Group A streptococci induce stronger M protein-fibronectin interaction when specific human antibodies are bound

Sebastian Wrighton1, Vibha Kumra Ahnlide1, Oscar André1

  • 1Division of Infection Medicine, Department of Clinical Sciences, Faculty of Medicine, Lund University, Lund, Sweden.

Frontiers in Microbiology
|February 13, 2023
PubMed

Insights

Group A Streptococcus (GAS) manipulates host antibodies to increase fibronectin binding, hindering immune cell clearance. This novel immune evasion strategy benefits the pathogen by reducing antibody-mediated phagocytosis.

Area of Science:

  • Microbiology
  • Immunology
  • Molecular Biology

Background:

  • Group A Streptococcus (GAS) is a human-specific pathogen that employs various immune evasion mechanisms.
  • The GAS M protein is a key surface antigen targeted by antibodies, with responses often directed towards the conserved C region.
  • GAS utilizes fibronectin (Fn) binding for survival and fitness, though binding mechanisms vary among strains.

Purpose of the Study:

  • To investigate the interaction between human antibodies and GAS M proteins regarding fibronectin binding.
  • To elucidate the role of antibody-induced fibronectin binding in GAS immune evasion.
  • To determine the specific antibody domains and properties involved in this phenomenon.

Main Methods:

  • Characterization of antibody interactions with GAS M proteins from different emm types.
  • Assessment of fibronectin binding affinity in the presence of human antibodies.
  • Measurement of antibody-mediated phagocytosis of GAS strains.
  • Investigation of the role of antibody Fc domain and flexibility.

Main Results:

  • Human antibodies can enhance the fibronectin-binding affinity of GAS M proteins, particularly through A-B domain interactions.
  • Enhanced fibronectin binding significantly reduces antibody-mediated phagocytosis, indicating an immune escape mechanism.
  • The Fc domain of antibodies is crucial for triggering this enhanced fibronectin binding, with antibody flexibility potentially playing a role.
  • This phenomenon was observed in multiple GAS emm type strains from different clades, suggesting broad applicability.

Conclusions:

  • A novel mechanism of GAS immune evasion involves host antibodies inadvertently enhancing bacterial fibronectin binding.
  • This antibody-driven enhancement of fibronectin binding impedes phagocytosis, providing a survival advantage to GAS.
  • The findings reveal a complex interplay between GAS, host proteins, and antibodies, highlighting a previously unrecognized synergistic relationship that benefits the pathogen.