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Abstract
The plague bacillus, Yersinia pestis, encounters a hostile oxidative environment upon entering the flea gut, a barrier it must overcome to initiate biofilm formation for transmission. This resilience has been attributed mainly to bacterial defenses, yet we show that host plasma proteins act as transient allies, consistent with a role in mitigating oxidative stress immediately after the blood meal. These findings reframe blood not only as nutrition but also as an active modulator of vector competence.
Author summary
Plague is caused by the bacterium Yersinia pestis and transmitted between mammals by fleas. To spread, the bacteria must survive in the flea gut after a blood meal. This environment is highly stressful and can quickly kill most microbes. We discovered that host blood proteins help Y. pestis survive these early conditions. We found that plasma proteins, not blood cells or lipids, contribute to bacterial survival under oxidative stress shortly after feeding. Our results reveal that blood is more than just food for the flea and the pathogen. It can actively influence whether infection succeeds. This unexpected role of host blood components may extend to other vector-borne pathogens and reshape how we view the earliest steps of transmission.
Citation: Dewitte A, Sebbane F, Bontemps-Gallo S (2026) Plasma albumin contributes to early Yersinia pestis survival at the onset of flea infection. PLoS Pathog 22(2): e1014022. https://doi.org/10.1371/journal.ppat.1014022
Editor: Jenifer Coburn, Medical College of Wisconsin, UNITED STATES OF AMERICA
Received: October 6, 2025; Accepted: February 22, 2026; Published: February 27, 2026
Copyright: © 2026 Dewitte et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Data Availability: All data supporting the findings of this study are available within the paper and its Supporting information.
Funding: This study was funded by the Centre National de la Recherche Scientifique (CNRS), the Institut National de la Santé et de la Recherche Médicale (Inserm), the Institut Pasteur de Lille, the Université de Lille to AD, the Agence Nationale de la Recherche (ANR-21-CE15-0047) to SBG, and the Synergy-Plague project funded by the European Research Council (ERC-2023-SyG; Grant number 101118880) to FS. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Competing interests: The authors have declared that no competing interests exist.
Introduction
Yersinia pestis, the causative agent of plague, relies on flea vectors to spread between mammalian hosts [1]. After a blood meal from a septicemic host, the bacteria rapidly encounter oxidative stress and other antibacterial pressures in the flea gut [2–6]. Within hours of feeding, a transient bactericidal soft mass forms in the proventriculus (foregut) and entraps the bacteria [5]. Despite this early barrier, Y. pestis secretes extracellular polysaccharides that consolidate this mass into a dense biofilm that can block the proventriculus and facilitate transmission [2,7]. While biofilm-mediated foregut blockage is well studied [6], the molecular events that enable Y. pestis to survive the critical early hours of flea colonization remain poorly understood.
Traditionally, blood has been regarded as little more than a passive vehicle and nutrient source for both the flea and the pathogen [6,7]. Yet, beyond its nutritional role, blood contains molecules with the potential to shape the outcome of infection. Recent work has hinted that the origin and composition of the blood meal can influence colonization dynamics [8,9], but whether host blood components actively promote the early survival of Y. pestis in the flea (defined here as the first hours post-feeding (up to 7 h), corresponding to a critical early phase in the kinetics of flea infection) has remained an open question. Here, we show that albumin contributes to early Y. pestis survival in the flea, consistent with a role in counteracting constitutive oxidative defenses during the early post-feeding phase.
Results and discussion
We first asked whether cellular elements are required during early colonization. To this end, fleas were fed on whole blood, plasma, or serum containing Y. pestis (Fig 1A), and bacterial survival and recovery were monitored. Infection rates and bacterial loads were indistinguishable at ≤1, 24, and 48 h post-feeding (hpf) (Fig 1B and 1C). Under these conditions, cellular components were not required for early colonization, and plasma alone was sufficient to support initial survival.
