Key Aspects of Pseudomonas aeruginosa Physiology
journal, August 2005


A Stenotrophomonas maltophilia Strain Evades a Major Caenorhabditis elegans Defense Pathway
journal, December 2015

  • White, Corin V.; Darby, Brian J.; Breeden, Robert J.
  • Infection and Immunity, Vol. 84, Issue 2
  • DOI: 10.1128/IAI.00711-15

Fimbriae and adherence of Stenotrophomonas maltophilia to epithelial cells and to abiotic surfaces
journal, September 2003


Characterization of the GbdR Regulon in Pseudomonas aeruginosa
journal, October 2013

  • Hampel, K. J.; LaBauve, A. E.; Meadows, J. A.
  • Journal of Bacteriology, Vol. 196, Issue 1
  • DOI: 10.1128/JB.01055-13

Role of Excessive Inflammatory Response to Stenotrophomonas maltophilia Lung Infection in DBA/2 Mice and Implications for Cystic Fibrosis
journal, March 2010

  • Di Bonaventura, Giovanni; Pompilio, Arianna; Zappacosta, Roberta
  • Infection and Immunity, Vol. 78, Issue 6
  • DOI: 10.1128/IAI.01391-09

Does bacterial density in cystic fibrosis sputum increase prior to pulmonary exacerbation?
journal, September 2011

  • Stressmann, Franziska A.; Rogers, Geraint B.; Marsh, Peter
  • Journal of Cystic Fibrosis, Vol. 10, Issue 5
  • DOI: 10.1016/j.jcf.2011.05.002

Mucins, Mucus, and Sputum
journal, February 2009


Changes in cystic fibrosis sputum microbiology in the United States between 1995 and 2008
journal, January 2010

  • Emerson, Julia; McNamara, Sharon; Buccat, Anne Marie
  • Pediatric Pulmonology
  • DOI: 10.1002/ppul.21198

Chronic Stenotrophomonas maltophilia infection and exacerbation outcomes in cystic fibrosis
journal, January 2012

  • Waters, Valerie; Atenafu, Eshetu G.; Salazar, Juliana Giraldo
  • Journal of Cystic Fibrosis, Vol. 11, Issue 1
  • DOI: 10.1016/j.jcf.2011.07.008

MUSCLE: multiple sequence alignment with high accuracy and high throughput
journal, March 2004

  • Edgar, R. C.
  • Nucleic Acids Research, Vol. 32, Issue 5, p. 1792-1797
  • DOI: 10.1093/nar/gkh340

Risk factors for lung function decline in a large cohort of young cystic fibrosis patients: Lung Function Decline Risk Factors in Pediatric CF
journal, June 2015

  • Cogen, Jonathan; Emerson, Julia; Sanders, Don B.
  • Pediatric Pulmonology, Vol. 50, Issue 8
  • DOI: 10.1002/ppul.23217

Pulmonary Surfactant Promotes Virulence Gene Expression and Biofilm Formation in Klebsiella pneumoniae
journal, April 2018

  • Willsey, Graham G.; Ventrone, Sebastian; Schutz, Kristin C.
  • Infection and Immunity, Vol. 86, Issue 7
  • DOI: 10.1128/IAI.00135-18

Changing Epidemiology of the Respiratory Bacteriology of Patients With Cystic Fibrosis
journal, February 2016

  • Salsgiver, Elizabeth L.; Fink, Aliza K.; Knapp, Emily A.
  • Chest, Vol. 149, Issue 2
  • DOI: 10.1378/chest.15-0676

Factors influencing the acquisition of Stenotrophomonas maltophilia infection in cystic fibrosis patients
journal, December 2013

  • Stanojevic, Sanja; Ratjen, Felix; Stephens, Derek
  • Journal of Cystic Fibrosis, Vol. 12, Issue 6
  • DOI: 10.1016/j.jcf.2013.05.009

Biogeochemical Forces Shape the Composition and Physiology of Polymicrobial Communities in the Cystic Fibrosis Lung
journal, March 2014


Stenotrophomonas maltophilia Serine Protease StmPr1 Induces Matrilysis, Anoikis, and Protease-Activated Receptor 2 Activation in Human Lung Epithelial Cells
journal, September 2017

  • DuMont, Ashley L.; Cianciotto, Nicholas P.
  • Infection and Immunity, Vol. 85, Issue 12
  • DOI: 10.1128/IAI.00544-17

