Rong Hu, Pei Li, Jie Han, Jiamin Huang, Guoyi Huang, Xiuju Jiang, Daniel Pfau, Guobao Li, Yi-Nan Gong, Carl F Nathan, Li Zhang
{"title":"z-VAD-FMK triggers macrophage necroptosis during mycobacterial infection via a non-canonical off-target mechanism.","authors":"Rong Hu, Pei Li, Jie Han, Jiamin Huang, Guoyi Huang, Xiuju Jiang, Daniel Pfau, Guobao Li, Yi-Nan Gong, Carl F Nathan, Li Zhang","doi":"10.1002/mlf2.70101","DOIUrl":"https://doi.org/10.1002/mlf2.70101","url":null,"abstract":"<p><p>Macrophages are the predominant cell type infected by <i>Mycobacterium tuberculosis</i> (Mtb) in tuberculosis (TB). Death of Mtb-infected macrophages promotes tissue pathology and releases Mtb to infect other cells, suggesting that inhibiting the death of Mtb-infected macrophages could be an adjunctive treatment of TB. Prospects for such an intervention depend on identifying the molecular pathways leading to cell death. We previously reported that the death of Mtb-infected mouse macrophages <i>in vitro</i> depends on type I interferons (IFNs) and lysosomal membrane permeabilization contributes to cell death. Here, we report that the death of Mtb-infected primary mouse macrophages <i>in vitro</i> became necroptotic in the presence of a pan-caspase inhibitor, benzyloxycarbonyl-Val-Ala-Asp-fluoromethylketone (z-VAD-FMK, hereafter called z-VAD) acting on a target other than caspase-8. Macrophages infected with <i>Mycobacterium kansasii</i> or <i>Rhodococcus equi</i> likewise underwent z-VAD-dependent necroptosis. In TB-resistant C57BL/6 mice, the deficiency of the key necroptosis executioner, mixed lineage kinase domain-like (MLKL), did not affect bacterial burden or pulmonary pathology. In contrast, in mice lacking the IFN repressor SP140, which express high levels of type I IFNs after Mtb infection and develop necrotic pulmonary lesions, MLKL-deficiency reduced bacterial burden and pathology after high-dose infection. This report illustrates that off-target action(s) of a caspase-8 inhibitor can switch the cell death pathway to necroptosis in macrophages infected with several Gram-positive pathogens and highlights that necroptosis can exacerbate TB. Identifying the target of z-VAD may help to delineate how necrotic lesions form in TB.</p>","PeriodicalId":94145,"journal":{"name":"mLife","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13628176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Establishment of a genome editing system and expression of heterologous proteins in the nonconventional yeast <i>Pichia kudriavzevii</i>.","authors":"Jiayin Ma, Yifan Cui, Binru Yin, Cheng Jin","doi":"10.1002/mlf2.70104","DOIUrl":"https://doi.org/10.1002/mlf2.70104","url":null,"abstract":"<p><p>Nonconventional yeast <i>Pichia kudriavzevii</i> possesses attractive phenotypic traits for industrial biomanufacturing; however, it remains genetically intractable compared with established yeast chassis. Here, we present an integrated synthetic biology framework that renders <i>P. kudriavzevii</i> a programmable production host. We established a highly efficient CRISPR/Cas9 genome editing system in this diploid yeast, enabling marker-free editing with efficiencies of up to 88% and routine generation of homozygous mutants. By integrating efficient marker-free CRISPR/Cas9 genome editing and locus-aware expression strategies, we successfully expressed secretory mCherry and human IgG1 Fc fragment at different loci. Our results demonstrate that <i>P. kudriavzevii</i> is a promising expression system for protein production.</p>","PeriodicalId":94145,"journal":{"name":"mLife","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shuai Wang, Md Shah Alam, Buhari Yusuf, Jingran Zhang, Ziwen Lu, Xiaofan Zhang, H M Adnan Hameed, Mst Sumaia Khatun, Chunyu Li, Lijie Li, Aleksey A Vatlin, Aweke M Belachew, Xirong Tian, Yamin Gao, Cuiting Fang, Rogers P Zhang, Jun Li, Xinyue Wang, Liqiang Feng, Li Wan, Tianyu Zhang
