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Translational Research - Université de Genève

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Bacteriology<br />

Christian van Del<strong>de</strong>n<br />

Department of Internal Medical Specialties<br />

Department of Microbiology and Molecular Medicine<br />

Christian van Del<strong>de</strong>n obtained his Medical Degree in 1988 at the University of Geneva, then<br />

FMH-certified qualifications in Internal Medicine in 1995 and in Infectious Diseases in 1999.<br />

He held a three-year Postdoctoral <strong>Research</strong> Fellowship at the University of Rochester, New York<br />

working on virulence regulation in Pseudomonas aeruginosa and returned to Geneva with a<br />

Score A grant from the SNSF. Since 1998 he has led a research laboratory in the Department of<br />

Microbiology and Molecular Medicine, and has been Head of the Immunocompromised Host<br />

Programme at HUG since 2003. He is a co-foun<strong>de</strong>r and member of the Executive Office of the<br />

Swiss Transplant Cohort Study and Presi<strong>de</strong>nt of the Swiss Transplant Infectious Diseases<br />

Working Group. He was appointed Associate Professor in 2011.<br />

Role of Quorum-Sensing and Socio-Microbiological Behavior in the Pathogenesis of<br />

Pseudomonas aeruginosa infections<br />

Since 1998 we have studied resistance and virulence in P. aeruginosa. Our approach is<br />

translational; we bring clinical hypothesis and strains into the laboratory, use genetics and<br />

molecular microbiology for both “in patient” and “in vitro” studies, and try to implement our<br />

findings at the bedsi<strong>de</strong>. With this approach we have characterised the <strong>de</strong>velopment of<br />

resistance on therapy and have i<strong>de</strong>ntified novel virulence regulators. Recently we i<strong>de</strong>ntified<br />

Quorum-Sensing (QS) as a major risk factor for the progression from colonisation to infection<br />

in intubated patients. We also investigated this progression from a socio-microbiological angle<br />

with the <strong>de</strong>velopment of QS-cheating and microbiological intra-species warfare based on<br />

pyocin production. We further studied the efficacy of inhibiting QS to prevent infection in these<br />

patients. Our clinical research activity involves infections in transplant recipients and their<br />

prevention.<br />

26 <strong>Université</strong> <strong>de</strong> <strong>Genève</strong> • Faculté <strong>de</strong> mé<strong>de</strong>cine<br />

van Del<strong>de</strong>n C, Köhler T, Brunner-Ferber F, Francois B, Carlet J and Pechère JC<br />

(2012) Azithromycin to prevent Pseudomonas aeruginosa ventilator-associated-pneumonia<br />

by inhibition of quorum-sensing: a randomized controlled trial. Intensive Care Med 38:1118-<br />

1125.<br />

Köhler T, Guanella R, Carlet J and van Del<strong>de</strong>n C (2010) Quorum-sensing-<strong>de</strong>pen<strong>de</strong>nt virulence<br />

during Pseudomonas aeruginosa colonisation and pneumonia in mechanically ventilated<br />

patients. Thorax 65:703-710.<br />

Köhler T, Perron GG, Buckling A and van Del<strong>de</strong>n C (2010) Quorum sensing inhibition selects for<br />

virulence and cooperation in Pseudomonas aeruginosa PLos Pathogen 6;6:e1000883<br />

Köhler T, Donner V and van Del<strong>de</strong>n C (2010) Lipopolysacchari<strong>de</strong> as shield and receptor for Rpyocin<br />

mediated killing in Pseudomonas aeruginosa. Journal of Bacteriology 192:1921-1928.<br />

Köhler T, Buckling A and van Del<strong>de</strong>n C (2009) Cooperation and virulence of clinical<br />

Pseudomonas aeruginosa populations. Proc Natl Acad Sci USA 106:6339-6344<br />

Contact: Christian.vanDel<strong>de</strong>n@hcuge.ch<br />

Bacteriology<br />

<strong>Université</strong> <strong>de</strong> <strong>Genève</strong> • Faculté <strong>de</strong> mé<strong>de</strong>cine<br />

27

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