S100A9 is indispensable for survival of pneumococcal pneumonia in mice

Lena Ostermann1, Benjamin Seeliger2,3, Sascha David4

  • 1Division of Experimental Pneumology, Hannover Medical School, Hannover, Germany.

Plos Pathogens
|July 19, 2023
PubMed

Insights

S100A9 protein is crucial for controlling lung bacterial infections, particularly pneumococcal pneumonia. Its deficiency leads to increased zinc, bacterial growth, and reduced survival, highlighting its role in immune defense.

Area of Science:

  • Immunology
  • Microbiology
  • Pulmonology

Background:

  • S100A8/A9 protein's immunomodulatory roles are known, but its specific function in Streptococcus pneumoniae (S. pneumoniae) pneumonia is unclear.
  • Bacterial pneumonia diagnosis can be challenging, necessitating biomarkers for differentiation from viral causes.

Purpose of the Study:

  • To investigate the role of S100A9 in the host defense against S. pneumoniae.
  • To evaluate S100A9 as a potential biomarker for bacterial pneumonia.

Main Methods:

  • Analysis of S100A9 levels in bronchoalveolar lavage (BAL) fluids from pneumonia patients.
  • Phenotypic analysis of S100A9 knockout (KO) mice challenged with S. pneumoniae.
  • Assessment of lung injury, bacterial load, and survival in mouse models.
  • Chimeric mouse studies and therapeutic interventions with modified S100A8/A9 protein.

Main Results:

  • S100A9 levels were elevated in bacterial pneumonia patients, correlating with procalcitonin and SOFA scores.
  • S100A9 KO mice showed increased lung zinc, impaired bacterial clearance, and reduced survival.
  • Neutrophil elastase-mediated degradation of collectins (SP-A, SP-D) contributed to reduced survival in S100A9 KO mice.
  • Therapy with a stabilized S100A8/A9 protein improved outcomes in S. pneumoniae-infected S100A9 KO mice.

Conclusions:

  • S100A9 plays a critical role in antibacterial immunity in the lungs, essential for survival during pneumococcal pneumonia.
  • S100A9 is a potential biomarker for distinguishing bacterial from viral pneumonia.