Acinetobacter baumannii has emerged as a major cause of both community-associated and
nosocomial infections worldwide. A. baumannii rapidly develops resistance to multiple
antibiotics; as a result,
infections by this pathogen have become increasingly difficult to treat. In this study, we evaluated the effect of 3',5'-cyclic
diguanylic acid (
c-di-GMP), a bacterial second messenger and
immunomodulator, in the host defense against A. baumannii
infection in a mouse model of intranasal
infection. Our results showed that 50 μg of
c-di-GMP administered 18 h prior to
infection provided the best protection against intranasal
infection with A. baumannii. Mechanistically, administration of
c-di-GMP induced the production of
chemokines KC, MCP-1, MIP-1α, MIP-2 and
RANTES, and enhanced neutrophil recruitment in the lung. Moreover, depletion of neutrophils abolished the protective role of
c-di-GMP. Taken together, our data suggest that
c-di-GMP confers resistance against intranasal A. baumannii
infection in mice through a neutrophil-dependent mechanism and that
c-di-GMP should be further explored as an
immunomodulator for the treatment of A. baumannii
infection.