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Membrane cofactor protein (CD46) is a keratinocyte receptor for the M protein of the group A streptococcus

N Okada1, M K Liszewski, J P Atkinson

  • 1Department of Molecular Microbiology, Washington University School of Medicine, St. Louis, MO 63110-1093, USA.

Insights

Streptococcus pyogenes uses its M protein's C repeat domain to attach to skin cells. Blocking this interaction with factor H or membrane cofactor protein (MCP) inhibits bacterial adherence, revealing a key mechanism for skin infections.

Area of Science:

  • Microbiology
  • Immunology
  • Dermatology

Background:

  • * Streptococcus pyogenes (group A streptococcus) causes human skin infections.
  • * M protein facilitates bacterial adherence to keratinocytes, the primary epidermal cells.

Purpose of the Study:

  • * To identify the specific domain of M protein responsible for keratinocyte recognition.
  • * To investigate the role of complement regulatory proteins in bacterial adherence.

Main Methods:

  • * Construction and analysis of mutant M proteins.
  • * Investigation of factor H and membrane cofactor protein (MCP) binding to M protein.
  • * Competitive inhibition assays using purified MCP.

Main Results:

  • * The C repeat domain of M protein is crucial for keratinocyte recognition.
  • * Factor H binding to the M protein C repeat region blocks bacterial adherence.
  • * M protein directly binds to MCP (CD46) on keratinocytes, inhibiting S. pyogenes adherence.

Conclusions:

  • * The M protein's C repeat domain is essential for Streptococcus pyogenes adherence to keratinocytes.
  • * Interaction with MCP is a significant factor in streptococcal skin colonization.
  • * Targeting the M protein-MCP interaction could offer therapeutic strategies.

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