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Using a Bacterial Pathogen to Probe for Cellular and Organismic-level Host Responses
Published on: February 22, 2019
M1 protein-dependent intracellular trafficking promotes persistence and replication of Streptococcus pyogenes in
Erika Hertzén1, Linda Johansson, Robert Wallin
1Center for Infectious Medicine, Karolinska Institutet, Stockholm, Sweden.
Abstract:
Streptococcus pyogenes is an important human pathogen that causes a variety of diseases including life-threatening invasive diseases, such as toxic shock and deep tissue infections. Although S. pyogenes are classically considered extracellular pathogens, a clinical significance of an intracellular source has been emphasized. In patients with deep tissue infections, an intracellular reservoir of S. pyogenes within macrophages was shown to contribute to prolonged bacterial persistence. Here we demonstrate that intracellular survival of S. pyogenes in macrophages is associated with an M1 protein-dependent intracellular trafficking in the phagosomal-lysosomal pathway, which results in impaired fusion with lysosomes. The phagocytic vacuoles harbouring M1 protein-expressing bacteria not only served as a safe haven for the bacteria, but also as a replicating niche. An M1 protein-dependent modulation of macrophages was further supported by differences in NF-κB signalling between cells infected with either the wild-type or M1 protein-deficient strains, thereby indicating a suppressed inflammatory response when M1 protein was involved. Evidence of egress of bacteria out of their host cell and subsequent re-infection of new cells emphasize the importance of intracellular bacteria as a reservoir for dissemination of infection and continued tissue injury.
Insights
Streptococcus pyogenes survives inside macrophages by evading the lysosomal pathway, creating a protected niche for replication. This intracellular reservoir promotes prolonged infection and spread, highlighting a critical aspect of invasive Streptococcus pyogenes disease.
Area of Science:
- Microbiology
- Immunology
- Pathogen Biology
Background:
- Streptococcus pyogenes is a significant human pathogen causing severe diseases.
- While often extracellular, intracellular reservoirs of S. pyogenes within macrophages are linked to persistent infections, especially in deep tissue infections.
Purpose of the Study:
- To investigate the mechanisms of intracellular survival of Streptococcus pyogenes in macrophages.
- To determine the role of the M1 protein in S. pyogenes intracellular trafficking and host cell response.
Main Methods:
- Infection of macrophages with wild-type and M1 protein-deficient Streptococcus pyogenes strains.
- Analysis of intracellular trafficking using phagosomal-lysosomal pathway markers.
- Assessment of NF-κB signaling pathway activation.
Main Results:
- Intracellular Streptococcus pyogenes utilizes M1 protein-dependent trafficking, impairing phagosome-lysosome fusion and creating a replication niche.
- M1 protein expression by S. pyogenes suppresses NF-κB signaling in macrophages, reducing inflammatory response.
- Bacteria were observed to egress from host cells, re-infecting new cells, indicating dissemination potential.
Conclusions:
- The M1 protein is crucial for Streptococcus pyogenes intracellular survival and replication within macrophages.
- Intracellular S. pyogenes acts as a reservoir, facilitating infection persistence, dissemination, and tissue damage.
- Targeting intracellular Streptococcus pyogenes may be a strategy to combat persistent and invasive infections.
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