Protective immunity in recurrent Staphylococcus aureus infection reflects localized immune signatures and

Liana C Chan1,2, Maura Rossetti3,4, Lloyd S Miller5

  • 1Los Angeles Biomedical Research Institute, Harbor-University of California, Los Angeles Medical Center, Torrance, CA 90502.

Insights

Prior infection primes the immune system, reducing severity and spread of Staphylococcus aureus skin infections. Macrophages play a key role in this protective memory, offering targets for new MRSA therapies.

Area of Science:

  • Immunology
  • Infectious Diseases
  • Microbiology

Background:

  • Staphylococcus aureus is a leading cause of skin and skin structure infections (SSSI).
  • Prior studies identified innate memory conferring protection against recurrent methicillin-resistant S. aureus (MRSA) SSSI.
  • The dynamics and mechanisms of this protective response require further elucidation.

Purpose of the Study:

  • To explore the dynamics and mechanisms of protective innate memory in recurrent SSSI caused by S. aureus in wild-type (WT) mice.
  • To characterize the cytokine and cellular signatures associated with protection at different time points and anatomical sites.
  • To investigate the role of macrophages in mediating protective immunity against S. aureus.

Main Methods:

  • Induction of recurrent SSSI in WT mice.
  • Analysis of cytokine profiles and cellular populations in skin, blood, and spleen at days 2 and 7 post-infection.
  • In vitro assessment of S. aureus-specific phagocytic killing by bone marrow-derived macrophages.
  • In vivo adoptive transfer of macrophages into naïve skin.

Main Results:

  • Prior infection reduced SSSI severity and bacterial burden, protecting against dissemination at day 7 but not day 2.
  • Distinct cytokine and cellular signatures were observed at day 2 versus day 7, and varied between skin, blood, and spleen.
  • Key protective cytokines included IL-17, IL-6, MIG, RANTES, and IP-10.
  • Cellular signatures of protection involved increased Th17 cells, M1 macrophages, dendritic cells in abscesses, and macrophages in lymph nodes.
  • Primed macrophages demonstrated enhanced S. aureus-specific phagocytic killing in vitro and conferred protection in vivo.

Conclusions:

  • Protective immunity against recurrent S. aureus infection is locally targeted.
  • Macrophages confer specific memory crucial for protection.
  • These findings identify potential targets for vaccine and immunotherapeutic development against MRSA.

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