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Gram-negative bacteria

life science Maturity 11-13 Next article →

Gram-negative bacteria are a diverse group of microscopic organisms found in nearly every environment on Earth that supports life. They are primarily defined by their unique cell envelope structure, which distinguishes them from Gram-positive bacteria during a laboratory procedure called Gram staining. When scientists apply a crystal violet dye to a sample, Gram-negative bacteria do not retain the purple color.

Gram-Cell-wall
Gram-Cell-wall

Instead, they appear differently under a microscope. This distinction is vital for medical professionals because the structural differences between these groups dictate how they interact with the environment and how they respond to medical treatments.

The defining characteristic of these bacteria is their "diderm" structure, meaning they possess two distinct lipid membranes.

Gram negative cell wall
Gram negative cell wall

An inner cytoplasmic membrane surrounds the cell's interior. Sandwiched between this inner layer and an outer membrane is a thin layer of peptidoglycan, which provides structural support. The space between these two membranes is filled with a concentrated, gel-like substance known as the periplasm. This periplasmic space is significant because it contains enzymes that can modify or break down antibiotics. Additionally, the outer membrane contains specialized proteins called porins, which act like pores to allow specific molecules to pass through the protective barrier.

One of the most complex parts of the Gram-negative envelope is the outer leaflet of the outer membrane. This layer contains a large molecule called lipopolysaccharide, or LPS. The LPS structure is composed of three specific parts: lipid A, a core polysaccharide, and an O antigen.

Gram negative cell wall
Gram negative cell wall

The lipid A component is particularly important in medicine because it functions as an endotoxin. When immune cells attack and break apart (lyse) these bacteria, the released LPS can trigger a massive, toxic reaction in the host. This reaction may lead to septic shock, a dangerous condition characterized by low blood pressure, respiratory failure, reduced oxygen delivery, and lactic acidosis.

Because of this double-membrane shield, Gram-negative bacteria present significant challenges in the medical field. The outer membrane acts as a highly effective barrier against many substances that would easily kill other bacteria. It provides resistance to detergents and the antimicrobial enzyme lysozyme, which is produced by animals as part of their innate immune system. Furthermore, the membrane blocks many common antibiotics, such as penicillin. To combat these organisms, scientists have developed several classes of drugs. These include aminoglycosides, monobactams like aztreonam, and carbapenems. Other treatments include quinolones, cephalosporins, and combinations like piperacillin-tazobactam.

Historically, the classification of bacteria relied heavily on the Gram stain. In the past, the kingdom Monera was divided into four groups based on this staining response: Firmicutes, Gracillicutes, Mollicutes, and Mendocutes. However, molecular studies since 1987 have disproven the idea that all Gram-negative bacteria belong to a single evolutionary lineage. We now know that the "conventional" Gram-negative bacteria, which possess the LPS outer membrane, share a common ancestor and belong to the kingdom Pseudomonadati. Other bacteria, such as the order Mycobacteriales, have also evolved an outer membrane, but they use mycolic acid instead of LPS. This means that having an outer membrane is not a trait exclusive to one single family tree.

There are many notable species within the Gram-negative category that impact human health and science. The proteobacteria superphylum includes the well-known Escherichia coli, which is often used as a model organism in laboratories.

Pseudomonas aeruginosa Gram
Pseudomonas aeruginosa Gram

Other species in this group include Salmonella and various Enterobacteriaceae. Some Gram-negative bacteria are specifically known for causing respiratory issues, such as Legionella pneumophila or Pseudomonas aeruginosa. Others are linked to urinary tract problems, like Proteus mirabilis, or gastrointestinal issues, such as Helicobacter pylori. In hospital settings, species like Acinetobacter baumannii are particularly concerning because they can cause serious infections like bacteremia and meningitis.

Understanding these bacteria also involves studying how they exchange genetic information through a process called horizontal gene transfer. One method is transformation, where a bacterium takes up foreign genetic material from its surrounding medium. As of 2014, approximately 80 species of bacteria were known to be capable of transformation, split somewhat evenly between Gram-positive and Gram-negative types. This process has been studied in many medically important species, including Neisseria meningitidis and Vibrio cholerae. By studying how these bacteria change and adapt, scientists gain a deeper understanding of how they evolve resistance and survive in complex biological systems.

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File:Diagnostic algorithm of possible bacterial infection.png
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