Multisensory integration of a host metabolite coordinates bacterial predation of macrophages

Abstract

The crisis of antimicrobial resistance demands new strategies that circumvent conventional killing. Here, we show that Yersinia pseudotuberculosis intercepts host mesifurane, a mimic of quorum-sensing signal AI-2. Rather than acting through a single receptor, mesifurane is directly and independently sensed by three receptor classes, YcrA, NarX, and CusR, that converge on a "Sense, Arm, Recruit" program. YcrA drives chemotaxis toward host cells; NarX-NarP licenses T6SS-mediated killing; and CusR amplifies AI-2 production to recruit more bacteria. YcrA is conserved across Gram-negative pathogens, creating a therapeutic vulnerability. Suramin sodium, a repurposed drug blocking YcrA, disarms this circuit without inhibiting growth. In murine sepsis, suramin sodium conferred 80-90% survival against WHO critical-priority pathogens, including carbapenem-resistant A. baumannii, E. coli, and P. aeruginosa, even when delayed 8 hours post-infection, without selecting for resistance. These findings establish that disrupting sensory perception, rather than viability, provides an anti-infective strategy bypassing resistance while imposing minimal selective pressure.