Nour Fattouh

Dr. Nour Fattouh

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Research Focus & Metrics

Academic Career Length

9Years (2018-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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20 March 2019 in PLOS Neglected Tropical Diseases
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Journal Article
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NFNour Fattouh
Nour Fattouh
CCChantal Cazevieille
Chantal Cazevieille
FLFrédéric Landmann
Frédéric Landmann
The reproductive parasites Wolbachia are the most common endosymbionts on earth, present in a plethora of arthropod species. They have been introduced into mosquitos to successfully prevent the spread of vector-borne diseases, yet the strategies of host cell subversion underlying their obligate intracellular lifestyle remain to be explored in depth in order to gain insights into the mechanisms of pathogen-blocking. Like some other intracellular bacteria, Wolbachia reside in a host-derived vacuole in order to replicate and escape the immune surveillance. Using here the pathogen-blocking Wolbachia strain from Drosophila melanogaster, introduced into two different Drosophila cell lines, we show that Wolbachia subvert the endoplasmic reticulum to acquire their vacuolar membrane and colonize the host cell at high density. Wolbachia redistribute the endoplasmic reticulum, and time lapse experiments reveal tight coupled dynamics suggesting important signalling events or nutrient uptake. Wolbachia infection however does not affect the tubular or cisternal morphologies. A fraction of endoplasmic reticulum becomes clustered, allowing the endosymbionts to reside in between the endoplasmic reticulum and the Golgi apparatus, possibly modulating the traffic between these two organelles. Gene expression analyses and immunostaining studies suggest that Wolbachia achieve persistent infections at very high titers without triggering endoplasmic reticulum stress or enhanced ERAD-driven proteolysis, suggesting that amino acid salvage is achieved through modulation of other signalling pathways. Wolbachia are a genus of intracellular bacteria living in symbiosis with millions of arthropod species. They have the ability to block the transmission of arboviruses when introduced into mosquito vectors, by interfering with the cellular resources exploited by these viruses. Despite the biomedical interest of this symbiosis, little is known about the mechanisms by which Wolbachia survive and replicate in the host cell. We show here that the membrane composing the Wolbachia vacuole is acquired from the endoplasmic reticulum, a central organelle required for protein and lipid synthesis, and from which originates a vesicular trafficking toward the Golgi apparatus and the secretory pathway. Wolbachia modify the distribution of this organelle which is a potential source of membrane and likely of nutrients as well. In contrast to some intracellular pathogenic bacteria, the effect of Wolbachia on the cell homeostasis does not induce a stress on the endoplasmic reticulum. One of the consequences of such a stress would be an increased proteolysis used to relieve the cell from an excess of misfolded proteins. Incidentally, this suggests that Wolbachia do not acquire amino acids from the host cell through this strategy.

1 April 2018 in Developmental Cell
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Journal Article
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Vincent ForayVincent Foray
Vincent Foray
MPMercedes M. Pérez-Jiménez
Mercedes M. Pérez-Jiménez
NFNour Fattouh
Nour Fattouh
FLFrédéric Landmann
Frédéric Landmann

1 August 2021 in Fungal Genetics and Biology
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Journal Article
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NFNour Fattouh
Nour Fattouh
DHDana Hdayed
Dana Hdayed
GGGeovanni Geukgeuzian
Geovanni Geukgeuzian
STSima Tokajian
Sima Tokajian
RKRoy A. Khalaf
Roy A. Khalaf

