G&I Genomics & Informatics

Similar documents
Consequences of Antimicrobial Resistant Bacteria. Antimicrobial Resistance. Molecular Genetics of Antimicrobial Resistance. Topics to be Covered

MID 23. Antimicrobial Resistance. Consequences of Antimicrobial Resistant Bacteria. Molecular Genetics of Antimicrobial Resistance

Antimicrobial Resistance

Antimicrobial Resistance Acquisition of Foreign DNA

Mechanisms and Pathways of AMR in the environment

Antimicrobial Resistance

DRUG-RESISTANT ACINETOBACTER BAUMANNII A GROWING SUPERBUG POPULATION. Cara Wilder Ph.D. Technical Writer March 13 th 2014

Antimicrobial Activity of Gallium Protoporphyrin IX Against Acinetobacter baumannii

DR. MICHAEL A. BORG DIRECTOR OF INFECTION PREVENTION & CONTROL MATER DEI HOSPITAL - MALTA

In vitro and in vivo antimicrobial activity of gallium nitrate against multidrug. resistant Acinetobacter baumannii

Multiple drug resistance pattern in Urinary Tract Infection patients in Aligarh

FACTORS CONTRIBUTING TO THE SUCCESS OF ACINETOBACTER BAUMANNII AS A HUMAN PATHOGEN

ETX2514: Responding to the global threat of nosocomial multidrug and extremely drug resistant Gram-negative pathogens

ANTIBIOTIC RESISTANCE. Syed Ziaur Rahman, MD, PhD D/O Pharmacology, JNMC, AMU, Aligarh

WHY IS THIS IMPORTANT?

Comparing DNA Sequences Cladogram Practice

Mechanism of antibiotic resistance

Antimicrobial use in poultry: Emerging public health problem

Burton's Microbiology for the Health Sciences. Chapter 9. Controlling Microbial Growth in Vivo Using Antimicrobial Agents

Comparative Assessment of b-lactamases Produced by Multidrug Resistant Bacteria

MDR Acinetobacter baumannii. Has the post antibiotic era arrived? Dr. Michael A. Borg Infection Control Dept Mater Dei Hospital Malta

Randall Singer, DVM, MPVM, PhD

A pilot integrative knowledgebase for the characterization and tracking of multi resistant Acinetobacter baumannii in Colombian hospitals

Iron and Acinetobacter baumannii Biofilm Formation

Boosting Bacterial Metabolism to Combat Antibiotic Resistance

The ways in which bacteria resist antibiotics

ETX2514SUL (sulbactam/etx2514) for the treatment of Acinetobacter baumannii infections

Is biocide resistance already a clinical problem?

Int.J.Curr.Microbiol.App.Sci (2017) 6(3):

Antibiotic resistance of bacteria along the food chain: A global challenge for food safety

Methicillin-Resistant Staphylococcus aureus

Staphylococcus aureus

Seasonal and Temperature-Associated Increase in Community-Onset Acinetobacter baumannii Complex Colonization or Infection

Significant human pathogen. SSTI Biomaterial related infections Osteomyelitis Endocarditis Toxin mediated diseases TSST Staphylococcal enterotoxins

What does multiresistance actually mean? Yohei Doi, MD, PhD University of Pittsburgh

β-lactams resistance among Enterobacteriaceae in Morocco 1 st ICREID Addis Ababa March 2018

Welcome to Pathogen Group 9

Origins of Resistance and Resistance Transfer: Food-Producing Animals.