Infection prevalence (B,D,K) and bacterial loads (c.f.u. per flea; C,E,L) measured at ≤1, 24 and 48 h post-feeding (hpf) following feeds on whole blood, serum, plasma, or HPLM supplemented or not with bovine serum albumin (BSA), protease-treated BSA (BSA Dig), synthetic peptide (Peptide) or lipid fraction. n = 2 biological replicates for B and C (5-6 fleas per replicate) and n = 3 for D, E, K and L (15 fleas per replicate). F. Experimental design for panels G-I. G. Hydrogen peroxide levels were measured in whole dissected guts from fleas pre-treated with 20 mM NAC, with samples collected before infection and at < 1 h and 48 h post-feeding (hpf). n = 6 biological replicates, each a pool of six guts. H,I. Infection prevalence (H) and bacterial loads (I) in fleas at ≤1, 24 and 48 hpf on HPLM. n = 3 biological replicates with 6 fleas (H) and 15 fleas (I) per replicate. J. Bacterial survival in HPLM with or without BSA measured by bioluminescence as the ratio of relative light units before (N₀) and after (N) a 10 min exposure to 20 mM H₂O₂ (N₀/N). Data are mean ± s.d. n = 16 biological replicates. Data are presented as mean ± 95% confidence interval. Statistical analyses were performed using two-way ANOVA. Statistical significance is indicated as follows: *p < 0.05; **p < 0.01; ***p < 0.001; ****p < 0.0001.
To identify which plasma constituents support early colonization, we fed fleas on Human Plasma-Like Medium (HPLM) [10], which lacks proteins and lipids, and assessed colonization by Y. pestis. Survival fell within ≤1 h post-feeding and reached zero by 48 hpf (Fig 1d and 1e). These results raise the possibility that HPLM either fails to support bacterial growth, exerts a detrimental effect on the bacteria, or compromises survival during the pre-ingestion phase in the feeder (glass artificial feeding apparatus used to deliver the infectious blood meal). However, HPLM supported in vitro growth of Y. pestis at both 21°C and 37°C, sustaining bacterial proliferation despite modest differences in growth kinetics relative to standard laboratory media (S1a-c Fig). In line with this, bacterial counts remaining in the glass artificial feeder after 1 hour were comparable across meal (S1d Fig), ruling out significant bacterial death prior to ingestion.
We therefore tested whether plasma constituents could restore early survival by supplementing HPLM with either bovine serum albumin (BSA) or a defined lipid mixture. Only BSA rescued early bacterial viability, partially rescuing infection rates and bacterial loads (Fig 1D and 1E), whereas the lipid mixture had no effect. Together, these data identify plasma proteins as key blood-borne constituents contributing to early survival in the flea.
Because oxidative stress is a constitutive defense in the flea gut [4,11], we tested whether plasma proteins promote early Y. pestis survival by mitigating this stress. Pre-feeding fleas with the thiol antioxidant N-acetylcysteine (NAC) lowered whole-gut H2O2 levels (Fig 1F and 1G) and increased Y. pestis survival when fleas were later fed on HPLM without BSA (Fig 1H and 1I). Importantly, NAC was absent from the infectious meal and is bactericidal to Y. pestis at the concentrations used (S1 Table), indicating a host-mediated effect.
Consistent with a redox-based mechanism, BSA supplementation attenuated the loss of Y. pestis survival induced by H2O2 in an in vitro oxidative stress assay (Fig 1J). Although we did not directly quantify H2O2 levels in the presence of BSA in vivo, the similar effects of NAC pre-treatment and BSA supplementation on early bacterial survival (Fig 1D,1E,1H, and 1I), together with the attenuation of H2O2-induced survival loss observed in vitro (Fig 1J), support a role for plasma proteins in mitigating oxidative stress in the flea gut.
To further explore the molecular basis of this effect, we tested whether bacterial survival requires intact BSA or could be recapitulated by free thiol-containing amino acids. Survival was preserved in fleas fed on HPLM supplemented with intact BSA or protease-treated BSA, but not in the presence of a free cysteine-containing peptide (Fig 1K-1L). These observations suggest that the observed effect does not rely solely on free cysteine residues or amino acid composition, but instead depends on protein or large-fragment context rather than free amino acids alone. The precise molecular mechanisms underlying this effect remain to be determined.