16 April 2021 in Journal of Medical Microbiology
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Journal Article
Open access
RKRoy A. Khalaf
Roy A. Khalaf
NFNour Fattouh
Nour Fattouh
MMMatej Medvecky
Matej Medvecky
JHJaroslav Hrabák
Jaroslav Hrabák
Candida albicans is an opportunistic pathogen accounting for the majority of cases of Candida infections. Currently, C. albicans are developing resistance towards different classes of antifungal drugs and this has become a global health burden that does not spare Lebanon. This study aims at determining point mutations in genes known to be involved in resistance acquisition and correlating resistance to virulence and ergosterol content in the azole resistant C. albicans isolate CA77 from Lebanon. This pilot study is the first of its kind to be implemented in Lebanon. We carried out whole genome sequencing of the azole resistant C. albicans isolate CA77 and examined 18 genes involved in antifungal resistance. To correlate genotype to phenotype, we evaluated the virulence potential of this isolate by injecting it into BALB/c mice and we quantified membrane ergosterol. Whole genome sequencing revealed that eight out of 18 genes involved in antifungal resistance were mutated in previously reported and novel residues. These genotypic changes were associated with an increase in ergosterol content but no discrepancy in virulence potential was observed between our isolate and the susceptible C. albicans control strain SC5314. This suggests that antifungal resistance and virulence potential in this antifungal resistant isolate are not correlated and that resistance is a result of an increase in membrane ergosterol content and the occurrence of point mutations in genes involved in the ergosterol biosynthesis pathway.

3 February 2020 in Microbial Drug Resistance
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Journal Article
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JYJoseph Yaghi
Joseph Yaghi
NFNour Fattouh
Nour Fattouh
CACharbel AKKAWI
Charbel AKKAWI
LCLaure El Chamy
Laure El Chamy
Richard G. MarounRichard G. Maroun
Richard G. Maroun
GKGeorges Khalil
Georges Khalil
The opportunistic pathogen, Pseudomonas aeruginosa , is a main cause of nosocomial infections in Lebanese hospitals. This pathogen is highly threatening due to its ability to develop multiresistance toward a large variety of antibiotics, including the carbapenem subgroup of β-lactams. In this study, we surveyed the enzymatic and nonenzymatic mechanisms of carbapenem resistance in several multidrug-resistant (MDR) strains of P. aeruginosa isolated from patients suffering from nosocomial urinary tract infections in a Lebanese hospital. The occurrence of β-lactamase-encoding genes notably GES, KPC, IMP, VIM, NDM, and OXA, which are characterized by a carbapenemase activity was checked by genomic analyses. Our results provide a first evidence of the occurrence of GES in clinical P. aeruginosa isolates resistant to carbapenems in Lebanon. More interestingly, we showed that almost 40% of the analyzed strains have acquired a dual-carbapenemase secretion of GES-6 and VIM-2 or IMP-15 , this being a rare phenomenon among this type of multidrug resistance. Moreover, LC-MS/MS analyses revealed a high prevalence of another enzymatic mechanism of resistance; this is the coexistence of AmpC and Pdc-13 as well as a number of virulence proteins, for instance pilin, lytic transglycosylase, ecotin, chitin-binding protein (Cbp), and TolB-dependent receptor. It is to be noted that a mutation of the oprD2 gene encoding a porin selective for carbapenems has been detected in almost 66% of our strains. All in all, our study reveals by the use of different methods, unusual simultaneous enzymatic ( GES , IMP , VIM , pdc13 , and AmpC ) and nonenzymatic mechanisms of resistance (reduction of OprD2 expression) for MDR Pseudomonas aeruginosa .

24 February 2024 in Journal of Global Antimicrobial Resistance
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Journal Article
Open access
NFNour Fattouh
Nour Fattouh
RKRoy A. Khalaf
Roy A. Khalaf
RHRola Husni
Rola Husni
The aim of this study was to identify the resistance mechanisms to micafungin and fluconazole in a clinical isolate of Candida glabrata. The isolate was whole genome sequenced in order to identify amino acid changes in key proteins involved in antifungal resistance and the isolate was further characterized by pathogenicity related phenotypic assays that supported the sequencing results. Amino acid substitutions were detected in 8 out of 17 protein candidates. Many of these substitutions were novel, including in CHS3, CHS3B, and KRE5 that are involved in the development of micafungin resistance. Regarding fluconazole resistance, overexpression of efflux pumps was observed resulting in resistance. Our isolate did not exhibit an increased virulence potential compared to the control strain, however, a significant increase in chitin content and potential to resist to the cell surface disruptant sodium dodecyl sulfate was observed. This clinical Candida glabrata isolate experienced a change in cell wall architecture which correlates with the development of micafungin resistance.