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Bacteroides fragilis

life science Maturity 11-13 Next article →

Bacteroides fragilis is a specific type of bacterium found in the human colon. It is an anaerobic, Gram-negative organism, which means it thrives in environments without oxygen. Most of the time, it lives as a commensal organism. This means it lives in the human gastrointestinal tract without causing harm. In fact, it is essential for healthy gut function. It helps with mucosal immunity and supports host nutrition. However, it can become a pathogen if it is displaced. This often happens through surgery, disease, or physical trauma.

Physically, these bacteria are quite small. They are rod-shaped or pleomorphic, meaning they can change shape. Their size typically ranges from 0.5 to 1.5 micrometers in width. They are immotile because they lack flagella or cilia. Instead, they use peritrichous fimbriae to stick to molecular structures. To survive the harsh gut environment, they use surface proteins and lipopolysaccharide chains. They also release outer membrane vesicles. These tools help them navigate a volatile micro-environment.

Metabolically, B. fragilis is a highly efficient chemoorganotroph. This means it gets energy by breaking down organic compounds. It performs fermentation on many different glycans. These include common sugars like glucose, sucrose, and fructose. The bacterium also breaks down complex biopolymers and glycoproteins. It turns these into smaller molecules for other microbes to use. This process creates fatty acids through carbohydrate fermentation. These fatty acids serve as a vital energy source for the human host. Interestingly, animals without gut bacteria require 30% more calories to maintain their weight.

Surviving in the gut requires advanced environmental-sensing systems. B. fragilis uses several mechanisms to handle threats. It secretes bacteriocin proteins to reduce competition with other microbes. It also uses an enzyme called bile salt hydrolase. This enzyme helps it resist the degrading effects of bile salts. Without this, bile salts could damage or collapse the bacterial membrane. To handle oxygen, it uses proteins like catalase and superoxide dismutase. These protect the cell from harmful oxygen radicals. It also uses cytochrome bd oxidase to consume oxygen. This allows other obligate anaerobes to survive in a low-oxygen space.

This bacterium is also known for its high level of antibiotic resistance. This resistance is mainly due to its genetic plasticity. The genus Bacteroides has some of the highest resistance rates among anaerobic bacteria. Specifically, B. fragilis carries the cfiA gene. This gene encodes a metallo-beta-lactamase, which is a type of carbapenemase. This enzyme can hydrolyze and inactivate beta-lactam antibiotics like carbapenems. Species in this group show increasing resistance to drugs like clindamycin and metronidazole. These resistance genes can even be transferred to other bacteria in the gut.

Historically, scientists have changed how they classify these organisms. The B. fragilis group was once seen as different subspecies. These included B. f. ssp. fragilis and B. f. ssp. vulgatus. However, DNA homology studies led to a reclassification. Scientists now recognize them as distinct species. B. fragilis is the most common member of its group. It accounts for between 41% and 78% of all isolates in that group. Even though it is common in the group, it only makes up 0.5% of the bacteria in human stool.

Despite its helpful roles, B. fragilis can cause serious disease. It is involved in 90% of anaerobic peritoneal infections. It can be found in blood, wounds, and brain abscesses. This pathogenicity is partly due to its capsular polysaccharide. This layer protects the bacteria from phagocytosis and helps form abscesses. Some strains, called enterotoxigenic B. fragilis, are linked to chronic inflammation. This inflammation can lead to DNA damage and colon tumorigenesis. Untreated infections can have a mortality rate of 60%.

Interestingly, the bacterium also has anti-inflammatory properties. It possesses a specific molecule called polysaccharide A, or PSA. In studies, PSA has protected animals from diseases like colitis and asthma. When PSA colonizes the gut mucosa, it induces regulatory T cells. It also works to suppress pro-inflammatory T helper 17 cells. This shows that the bacterium plays a complex role in balancing the immune system. It can act as both a potential threat and a protective partner.

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