A protease-sensing circuit links neutrophil inflammation to virulence regulation in Streptococcus pyogenes

Stephanie Guerra1,2, Ananya Dash1,3, Doris L LaRock1

  • 1Department of Microbiology and Immunology, Emory University School of Medicine, Atlanta, GA.

Insights

Neutrophil extracellular traps (NETs) promote Streptococcus pyogenes virulence factor SpeB expression by degrading repressors. This interaction drives severe disease, highlighting a mutual host-pathogen counterattack.

Area of Science:

  • Microbiology
  • Immunology
  • Molecular Biology

Background:

  • Streptococcus pyogenes causes severe diseases like scarlet fever and toxic shock syndrome.
  • The virulence factor SpeB protease contributes to hyperinflammation during S. pyogenes infections.
  • The feedback loop between inflammation and SpeB expression remains largely unknown.

Purpose of the Study:

  • To investigate the interplay between neutrophil extracellular traps (NETs) and SpeB expression in S. pyogenes.
  • To elucidate the regulatory mechanisms controlling SpeB induction during infection.

Main Methods:

  • Investigated the interaction between NETosis and speB gene induction.
  • Analyzed the role of neutrophil proteases and bacterial protein Vfr in speB regulation.
  • Utilized in vivo models with abrogated NET formation or neutrophil depletion.

Main Results:

  • Neutrophil proteases released during NETosis degrade the repressor Vfr, relieving speB repression.
  • The cathelicidin peptide LL-37 normally represses speB via the CovRS system, but this is overcome by NETosis.
  • SpeB also autoregulates its expression by degrading Vfr at high bacterial densities.
  • In vivo, blocking NETs or depleting neutrophils led to speB repression.

Conclusions:

  • NETosis is a key inducer of S. pyogenes speB expression.
  • A mutual counterattack between host NETs and bacterial virulence factors drives severe disease pathology.
  • Targeting this interaction could offer therapeutic strategies for S. pyogenes infections.

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