Staphylococcus epidermidis alters macrophage polarization and phagocytic uptake by extracellular DNA release in vitro

Samira Weißelberg1, Anna Both1, Antonio Virgilio Failla2

  • 1Institut für Medizinische Mikrobiologie, Virologie und Hygiene, Universitätsklinikum Hamburg-Eppendorf (UKE), Hamburg, Germany.

PubMed

Insights

Staphylococcus epidermidis biofilms use extracellular DNA (eDNA) to evade immune cells like macrophages. Blocking Toll-like receptor 9 (TLR9) enhances macrophage response to these biofilms, crucial for understanding implant infections.

Area of Science:

  • Microbiology
  • Immunology
  • Biomedical Engineering

Background:

  • Biofilm formation by *Staphylococcus epidermidis* is a major cause of chronic implant-associated infections.
  • Biofilms protect bacteria from host immune defenses and antibiotic treatments.
  • Key biofilm matrix components influencing host-pathogen interactions remain incompletely understood.

Purpose of the Study:

  • To investigate the role of biofilm matrix components, specifically extracellular DNA (eDNA), in *S. epidermidis* interactions with human monocyte-derived macrophages (hMDMs).
  • To elucidate the involvement of Toll-like receptor 9 (TLR9) in the host immune response to *S. epidermidis* biofilms.

Main Methods:

  • Comparative analysis of wild-type *S. epidermidis* 1457, a PIA-negative mutant (1457-M10), and an eDNA-negative mutant (1457ΔatlE) in co-culture with hMDMs.
  • Assessment of bacterial phagocytosis by hMDMs.
  • Measurement of inflammatory cytokine production by hMDMs.
  • Inhibition of TLR9 signaling pathway to evaluate its role in macrophage response.

Main Results:

  • Wild-type *S. epidermidis* biofilms resisted phagocytosis and induced an anti-inflammatory response in hMDMs.
  • Mutants lacking PIA or eDNA were more susceptible to phagocytosis and elicited a pro-inflammatory response.
  • Removal of eDNA enhanced hMDM phagocytosis and pro-inflammatory cytokine release.
  • Addition of eDNA to eDNA-deficient mutants reduced phagocytosis and promoted anti-inflammatory responses.
  • Inhibition of TLR9 increased bacterial uptake and pro-inflammatory cytokine production in hMDMs exposed to wild-type *S. epidermidis*.

Conclusions:

  • Extracellular DNA (eDNA) is a critical component of *S. epidermidis* biofilms that facilitates immune evasion by modulating macrophage responses.
  • Toll-like receptor 9 (TLR9) plays a central role in recognizing *S. epidermidis* biofilms and orchestrating the subsequent macrophage inflammatory response.
  • Targeting eDNA or TLR9 signaling presents potential therapeutic strategies for managing *S. epidermidis*-associated implant infections.