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Heparin protects Opa+ Neisseria gonorrhoeae from the bactericidal action of normal human serum

T Chen1, J Swanson, J Wilson

  • 1Laboratory of Microbial Structure and Function, Rocky Mountain Laboratories, National Institute of Allergy and Infectious Diseases, Hamilton, Montana 59840, USA.

Insights

Neisseria gonorrhoeae lipooligosaccharide (LOS) type significantly impacts serum resistance. Outer membrane opacity protein (Opa) enhances survival in the presence of heparin, potentially aiding bacterial defense in the male urethra.

Area of Science:

  • Microbiology
  • Immunology
  • Pathogenesis

Background:

  • The role of lipooligosaccharide (LOS) and outer membrane opacity protein (Opa) in gonorrheal disease pathogenesis is not fully understood.
  • Understanding bacterial evasion mechanisms is crucial for combating Neisseria gonorrhoeae infections.

Purpose of the Study:

  • To investigate the impact of different LOS and Opa phenotypes on the susceptibility of Neisseria gonorrhoeae to normal human serum killing.
  • To explore potential mechanisms of serum resistance related to host-derived molecules.

Main Methods:

  • Assessing serum resistance of Neisseria gonorrhoeae strain MS11mk variants with distinct LOS and Opa phenotypes.
  • Evaluating the effect of heparin preincubation on the serum resistance of Opa-positive and Opa-negative variants.

Main Results:

  • LOS variants exhibited differential susceptibility to serum killing, with LOSa variants being resistant and LOSb variants being sensitive.
  • Sialylation of LOSb variants enhanced their survival.
  • Opa phenotype had minimal impact on serum killing of LOSb variants directly in serum, but heparin preincubation significantly increased serum resistance in Opa+ variants.

Conclusions:

  • Lipooligosaccharide type is a major determinant of Neisseria gonorrhoeae serum resistance.
  • Outer membrane Opa proteins, particularly when exposed to heparin, can confer resistance to host immune defenses.
  • These findings suggest that Neisseria gonorrhoeae may utilize host components like proteoglycans to evade immune clearance in vivo, contributing to its selective advantage.

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