Differential response of gel-forming mucins to pathogenic middle ear bacteria

Joseph E Kerschner1, Wenzhou Hong2, Pawjai Khampang2

  • 1Division of Pediatric Otolaryngology, Children's Hospital of Wisconsin, 9000 W. Wisconsin Avenue, Milwaukee, Wisconsin 53226, USA; Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, Wisconsin 53226, USA.

Abstract

Insights

Bacterial pathogens causing otitis media differentially regulate gel-forming mucins (GFM) in human middle ear epithelium. Specific pathogen combinations, like Streptococcus pneumoniae and nontypeable Haemophilus influenza, synergistically increase MUC2 and MUC5AC expression.

Area of Science:

  • Otorhinolaryngology
  • Microbiology
  • Molecular Biology

Background:

  • Otitis media (OM) is a common middle ear infection.
  • Secretory gel-forming mucins (GFM) play a crucial role in mucosal defense.
  • Understanding pathogen-specific mucin responses is vital for OM pathogenesis research.

Purpose of the Study:

  • To investigate the differential expression of MUC2, MUC5AC, MUC5B, and MUC19 in human middle ear epithelial cells (HMEEC) upon exposure to common OM pathogens.
  • To assess the synergistic effects of combined bacterial pathogens on GFM expression.

Main Methods:

  • Human middle ear epithelial cells (HMEEC) were cultured in vitro.
  • Cells were exposed to whole cell lysates (WCL) of Streptococcus pneumoniae (SP), nontypeable Haemophilus influenza (NTHi), and Moraxella catarrhalis (Mcat).
  • Quantitative PCR was used to measure the expression levels of MUC2, MUC5AC, MUC5B, and MUC19 transcripts.

Main Results:

  • NTHi WCL significantly increased MUC2, MUC5AC, and MUC5B expression in HMEEC, while MUC19 remained unchanged.
  • Other major OM pathogens also significantly upregulated these three mucin genes.
  • Combinations of NTHi and SP synergistically induced MUC2 and MUC5AC expression, though this effect varied by NTHi strain.
  • M. catarrhalis did not contribute to the synergistic mucin response when combined with NTHi and SP.

Conclusions:

  • Pathogen-specific interactions significantly influence the synergistic induction of gel-forming mucins in middle ear infections.
  • These findings provide a basis for further research into the complex interplay between OM pathogens and host mucin responses.