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Updated: Nov 28, 2025

Morphological and Compositional Analysis of Neutrophil Extracellular Traps Induced by Microbial and Chemical Stimuli
Published on: November 4, 2022
Staphylococcus aureus Panton-Valentine Leukocidin triggers an alternative NETosis process targeting mitochondria
Viola Mazzoleni1, Kiran Zimmermann1, Anna Smirnova2
1University of Strasbourg, CHRU Strasbourg, ITI InnoVec, Fédération de Médecine Translationnelle de Strasbourg, UR7290, Institut de Bactériologie, Strasbourg, France.
Abstract:
Panton-Valentine Leukocidin (PVL) is a bicomponent leukotoxin produced by 3%-10% of clinical Staphylococcus aureus (SA) strains involved in the severity of hospital and community-acquired infections. Although PVL was long known as a pore-forming toxin, recent studies have challenged the formation of a pore at the plasma membrane, while its endocytosis and the exact mode of action remain to be defined. In vitro immunolabeling of human neutrophils shows that Neutrophil Extracellular Traps (NETosis) is triggered by the action of purified PVL, but not by Gamma hemolysin CB (HlgCB), a structurally similar SA leukotoxin. PVL causes the ejection of chromatin fibers (NETs) decorated with antibacterial peptides independently of the NADPH oxidase oxidative burst. Leukotoxin partially colocalizes with mitochondria and enhances the production of reactive oxygen species from these organelles, while showing an increased autophagy, which results unnecessary for NETs ejection. PVL NETosis is elicited through Ca2+ -activated SK channels and Myeloperoxidase activity but is abolished by Allopurinol pretreatment of neutrophils. Moreover, massive citrullination of the histone H3 is performed by peptidyl arginine deiminases. Inhibition of this latter enzymes fails to abolish NET extrusion. Unexpectedly, PVL NETosis does not seem to involve Src kinases, which is the main kinase family activated downstream the binding of PVL F subunit to CD45 receptor, while the specific kinase pathway differs from the NADPH oxidase-dependent NETosis. PVL alone causes a different and specific form of NETosis that may rather represent a bacterial strategy conceived to disarm and disrupt the immune response, eventually allowing SA to spread.
Insights
Panton-Valentine Leukocidin (PVL) triggers a unique form of Neutrophil Extracellular Trap formation (NETosis) in human neutrophils. This bacterial toxin may disarm the immune response, aiding Staphylococcus aureus spread.
Area of Science:
- Microbiology
- Immunology
- Cell Biology
Background:
- Panton-Valentine Leukocidin (PVL) is a Staphylococcus aureus toxin implicated in severe infections.
- The precise mechanism of PVL action, particularly its interaction with host cells, remains incompletely understood.
- Recent evidence questions PVL's role as a simple pore-forming toxin.
Purpose of the Study:
- To investigate the mechanism by which PVL induces Neutrophil Extracellular Trap formation (NETosis).
- To elucidate the specific cellular pathways and molecules involved in PVL-mediated NETosis.
- To differentiate PVL-induced NETosis from other known NETosis pathways.
Main Methods:
- In vitro immunolabeling of human neutrophils exposed to purified PVL.
- Analysis of cellular responses including chromatin ejection, oxidative burst, mitochondrial activity, and autophagy.
- Investigation of signaling pathways involving calcium channels, Myeloperoxidase, peptidyl arginine deiminases, and Src kinases.
- Pharmacological inhibition of specific cellular components (e.g., Allopurinol).
Main Results:
- PVL, but not HlgCB, induced NETosis characterized by chromatin ejection decorated with antimicrobial peptides.
- PVL-mediated NETosis occurred independently of the NADPH oxidase oxidative burst.
- PVL localized with mitochondria, enhanced mitochondrial reactive oxygen species production, and increased autophagy, though autophagy was not essential for NET ejection.
- NETosis was dependent on Ca2+-activated SK channels and Myeloperoxidase activity, and abolished by Allopurinol.
- Massive histone H3 citrullination occurred, but inhibition of peptidyl arginine deiminases did not prevent NET extrusion.
- PVL-induced NETosis did not involve Src kinases, indicating a distinct signaling pathway compared to NADPH oxidase-dependent NETosis.
Conclusions:
- PVL induces a unique form of NETosis in neutrophils.
- This PVL-driven NETosis pathway differs significantly from canonical pathways, particularly in its independence from Src kinases and the NADPH oxidase pathway.
- PVL-induced NETosis may represent a bacterial strategy to evade or disrupt the host immune response, facilitating Staphylococcus aureus dissemination.
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