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Published on: July 3, 2026
Entry and intracellular replication of Escherichia coli K1 in macrophages require expression of outer membrane
Sunil K Sukumaran1, Hiroyuki Shimada, Nemani V Prasadarao
1Division of Infectious Diseases, Children's Hospital Los Angeles and Keck School of Medicine, University of Southern California, 4650 Sunset Boulevard, Los Angeles, CA 90027, USA.
Abstract:
Interactions between Escherichia coli K1, which causes meningitis in neonates, and macrophages have not been explored well. In this study we found that E. coli K1 was able to enter, survive, and replicate intracellularly in both murine and human macrophage cell lines, as well as in monocytes and macrophages of newborn rats. In addition, we demonstrated that OmpA (+) E. coli also enters and replicates in human peripheral blood monocytes in vitro. Outer membrane protein A (OmpA) expression on E. coli contributes to binding to macrophages, phagocytosis, and survival within macrophages. Opsonization with either complement proteins or antibody is not required for uptake and survival of the bacteria within the macrophages. Transmission electron microscopy and immunocytochemistry studies with the infected macrophages indicated that OmpA(+) E. coli multiplies enormously in a single phagosome and bursts the cell. Internalization of OmpA(+) E. coli by RAW 264.7 cells occurred by both actin- and microtubule-dependent processes, which are independent of RGD-mediated integrin receptors. Internalization and intracellular survival within phagocytic cells thus may play an important role in the development of bacteremia, which is crucial for E. coli crossing of the blood-brain barrier.
Insights
Escherichia coli K1 invades macrophages, surviving and replicating inside them. Outer membrane protein A (OmpA) enhances this interaction, facilitating bacterial entry and survival, which may contribute to meningitis development.
Area of Science:
- Microbiology
- Immunology
- Neonatal Infectious Diseases
Background:
- Escherichia coli K1 is a significant cause of neonatal meningitis.
- The interaction between E. coli K1 and macrophages remains poorly understood.
Purpose of the Study:
- To investigate the interaction between E. coli K1 and macrophages.
- To determine the role of Outer membrane protein A (OmpA) in this interaction.
Main Methods:
- In vitro studies using murine and human macrophage cell lines, monocytes, and macrophages from newborn rats.
- Opsonization assays.
- Transmission electron microscopy and immunocytochemistry.
- Cellular process studies (actin and microtubule dependence).
Main Results:
- E. coli K1 enters, survives, and replicates intracellularly in macrophages and monocytes.
- OmpA expression on E. coli facilitates binding, phagocytosis, and intracellular survival.
- Bacterial uptake and survival are independent of opsonization.
- OmpA(+) E. coli replicates within a single phagosome, leading to cell lysis.
- Internalization involves actin- and microtubule-dependent pathways, independent of RGD-mediated integrin receptors.
Conclusions:
- Intracellular survival and replication of E. coli K1 within phagocytic cells are critical for bacteremia and subsequent blood-brain barrier crossing.
- OmpA is a key virulence factor for E. coli K1 interaction with macrophages.
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