{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T18:08:02Z","timestamp":1790186882222,"version":"4.1.0"},"reference-count":60,"publisher":"American Society for Microbiology","issue":"11","license":[{"start":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T00:00:00Z","timestamp":1762214400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T00:00:00Z","timestamp":1762214400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.asm.org\/non-commercial-tdm-license"}],"funder":[{"name":"National Infectious Disease Medical Center","award":["B2022011-1"],"award-info":[{"award-number":["B2022011-1"]}]},{"name":"Jinan Microecological Biomedicine Shangdong Laboratory project","award":["JNL-2022050B"],"award-info":[{"award-number":["JNL-2022050B"]}]},{"name":"Leading Innovative and Entrepreneur Team Inctroduction Program of ZheJiang","award":["2021R01012"],"award-info":[{"award-number":["2021R01012"]}]}],"content-domain":{"domain":["journals.asm.org"],"crossmark-restriction":true},"short-container-title":["Microbiol Spectr"],"published-print":{"date-parts":[[2025,11,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>\n                      For the first time,\n                      <jats:italic toggle=\"yes\">Stenotrophomonas muris<\/jats:italic>\n                      , whose pathogenic\n                        potential for humans has never been reported previously, has been identified\n                        to be associated with human infections. In this work, the phenotype of\n                      <jats:italic toggle=\"yes\">S. muris<\/jats:italic>\n                      virulence, the potential genes that encode\n                        higher virulence of\n                      <jats:italic toggle=\"yes\">S. muris<\/jats:italic>\n                      , and host responses to\n                      <jats:italic toggle=\"yes\">S. muris<\/jats:italic>\n                      infection were investigated for the first\n                        time. It was found that S9 (\n                      <jats:italic toggle=\"yes\">S. muris<\/jats:italic>\n                      no. 9, isolated from\n                        the patient\u2019s bloodstream infection) was more virulent than both S8\n                            (\n                      <jats:italic toggle=\"yes\">S. muris<\/jats:italic>\n                      no. 8, isolated from the patient\u2019s\n                        sputum) and S1 (\n                      <jats:italic toggle=\"yes\">Stenotrophomonas maltophilia<\/jats:italic>\n                      type strain\n                        ATCC13637). Candidate genes that may encode higher virulence of S9 were\n                        identified, including\n                      <jats:italic toggle=\"yes\">virB6<\/jats:italic>\n                      ,\n                      <jats:italic toggle=\"yes\">dcm<\/jats:italic>\n                      ,\n                      <jats:italic toggle=\"yes\">hlyD<\/jats:italic>\n                      , and 14 other genes involved in porphyrin\n                        metabolism, pyrimidine metabolism, DNA methylation, two-component system,\n                        and biofilm formation. Transcriptome analysis of infected host cells (THP-1\n                        cells) showed that 13 candidate genes involved in host response to hypoxia\n                            (\n                      <jats:italic toggle=\"yes\">HILPDA<\/jats:italic>\n                      ,\n                      <jats:italic toggle=\"yes\">FOXH1<\/jats:italic>\n                      ,\n                      <jats:italic toggle=\"yes\">ANGPTL4<\/jats:italic>\n                      ,\n                      <jats:italic toggle=\"yes\">SLC2A1<\/jats:italic>\n                      ,\n                      <jats:italic toggle=\"yes\">HK2<\/jats:italic>\n                      ,\n                      <jats:italic toggle=\"yes\">ADM<\/jats:italic>\n                      ,\n                      <jats:italic toggle=\"yes\">CXCR4<\/jats:italic>\n                      ,\n                      <jats:italic toggle=\"yes\">BNIP3<\/jats:italic>\n                      ,\n                      <jats:italic toggle=\"yes\">PLAT<\/jats:italic>\n                      ,\n                      <jats:italic toggle=\"yes\">PLOD2<\/jats:italic>\n                      ,\n                      <jats:italic toggle=\"yes\">STC2<\/jats:italic>\n                      ,\n                      <jats:italic toggle=\"yes\">STC1<\/jats:italic>\n                      , and\n                      <jats:italic toggle=\"yes\">AK4<\/jats:italic>\n                      ) were preferentially\n                        upregulated by the more virulent strain S9 over the less virulent S8. Two\n                        downregulated genes (\n                      <jats:italic toggle=\"yes\">SLC26A11<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">SLC8A1<\/jats:italic>\n                      )\n                        involved in monoatomic ion transport and the calcium signaling pathway may\n                        also need special attention, as they may be involved in pathogenesis.\n                        Antibiotic susceptibility testing indicated that strains S8 and S9\n                        demonstrated high resistance to colistin and polymyxin B, with MIC values\n                        surpassing clinical breakpoints. For ceftazidime (a cephalosporin) and\n                        levofloxacin (a fluoroquinolone), MIC values were elevated in S8\/S9 compared\n                        to S1 but remained within the susceptible range (ceftazidime: S8 and S9;\n                        levofloxacin: S8) or intermediate category (levofloxacin: S9). Because of\n                        the above differences in virulence properties and antibiotic susceptibility,\n                        it is critical that\n                      <jats:italic toggle=\"yes\">S. muris<\/jats:italic>\n                      be distinguished from\n                      <jats:italic toggle=\"yes\">S. maltophilia<\/jats:italic>\n                      in a clinical setting for improved care.\n                        This work provides the basis for future studies on pathogenic mechanisms of\n                      <jats:italic toggle=\"yes\">S. muris<\/jats:italic>\n                      and for developing improved treatment in the\n                        future.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>IMPORTANCE<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Stenotrophomonas muris<\/jats:italic>\n                      was first discovered as a potential\n                        human pathogen. Since it shares 99.72% similarity of the 16S rRNA to\n                      <jats:italic toggle=\"yes\">Stenotrophomonas maltophilia<\/jats:italic>\n                      , conventional diagnostic\n                        methods usually classify it as\n                      <jats:italic toggle=\"yes\">S. maltophilia<\/jats:italic>\n                      clinically.\n                        However, the two human pathogens should be distinguished. The reason is that\n                        they have different virulence and different drug susceptibilities, which\n                        result in different administrations of drugs to treat their infections. To\n                        better distinguish these two pathogens and treat infections of\n                      <jats:italic toggle=\"yes\">S.\n                            muris<\/jats:italic>\n                      , we investigated the virulence genes, the host response\n                        of\n                      <jats:italic toggle=\"yes\">S. muris<\/jats:italic>\n                      infections, and susceptibility of\n                      <jats:italic toggle=\"yes\">S.\n                            muris<\/jats:italic>\n                      to different drugs. The results we show in this paper\n                        will guide researchers to identify virulence genes, diagnostic biomarkers,\n                        and targets to develop treatment strategies for\n                      <jats:italic toggle=\"yes\">S. muris<\/jats:italic>\n                      infections.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1128\/spectrum.02770-24","type":"journal-article","created":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T13:15:21Z","timestamp":1758633321000},"update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":8,"title":["<i>Stenotrophomonas muris<\/i>\n                    \u2014first discovered as a                    potential human pathogen with strong virulence and antibiotic resistance,                    associated with bloodstream 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