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Updated: Mar 13, 2026

A Murine Model of Group B Streptococcus Vaginal Colonization
Published on: November 16, 2016
Differing mechanisms of surviving phagosomal stress among group B Streptococcus strains of varying genotypes
Michelle L Korir1, Clare Laut1, Lisa M Rogers2
1a Department of Microbiology and Molecular Genetics , Michigan State University , East Lansing , MI , USA.
Abstract:
Group B Streptococcus (GBS), a leading cause of neonatal sepsis and meningitis, asymptomatically colonizes up to 30% of women and can persistently colonize even after antibiotic treatment. Previous studies have shown that GBS resides inside macrophages, but the mechanism by which it survives remains unknown. Here, we examined the ability of 4 GBS strains to survive inside macrophages and then focused on 2 strains belonging to sequence type (ST)-17 and ST-12, to examine persistence in the presence of antibiotics. A multiple stress medium was also developed using several stressors found in the phagosome to assess the ability of 30 GBS strains to withstand phagosomal stress. The ST-17 strain was more readily phagocytosed and survived intracellularly longer than the ST-12 strain, but the ST-12 strain was tolerant to ampicillin unlike the ST-17 strain. Exposure to sub-inhibitory concentrations of ampicillin and erythromycin increased the level of phagocytosis of the ST-17 strain, but had no effect on the ST-12 strain. In addition, blocking acidification of the phagosome decreased the survival of the ST-17 strain indicating a pH-dependent survival mechanism for the ST-17 strain. Congruent with the macrophage experiments, the ST-17 strain had a higher survival rate in the multiple stress medium than the ST-12 strain, and overall, serotype III isolates survived significantly better than other serotypes. These results indicate that diverse GBS strains may use differing mechanisms to persist and that serotype III strains are better able to survive specific stressors inside the phagosome relative to other serotypes.
Insights
Group B Streptococcus (GBS) strains exhibit varied survival mechanisms within macrophages. Serotype III GBS demonstrates enhanced resilience to phagosomal stressors, suggesting diverse GBS persistence strategies.
Area of Science:
- Microbiology
- Immunology
- Infectious Diseases
Background:
- Group B Streptococcus (GBS) is a primary cause of neonatal sepsis and meningitis.
- GBS asymptomatically colonizes women and can persist despite antibiotic treatment.
- GBS survival within macrophages is a key factor in persistent colonization, but the mechanisms are poorly understood.
Purpose of the Study:
- To investigate the intracellular survival mechanisms of different GBS strains within macrophages.
- To compare the persistence of GBS strains ST-17 and ST-12 under antibiotic pressure.
- To assess GBS tolerance to phagosomal stressors and identify strain-specific survival strategies.
Main Methods:
- Macrophage assays were performed to evaluate GBS intracellular survival and phagocytosis.
- GBS strains were exposed to antibiotics (ampicillin, erythromycin) and phagosome acidification inhibitors.
- A multiple stress medium simulating phagosomal conditions was used to test the resilience of 30 GBS strains.
Main Results:
- The ST-17 GBS strain showed higher phagocytosis and longer intracellular survival compared to the ST-12 strain.
- The ST-12 strain exhibited ampicillin tolerance, while sub-inhibitory antibiotics affected ST-17 phagocytosis.
- Phagosome acidification inhibition reduced ST-17 survival, indicating a pH-dependent mechanism. Serotype III GBS demonstrated superior survival in the stress medium.
Conclusions:
- Diverse GBS strains employ distinct mechanisms for persistence within host cells.
- Serotype III GBS strains possess enhanced capabilities to withstand specific phagosomal stressors.
- Understanding these varied survival strategies is crucial for developing effective GBS treatment and prevention methods.
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