Impact of Antimicrobial Resistance on Human Health. Robert Cunney HSE HCAI/AMR Programme and Temple Street Children s University Hospital

Antimicrobial Resistance and Prescribing

Recommended for Implementation at Step 7 of the VICH Process on 15 December 2004 by the VICH Steering Committee

Comparing DNA Sequence to Understand

Critical Review. Insights into Acinetobacter baumannii Pathogenicity. Gustavo M. Cerqueira 1 and Anton Y. Peleg 1,2,3

We are IntechOpen, the world s leading publisher of Open Access books Built by scientists, for scientists. International authors and editors

An#bio#cs and challenges in the wake of superbugs

Multi-drug resistant Acinetobacter (MDRA) Surveillance and Control. Alison Holmes

Prevalence of Metallo-Beta-Lactamase Producing Pseudomonas aeruginosa and its antibiogram in a tertiary care centre

Understanding and prevention of transmission of antibiotic resistance between bacterial populations and One Health reservoirs

ANTIBIOTICS USED FOR RESISTACE BACTERIA. 1. Vancomicin

RETROSPECTIVE STUDY OF GRAM NEGATIVE BACILLI ISOLATES AMONG DIFFERENT CLINICAL SAMPLES FROM A DIAGNOSTIC CENTER OF KANPUR

Multi-drug resistant microorganisms

Title: N-Acetylcysteine (NAC) Mediated Modulation of Bacterial Antibiotic

Other β-lactamase Inhibitor (BLI) Combinations: Focus on VNRX-5133, WCK 5222 and ETX2514SUL

Martin Chénier, Ph.D. Microbiology. Antibiotics in Animal Production: Resistance and Alternative Solutions

ESCHERICHIA COLI RESISTANCE AND GUT MICROBIOTA PROFILE IN PIGS RAISED WITH DIFFERENT ANTIMICROBIAL ADMINISTRATION IN FEED

Acinetobacter lwoffii h h

ANTIBIOTICS AND ANTIMICROBIAL RESISTANCE: CAUSES AND POSSIBLE SOLUTIONS

MRSA ST398 from swine and cattle

Approved by the Food Safety Commission on September 30, 2004

ETX0282, a Novel Oral Agent Against Multidrug-Resistant Enterobacteriaceae

Mono- versus Bitherapy for Management of HAP/VAP in the ICU

What is multidrug resistance?

International Journal of Pharma and Bio Sciences ANTIMICROBIAL SUSCEPTIBILITY PATTERN OF ESBL PRODUCING GRAM NEGATIVE BACILLI ABSTRACT

THE HUMAN MICROBIOME: THE INFECTION PREVENTIONIST S BEST FRIEND

Antibiotic resistance a mechanistic overview Neil Woodford

Clinical and Economic Impact of Urinary Tract Infections Caused by Escherichia coli Resistant Isolates

Fighting MDR Pathogens in the ICU

Received 16 September 2002/Returned for modification 12 November 2002/Accepted 10 January 2003

Barriers to Intravenous Penicillin Use for Treatment of Nonmeningitis

Mili Rani Saha and Sanya Tahmina Jhora. Department of Microbiology, Sir Salimullah Medical College, Mitford, Dhaka, Bangladesh

Twenty Years of the National Antimicrobial Resistance Monitoring System (NARMS) Where Are We And What Is Next?

Typhoid fever - priorities for research and development of new treatments

Nitric Oxide is Bactericidal to the ESKAPE Pathogens: Time for a radical approach

Clinical and microbiological characterization of carbapenem-resistant Acinetobacter baumannii bloodstream infections

Konsequenzen für Bevölkerung und Gesundheitssysteme. Stephan Harbarth Infection Control Program

Genome 371; A 03 Berg/Brewer Practice Exam I; Wednesday, Oct 15, PRACTICE EXAM GENOME 371 Autumn 2003

Lecture 6: Fungi, antibiotics and bacterial infections. Outline Eukaryotes and Prokaryotes Viruses Bacteria Antibiotics Antibiotic resistance

Antimicrobial Resistance: Do we know everything? Dr. Sid Thakur Assistant Professor Swine Health & Production CVM, NCSU

Original Article. Suthan Srisangkaew, M.D. Malai Vorachit, D.Sc.

Appropriate antimicrobial therapy in HAP: What does this mean?

