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Updated: Jun 14, 2026

Implementation of a Permeable Membrane Insert-based Infection System to Study the Effects of Secreted Bacterial Toxins on Mammalian Host Cells
Published on: August 19, 2016
Activation of TAFI on the surface of Streptococcus pyogenes evokes inflammatory reactions by modulating the
Sara H Bengtson1, Caroline Sandén, Matthias Mörgelin
1Department of Clinical Sciences, Section for Clinical and Experimental Infection Medicine, Lund University, Lund, Sweden. Sara.Mattsson@med.lu.se
Abstract:
Bacteria-controlled regulation of host responses to infection is an important virulence mechanism that has been demonstrated to contribute to disease progression. Here we report that the human pathogen Streptococcus pyogenes employs the procarboxypeptidase TAFI (thrombin-activatable fibrinolysis inhibitor) to modulate the kallikrein/kinin system. To this end, bacteria initiate a chain of events starting with the recruitment and activation of TAFI. This is followed by the assembly and induction of the contact system at the streptococcal surface, eventually triggering the release of bradykinin (BK). BK is then carboxyterminally truncated by activated TAFI, which converts the peptide from a kinin B(2) receptor ligand to a kinin B(1) receptor (B1R) agonist. Finally, we show that streptococcal supernatants indirectly amplify the B1R response as they act on peripheral blood mononuclear cells to secrete inflammatory cytokines that in turn stimulate upregulation of the B1R on human fibroblasts. Taken together our findings implicate a critical and novel role for streptococci-bound TAFI, as it processes BK to a B1R agonist at the bacterial surface and thereby may redirect inflammation from a transient to a chronic state.
Insights
Streptococcus pyogenes uses thrombin-activatable fibrinolysis inhibitor (TAFI) to alter host inflammation. This pathogen-bound TAFI converts bradykinin (BK) into a B1 receptor agonist, potentially prolonging inflammation.
Area of Science:
- Microbiology
- Immunology
- Biochemistry
Background:
- Bacterial virulence involves modulating host responses.
- The kallikrein/kinin system plays a role in inflammation and infection.
Purpose of the Study:
- To investigate the role of Streptococcus pyogenes in modulating the kallikrein/kinin system.
- To elucidate the mechanism by which S. pyogenes influences host inflammatory responses.
Main Methods:
- Investigated the interaction between S. pyogenes and thrombin-activatable fibrinolysis inhibitor (TAFI).
- Analyzed the effect of TAFI on the contact system and bradykinin (BK) processing.
- Assessed the impact of bacterial supernatants on inflammatory cytokine production and receptor expression.
Main Results:
- S. pyogenes recruits and activates TAFI on its surface.
- TAFI processes BK into a kinin B(1) receptor (B1R) agonist.
- Bacterial supernatants induce inflammatory cytokines that upregulate B1R on fibroblasts.
Conclusions:
- Streptococci-bound TAFI plays a novel role in processing BK to a B1R agonist.
- This mechanism may redirect acute inflammation towards a chronic state.
- Understanding this interaction is crucial for developing new therapeutic strategies against S. pyogenes infections.
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