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Updated: May 29, 2026

Purification of a High Molecular Mass Protein in Streptococcus mutans
Published on: September 14, 2019
The collagen-binding protein of Streptococcus mutans is involved in haemorrhagic stroke
Kazuhiko Nakano1, Kazuya Hokamura, Naho Taniguchi
1Department of Pediatric Dentistry, Graduate School of Dentistry, Osaka University, Suita, Osaka 565-0871, Japan.
Abstract:
Although several risk factors for stroke have been identified, one-third remain unexplained. Here we show that infection with Streptococcus mutans expressing collagen-binding protein (CBP) is a potential risk factor for haemorrhagic stroke. Infection with serotype k S. mutans, but not a standard strain, aggravates cerebral haemorrhage in mice. Serotype k S. mutans accumulates in the damaged, but not the contralateral hemisphere, indicating an interaction of bacteria with injured blood vessels. The most important factor for high-virulence is expression of CBP, which is a common property of most serotype k strains. The detection frequency of CBP-expressing S. mutans in haemorrhagic stroke patients is significantly higher than in control subjects. Strains isolated from haemorrhagic stroke patients aggravate haemorrhage in a mouse model, indicating that they are haemorrhagic stroke-associated. Administration of recombinant CBP causes aggravation of haemorrhage. Our data suggest that CBP of S. mutans is directly involved in haemorrhagic stroke.
Insights
Streptococcus mutans expressing collagen-binding protein (CBP) is linked to hemorrhagic stroke. This specific bacterial protein exacerbates brain hemorrhages in mice and is more common in stroke patients.
Area of Science:
- Microbiology
- Neurology
- Infectious Diseases
Background:
- Stroke remains a leading cause of death and disability worldwide.
- While numerous risk factors for stroke are known, a significant portion of cases remain unexplained.
- Identifying novel risk factors is crucial for stroke prevention and treatment.
Purpose of the Study:
- To investigate the potential role of Streptococcus mutans infection, specifically strains expressing collagen-binding protein (CBP), as a risk factor for hemorrhagic stroke.
- To determine if CBP contributes to the severity of cerebral hemorrhage.
Main Methods:
- Utilizing a mouse model of cerebral hemorrhage to assess the impact of different Streptococcus mutans strains (serotype k vs. standard).
- Investigating bacterial accumulation in damaged brain hemispheres.
- Evaluating the effect of recombinant CBP administration on hemorrhage severity.
- Comparing the prevalence of CBP-expressing S. mutans in hemorrhagic stroke patients versus control subjects.
Main Results:
- Infection with serotype k Streptococcus mutans, but not a standard strain, significantly aggravated cerebral hemorrhage in mice.
- Serotype k S. mutans preferentially accumulated in injured brain areas, suggesting interaction with damaged blood vessels.
- The expression of collagen-binding protein (CBP) was identified as a key factor for high virulence.
- CBP-expressing S. mutans strains were detected at a significantly higher frequency in hemorrhagic stroke patients compared to controls.
- Administration of recombinant CBP worsened hemorrhage in the mouse model.
Conclusions:
- Collagen-binding protein (CBP) expressed by Streptococcus mutans is directly implicated in the pathogenesis of hemorrhagic stroke.
- Serotype k S. mutans strains expressing CBP represent a novel, potentially significant risk factor for hemorrhagic stroke.
- These findings suggest a direct link between specific bacterial infections and the exacerbation of cerebral hemorrhages.
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