Albumin is the most abundant plasma protein, representing approximately 60% of total plasma protein content. In this study, we used commercially available BSA as a representative plasma protein to investigate the contribution of plasma components to early Y. pestis survival in the flea. A limitation of this approach is that albumin was not purified directly from plasma and that other plasma constituents, such as globulins or fibrinogen, which together represent a substantial fraction of the plasma proteome, were not individually tested. As a result, this experimental setup may not fully recapitulate the complexity of the plasma protein milieu encountered by Y. pestis in vivo, and additional plasma components may also contribute to the observed effect on early bacterial survival.
Collectively, these results underscore that in vector biology, the host’s own blood can shape the earliest steps of infection, a principle likely to extend to many arthropod-borne pathogens.
Materials and methods
Ethics
No live vertebrate animals were used in this study. Mouse whole blood, plasma, and serum (strain OF1) were purchased from Charles River, France.
Bacterial strain and growth conditions
Yersinia pestis KIM6+ [12] was cultured in Heart Infusion Broth (HIB; BD 238400), Lysogeny Broth (LB; BD 240230) or Human Plasma-Like Medium (HPLM; Gibco A48991-01). Prior to use, all media, including HPLM and its variants supplemented with BSA or lipid mix, were adjusted to a final pH of 7.4 using NaOH. Cultures were incubated at 21, 28 or 37 °C under shaking or static conditions. Growth was monitored by optical density at 600 nm (OD600). For enumeration, serial dilutions were plated on HIB agar (HIB plus 1.5% agar; BD 281230) supplemented with Irgasan (Merck 72779) and hemin (Sigma H9039). Colony-forming units (c.f.u.) were counted after 48 h incubation at 28°C.
Flea infection
The infection protocol followed BEI Resources [13]. After culture in 8 mL of HIB at 28°C for 24 h without shaking, bacteria were expanded into 92 mL of the same medium and incubated at 37 °C for 20 h without shaking, pelleted and resuspended in DPBS (Gibco 14190–094), then added to membrane feeders with mixtures adjusted to 5 × 108 c.f.u. per mL. Seven-day-starved Xenopsylla cheopis fleas were allowed to feed for 1 h on the membrane feeders. Fully engorged female fleas were collected immediately after the feeding period (“≤1 h”), which represents an early post-ingestion time point [14], and then maintained at 21 °C and 75% relative humidity until use. Feeding media were heparinized blood, plasma or serum, and HPLM (Gibco A48991-01) used either alone or supplemented with bovine serum albumin (BSA; Thermo Scientific A0456723), BSA treated with proteinase K prior to supplementation, a lipid mixture (Sigma L5146) or a synthetic peptide (CVISRSPEDIPSQEL, Genscript). The BSA or peptide concentration (75 µg/µL) matched the total protein measured in OF1 mouse plasma (76.8 ± 7.2 µg/µL; n = 5; Pierce BCA Protein Assay Kit, Thermo Scientific 23227), and lipids were added at 1:1,000 according to the manufacturer’s recommendation for insect cell culture. Infection prevalence and bacterial loads were determined by homogenizing individual fleas and plating on HIB agar supplemented with Irgasan (Merck 72779) and hemin (Sigma H9039). The raw data from each flea infection are provided in S1 Table.
Proteinase K treatment
Proteinase K (activity >2.5 U/mg, casein, 37 °C, Macherey-Nagel 740952) was used at a stock concentration of 20 mg/mL and added to HPLM at a final concentration of 0.2 mg/mL, corresponding to ≥0.5 U/mL (10 µL per mL of medium). Samples were incubated at 56 °C for 1 h to allow protein digestion. The efficiency of BSA degradation under these conditions was confirmed by SDS-PAGE analysis (S2 Fig).
