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.

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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