Stenotrophomonas maltophilia strains from cystic fibrosis patients: Genomic variability and molecular characterization of some virulence determinants
journal, January 2011

  • Nicoletti, Mauro; Iacobino, Angelo; Prosseda, Gianni
  • International Journal of Medical Microbiology, Vol. 301, Issue 1
  • DOI: 10.1016/j.ijmm.2010.07.003

Requirements for Pseudomonas aeruginosa Acute Burn and Chronic Surgical Wound Infection
journal, July 2014


The Major Extracellular Protease of the Nosocomial Pathogen Stenotrophomonas maltophilia: CHARACTERIZATION OF THE PROTEIN AND MOLECULAR CLONING OF THE GENE
journal, January 2002

  • Windhorst, Sabine; Frank, Eva; Georgieva, Dessislava N.
  • Journal of Biological Chemistry, Vol. 277, Issue 13
  • DOI: 10.1074/jbc.M109525200

Profile hidden Markov models
journal, October 1998


Stenotrophomonas maltophilia Phenotypic and Genotypic Diversity during a 10-year Colonization in the Lungs of a Cystic Fibrosis Patient
journal, September 2016

  • Pompilio, Arianna; Crocetta, Valentina; Ghosh, Dipankar
  • Frontiers in Microbiology, Vol. 7
  • DOI: 10.3389/fmicb.2016.01551

Stenotrophomonas maltophilia Interaction with Human Epithelial Respiratory Cells In Vitro
journal, August 2001


Virulence genes in clinical and environmental Stenotrophomas maltophilia isolates: A genome sequencing and gene expression approach
journal, February 2014


Utilization of human respiratory secretions by mucoid Pseudomonas aeruginosa of cystic fibrosis origin
journal, August 1982


Occurrence of Nitrate Reductase and Molybdopterin in Xanthomonas maltophilia
journal, December 1990


Integrating whole-genome sequencing within the National Antimicrobial Resistance Surveillance Program in the Philippines
journal, June 2020


Mucus clearance as a primary innate defense mechanism for mammalian airways
journal, March 2002

  • Knowles, Michael R.; Boucher, Richard C.
  • Journal of Clinical Investigation, Vol. 109, Issue 5
  • DOI: 10.1172/jci0215217

Characterization and functional analysis of phytoene synthase gene family in tobacco
journal, January 2021


Comparison of 15 dinoflagellate genomes reveals extensive sequence and structural divergence in family Symbiodiniaceae and genus Symbiodinium
journal, April 2021


qPCR assays with dual-labeled probes for genotyping honey bee variants associated with varroa resistance
journal, April 2021

  • Claeys Boúúaert, David; Van Poucke, Mario; De Smet, Lina
  • BMC Veterinary Research, Vol. 17, Issue 1
  • DOI: 10.1186/s12917-021-02886-x

Growing and Analyzing Static Biofilms
journal, August 2011


Gene expression changes linked to antimicrobial resistance, oxidative stress, iron depletion and retained motility are observed when Burkholderia cenocepaciagrows in cystic fibrosis sputum
text, January 2008

  • Eshwar, Mahenthiralingam,; T. G., Holden, Matthew; Zhaoping, Ge,
  • The University of North Carolina at Chapel Hill University Libraries
  • DOI: 10.17615/xmeh-bh08

Erratum: A Winogradsky-based culture system shows an association between microbial fermentation and cystic fibrosis exacerbation
journal, March 2015

  • Quinn, Robert A.; Whiteson, Katrine; Lim, Yan-Wei
  • The ISME Journal, Vol. 9, Issue 4
  • DOI: 10.1038/ismej.2014.266

Factors Associated with Worse Lung Function in Cystic Fibrosis Patients with Persistent Staphylococcus aureus
text, January 2016

  • Junge, Sibylle; Görlich, Dennis; Reijer, Martijn Den
  • Charité - Universitätsmedizin Berlin
  • DOI: 10.17169/refubium-24577

Works referencing / citing this record:

Stenotrophomonas maltophilia biofilm: its role in infectious diseases
journal, November 2019

  • Flores-Treviño, Samantha; Bocanegra-Ibarias, Paola; Camacho-Ortiz, Adrián
  • Expert Review of Anti-infective Therapy, Vol. 17, Issue 11
  • DOI: 10.1080/14787210.2019.1685875