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Published on: February 23, 2014
Viability and virulence of pneumolysin, pneumococcal surface protein A, and pneumolysin/pneumococcal surface protein
Patricia A Schachern1, Vladimir Tsuprun, Sarah Goetz
1Department of Otolaryngology, University of Minnesota, Minneapolis.
Importance:
Understanding how pneumococcal proteins affect the pathology of the middle ear and inner ear is important for the development of new approaches to prevent otitis media and its complications.
Objectives:
To determine the viability and virulence of Streptococcus pneumoniae mutants deficient in pneumolysin (Ply-) and pneumococcal surface protein A (PspA-) in the chinchilla middle ear.
Design:
Bullae of chinchillas were inoculated bilaterally with wild-type (Wt), Ply-, PspA-, and Ply-/PspA- strains. Bacterial colony-forming units (CFUs) in middle ear effusions were counted at 48 hours. The CFUs of the PspA- group were also counted at 6 to 36 hours after inoculation. Temporal bone histopathological results were compared.
Setting And Participants:
Twenty-seven chinchillas in an academic research laboratory.
Exposure:
Chinchilla middle ears were inoculated with S pneumoniae to produce sufficient volumes of effusions and noticeable histopathological changes in the ears.
Main Outcomes And Measures:
The CFU counts in the middle ear effusions and histopathological changes were compared to determine the effect of pneumococcal protein mutations on chinchilla ears.
Results:
At 48 hours, CFUs in middle ears were increased for the Wt and Ply-/PspA- strains, but Ply- remained near inoculum level. No bacteria were detected in the PspA- group. The CFUs of PspA- decreased over time to a low level at 30 to 36 hours. In vitro, PspA- in Todd-Hewitt broth showed an increase in bacterial growth of 2 logs at 43 hours, indicating PspA- susceptibility to host defenses in vivo. The PspA- and Ply- groups had fewer pathologic findings than the Wt or Ply-/PspA- groups. Histopathological analysis showed significant differences in the number of bacteria in the scala tympani in the Wt group compared with the Ply-, PspA-, and Ply-/PspA- groups. The PspA- strain was the least virulent.
Conclusions And Relevance:
The PspA- mutant was much less viable and less virulent in the ear than the Wt, Ply-, and Ply-/PspA- strains. There was no significant attenuation in the viability and virulence of the Ply-/PspA- mutant compared with the Wt or single mutants. The viability and virulence of pneumococcal mutants seemed to be protein and organ specific.
Insights
The PspA- mutant of Streptococcus pneumoniae showed significantly reduced viability and virulence in chinchilla middle ear infections. Pneumolysin and PspA together did not further attenuate the bacteria, suggesting protein and organ specificity.
Area of Science:
- Otolaryngology
- Microbiology
- Infectious Diseases
Background:
- Otitis media, a common middle ear infection, can lead to serious complications.
- Understanding the role of Streptococcus pneumoniae virulence factors is crucial for developing effective prevention strategies.
Purpose of the Study:
- To investigate the impact of pneumolysin (Ply) and pneumococcal surface protein A (PspA) on the viability and virulence of Streptococcus pneumoniae in a chinchilla otitis media model.
- To assess the combined effect of Ply and PspA deficiencies on bacterial pathogenesis.
Main Methods:
- Chinchilla middle ears were inoculated with wild-type (Wt) Streptococcus pneumoniae and mutant strains lacking Ply, PspA, or both.
- Bacterial loads (CFUs) were quantified in middle ear effusions at various time points.
- Histopathological analysis of temporal bones was performed to evaluate tissue damage.
Main Results:
- The PspA- mutant exhibited significantly reduced viability and virulence, with minimal bacterial detection in middle ear effusions.
- The Ply- mutant showed limited viability, while the Wt and Ply-/PspA- strains maintained higher bacterial loads.
- Histopathological examination revealed less severe pathology in PspA- and Ply- groups compared to Wt and Ply-/PspA- groups.
Conclusions:
- Pneumococcal surface protein A (PspA) plays a critical role in the viability and virulence of Streptococcus pneumoniae in the middle ear.
- The absence of both pneumolysin (Ply) and PspA did not result in greater attenuation than single mutations.
- The effects of pneumococcal protein mutations on bacterial pathogenesis appear to be specific to the protein and the host organ.
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