Drd. OBADĂ MIHAI DORU. PhD THESIS ABSTRACT

Bi156 Lecture 1/13/12. Dog Genetics

Research in rabbit science. University of Bari

Chemotherapy of bacterial infections. Part II. Mechanisms of Resistance. evolution of antimicrobial resistance

Inhibiting Microbial Growth in vivo. CLS 212: Medical Microbiology Zeina Alkudmani

MICRONAUT MICRONAUT-S Detection of Resistance Mechanisms. Innovation with Integrity BMD MIC

What s next in the antibiotic pipeline?

UPDATE ON DEMONSTRATED RISKS IN HUMAN MEDICINE FROM RESISTANT PATHOGENS OF ANIMAL ORIGINS

Prevalence of Extended-spectrum β-lactamase Producing Enterobacteriaceae Strains in Latvia

Nosocomial Infections: What Are the Unmet Needs

Decrease of vancomycin resistance in Enterococcus faecium from bloodstream infections in

CHAPTER 1 INTRODUCTION

Introduction to Chemotherapeutic Agents. Munir Gharaibeh MD, PhD, MHPE School of Medicine, The university of Jordan November 2018

Antimicrobial Resistance Initiative

10/15/08. Activity of an Antibiotic. Affinity for target. Permeability properties (ability to get to the target)

HEALTHCARE-ACQUIRED INFECTIONS AND ANTIMICROBIAL RESISTANCE

Assessment of motility and hemolytic activity in clinical isolates of Acinetobacter baumannii from University of Kentucky hospital, Lexington, KY

Biofilm Producing Uropathogens and Drug Resistance: Dual Foe for Patients on Urinary Catheter

2017 NAMI Meat Industry Summit, San Diego, CA April 3-5, Keith E. Belk

Bacterial whole genome sequencing in clinical microbiology, infection control and public health. Julian Parkhill. FIS, Birmingham, November 2013

Transcription:

G&I Genomics & Informatics REVIEW ARTICLE eissn 2234-0742 Genomics Inform 2015;13(1):2-6 http://dx.doi.org/10.5808/gi.2015.13.1.2 Genes Involved in the Biosynthesis and Transport of Acinetobactin in Acinetobacter baumannii Tarik Hasan 1, Chul Hee Choi 2, Man Hwan Oh 1 * 1 Department of Nanobiomedical Science & BK21 PLUS NBM Global Research Center for Regenerative Medicine, Dankook University, Cheonan 330-714, Korea, 2 Department of Microbiology and Research Institute for Medical Sciences, Chungnam National University College of Medicine, Daejeon 301-747, Korea Pathogenic bacteria survive in iron-limited host environments by using several iron acquisition mechanisms. Acinetobacter baumannii, causing serious infections in compromised patients, produces an iron-chelating molecule, called acinetobactin, which is composed of equimolar quantities of 2,3-dihydroxybenzoic acid (DHBA), L-threonine, and N-hydroxyhistamine, to compete with host cells for iron. Genes that are involved in the production and transport of acinetobactin are clustered within the genome of A. baumannii. A recent study showed that enta, located outside of the acinetobactin gene cluster, plays important roles in the biosynthesis of the acinetobactin precursor DHBA and in bacterial pathogenesis. Therefore, understanding the genes that are associated with the biosynthesis and transport of acinetobactin in the bacterial genome is required. This review is intended to provide a general overview of the genes in the genome of A. baumannii that are required for acinetobactin biosynthesis and transport. Keywords: Acinetobacter baumannii, acinetobactin, iron, siderophores Introduction Iron is one of the essential nutrients for host and pathogenic bacteria, and both require the metal as a cofactor or as a prosthetic group for biologically important proteins that are involved in many basic cellular functions [1]. Most iron in the mammalian host is sequestered and bound to high-affinity iron-binding proteins, such as transferrin, lactoferrin, and ferritin, or complexed to the heme of hemoproteins [2]. Hence, iron is rarely found as free iron in the mammalian host and is one of the major limiting factors of pathogenic bacteria. Therefore, pathogenic bacteria have evolved sophisticated mechanisms for the acquisition of iron from host tissues because of the limited availability of iron to the bacteria and the inevitable competition with the host [3-8]. Siderophores are high-affinity iron-chelating compounds secreted by pathogenic bacteria [3]. Siderophores are classified into three major groups catecholates, hydroxamates, and carboxylates by the ligands that are used to chelate the ferric iron [7]. The diversity of siderophores may have resulted from evolutionary pressure, causing the bacteria to produce structurally different siderophores that can not be transported by specific transport systems of other bacteria. For example, Escherichia coli produces a prototype catechol siderophore, which is a cyclic trimer of 2,3-dihydroxybenzoyl-L-serine [5]. In comparison, vibriobactin, produced by Vibrio cholera, is a non-cyclic derivative of 2,3-dihydroxybenzoic acid (DHBA) [9]. Genes that are involved in the biosynthesis and uptake of siderophores are often clustered within the bacterial genome, and their products are closely linked to the virulence of pathogenic bacteria. Like the pathogenesis of many other bacteria, the pathogenesis of Acinetobacter baumannii, a major opportunistic pathogen that causes serious diseases in compromised patients, including pneumonia, bacteremia, urinary tract infection, sepsis, and meningitis [10, 11], depends primarily on the organism s ability to uptake and utilize iron [12-14]. Numerous studies have investigated the response of various A. baumannii isolates in iron-limited conditions and identified Received November 15, 2014; Revised December 22, 2014; Accepted December 26, 2014 *Corresponding author: Tel: +82-41-550-3567, Fax: +82-41-550-3450, E-mail: 12091931@dankook.ac.kr Copyright 2015 by the Korea Genome Organization CC It is identical to the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/).

