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Hydrogen cyanide generation by Pseudomonas aeruginosa blunts the host innate immune response.

Title: Hydrogen cyanide generation by Pseudomonas aeruginosa blunts the host innate immune response.
Authors: Szabo C; Section of Pharmacology, Department of Oncology, Microbiology and Immunology, University of Fribourg, Fribourg, Switzerland.; Santos SS; Section of Pharmacology, Department of Oncology, Microbiology and Immunology, University of Fribourg, Fribourg, Switzerland.; Findlay J; Section of Microbiology, Department of Oncology, Microbiology and Immunology, University of Fribourg, Fribourg, Switzerland.; Bremer O; Section of Pharmacology, Department of Oncology, Microbiology and Immunology, University of Fribourg, Fribourg, Switzerland.; Petrosino M; Section of Pharmacology, Department of Oncology, Microbiology and Immunology, University of Fribourg, Fribourg, Switzerland.; Philipp TM; Section of Pharmacology, Department of Oncology, Microbiology and Immunology, University of Fribourg, Fribourg, Switzerland.; Kierońska-Rudek A; Section of Pharmacology, Department of Oncology, Microbiology and Immunology, University of Fribourg, Fribourg, Switzerland.; Zuhra K; Section of Pharmacology, Department of Oncology, Microbiology and Immunology, University of Fribourg, Fribourg, Switzerland.; Boss GR; Department of Medicine, University of California, San Diego, La Jolla, CA, 92093, USA.; Nordmann P; Section of Microbiology, Department of Oncology, Microbiology and Immunology, University of Fribourg, Fribourg, Switzerland.
Source: The Journal of infectious diseases [J Infect Dis] 2026 May 06. Date of Electronic Publication: 2026 May 06.
Publication Model: Ahead of Print
Publication Type: Journal Article
Language: English
Journal Info: Publisher: Oxford University Press Country of Publication: United States NLM ID: 0413675 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-6613 (Electronic) Linking ISSN: 00221899 NLM ISO Abbreviation: J Infect Dis Subsets: MEDLINE
Imprint Name(s): Publication: Jan. 2011- : Oxford : Oxford University Press; Original Publication: 1904-2010 : Chicago, IL : University of Chicago Press
Abstract: Background: The biological mediator hydrogen cyanide (HCN) is produced by certain pathogenic bacteria. HCN exerts multiple effects in mammalian cells: at low concentrations it has cytoprotective regulatory effects, whereas at high concentrations it blocks mitochondrial electron transport by inhibiting cytochrome c oxidase, thereby halting cellular metabolism. Here, we evaluated whether bacterial HCN confers resistance to the host immune response. We used Pseudomonas aeruginosa as a model organism, since it is a clinically significant HCN-generating bacterial species and a common cause of nosocomial infections.; Methods: The study used bacterial mutants, macrophage co-cultures, cyanide quantification, phagocytosis and bioenergetics assays, and mouse infection models to assess HCN's role in immune evasion.; Results: Compared to wild type P. aeruginosa, genetically HCN-deficient bacteria were more susceptible to killing by immune cells in vitro and were cleared more rapidly in mouse models of systemic infection. Increased leukocyte killing was not due to increased phagocytosis. Pharmacological scavenging of HCN (by vitamin B12 or trihistidyl cobinamide) also enhanced leukocyte bacterial killing.; Conclusions: These findings support the concept that HCN acts as a bacterial defense mechanism against the host's immune response. Targeting bacterial HCN (through inhibition of its biogenesis or by scavenging) could be a potential therapeutic strategy to improve the immune clearance of P. aeruginosa infections.; (© The Author(s) 2026. Published by Oxford University Press on behalf of Infectious Diseases Society of America.)
Contributed Indexing: Keywords: bioenergetics; cyanide; infection; macrophage; mitochondria; sepsis
Entry Date(s): Date Created: 20260506 Latest Revision: 20260506
Update Code: 20260506
DOI: 10.1093/infdis/jiag244
PMID: 42089632
Database: MEDLINE

Journal Article