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Updated: May 29, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
A Staphylococcus aureus pore-forming toxin subverts the activity of ADAM10 to cause lethal infection in mice
Ichiro Inoshima1, Naoko Inoshima, Georgia A Wilke
1Department of Pediatrics, University of Chicago, Chicago, Illinois, USA.
Abstract:
Staphylococcus aureus is a major cause of human disease, responsible for half a million infections and approximately 20,000 deaths per year in the United States alone. This pathogen secretes α-hemolysin, a pore-forming cytotoxin that contributes to the pathogenesis of pneumonia. α-hemolysin injures epithelial cells in vitro by interacting with its receptor, the zinc-dependent metalloprotease ADAM10 (ref. 6). We show here that mice harboring a conditional disruption of the Adam10 gene in lung epithelium are resistant to lethal pneumonia. Investigation of the molecular mechanism of toxin-receptor function revealed that α-hemolysin upregulates ADAM10 metalloprotease activity in alveolar epithelial cells, resulting in cleavage of the adherens junction protein E-cadherin. Cleavage is associated with disruption of epithelial barrier function, contributing to the pathogenesis of lethal acute lung injury. A metalloprotease inhibitor of ADAM10 prevents E-cadherin cleavage in response to Hla; similarly, toxin-dependent E-cadherin proteolysis and barrier disruption is attenuated in ADAM10-knockout mice. Together, these data attest to the function of ADAM10 as the cellular receptor for α-hemolysin. The observation that α-hemolysin can usurp the metalloprotease activity of its receptor reveals a previously unknown mechanism of pore-forming cytotoxin action in which pathologic insults are not solely the result of irreversible membrane injury and defines ADAM10 inhibition as a strategy to attenuate α-hemolysin-induced disease.
Insights
Staphylococcus aureus alpha-hemolysin causes pneumonia by upregulating ADAM10 activity, leading to E-cadherin cleavage and lung injury. Inhibiting ADAM10 may prevent alpha-hemolysin-induced diseases.
Area of Science:
- Microbiology
- Pathogenesis
- Cell Biology
Background:
- Staphylococcus aureus is a significant cause of human infections and mortality.
- Alpha-hemolysin (Hla) is a key virulence factor contributing to S. aureus-induced pneumonia.
- Hla interacts with its receptor, ADAM10, a metalloprotease, to injure epithelial cells.
Purpose of the Study:
- To investigate the role of ADAM10 as the cellular receptor for alpha-hemolysin.
- To elucidate the molecular mechanism by which alpha-hemolysin contributes to pneumonia pathogenesis.
- To evaluate ADAM10 inhibition as a therapeutic strategy against alpha-hemolysin-induced lung injury.
Main Methods:
- Utilized mice with conditional Adam10 gene disruption in lung epithelium.
- Investigated the molecular interaction between alpha-hemolysin and ADAM10.
- Assessed the effect of alpha-hemolysin on ADAM10 activity and E-cadherin cleavage.
- Examined the impact of a metalloprotease inhibitor on toxin-induced effects.
- Analyzed toxin-dependent epithelial barrier disruption in ADAM10-knockout models.
Main Results:
- Mice with Adam10 disruption in lung epithelium were resistant to lethal pneumonia.
- Alpha-hemolysin upregulates ADAM10 metalloprotease activity in alveolar epithelial cells.
- This upregulation leads to the cleavage of E-cadherin, a crucial adherens junction protein.
- E-cadherin cleavage disrupts epithelial barrier function, contributing to acute lung injury.
- ADAM10 inhibition prevented E-cadherin cleavage and attenuated barrier disruption.
Conclusions:
- ADAM10 functions as the cellular receptor for alpha-hemolysin.
- Alpha-hemolysin exploits ADAM10's metalloprotease activity, revealing a novel mechanism of cytotoxin action.
- ADAM10 inhibition represents a promising therapeutic strategy to mitigate alpha-hemolysin-mediated diseases.
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