Group B Streptococcus CovR regulation modulates host immune signalling pathways to promote vaginal colonization.
Group B Streptococcus CovR regulation modulates host immune signalling pathways to promote vaginal colonization.
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DOI:
10.1111/cmi.12105
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发表时间:
2013-07
影响因子:
3.4
通讯作者:
Doran KS
中科院分区:
文献类型:
--
作者:
Patras KA;Wang NY;Fletcher EM;Cavaco CK;Jimenez A;Garg M;Fierer J;Sheen TR;Rajagopal L;Doran KS
Streptococcus agalactiae (Group B Streptococcus, GBS) is a frequent commensal organism of the vaginal tract of healthy women. However, GBS can transition to a pathogen in susceptible hosts, but host and microbial factors that contribute to this conversion are not well understood. GBS CovR/S (CsrR/S) is a two component regulatory system that regulates key virulence elements including adherence and toxin production. We performed global transcription profiling of human vaginal epithelial cells exposed to WT, CovR deficient, and toxin deficient strains, and observed that insufficient regulation by CovR and subsequent increased toxin production results in a drastic increase in host inflammatory responses, particularly in cytokine signaling pathways promoted by IL-8 and CXCL2. Additionally, we observed that CovR regulation impacts epithelial cell attachment and intracellular invasion. In our mouse model of GBS vaginal colonization, we further demonstrated that CovR regulation promotes vaginal persistence, as infection with a CovR deficient strain resulted in a heightened host immune response as measured by cytokine production and neutrophil activation. Using CXCr2 KO mice, we determined that this immune alteration occurs, at least in part, via signaling through the CXCL2 receptor. Taken together, we conclude that CovR is an important regulator of GBS vaginal colonization and loss of this regulatory function may contribute to the inflammatory havoc seen during the course of infection.
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