Production of an attenuated phenol-soluble modulin variant unique to the MRSA clonal complex 30 increases severity of bloodstream infection

PLoS Pathog. 2014 Aug 21;10(8):e1004298. doi: 10.1371/journal.ppat.1004298. eCollection 2014 Aug.

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) is a leading cause of morbidity and death. Phenol-soluble modulins (PSMs) are recently-discovered toxins with a key impact on the development of Staphylococcus aureus infections. Allelic variants of PSMs and their potential impact on pathogen success during infection have not yet been described. Here we show that the clonal complex (CC) 30 lineage, a major cause of hospital-associated sepsis and hematogenous complications, expresses an allelic variant of the PSMα3 peptide. We found that this variant, PSMα3N22Y, is characteristic of CC30 strains and has significantly reduced cytolytic and pro-inflammatory potential. Notably, CC30 strains showed reduced cytolytic and chemotactic potential toward human neutrophils, and increased hematogenous seeding in a bacteremia model, compared to strains in which the genome was altered to express non-CC30 PSMα3. Our findings describe a molecular mechanism contributing to attenuated pro-inflammatory potential in a main MRSA lineage. They suggest that reduced pathogen recognition via PSMs allows the bacteria to evade elimination by innate host defenses during bloodstream infections. Furthermore, they underscore the role of point mutations in key S. aureus toxin genes in that adaptation and the pivotal importance PSMs have in defining key S. aureus immune evasion and virulence mechanisms.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Bacteremia / genetics*
  • Bacteremia / immunology
  • Bacterial Toxins / genetics*
  • Bacterial Toxins / immunology*
  • Blotting, Western
  • Chemotaxis, Leukocyte / immunology
  • Chromatography, High Pressure Liquid
  • Disease Models, Animal
  • Humans
  • Immune Evasion / genetics
  • Immune Evasion / immunology
  • Immunity, Innate / genetics
  • Immunity, Innate / immunology
  • Methicillin-Resistant Staphylococcus aureus
  • Neutrophil Infiltration / immunology
  • Neutrophils / immunology
  • Staphylococcal Infections / genetics*
  • Staphylococcal Infections / immunology*

Substances

  • Bacterial Toxins
  • staphylococcal delta toxin

Grants and funding

This study was supported by the Intramural Research Program of the National Institute of Allergy and Infectious Diseases (NIAID), The National Institutes of Health (NIH) to MO, and grants from the German Research Foundation (SFB685 to AP, TR34 to AP and DK), the German Ministry of Education and Research (Menage, to AP), and the Fortüne program of the Medical Faculty, University of Tübingen to DK. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.