Induction of type I interferon signaling determines the relative pathogenicity of Staphylococcus aureus strains.

Induction of type I interferon signaling determines the relative pathogenicity of Staphylococcus aureus strains.
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DOI:
10.1371/journal.ppat.1003951
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发表时间:
2014-02
期刊:
影响因子:
6.7
通讯作者:
Prince A
Prince A
中科院分区:
医学1区
文献类型:
--
作者:
Parker D;Planet PJ;Soong G;Narechania A;Prince A

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The tremendous success of S. aureus as a human pathogen has been explained primarily by its array of virulence factors that enable the organism to evade host immunity. Perhaps equally important, but less well understood, is the importance of the intensity of the host response in determining the extent of pathology induced by S. aureus infection, particularly in the pathogenesis of pneumonia. We compared the pathogenesis of infection caused by two phylogenetically and epidemiologically distinct strains of S. aureus whose behavior in humans has been well characterized. Induction of the type I IFN cascade by strain 502A, due to a NOD2-IRF5 pathway, was the major factor in causing severe pneumonia and death in a murine model of pneumonia and was associated with autolysis and release of peptidogylcan. In contrast to USA300, 502A was readily eliminated from epithelial surfaces in vitro. Nonetheless, 502A caused significantly increased tissue damage due to the organisms that were able to invade systemically and trigger type I IFN responses, and this was ameliorated in Ifnar -/- mice. The success of USA300 to cause invasive infection appears to depend upon its resistance to eradication from epithelial surfaces, but not production of specific toxins. Our studies illustrate the important and highly variable role of type I IFN signaling within a species and suggest that targeted immunomodulation of specific innate immune signaling cascades may be useful to prevent the excessive morbidity associated with S. aureus pneumonia. The virulence of the S. aureus, and especially that associated with the epidemic MRSA USA300 strains, has been primarily explained by its expression of a specific set of virulence factors. We postulated that that intensity of the host innate immune response activated by specific staphylococcal strains is also critical in determining the severity of infection. By comparing two divergent S. aureus strains, USA300, associated with invasive disease, and 502A, primarily associated with surface colonization, we found that virulence was directly associated with the ability of a strain to stimulate the type I interferon pathway. The morbidity and mortality associated with USA300 could be attributed to its resistance to killing at mucosal surfaces; once past the epithelial barrier it caused less pathology than 502A. In contrast, although 502A was more readily killed by epithelial antimicrobial factors, once into the lung, it caused significantly more pathology in a mouse model of acute pneumonia. These observations suggest that modulating the host response to infection may be useful in preventing some of the disease associated with S. aureus pneumonia.
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