Phenol-Soluble Modulin Peptides Contribute to Influenza A Virus-Associated Staphylococcus aureus Pneumonia

Dominik Alexander Bloes1, Emanuel Haasbach2, Carmen Hartmayer2

  • 1Interfaculty Institute of Microbiology and Infection Medicine, Infection Biology, University of Tübingen, Tübingen, Germany.

Infection and Immunity
|September 13, 2017
PubMed

Insights

Phenol-soluble modulin (PSM) peptides from Staphylococcus aureus worsen lung damage during influenza A virus (IAV) coinfection. PSMs are key virulence factors in IAV-associated pneumonia, suggesting new therapeutic targets.

Area of Science:

  • Microbiology
  • Immunology
  • Pathology

Background:

  • Influenza A virus (IAV) infections frequently lead to secondary bacterial pneumonia, a major cause of severe and fatal outcomes.
  • Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA), particularly USA300 strains, are linked to severe, difficult-to-treat pneumonia following IAV infection.
  • CA-MRSA produces high levels of phenol-soluble modulin (PSM) peptides, known cytotoxins and pro-inflammatory molecules, but their role in pneumonia was unclear.

Purpose of the Study:

  • To investigate the impact of PSM peptides on human lung epithelial cells during IAV coinfection.
  • To determine the role of PSMs as virulence factors in a mouse model of IAV-S. aureus pneumonia.

Main Methods:

  • Assessed the cytotoxicity and interleukin-8 (IL-8) secretion induced by PSMs in human lung epithelial cells.
  • Utilized a mouse model of IAV-S. aureus coinfection to compare the virulence of PSM-producing USA300 strain versus a PSM-deficient mutant.

Main Results:

  • PSMs were found to be cytotoxic to human lung epithelial cells and induced IL-8 secretion.
  • These effects were exacerbated by prior infection with the 2009 H1N1 IAV strain.
  • The PSM-producing USA300 strain resulted in significantly higher mortality rates compared to the PSM-deficient mutant in the coinfection model.

Conclusions:

  • PSMs contribute to lung inflammation and damage in IAV-associated S. aureus pneumonia.
  • PSMs are significant virulence factors in this condition.
  • PSMs represent potential targets for novel anti-infective therapies against severe pneumonia.

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