Genomics & Informatics Vol. 13, No. 1, 2015 several gene clusters that are required for the synthesis and transport of siderophores [15]. Especially, the acinetobactin-mediated iron acquisition system has been the most extensively characterized system in A. baumannii [16, 17]. Acinetobactin, a catechol-hydroxamate siderophore, which is a non-cyclic derivative of DHBA that is linked to threonine and N-hydroxyhistamine, is produced and utilized by three putative systems encoded within the acinetobactin gene cluster of A. baumannii. Moreover, A. baumannii strains have significant genetic diversity in the numbers and types of these iron uptake and utilization systems [15]. Therefore, these results indicate that genetic diversity in acinetobactin gene clusters could be a major factor in determining the virulence among A. baumannii strains. In this review, we describe a gene cluster in the genome of A. baumannii that is involved in the biosynthesis and transport of acinetobactin. Furthermore, we present the genetic diversity of the gene cluster that is responsible for acinetobactin biosynthesis and transport in different A. baumannii strains. Acinetobactin Gene Cluster in A. baumannii A. baumannii express high-affinity iron acquisition systems, such as siderophores, to survive under iron-limited host environments. The iron acquisition system that is mediated by the siderophore acinetobactin has been extensively characterized in A. baumannii. Especially, the gene cluster involved in the biosynthesis and transport of acinetobactin has been found in various clinical isolates of A. baumannii, except A. baumannii SDF [15]. Acinetobactin is synthesized from a DHBA, threonine, and hydroxyhistamine via proteins encoded by genes within the gene cluster. The mixed-type siderophore, which consists of catecholate and hydroxamate groups, exhibits high affinity for iron [16, 17]. Particularly, it has been found that 18 coding regions in the chromosome of A. baumannii ATCC 19606 are required for acinetobactin biosynthesis and the uptake of ferric-acinetobactin complexes [15, 18]. The acinetobactin gene cluster of A. baumannii ATCC 19606 is illustrated in Fig. 1. The acinetobactin-mediated iron acquisition system is composed of three putative systems encoded within the acinetobactin cluster. First, the biosynthesis of acinetobactin is accomplished by the proteins encoded by basa, basb, basc, basd, basf, basg, bash, basi, and basj [14, 15]. Second, the acinetobactin that is produced by A. baumannii is secreted via a siderophore efflux system of the ABC superfamily, consisting of the proteins encoded by bara and barb [18]. Finally, ferric-acinetobactin complexes move into bacterial cells via a receptor for ferric-acinetobactin complexes, consisting of the proteins encoded by baua, baub, bauc, baud, baue, and bauf [14]. Especially, baub, bauc, baud, and baue play important roles in the translocation of ferric-acinetobactin complexes into bacterial cells [15]. In addition, putative binding sites for ferric uptake regulator, which controls bacterial iron homeostasis, exist in the upstream regions of basj, ente/basd, basa/bauf, and baud/basd. Fig. 1. Physical map of siderophore gene clusters in Acinetobacter baumannii. Siderophore gene clusters in different A. baumannii strains. The gene clusters are based on the database of A. baumannii ATCC 19606, AB0057, ACICU, and AB307-294, which were retrieved separately from GenBank (accession Nos. ACQB00000000, CP001182-3, CP000863, and CP001172). Each color indicates the biological functions in the biosynthesis and transport of acinetobactin. Red arrows represent the genes that were added in the acinetobactin gene cluster. www.genominfo.org 3