{"title":"Targeting homologous recombination repair to potentiate fluoroquinolone efficacy in <i>Mycobacterium abscessus</i>.","authors":"Shuai Wang, Md Shah Alam, Buhari Yusuf, Jingran Zhang, Ziwen Lu, Xiaofan Zhang, H M Adnan Hameed, Mst Sumaia Khatun, Chunyu Li, Lijie Li, Aleksey A Vatlin, Aweke M Belachew, Xirong Tian, Yamin Gao, Cuiting Fang, Rogers P Zhang, Jun Li, Xinyue Wang, Liqiang Feng, Li Wan, Tianyu Zhang","doi":"10.1002/mlf2.70103","DOIUrl":"10.1002/mlf2.70103","url":null,"abstract":"<p><p>Fluoroquinolones (FQs) are important for treating fast-growing mycobacterial infections; however, their efficacy can be limited by intrinsic resistance and the emergence of acquired resistance. FQs induce lethal DNA double-strand breaks (DSBs) by targeting topoisomerases. Through a transposon screen in <i>Mycobacterium abscessus</i>, we identified that disruption of <i>adnB</i>, a homologous recombination (HR) gene, markedly sensitized the pathogen to FQs. Subsequent study showed that deleting core HR components (<i>adnB</i>, <i>recO</i>, <i>recA</i>, <i>recR</i>, and <i>ruvB</i>) increased FQs' susceptibility, while other DSB repair pathways (single-strand annealing or non-homologous end joining) had no effect, demonstrating a unique reliance on HR for FQs' tolerance. Complementation with native or its homolog genes restored the resistance phenotype, indicating a conserved HR-dependent tolerance mechanism in <i>M</i>. <i>abscessus</i>. In a murine model, genetic HR abrogation significantly improved FQs' therapeutic efficacy. These results highlight HR repair as a potential therapeutic target to potentiate FQs' activity and combat drug resistance in <i>M</i>. <i>abscessus</i> infections.</p>","PeriodicalId":94145,"journal":{"name":"mLife","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13595048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Genome reduction in marine ammonia-oxidizing archaea driven by elevated temperature.","authors":"Minglei Ren, Jianjun Wang","doi":"10.1002/mlf2.70099","DOIUrl":"10.1002/mlf2.70099","url":null,"abstract":"<p><p>Marine ammonia-oxidizing archaea (AOA) have evolved into diverse lineages and ecological niches. However, less is known about the impact of environmental factors on their genomic evolution. By integrating 281 AOA metagenome-assembled genomes (MAGs) around global oceans, we revealed that AOA genome size decreased with elevated temperature across the two predominant genera <i>Nitrosopumilus</i> and <i>Nitrosopelagicus</i>. This was supported by their contrasting temperature preferences, with the large-genome <i>Nitrosopumilus</i> commonly occupying cold waters and the genome-reduced <i>Nitrosopelagicus</i> preferring warm waters. We further found a warm-like subclade diverging from the cold-adapted <i>Nitrosopumilus</i> and a cold-like subclade from the warm-adapted <i>Nitrosopelagicus</i>. These divergences were accompanied by the enrichment of functional genes associated with adaptation to temperature fluctuation. Our results highlight the role of temperature in shaping genomic reduction and phylogenetic divergence in marine AOA, with implications for nitrogen cycling under ocean warming.</p>","PeriodicalId":94145,"journal":{"name":"mLife","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13591554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149019305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jing Zhao, Yixiao Xiong, Hongxia Zhao, Jin Wang, Xiaona Fang
{"title":"Mechanistic insights into HipA-mediated bacterial persistence: Role of initial cellular states and toxin expression kinetics.","authors":"Jing Zhao, Yixiao Xiong, Hongxia Zhao, Jin Wang, Xiaona Fang","doi":"10.1002/mlf2.70095","DOIUrl":"https://doi.org/10.1002/mlf2.70095","url":null,"abstract":"<p><p>Persistent bacteria subpopulations showing multidrug tolerance pose significant challenges to antibiotic therapy. While the HipBA toxin-antitoxin (TA) system is known to play a role in persister formation, existing studies predominantly focus on its kinase activity and intracellular regulatory pathways, with limited attention to the