Protein C inhibitor--a novel antimicrobial agent.
Protein C inhibitor--a novel antimicrobial agent.
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DOI:
10.1371/journal.ppat.1000698
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发表时间:
2009-12
期刊:
影响因子:
6.7
通讯作者:
Herwald H
中科院分区:
文献类型:
--
作者:
Malmström E;Mörgelin M;Malmsten M;Johansson L;Norrby-Teglund A;Shannon O;Schmidtchen A;Meijers JC;Herwald H
Protein C inhibitor (PCI) is a heparin-binding serine proteinase inhibitor belonging to the family of serpin proteins. Here we describe that PCI exerts broad antimicrobial activity against bacterial pathogens. This ability is mediated by the interaction of PCI with lipid membranes, which subsequently leads to their permeabilization. As shown by negative staining electron microscopy, treatment of Escherichia coli or Streptococcus pyogenes bacteria with PCI triggers membrane disruption followed by the efflux of bacterial cytosolic contents and bacterial killing. The antimicrobial activity of PCI is located to the heparin-binding site of the protein and a peptide spanning this region was found to mimic the antimicrobial activity of PCI, without causing lysis or membrane destruction of eukaryotic cells. Finally, we show that platelets can assemble PCI on their surface upon activation. As platelets are recruited to the site of a bacterial infection, these results may explain our finding that PCI levels are increased in tissue biopsies from patients suffering from necrotizing fasciitis caused by S. pyogenes. Taken together, our data describe a new function for PCI in innate immunity. The innate immune system is an integral part of our battle against an invading pathogen. Antimicrobial peptides and proteins partake in this fight due to their ability to perforate the bacterial cell wall, which eventually will cause the efflux of bacterial cytosolic content and efficient bacterial killing. Protein C inhibitor (PCI) is a multifunctional heparin-binding serpin which has been implicated in a number of pathological conditions, including severe infectious diseases. Here we show that PCI is a potent antimicrobial agent that is able to destroy the bacterial cell wall and thereby cause death of the bacteria. Our study also shows that in contrast to many other antimicrobial peptides, processing of PCI is not required since the full length protein exerts its antimicrobial activity, and we present data demonstrating that PCI is enriched at the infected site of patients suffering from severe streptococcal infection.
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