T Hasan, et al. Acinetobactin of Acinetobacter baumannii All of these genes that are involved in the biosynthesis and transport of acinetobactin are significantly up-regulated under iron-limited conditions [15]. Particularly, a functional analysis of basd, baua, and baud mutants under iron-limited conditions showed that iron acquisition that is mediated by the biosynthesis and transport of acinetobactin is essential for the survival of A. baumannii under iron-limited conditions [13]. Moreover, a recent study by Gaddy et al. [13] indicated that BasD and BauA play important roles in the persistence of infection by A. baumannii within epithelial cells and their apoptotic death. The results obtained from a mouse sepsis model also showed that the acinetobactin-mediated iron acquisition system is a major factor in the pathogenesis of A. baumannii, such as the establishment of bacterial infection and cell damage. Especially, impairment of BasD production resulted in an intermediate virulence phenotype in ex vivo and in vivo infection models in comparison to those of the parental strain and baua mutant. These results represent that both acinetobactin synthesis and uptake of iron-acinetobactin complexes are absolutely required for the pathogenesis of A. baumannii. Genetic Diversity of Acinetobactin Gene Cluster in Different A. baumannii Strains Penwell et al. [18] described that the gene cluster that is involved in acinetobactin production and its utilization exists in the chromosomes of different A. baumannii strains. In addition, the gene cluster is found in A. baumannii AYE, which is a natural enta mutant incapable of producing acinetobactin [18, 19]. However, the cognate clusters in the A. baumannii AB0057 and ACICU strains contain the additional putative genes AB57_2807 and AB57_2818 [20], and ACICU_02575 and ACICU_02586 [21], respectively (Fig. 1). In the case of A. baumannii AB307-294, three additional predicted genes, ABBFA_001054, ABBFA_001053, and ABBFA_001065, are also added in the bas-bau-bar gene cluster (Fig. 1) [20]. Although the functions of these additional genes in siderophore production and its utilization are not characterized, these results indicate the possibility that genetic diversity in acinetobactin gene clusters could be closely linked to the virulence of A. baumannii. enta Ortholog in A. baumannii Enterobactin that is produced by E. coli is a high-affinity siderophore for iron [5]. In the enterobactin biosynthesis, chorismic acid is converted to DHBA by the products of enta, entb, and entc. An amide linkage of DHBA to L-serine (Ser) is then catalyzed by the proteins encoded by entd, ente, entf, and entb. The molecules of the DHBA-Ser that is formed undergo intermolecular cyclization, yielding enterobactin. A. baumannii also employs basf and basj within the acinetobactin gene cluster, which are homologs of entc and entb, respectively, to produce mature acinetobactin [18]. However, enta has not been found in the acinetobactin gene cluster. Recently, it was found that a single functional copy of an enta ortholog is located in anupstream region of the mode-moda-modb-modc gene cluster that is required for the molybdenum transport system in A. baumannii ATCC 19606 (Fig. 2) [18]. In particular, a functional analysis based on gene cloning and biochemical tests showed that enta is absolutely required for the production of DHBA, which is used by A. baumannii as a precursor for acinetobactin biosynthesis. The study also demonstrated that acinetobactin intermediates and DHBA play important roles in the virulence of A. baumannii in ex vivo and in vivo infection models. Even though enta is found outside of the acinetobactin cluster in A. baumannii strains, the genetic contents surrounding the enta gene are variable among different clinical isolates [18]. For example, the enta gene of A. baumannii ATCC 19606 is next to the coding regions of the mod gene Fig. 2. Genetic map of the gene cluster containing the enta ortholog. The arrows represent the coding regions of the genes identified in the genomes of Acinetobacter baumannii ATCC 19606 and ATCC 17978. The names of the genes are shown above each coding region. 4 www.genominfo.org

