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Dietary Manganese Promotes Staphylococcal Infection of the Heart
Lillian J Juttukonda1, Evelien T M Berends2, Joseph P Zackular1
1Department of Pathology, Microbiology, and Immunology, Vanderbilt University Medical Center, 1161 21(st) Avenue South, MCN A-5102, Nashville, TN 37232, USA.
Abstract:
Diet, and specifically dietary metals, can modify the risk of infection. However, the mechanisms by which manganese (Mn), a common dietary supplement, alters infection remain unexplored. We report that dietary Mn levels dictate the outcome of systemic infections caused by Staphylococcus aureus, a leading cause of bacterial endocarditis. Mice fed a high Mn diet display alterations in Mn levels and localization within infected tissues, and S. aureus virulence and infection of the heart are enhanced. Although the canonical mammalian Mn-sequestering protein calprotectin surrounds staphylococcal heart abscesses, calprotectin is not released into the abscess nidus and does not limit Mn in this organ. Consequently, excess Mn is bioavailable to S. aureus in the heart. Bioavailable Mn is utilized by S. aureus to detoxify reactive oxygen species and protect against neutrophil killing, enhancing fitness within the heart. Therefore, a single dietary modification overwhelms vital host antimicrobial strategies, leading to fatal staphylococcal infection.
Insights
Dietary manganese (Mn) supplementation enhances Staphylococcus aureus virulence and fatal heart infections in mice. High Mn diets overwhelm host defenses, making bacteria more resistant to immune cells and leading to increased mortality.
Area of Science:
- Microbiology
- Immunology
- Nutritional Science
Background:
- Dietary metals can influence infection risk.
- Mechanisms by which manganese (Mn) affects infection are not well understood.
- Staphylococcus aureus causes bacterial endocarditis, a serious systemic infection.
Purpose of the Study:
- To investigate how dietary manganese levels impact Staphylococcus aureus infection outcomes.
- To explore the role of manganese bioavailability in bacterial virulence and host defense.
Main Methods:
- Mice were fed diets with varying manganese levels.
- Infection models using Staphylococcus aureus were established, focusing on systemic and heart infections.
- Manganese levels and localization in infected tissues were analyzed.
- Bacterial virulence factors and host immune responses were assessed.
Main Results:
- High dietary manganese increased Staphylococcus aureus virulence and mortality from endocarditis in mice.
- Elevated manganese levels were observed in infected tissues of mice on high Mn diets.
- The host's manganese-sequestering protein, calprotectin, did not limit manganese availability within heart abscesses.
- Excess bioavailable manganese in the heart enhanced Staphylococcus aureus's ability to neutralize reactive oxygen species and resist neutrophil killing.
Conclusions:
- Dietary manganese levels significantly dictate the outcome of Staphylococcus aureus infections.
- Excess manganese bioavailability in the heart promotes bacterial survival and virulence.
- Dietary modifications can overwhelm host antimicrobial strategies, leading to severe infections.
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