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The effect of Streptococcus pneumoniae pneumolysin on human respiratory epithelium in vitro

C Feldman1, T J Mitchell, P W Andrew

  • 1Department of Thoracic Medicine, National Heart and Lung Institute, London, U.K.

Microbial Pathogenesis
|October 1, 1990
PubMed

Insights

Pneumolysin, a toxin from Streptococcus pneumoniae, damages respiratory epithelium and slows ciliary beating. This study confirms pneumolysin is the sole cause of these effects, crucial for understanding lung infections.

Area of Science:

  • Microbiology
  • Respiratory Medicine
  • Toxicology

Background:

  • Streptococcus pneumoniae is a major cause of respiratory infections.
  • Pneumolysin is a key virulence factor produced by S. pneumoniae.
  • The effects of pneumolysin on respiratory epithelium and ciliary function are not fully understood.

Purpose of the Study:

  • To investigate the role of pneumolysin in damaging respiratory epithelium and affecting ciliary beating.
  • To quantify the dose-dependent effects of pneumolysin on ciliary function.
  • To explore the relationship between pneumolysin activity, pH, and other bacterial factors.

Main Methods:

  • In vitro organ culture of human respiratory epithelium.
  • Use of polyclonal pneumolysin antibody for toxin neutralization.
  • Measurement of ciliary beating frequency.
  • Quantification of pneumolysin concentration and hemolytic activity.
  • pH monitoring of culture medium.

Main Results:

  • Pneumolysin alone, isolated from culture filtrates, caused dose-dependent ciliary slowing and epithelial damage.
  • Significant effects were observed at concentrations as low as 5 ng/ml.
  • Loss of ciliary slowing activity at later time points was linked to acidic pH, which was reversible upon neutralization.
  • Ciliary slowing activity strongly correlated with hemolytic activity (r=0.95).
  • A specific mutation (Trp433Phe) reduced toxin activity but not complement activation.

Conclusions:

  • Pneumolysin is the primary virulence factor responsible for ciliary dysfunction and epithelial damage caused by Streptococcus pneumoniae.
  • The activity of pneumolysin is pH-dependent, with acidic conditions reducing its impact on ciliary beating.
  • Specific structural features of pneumolysin influence its hemolytic and ciliary slowing activities.

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