Genomics & Informatics Vol. 13, No. 1, 2015 cluster (Fig. 2). However, the enta gene of A. baumannii ATCC 17978 is situated within a large gene cluster that encodes an uncharacterized siderophore-mediated system (Fig. 2). Especially, this cluster, in which mobile DNA elements exist, is flanked by inverted repeats, a feature that can explain its transfer by lateral processes. Therefore, these results represent that genetic components that are required for iron acquisition via the acinetobactin-mediated system give rise to horizontal gene transfer with complex chromosomal rearrangement processes. Consequently, the newly added siderophore gene cluster with the enta gene via horizontal gene transfer may cause these two strains, ATCC 19606 and ATCC 17978, to acquire iron via different siderophore-mediated systems from different sources. The possibility was proven by a genomic analysis of fully sequenced and annotated A. baumannii isolates [15, 19]. Four siderophore gene clusters are newly predicted to be involved in siderophore production and the uptake of iron-siderophore complexes (Table 1). Cluster 1 is indicated in the genomes of all strains analyzed, with the exception of A. baumannii 8399. Cluster 2 and cluster 4 are found only in A. baumannii ATCC 17978 and isolate 8399, respectively. Cluster 5 is present in all genomes analyzed except for that of A. baumannii ATCC 17978. The possibility is also supported by the result that the iron uptake phenotype of the A. baumannii ATCC 17978 basd mutant was not different from that of the parental 17978 strain when compared under iron-limited conditions. Conclusion A. baumannii employs specialized systems that are required for iron acquisition in iron-limited host environments [16]. In this review, we described the genes of A. baumannii that are involved in acinetobactin biosynthesis and transport. A number of studies have identified the genes that are essential Table 1. Siderophore gene clusters in sequenced Acinetobacter baumannii isolates Strain Cluster 1 Cluster 2 Cluster 4 Cluster 5 ATCC17978 + + ATCC 19606 + + AYE + + AB0057 + + ACICU + + 307-0294 + + D1279779 + + WM99c + + SDF 8399 ND ND + ND ND, not determined. for iron acquisition [13, 15-17]. Especially, the data presented in this review indicate that A. baumannii strains have genetic diversity in the acinetobacter gene cluster. Even though the roles of the additional genes in acinetobactin cluster in different. A. baumannii strains are not characterized, we suggest that the genes could be associated with A. baumannii virulence. Therefore, functional analysis of the genes in the bacteria is required. Furthermore, we showed both a single enta functional ortholog and variability in the bacterial genome. Therefore, we suggest that A. baumannii has continuously evolved the iron acquisition mechanism, which is associated with acinetobactin from different sources by horizontal gene transfer. Acknowledgments This research was supported by a grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number: HI14C0257). References 1. Ratledge C, Dover LG. Iron metabolism in pathogenic bacteria. Annu Rev Microbiol 2000;54:881-941. 2. Schaible UE, Kaufmann SH. Iron and microbial infection. Nat Rev Microbiol 2004;2:946-953. 3. Wandersman C, Delepelaire P. Bacterial iron sources: from siderophores to hemophores. Annu Rev Microbiol 2004;58: 611-647. 4. Webster AC, Litwin CM. Cloning and characterization of vuua, a gene encoding the Vibrio vulnificus ferric vulnibactin receptor. Infect Immun 2000;68:526-534. 5. Raymond KN, Dertz EA, Kim SS. Enterobactin: an archetype for microbial iron transport. Proc Natl Acad Sci U S A 2003; 100:3584-3588. 6. Muller SI, Valdebenito M, Hantke K. Salmochelin, the longoverlooked catecholate siderophore of Salmonella. Biometals 2009;22:691-695. 7. Neilands JB. Siderophores: structure and function of microbial iron transport compounds. J Biol Chem 1995;270:26723-26726. 8. Johnson JR, Moseley SL, Roberts PL, Stamm WE. Aerobactin and other virulence factor genes among strains of Escherichia coli causing urosepsis: association with patient characteristics. Infect Immun 1988;56:405-412. 9. Jalal MA, Hossain MB, van der Helm D, Sanders-Loehr J, Actis LA, Crosa JH. Structure of anguibactin, a unique plasmid-related bacterial siderophore from the fish pathogen Vibrio anguillarum. J Am Chem Soc 1989;111:292-296. 10. Bergogne-Bérézin E, Towner KJ. Acinetobacter spp. as nosocomial pathogens: microbiological, clinical, and epidemiological features. Clin Microbiol Rev 1996;9:148-165. www.genominfo.org 5

