Cytoadherence-dependent induction of inflammatory responses by Mycoplasma pneumoniae
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Updated: Jun 4, 2026

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Published on: February 24, 2023
Takashi Shimizu1, Yutaka Kida, Koichi Kuwano
1Division of Microbiology, Department of Infectious Medicine, Kurume University School of Medicine, Kurume, Japan. takashi@med.kurume-u.ac.jp
Abstract:
Pathogenesis of Mycoplasma pneumoniae infection is considered to be in part attributed to excessive immune responses. Mycoplasma pneumoniae shows strong cytoadherence to host cells and this cytoadherence is thought to be involved in the progression of pneumonia. However, the interaction between the cytoadherence and the immune responses is not known in detail. In this study, we demonstrated that the induction of pro-inflammatory cytokines in the human monocyte cell line THP-1 is dependent on the property of cytoadherence of M. pneumoniae. A wild-type strain of M. pneumoniae with cytoadherence ability induced pro-inflammatory cytokines such as tumour necrosis factor-α and interleukin-1β (IL-1β). Whereas, heat-killed M. pneumoniae and cytoadherence-deficient mutants of M. pneumoniae caused significantly less production of pro-inflammatory cytokines than the wild-type strain. The wild-type strain induced pro-inflammatory cytokines in an endocytosis-independent manners, but the induction by heat-killed M. pneumoniae and cytoadherence-deficient mutants was dependent on endocytosis. Moreover, the wild-type strain induced caspase-1 production and ATP efflux, promoting the maturation of IL-1β and release of the pro-IL-1β precursor, whereas heat-killed M. pneumoniae and the cytoadherence-deficient mutants failed to induce them. These data suggest that the cytoadherence ability of M. pneumoniae activates immune responses and is involved in the pathogenesis of M. pneumoniae infection.
Insights
Mycoplasma pneumoniae cytoadherence triggers pro-inflammatory cytokine release, driving infection pathogenesis. This immune response is crucial for Mycoplasma pneumoniae-induced pneumonia development.
Area of Science:
- Immunology
- Microbiology
- Cell Biology
Background:
- Mycoplasma pneumoniae infection pathogenesis involves excessive immune responses.
- Cytoadherence of M. pneumoniae to host cells is implicated in pneumonia progression.
- The detailed interaction between M. pneumoniae cytoadherence and host immune responses remains unclear.
Purpose of the Study:
- To investigate the role of M. pneumoniae cytoadherence in inducing pro-inflammatory cytokine production.
- To elucidate the mechanisms by which M. pneumoniae cytoadherence influences immune activation.
- To understand the contribution of M. pneumoniae cytoadherence to infection pathogenesis.
Main Methods:
- Utilized the human monocyte cell line THP-1.
- Compared cytokine induction by wild-type M. pneumoniae, heat-killed M. pneumoniae, and cytoadherence-deficient mutants.
- Assessed cytokine production, endocytosis dependence, caspase-1 activation, and ATP efflux.
Main Results:
- Wild-type M. pneumoniae with cytoadherence induced significant pro-inflammatory cytokines (TNF-α, IL-1β) in THP-1 cells.
- Heat-killed and cytoadherence-deficient M. pneumoniae induced lower levels of these cytokines.
- Wild-type strain induced cytokines independent of endocytosis, activating caspase-1 and ATP efflux for IL-1β maturation, unlike mutants.
Conclusions:
- M. pneumoniae cytoadherence is a key factor in activating pro-inflammatory immune responses.
- This cytoadherence-dependent immune activation contributes to the pathogenesis of M. pneumoniae infections.
- Targeting M. pneumoniae cytoadherence may offer therapeutic strategies for pneumonia.
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