Pseudomonas aeruginosa is a re-emerging, multi-drug resistant pathogen responsible for a large number of hospital-acquired infections each year. Virulence in this organism largely requires siderophore pyoverdine, which plays a central role in growth and regulation of a number of toxins and other pathogenic determinants. Here, we show that pyoverdine also directly damages host tissues by removing iron, disrupting normal metabolic functions. We demonstrate that pyoverdine can translocate into C. elegans cells, even in the absence of live pathogen. Once inside, pyoverdine binds intracellular iron, making it unavailable to the host. Within a short period of time, iron-bound pyoverdine exits the cell, significantly depleting host iron. Since mitochondria are a rich source of iron within the host, we assayed mitochondrial health in C. elegans exposed to pyoverdine. Using mitochondrially-targeted GFP, we demonstrate that pyoverdine causes extensive mitochondrial disruption. Such damage is sufficient to severely compromise host ATP production. Finally, a PINK-1-GFP reporter demonstrated that pyoverdine-mediated damage activates mitophagy. Using transcriptional profiling, we investigated the host immune response to pyoverdine. Microarray data indicates that pyoverdine exposure triggers a SKN-1 independent detoxification response that resembles a response to hypoxia. In contrast, C. elegans genes upregulated by pyoverdine bear little resemblance to those activated by P. aeruginosa in slow kill assays or infection with Yersinia pestis and Candida albicans. Cystic fibrosis (CF) patients are particularly sensitive to P. aeruginosa infections, and infection strongly correlates with pronounced downturn in patient prognosis., Despite the general importance of pyoverdine in P. aeruginosa virulence, its role in CF pathology is controversial. We used a pair of humanized
pgp-3/CFTR alleles (one intact, one missing F508, which recapitulates the most common genetic lesion causing CF) to assess the impact of this allele on pyoverdine sensitivity. Surprisingly, the CF allele of
pgp-3/CFTR dramatically increases sensitivity to pyoverdine damage. Our study demonstrates a mechanism for pyoverdine toxicity for the first time. We show that pyoverdine causes substantial mitochondrial damage, and that host activates a specific immune response to this damage. Finally, our data suggest that CF patients may have a previously unappreciated hypersensitivity to pyoverdine damage.