environmental or conditional factors. In this study, we administered controlled induction of HipA across varied growth conditions in <i>Escherichia coli</i>, establishing that conditional constraints fundamentally modulate HipA's capacity to induce persistence. We demonstrated that cells in the lag phase, rather than in the exponential or stationary phase, were more likely to enter the persistent state upon HipA upregulation. Moreover, our results indicated that the accumulation rate of HipA, rather than the absolute HipA level, was a crucial determinant of persister frequency. Finally, we confirmed the essential role of RelA in HipA-mediated formation of persistent bacteria. These findings highlight the importance of previously unexplored conditional factors and expression kinetics in HipA-mediated persistence, providing mechanistic insights that link toxin kinetics, growth phase regulation, and stringent response signaling in bacterial antibiotic tolerance.</p>","PeriodicalId":94145,"journal":{"name":"mLife","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13579642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148993353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Da-Wei Wei, Jiangqing Huang, Hailing Fang, Xinyu Wang, Gang Zhang, Chao Wang, Yuqin Song, Jie Feng
{"title":"IS<i>Aba1-</i>mediated <i>crp-osmC</i> amplification enhances host-associated fitness in <i>Acinetobacter baumannii</i>.","authors":"Da-Wei Wei, Jiangqing Huang, Hailing Fang, Xinyu Wang, Gang Zhang, Chao Wang, Yuqin Song, Jie Feng","doi":"10.1002/mlf2.70105","DOIUrl":"10.1002/mlf2.70105","url":null,"abstract":"<p><p><i>Acinetobacter baumannii</i> is a pathogen, highly adaptable to both hospital- and host-associated environments. Understanding the genetic mechanisms underlying its adaptability is critical for controlling its persistence. Our study identified the <i>crp-osmC</i> gene cluster, flanked by IS<i>Aba1</i> elements, as a significant genetic structure undergoing amplification in <i>A. baumannii</i>. By experimentally mimicking the amplification of this gene cluster, we found that it substantially enhanced bacterial growth and competitive fitness, promoted survival in mouse serum, and improved colonization in murine infection models. Mechanistically, transcriptomic analysis suggested that <i>crp-osmC</i> amplification may enhance host-associated fitness by promoting pathways related to metabolic flexibility and nutrient acquisition, including phenylalanine metabolism, siderophore biosynthesis, and sulfur metabolism. It is noteworthy that this amplification was largely limited to the epidemic ST2 lineage clinical isolates. Intriguingly, gene amplification was also accompanied by reduced biofilm formation and heightened susceptibility to several antibiotics. Overall, IS<i>Aba1</i>-mediated amplification of the <i>crp-osmC</i> cluster enhances host-associated fitness in <i>A. baumannii</i>, while the accompanying increase in antibiotic sensitivity reflects a trade-off between survival and resistance.</p>","PeriodicalId":94145,"journal":{"name":"mLife","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13574567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148979116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
mLifePub Date : 2026-08-27eCollection Date: 2026-08-01DOI: 10.1002/mlf2.70093
Yong Zhang, Jun Jiao, Shuxin Liu, Jingya Yuan, Siyao Liu, Tao-Tao Chen, Songying Ouyang, Jiaqi Fu, Zhao-Qing Luo
