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Updated: Sep 4, 2025

Pneumococcus Infection of Primary Human Endothelial Cells in Constant Flow
Published on: October 31, 2019
Procoagulant Activity of Blood and Microvesicles Is Disturbed by Pneumococcal Pneumolysin, Which Interacts with
Sonja Oehmcke-Hecht1, Claudia Maletzki2, Surabhi Surabhi3
1Institute of Medical Microbiology, Virology and Hygiene, Rostock University Medical Center, Rostock, Germany.
Abstract:
The coagulation and contact systems are parts of the innate immune system as they prevent bleeding and dissemination of pathogens and also contribute to microbial killing by inflammatory reactions and the release of antimicrobial peptides. Here, we investigated the influence of Streptococcus pneumoniae on the coagulation and contact system. S. pneumoniae (pneumococci), but no other investigated streptococcal species, impairs coagulation of blood by autolysis and release of pneumolysin. Defective blood coagulation results from the lysis of tissue factor-producing mononuclear cells and their procoagulant microvesicles, which are the main trigger for blood coagulation during sepsis. In addition, pneumolysin binds coagulation and contact system factors, but this does not result in activation. Thus, pneumococci modulate activation of the coagulation system by releasing pneumolysin, which could potentiate lung injury during pneumonia.
Insights
Streptococcus pneumoniae impairs blood coagulation by releasing pneumolysin, which lyses mononuclear cells. This interaction, involving the innate immune and coagulation systems, may worsen lung injury during pneumonia.
Area of Science:
- Immunology
- Hematology
- Microbiology
Background:
- The coagulation and contact systems are integral to innate immunity, controlling bleeding and pathogen spread.
- These systems also contribute to host defense through inflammatory responses and antimicrobial peptide release.
Purpose of the Study:
- To investigate the impact of Streptococcus pneumoniae on the coagulation and contact systems.
- To elucidate the mechanisms by which pneumococci influence blood coagulation.
Main Methods:
- Studied the effect of S. pneumoniae, specifically its autolysis and pneumolysin release, on blood coagulation.
- Investigated the interaction of pneumolysin with coagulation and contact system factors.
- Examined the lysis of mononuclear cells and their procoagulant microvesicles.
Main Results:
- S. pneumoniae, unlike other streptococci, impairs blood coagulation.
- Pneumolysin released by pneumococci causes lysis of tissue factor-producing mononuclear cells and their microvesicles.
- Pneumolysin binds to coagulation and contact system factors without causing activation.
Conclusions:
- S. pneumoniae modulates coagulation system activation via pneumolysin release.
- This modulation, particularly the lysis of mononuclear cells, may exacerbate lung injury in pneumococcal pneumonia.
- Understanding this interaction is crucial for innate immunity and sepsis research.
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