Platelet-activating factor receptor and ADAM10 mediate responses to Staphylococcus aureus in epithelial cells
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Updated: May 5, 2026

Invasion of Human Cells by a Bacterial Pathogen
Published on: March 21, 2011
Hassan Lemjabbar1, Carol Basbaum
1Biomedical Sciences Program, Cardiovascular Research Institute and Department of Anatomy, University of California, San Francisco, California, USA.
Abstract:
In the lungs of cystic fibrosis patients, overproduction of mucus leads to morbidity and mortality by obstructing airflow and shielding bacteria from antibiotics. Here we demonstrate that overproduction of mucus is a direct result of the activation of mucin gene expression by Gram-positive bacteria. Bacterial lipoteichoic acid activates the platelet-activating factor receptor, which is G protein-coupled. This results in activation of a disintegrin and metalloproteinase (ADAM10), kuzbanian, cleavage of pro heparin-binding epidermal growth factor and activation of the epidermal growth factor receptor. Unlike responses in macrophages, the epithelial-cell response to lipoteichoic acid does not require Toll-like receptor 2 or 4.
Insights
Gram-positive bacteria trigger excessive mucus in cystic fibrosis lungs by activating mucin gene expression. This bacterial lipoteichoic acid pathway bypasses certain receptors seen in other cells.
Area of Science:
- Cellular biology
- Microbiology
- Respiratory medicine
Background:
- Cystic fibrosis (CF) involves mucus hypersecretion, leading to airflow obstruction and bacterial infections.
- Bacterial components are implicated in CF pathogenesis, but the precise mechanisms driving mucus overproduction are not fully understood.
Purpose of the Study:
- To elucidate the molecular mechanisms by which Gram-positive bacteria induce mucin gene expression and mucus overproduction in CF.
- To identify the specific bacterial factors and host cell receptors involved in this aberrant response.
Main Methods:
- Investigated the role of bacterial lipoteichoic acid (LTA) in activating host cell signaling pathways.
- Utilized cell culture models representing airway epithelium.
- Examined the involvement of platelet-activating factor receptor (PAFR), ADAM10, and epidermal growth factor receptor (EGFR) signaling.
Main Results:
- Demonstrated that Gram-positive bacterial LTA directly activates mucin gene expression.
- Identified a signaling cascade involving LTA-PAFR-ADAM10-EGFR activation in epithelial cells.
- Showed that this response in epithelial cells does not require Toll-like receptors 2 or 4 (TLR2/4), unlike in macrophages.
Conclusions:
- Gram-positive bacteria directly stimulate mucin production in CF airway epithelium via a novel LTA-PAFR-ADAM10-EGFR pathway.
- This mechanism highlights a distinct epithelial cell response to bacterial stimuli, independent of TLRs.
- Findings offer potential therapeutic targets for reducing mucus hypersecretion in cystic fibrosis.
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