In the literature, burns are understood as traumatic events accompanied by increased morbidity and mortality among affected patients. Their characteristic feature is the formation of swelling and redness at the site of the burn, which indicates the development of inflammation. This reaction is not only important in the healing process of wounds but is also responsible for stimulating the patient’s innate immune system. As a result of the loss of the protective ability of the epidermis, microbes which include bacteria, fungi, and viruses have easier access to the system, which can result in infections. However, the patient is still able to overcome the infections that occur through a cascade of cytokines and growth factors stimulated by inflammation. Long-term inflammation also has negative consequences for the body, which may result in multi-organ failure or lead to fibrosis and scarring of the skin. The innate immune response to burns is not only immediate, but also severe and prolonged, and some people with burn shock may also experience immunosuppression accompanied by an increased susceptibility to fatal infections. This immunosuppression includes apoptosis-induced lymphopenia, decreased interleukin 2 (IL-2) secretion, neutrophil storm, impaired phagocytosis, and decreased monocyte human leukocyte antigen-DR. This is why it is important to understand how the immune system works in people with burns and during infections of wounds by microorganisms. The aim of this study was to characterize the molecular pathways of cell signaling of the immune system of people affected by burns, taking into account the role of microbial infections.

β-blockers are among the most widely prescribed cardiovascular drugs and are increasingly recognised as emerging pollutants due to their persistence, continuous release into aquatic environments, and potential toxicological effects on aquatic organisms. Their removal in conventional wastewater treatment plants is often inefficient, highlighting the need for biological remediation strategies. This study aimed to identify bacterial strains with the highest potential for the biotransformation of β-blockers. Therefore, we isolated and characterised bacterial strains capable of transforming two commonly used β-blockers—propranolol and metoprolol. The strains BB2 and BB3, which were able to transform propranolol and metoprolol, respectively, were identified as Raoultella terrigena and Stenotrophomonas terrae, respectively. BB2 showed broad metabolic versatility, utilising a wide range of carbon sources, whereas BB3 exhibited limited substrate utilisation. Antibiotic resistance profiling further distinguished the strains, with BB2 resistant across multiple antibiotic classes and BB3 largely sensitive. Co-metabolic assays demonstrated that supplementation with specific carbon and nitrogen sources markedly enhanced β-blocker removal, increasing propranolol biotransformation from 5% to 50% and metoprolol from 4% to 36%. These findings demonstrate the bioremediation potential of newly isolated strains and emphasise the importance of aligning microbial metabolic traits with nutrient conditions to improve pharmaceutical removal in wastewater treatment systems.