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Using a Bacterial Pathogen to Probe for Cellular and Organismic-level Host Responses
Published on: February 22, 2019
H(2)O(2)-nonproducing Streptococcus pyogenes strains: survival in stationary phase and virulence in chronic
Mitsumasa Saito1, Shouichi Ohga1, Miyoko Endoh2
1Departments of Bacteriology1 and Pediatrics2, Faculty of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.
Abstract:
The production of hydrogen peroxide (H(2)O(2)) and related phenotypes were studied with Streptococcus pyogenes strains isolated from cases of pharyngitis or severe group A streptococcal infections. Of the 46 strains examined (34 from severe infections and 12 from pharyngitis cases), 25 strains accumulated H(2)O(2) in the culture medium when grown under glucose-limited, aerobic conditions, whereas the rest of the strains did not. There was no correlation between these traits and the type of disease from which each strain had been isolated. The H(2)O(2)-nonproducing strains tested in this study belonged to T type 3 or T type 12. The accumulation of H(2)O(2) started when the culture reached the late exponential phase. A rapid loss of cell viability accompanied H(2)O(2) accumulation but was completely prevented by the addition of a catalase, indicating that the lethality was actually caused by H(2)O(2). Cells of H(2)O(2)-nonproducing strains were resistant to killing by phagocytes from patients with chronic granulomatous disease (CGD), whereas those of H(2)O(2)-producing strains were subject to killing. Subcutaneous inoculation of 10(5) c.f.u. H(2)O(2)-nonproducing S. pyogenes strains into the hind footpads of CGD mice provoked more prominent swelling of the footpad than did H(2)O(2)-producing strains. The mortality rate in the CGD mice infected with the H(2)O(2)-nonproducing strains was higher than that produced by the H(2)O(2)-producing strains. It is suggested that H(2)O(2)-nonproducing S. pyogenes strains are prevalent in humans and that they may be a potential threat to the health of CGD patients.
Insights
Hydrogen peroxide (H2O2) production varies in Streptococcus pyogenes. Non-producing strains are more virulent in mice and pose a threat to patients with chronic granulomatous disease (CGD).
Area of Science:
- Microbiology
- Immunology
- Pathogen Biology
Background:
- Streptococcus pyogenes causes pharyngitis and severe infections.
- Hydrogen peroxide (H2O2) production is a phenotype studied in S. pyogenes.
- The role of H2O2 in S. pyogenes virulence and host interaction is not fully understood.
Purpose of the Study:
- To investigate H2O2 production in S. pyogenes strains from different infection types.
- To determine the impact of H2O2 production on S. pyogenes virulence and survival.
- To assess the susceptibility of H2O2-producing and non-producing strains to phagocyte killing, particularly in the context of chronic granulomatous disease (CGD).
Main Methods:
- Isolation and characterization of S. pyogenes strains from pharyngitis and severe infections.
- Culturing strains under specific conditions to measure H2O2 accumulation.
- Assessing cell viability and the role of H2O2 in lethality using catalase.
- Evaluating resistance to phagocyte killing from CGD patients.
- Inoculating CGD mice with different S. pyogenes strains to assess virulence and mortality.
Main Results:
- 25 out of 46 S. pyogenes strains accumulated H2O2 under glucose-limited, aerobic conditions.
- H2O2 accumulation correlated with a loss of cell viability, preventable by catalase.
- H2O2-nonproducing strains showed resistance to CGD phagocyte killing.
- In CGD mice, H2O2-nonproducing strains caused more severe footpad swelling and higher mortality rates.
- No correlation was found between H2O2 production and disease type or T type.
Conclusions:
- H2O2-nonproducing S. pyogenes strains are prevalent and may pose a significant health risk to individuals with CGD.
- H2O2 production influences S. pyogenes virulence and interaction with the host immune system.
- Understanding these phenotypes is crucial for managing S. pyogenes infections, especially in immunocompromised individuals.
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