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Updated: Jun 24, 2026

Bone Marrow-derived Macrophage Production
Published on: November 22, 2013
Role of p38 and early growth response factor 1 in the macrophage response to group B streptococcus
Sybille Kenzel1, Sandra Santos-Sierra, Sachin D Deshmukh
1Center for Pediatric and Adolescent Medicine, University Medical Center Freiburg, Freiburg, Germany.
Abstract:
Group B streptococcus (GBS), the most frequent single isolate in neonatal sepsis and meningitis, potently activates inflammatory macrophage genes via myeloid differentiation antigen 88 (MyD88). However, events parallel to and downstream of MyD88 that instruct the macrophage response are incompletely understood. In this study, we found that only MyD88, not the Toll-like receptor (TLR) adapter proteins MAL/TIRAP, TRIF, and TRAM, essentially mediates the cytokine (tumor necrosis factor [TNF] and interleukin-6) and chemokine (RANTES) responses to whole GBS organisms, although MAL, TRIF, and TRAM have been shown to mediate the responses to substructures in other gram-positive and gram-negative bacteria. GBS-induced, MyD88-dependent phosphorylation of the mitogen-activated protein kinase p38 activated the transcription factor AP-1 and early growth response factor 1 (Egr-1) but not NF-kappaB. Furthermore, phosphorylation of Ets-like molecule 1 (Elk-1) was mediated by p38. However, in contrast to Egr-1 and AP-1, Elk-1 was dispensable for transcriptional activation of TNF by GBS organisms. Studies of macrophages from Elk-1-deficient mice revealed that Elk-1 was furthermore nonessential for the TNF responses to purified TLR2 and TLR4 agonists, which was in notable contrast to what was revealed in studies employing in vitro expression systems. In conclusion, MyD88, p38, and Egr-1, but not Elk-1, essentially mediate the inflammatory cytokine response to GBS organisms.
Insights
Group B Streptococcus (GBS) triggers inflammatory macrophage responses primarily through MyD88, a key adapter protein. This study identifies p38 and Egr-1 as essential mediators, while Elk-1 plays a dispensable role in GBS-induced cytokine production.
Area of Science:
- Immunology
- Microbiology
- Molecular Biology
Background:
- Group B Streptococcus (GBS) is a leading cause of neonatal sepsis and meningitis.
- GBS potently activates inflammatory macrophage genes via myeloid differentiation antigen 88 (MyD88).
- The precise downstream signaling events following MyD88 activation in response to GBS remain incompletely understood.
Purpose of the Study:
- To elucidate the specific adapter proteins and signaling pathways involved in the macrophage response to GBS.
- To determine the roles of various Toll-like receptor (TLR) adapter proteins and downstream signaling molecules in GBS-induced inflammation.
Main Methods:
- Investigated the role of MyD88, MAL/TIRAP, TRIF, and TRAM in mediating GBS-induced cytokine and chemokine responses.
- Analyzed GBS-induced phosphorylation of mitogen-activated protein kinase p38 and its downstream targets, including AP-1, Egr-1, NF-kappaB, and Elk-1.
- Utilized macrophages from Elk-1-deficient mice to assess the necessity of Elk-1 in GBS and TLR agonist responses.
Main Results:
- MyD88, but not MAL/TIRAP, TRIF, or TRAM, was essential for GBS-induced TNF, IL-6, and RANTES responses.
- GBS-induced p38 phosphorylation activated AP-1 and Egr-1, but not NF-kappaB.
- Elk-1 phosphorylation by p38 was observed, but Elk-1 was dispensable for GBS-induced TNF production and responses to TLR2/TLR4 agonists in macrophages.
Conclusions:
- MyD88 is the essential adapter protein mediating GBS-induced inflammatory cytokine responses.
- The p38/Egr-1 pathway is critical for GBS-induced macrophage activation.
- Elk-1 is not essential for the inflammatory cytokine response to GBS organisms in macrophages, contrary to in vitro findings.
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