The CovS/CovR acid response regulator is required for intracellular survival of group B Streptococcus in macrophages
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Updated: May 25, 2026

A Murine Model of Group B Streptococcus Vaginal Colonization
Published on: November 16, 2016
Nicola J Cumley1, Leanne M Smith, Mark Anthony
1School of Biosciences, College of Life and Environmental Sciences, School of Biosciences, University of Birmingham, Edgbaston, Birmingham, United Kingdom.
Abstract:
Group B Streptococcus (GBS) is a leading cause of neonatal meningitis and septicemia. The ability of this organism to survive inside phagocytic cells is poorly understood but thought to be an important step for the establishment of disease in the host. Here, we demonstrate that GBS shows prolonged survival within J774 macrophages and that the capacity to survive is not significantly changed across a diverse range of strains representing different serotypes, multilocus sequence types (MLST), and sites of clinical isolation. Using staining for the lysosome-associated membrane protein (LAMP) and by pharmacological inhibition of phagosome acidification, we demonstrate that streptococci reside in a phagosome and that acidification of the phagosome is required for GBS to survive intracellularly. Moreover, we show that the GBS two-component system CovS/CovR, which is the major acid response regulator in this organism, is required for survival inside the phagosome.
Insights
Group B Streptococcus (GBS) survives prolonged periods within macrophages. This intracellular survival, crucial for GBS pathogenesis, requires phagosome acidification and the CovS/CovR two-component system.
Area of Science:
- Microbiology
- Immunology
- Pathogenesis
Background:
- Group B Streptococcus (GBS) is a primary cause of neonatal meningitis and septicemia.
- GBS intracellular survival within phagocytic cells is critical for disease but poorly understood.
- GBS pathogenesis relies on its ability to evade host immune defenses.
Purpose of the Study:
- To investigate the mechanisms of GBS intracellular survival within macrophages.
- To determine if GBS strain characteristics influence intracellular survival.
- To identify key GBS factors involved in surviving within phagocytic cells.
Main Methods:
- GBS survival assays in J774 macrophage cell lines.
- Immunofluorescence staining for lysosome-associated membrane protein (LAMP).
- Pharmacological inhibition of phagosome acidification.
- Analysis of the GBS CovS/CovR two-component system.
Main Results:
- GBS demonstrated prolonged survival within J774 macrophages.
- Intracellular GBS survival was consistent across diverse GBS strains (serotypes, MLST, clinical origins).
- Phagosome acidification was essential for GBS intracellular survival, and the CovS/CovR system regulated this process.
Conclusions:
- GBS possesses robust intracellular survival mechanisms within macrophages.
- Phagosome acidification is a critical environmental cue for GBS intracellular persistence.
- The CovS/CovR system is a key regulator of GBS survival in the hostile phagosomal environment.
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