{"title":"<i>Coxiella burnetii</i> inhibits host cell death by ubiquitination-induced inactivation of an apoptosis nuclease.","authors":"Yong Zhang, Jun Jiao, Shuxin Liu, Jingya Yuan, Siyao Liu, Tao-Tao Chen, Songying Ouyang, Jiaqi Fu, Zhao-Qing Luo","doi":"10.1002/mlf2.70093","DOIUrl":"10.1002/mlf2.70093","url":null,"abstract":"<p><p><i>Coxiella burnetii</i> modulates a variety of host cell processes to create a niche permissive for its intracellular replication using effectors injected by its Dot/Icm type IV secretion system. More than 130 such effectors have been identified, but the function of most of them remains unknown. Using an activity-based screening strategy, we identified the <i>C. burnetii</i> protein CubL1 (Cbu0295) as an E3 ubiquitin ligase. Further analysis reveals that CubL1 catalyzes ubiquitination of eIF3g, a dual-function protein involved in apoptosis and protein translation initiation. CubL1-induced monoubiquitination inhibits the nuclease activity of eIF3g, essential for its role in cell death execution. Host cells infected by a <i>C. burnetii</i> mutant lacking <i>cubL1</i> became more susceptible to cell death induction. Thus, <i>C. burnetii</i> employs multiple distinct mechanisms to maintain host cell viability to ensure successful completion of its intracellular life cycle.</p>","PeriodicalId":94145,"journal":{"name":"mLife","volume":" ","pages":"432-446"},"PeriodicalIF":6.7,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13519585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
mLifePub Date : 2026-08-27eCollection Date: 2026-08-01DOI: 10.1002/mlf2.70108
Liwen Wu, Yong Liu, Ruolin Huang, Ying Zhao, Junbo Liu, Ying An, Yiqiu Zhang, Xingyu Wang, Haoyu Zheng, Tongtong Pei, Xiaoye Liang, Xiaotian Liu, Min Zheng, Ronghui Liu, Yi Li, Jiuxin Qu, Yingxia Liu, Liang Yang, Mingjie Zhang, Tao Dong
{"title":"Functional characterization of a pore-forming effector TseMt from the H4 type VI secretion system of <i>Pseudomonas aeruginosa</i>.","authors":"Liwen Wu, Yong Liu, Ruolin Huang, Ying Zhao, Junbo Liu, Ying An, Yiqiu Zhang, Xingyu Wang, Haoyu Zheng, Tongtong Pei, Xiaoye Liang, Xiaotian Liu, Min Zheng, Ronghui Liu, Yi Li, Jiuxin Qu, Yingxia Liu, Liang Yang, Mingjie Zhang, Tao Dong","doi":"10.1002/mlf2.70108","DOIUrl":"10.1002/mlf2.70108","url":null,"abstract":"<p><p><i>Pseudomonas aeruginosa</i> is a major nosocomial pathogen in which the type VI secretion system (T6SS) contributes to interbacterial competition and virulence. While most strains encode three T6SSs, additional T6SS clusters have been identified in clinical isolates through comparative genomics, but their functions and effector biology remain undefined. Here, we identify TseMt as a major antibacterial effector associated with an H4-T6SS in a clinical <i>P. aeruginosa</i> isolate LYSZa7. TseMt is a periplasmically active toxin whose activity is neutralized by a cognate immunity protein, TsiMt. Biochemical assays show that TseMt binds membranes and forms ion-conducting pores, establishing it as a pore-forming effector. A 3.0 Å cryo-electron microscopy structure reveals a distinct three-domain architecture comprising an N-terminal MIX-like domain, a central α-helical scaffold, and a C-terminal toxin domain. Genetic analysis and structural modeling indicate that TseMt is delivered through a dedicated PAAR-VgrG-chaperone pathway. Together, these findings define the structural basis, functional mechanism, and delivery pathway of the H4-T6SS effector TseMt from a clinical <i>P. aeruginosa</i> isolate and reveal its role in mediating bacterial competition.</p>","PeriodicalId":94145,"journal":{"name":"mLife","volume":" ","pages":"417-431"},"PeriodicalIF":6.7,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13520059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
mLifePub Date : 2026-08-27eCollection Date: 2026-08-01DOI: 10.1002/mlf2.70102
Fengmin Lu, Xin Zheng, Xinyu Du, Xianlin Ye, Yongzhen Liu, Jinfeng Zeng, Ying Yan
{"title":"Functionally cured chronic hepatitis B: A cure-related occult HBV infection state.","authors":"Fengmin Lu, Xin Zheng, Xinyu Du, Xianlin Ye, Yongzhen Liu, Jinfeng Zeng, Ying Yan","doi":"10.1002/mlf2.70102","DOIUrl":"10.1002/mlf2.70102","url":null,"abstract":"<p><p>Occult HBV infection (OBI) is characterized by the presence of replication-competent hepatitis B virus (HBV) DNA (covalently closed circular DNA [cccDNA] and/or relaxed circular DNA [rcDNA]) in the liver and/or HBV DNA in the blood, despite negative hepatitis B surface antigen (HBsAg) serology. The potential risks associated with OBI include HBV blood transmission, diagnostic