Abstract
Pseudomonas aeruginosa can efficiently adapt to changing environmental conditions due to its ubiquitous nature, intrinsic/acquired/adaptive resistance mechanisms, high metabolic versatility, and the production of numerous virulence factors. As a result, P. aeruginosa becomes an opportunistic pathogen, causing chronic infection in the lungs and several organs of patients suffering from cystic fibrosis. Biofilm established by P. aeruginosa in host tissues and medical device surfaces has been identified as a major obstruction to antimicrobial therapy. P. aeruginosa is very likely to be closely associated with the various microorganisms in the host tissues or organs in a pathogenic or nonpathogenic behavior. Aside from host-derived molecules, other beneficial and pathogenic microorganisms produce a diverse range of secondary metabolites that either directly or indirectly favor the persistence of P. aeruginosa. Thus, it is critical to understand how P. aeruginosa interacts with different molecules and ions in the host and abiotic environment to produce extracellular polymeric substances and virulence factors. Thus, the current review discusses how various natural and synthetic molecules in the environment induce biofilm formation and the production of multiple virulence factors.
GRAPHICAL ABSTRACT
Acknowledgments
Parts of graphical abstract and Figure 1 were drawn by using templates from Servier Medical Art, licensed under a Creative Common Attribution 3.0 Unported License.
Author contributions
Geum-Jae Jeong: collected data, wrote, and reviewed the manuscript. Fazlurrahman Khan: conceptualized the idea, supervised, funding, collected the literature, drafted, and reviewed the manuscript. Nazia Tabassum: collected data and wrote the manuscript. Young-Mog Kim: supervision, funding, writing, and editing. All authors read and approved the manuscript.
Disclosure statement
The authors declare that they have no conflict of interest.
Research involving human participants and or animals
This article does not contain any studies associated with human participants or animals performed by any of the authors.