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Updated: Aug 12, 2026

Invasion of Human Cells by a Bacterial Pathogen
Published on: March 21, 2011
M protein mediated adhesion of M type 24 Streptococcus pyogenes stimulates release of interleukin-6 by HEp-2 tissue
H S Courtney1, I Ofek, D L Hasty
1Veterans Affairs Medical Center, University of Tennessee, Memphis, USA. hcourtney@utmem1.utmem.edu
Abstract:
We investigated the contributions of lipoteichoic acid and M protein to reversible and irreversible adhesion of group A streptococci and the effects of such adhesion on release of interleukin-6. Streptococci in which lipoteichoic acid was masked by the hyaluronate capsule were readily washed from HEp-2 cells, indicating no attachment. Unencapsulated, M-negative streptococci in which lipoteichoic acid was exposed were removed more slowly, indicating loose attachment. Only unencapsulated streptococci that expressed both lipoteichoic acid and M protein remained stably adherent to HEp-2 cells throughout multiple washes. Streptococci expressing both M protein and lipoteichoic acid induced release of interleukin-6 from HEp-2 cells, whereas an isogenic, M-negative mutant failed to induce release of interleukin-6. These data suggest that lipoteichoic acid mediates reversible adhesion and that M protein is required for irreversible adhesion and for inducing release of interleukin-6 from HEp-2 cells.
Insights
Lipoteichoic acid mediates reversible adhesion of group A streptococci, while M protein is crucial for irreversible attachment and interleukin-6 release. This clarifies bacterial adhesion mechanisms.
Area of Science:
- Microbiology
- Immunology
- Cell Biology
Background:
- Group A Streptococcus (GAS) adhesion is critical for infection.
- Understanding the roles of specific GAS surface components is essential for developing targeted therapies.
Purpose of the Study:
- To elucidate the distinct contributions of lipoteichoic acid and M protein to GAS adhesion.
- To investigate the impact of GAS adhesion on host cell interleukin-6 (IL-6) release.
Main Methods:
- Investigated adhesion of encapsulated and unencapsulated GAS strains with varying M protein and lipoteichoic acid expression to HEp-2 cells.
- Quantified bacterial attachment and detachment through multiple washing steps.
- Assessed IL-6 release from HEp-2 cells in response to GAS interaction.
Main Results:
- Hyaluronate-masked GAS showed no attachment, indicating capsule's role in preventing initial contact.
- M-negative GAS with exposed lipoteichoic acid exhibited loose, reversible attachment.
- GAS expressing both lipoteichoic acid and M protein demonstrated stable, irreversible adhesion.
- GAS expressing both M protein and lipoteichoic acid induced significant IL-6 release, unlike M-negative mutants.
Conclusions:
- Lipoteichoic acid mediates the initial, reversible adhesion of GAS to host cells.
- M protein is essential for irreversible adhesion and subsequent induction of IL-6 release.
- These findings highlight the specific roles of GAS surface proteins in pathogenesis and host immune response.
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