Antioxidant treatment
Prior to infection, three groups of 130 female X. cheopis were fed twice, 3 days apart, on blood containing 20 mM NAC (Thermo Scientific 160280500). In parallel, control groups were fed identically on untreated blood, hereafter referred to as “Mock”.
Oxidative stress quantification in flea gut
Under a stereomicroscope, whole guts were collected from unfed fleas or from fleas fed on HPLM and placed into 50 µL PBS containing 2 mg/mL aminotriazole (Thermo Scientific A14871.18). Hydrogen peroxide was quantified in gut homogenates using the Pierce Quantitative Peroxide Assay Kit (Thermo Scientific 23280). A standard curve was prepared with hydrogen peroxide solution (Sigma H1009), and concentrations were expressed as mM H2O2.
In vitro oxidative stress survival assay
To assess survival following oxidative stress, bioluminescent Y. pestis KIM6+ (Yplux) [15] grown to mid-log phase in HPLM was harvested by centrifugation, resuspended in HPLM with or without BSA to 5 × 104 c.f.u. per mL, and distributed into 384-well plates. Baseline luminescence was recorded, 20 mM H2O2 was added, and plates were incubated for 5 min before a second read. Survival was expressed as the ratio of luminescence after to before exposure.
Supporting information
S1 Table. Raw data from the experiments presented.
The table includes the bacterial culture medium used (1), the optical density of the culture (2). It also details the flea treatment conditions, including administration of the antioxidant molecule N-acetylcysteine (NAC) (3), the composition of the nutrient meal in which bacteria were inoculated and used for the infectious meal (4), the total number of fleas collected after feeding (5), the number of fleas collected at ≤1, 6, 24, and 48 hours post-feeding (6), and the corresponding percentage of infected fleas at each time point (7). ND: not determined.
https://doi.org/10.1371/journal.ppat.1014022.s001
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S1 Fig. Growth analysis of Y. pestis KIM6⁺ in HIB, LB, and HPLM supplemented or not with BSA.
(a-b) Growth curves (mean ± SD, n = 3 biological replicates) measured by optical density at 600 nm (OD600nm) over time at 21°C (a) or 37°C (b) with shaking. Standard deviations are not readily visible due to the semi-logarithmic scale. (c) Doubling times were determined by linear regression of ln(OD600) versus time during the exponential phase (0-4.75 h) and calculated as ln(2)/μ. Each dot represents the doubling time obtained from an individual biological replicate. Data are presented as mean ± 95% confidence interval. For each temperature, doubling times across media were compared using a two-way ANOVA. Statistical significance is indicated as follows: ***p < 0.001; ****p < 0.0001. (d) Bacterial load (c.f.u.) in the feeder after the one-hour feeding period for the infections shown in Fig 1d and 1e.
https://doi.org/10.1371/journal.ppat.1014022.s002
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S2 Fig. SDS-PAGE analysis of BSA degradation following proteinase K treatment.
HPLM alone (lane 1), HPLM supplemented with BSA without proteinase K treatment (lane 2), and HPLM supplemented with BSA after proteinase K treatment (lane 3) were analyzed by SDS-PAGE. For each sample, 5 µL of medium were mixed with 2 µL of Laemmli Sample Buffer (Bio-Rad, 1610747), heated at 100 °C for 5 min, and loaded onto a 4–20% Mini-PROTEAN TGX precast gel (Bio-Rad, 4561095). Electrophoresis was performed using TG-SDS running buffer (Euromedex, EU0510). A PageRuler Prestained Protein Ladder (Thermo Scientific, 26616) was used as a molecular weight marker. Proteins were stained with Coomassie Brilliant Blue R-250 (Sigma-Aldrich, B-0149).
https://doi.org/10.1371/journal.ppat.1014022.s003
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Acknowledgments
The authors would like to thank Dr Benjamin Baetz, Camille Dupont and Blandine Charlet for their assistance, and members of Sebbane’s lab for discussion and suggestions.
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