T Hasan, et al. Acinetobactin of Acinetobacter baumannii 11. Seifert H, Strate A, Pulverer G. Nosocomial bacteremia due to Acinetobacter baumannii: clinical features, epidemiology, and predictors of mortality. Medicine (Baltimore) 1995;74:340-349. 12. Mortensen BL, Skaar EP. The contribution of nutrient metal acquisition and metabolism to Acinetobacter baumannii survival within the host. Front Cell Infect Microbiol 2013;3:95. 13. Gaddy JA, Arivett BA, McConnell MJ, López-Rojas R, Pachón J, Actis LA. Role of acinetobactin-mediated iron acquisition functions in the interaction of Acinetobacter baumannii strain ATCC 19606T with human lung epithelial cells, Galleria mellonella caterpillars, and mice. Infect Immun 2012;80:1015-1024. 14. Zimbler DL, Penwell WF, Gaddy JA, Menke SM, Tomaras AP, Connerly PL, et al. Iron acquisition functions expressed by the human pathogen Acinetobacter baumannii. Biometals 2009;22: 23-32. 15. Eijkelkamp BA, Hassan KA, Paulsen IT, Brown MH. Investigation of the human pathogen Acinetobacter baumannii under iron limiting conditions. BMC Genomics 2011;12:126. 16. Echenique JR, Arienti H, Tolmasky ME, Read RR, Staneloni RJ, Crosa JH, et al. Characterization of a high-affinity iron transport system in Acinetobacter baumannii. J Bacteriol 1992; 174:7670-7679. 17. Yamamoto S, Okujo N, Sakakibara Y. Isolation and structure elucidation of acinetobactin, a novel siderophore from Acinetobacter baumannii. Arch Microbiol 1994;162:249-254. 18. Penwell WF, Arivett BA, Actis LA. The Acinetobacter baumannii enta gene located outside the acinetobactin cluster is critical for siderophore production, iron acquisition and virulence. PLoS One 2012;7:e36493. 19. Antunes LC, Imperi F, Carattoli A, Visca P. Deciphering the multifactorial nature of Acinetobacter baumannii pathogenicity. PLoS One 2011;6:e22674. 20. Adams MD, Goglin K, Molyneaux N, Hujer KM, Lavender H, Jamison JJ, et al. Comparative genome sequence analysis of multidrug-resistant Acinetobacter baumannii. J Bacteriol 2008; 190:8053-8064. 21. Iacono M, Villa L, Fortini D, Bordoni R, Imperi F, Bonnal RJ, et al. Whole-genome pyrosequencing of an epidemic multidrug-resistant Acinetobacter baumannii strain belonging to the European clone II group. Antimicrob Agents Chemother 2008; 52:2616-2625. 6 www.genominfo.org