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CC17 group B Streptococcus exploits integrins for neonatal meningitis development.

Romain Deshayes de Cambronne1, Agnès Fouet1, Amandine Picart1

  • 1Université de Paris, Institut Cochin, INSERM, U1016, CNRS, UMR8104, Paris, France.

The Journal of Clinical Investigation
|January 19, 2021
PubMed
Summary

Group B Streptococcus (GBS) meningitis in newborns is often caused by CC17-GBS. This study reveals CC17-GBS uses host integrins to invade the brain, offering new therapeutic targets.

Keywords:
Bacterial infectionsInfectious diseaseIntegrinsMicrobiology

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Area of Science:

  • Microbiology
  • Neuroscience
  • Immunology

Background:

  • Group B Streptococcus (GBS) is a leading cause of neonatal infections, with CC17-GBS responsible for most meningitis cases.
  • The mechanism by which GBS crosses the blood-brain barrier to cause meningitis is not fully understood.

Purpose of the Study:

  • To identify the molecular mechanisms by which CC17-GBS invades the central nervous system (CNS).
  • To investigate the role of host integrins in CC17-GBS meningitis and neonate susceptibility.

Main Methods:

  • Identified host integrin ligands for the CC17-GBS adhesin Srr2 using molecular interaction studies.
  • Utilized a blood-brain barrier cellular model to assess GBS adhesion and internalization.
  • Examined integrin expression in neonatal brain vasculature.
  • Tested the efficacy of integrin blocking in a mouse model of neonatal meningitis.

Main Results:

  • The CC17-GBS adhesin Srr2 binds to host integrins α5β1 and αvβ3 via specific motifs.
  • These integrins mediate GBS adhesion and internalization across the blood-brain barrier model.
  • Integrins α5β1 and αvβ3 are overexpressed in neonatal brain vessels and contribute to meningitis susceptibility.
  • Blocking these integrins reduced GBS CNS invasion in juvenile mice.

Conclusions:

  • CC17-GBS utilizes host integrins α5β1 and αvβ3 to facilitate CNS invasion and cause meningitis.
  • Integrin overexpression during the neonatal period contributes to susceptibility to GBS meningitis.
  • Targeting these integrins presents a potential therapeutic strategy for GBS meningitis.