challenges, and viral reactivation under immunosuppressive therapy. Some patients with OBI may face a higher risk of liver fibrosis compared to those who have achieved complete clearance of the virus. Functional cure is defined as the clearance of HBsAg, with or without hepatitis B surface antibody (anti-HBs) seroconversion, and undetectable serum HBV DNA after finite therapy. It has been recommended as the optimal goal of antiviral treatment for chronic hepatitis B (CHB) by major guidelines. We highlight that patients achieving functional cure represent a distinct form of cure-related OBI, with unique virological features and potential clinical implications. Furthermore, although direct epidemiological evidence remains limited, accumulating studies have demonstrated that OBI cases with undetectable HBV DNA and negative HBsAg serology retain the potential for transfusion transmission. Accordingly, the transfusion-related risk associated with functional cure should not be overlooked. Here, we discuss the definition, virological and immunological basis, prevalence, diagnosis, and clinical significance of OBI, highlighting its link to cccDNA persistence and immune suppression of viral replication. Finally, we emphasize regular follow-up to mitigate the risks of transfusion-related transmission, HBV reactivation, and disease progression. Further research is warranted to elucidate the viral and immune status of functionally cured patients, thereby optimizing treatment strategies and ensuring blood safety.</p>","PeriodicalId":94145,"journal":{"name":"mLife","volume":" ","pages":"393-400"},"PeriodicalIF":6.7,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13519582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Thirteen-year genomic analysis (2010-2022) reveals high-risk ICU <i>Pseudomonas aeruginosa</i> in China.","authors":"Jiadai Huang, Kaichao Chen, Miaomiao Xie, Weiyi Shen, Xiaoyang Ju, Yuchen Wu, Jiaping Li, Hongwei Zhou, Yonglu Huang, Yizhou Zhang, Yuanfeng Zhang, Tianmin Li, Letong Xu, Yue Sun, Fang Chen, Sheng Chen, Xin Deng, Rong Zhang, Yanyan Hu","doi":"10.1002/mlf2.70097","DOIUrl":"10.1002/mlf2.70097","url":null,"abstract":"<p><p><i>Pseudomonas aeruginosa</i> is a significant opportunistic pathogen, particularly prevalent in intensive care units (ICUs). Through a comprehensive genomic and phenotypic analysis of 518 ICU and healthy isolates collected over a 13-year period (2010-2022), we found that ICU strains, despite reduced sequence type (ST) diversity, are dominated by persistent high-risk clones, notably ST463 and ST1076. Despite possessing a lower overall prophage content, ICU isolates show a broader and more diverse repertoire of anti-phage defense systems. This strengthened defense capacity correlates with ICU strains, demonstrating heightened resistance to phage challenge and contributing to lower historical phage exposure. Concurrently, ICU isolates harbor a significantly higher antimicrobial resistance (AMR) gene burden. Our detailed genomic analysis shows that this increased AMR is primarily driven by plasmid acquisition. Importantly, AMR genes associated with prophage elements are exclusively found in ICU isolates, highlighting their selective retention and functional contribution to resistance in this high-pressure environment. Furthermore, specific virulence genes, including <i>exoU</i>, <i>pilA</i>, and <i>rhsP2</i>, are more prevalent in ICU strains, indicating enhanced pathogenicity. Collectively, these findings underscore a qualitative distinction in ICU <i>P. aeruginosa</i>: their dominance and persistence stem from highly adapted clones, robust anti-phage defenses, rapid plasmid-mediated AMR acquisition, and clinically selected prophage-borne AMR.</p>","PeriodicalId":94145,"journal":{"name":"mLife","volume":" ","pages":"459-472"},"PeriodicalIF":6.7,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13519588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148842652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}