Pilus-mediated co-aggregation with Lactobacillus crispatus increases meningococcal susceptibility to antimicrobial

Kenny Lidberg1, Sarah Pilheden1, Samuddi Nawarathne1

  • 1Department of Molecular Biosciences, The Wenner-Gren Institute, Stockholm University, Stockholm, SE-10691, Sweden.

BMC Microbiology
|July 30, 2025
PubMed
Abstract

Insights

Lactobacillus crispatus binds to Neisseria meningitidis pili, disrupting bacterial microcolonies and increasing susceptibility to antimicrobials. This interaction suggests a beneficial role for L. crispatus in host defense against meningococcal infections.

Area of Science:

  • Microbiology
  • Immunology
  • Host-pathogen interactions

Background:

  • Neisseria meningitidis asymptomatically colonizes the nasopharynx but can cause severe invasive diseases like meningitis and sepsis.
  • The nasopharyngeal mucosa harbors commensal bacteria, including Lactobacillus species, which may interact with pathogens.
  • Understanding these interactions is crucial for developing novel therapeutic strategies.

Purpose of the Study:

  • To investigate the interaction between Lactobacillus species and Neisseria meningitidis.
  • To determine the role of bacterial pili in this interaction.
  • To assess the impact of this interaction on meningococcal virulence and host defense.

Main Methods:

  • Co-aggregation assays between various Lactobacillus strains and N. meningitidis.
  • Analysis of N. meningitidis pili (Class I and II) interaction with L. crispatus.
  • Assessment of microcolony formation, bacterial killing by antimicrobial agents (LL-37, hBD2, cephalexin), and bacterial motility.

Main Results:

  • Lactobacillus crispatus strain MV24 specifically co-aggregated with N. meningitidis.
  • This co-aggregation was mediated by the binding of L. crispatus to N. meningitidis pili.
  • Co-aggregation disrupted meningococcal microcolony formation, enhanced killing by antimicrobials, and impeded bacterial motility.

Conclusions:

  • N. meningitidis pili interact with L. crispatus, leading to significant interference with meningococcal colonization and virulence.
  • L. crispatus MV24 demonstrates a potential beneficial role in host defense by modulating N. meningitidis behavior.
  • These findings highlight the therapeutic potential of leveraging commensal bacteria for controlling invasive meningococcal disease.

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