Increased pathogenicity of pneumococcal serotype 1 is driven by rapid autolysis and release of pneumolysin

Nat Commun. 2020 Apr 20;11(1):1892. doi: 10.1038/s41467-020-15751-6.

Abstract

Streptococcus pneumoniae serotype 1 is the predominant cause of invasive pneumococcal disease in sub-Saharan Africa, but the mechanism behind its increased invasiveness is not well understood. Here, we use mouse models of lung infection to identify virulence factors associated with severe bacteraemic pneumonia during serotype-1 (ST217) infection. We use BALB/c mice, which are highly resistant to pneumococcal pneumonia when infected with other serotypes. However, we observe 100% mortality and high levels of bacteraemia within 24 hours when BALB/c mice are intranasally infected with ST217. Serotype 1 produces large quantities of pneumolysin, which is rapidly released due to high levels of bacterial autolysis. This leads to substantial levels of cellular cytotoxicity and breakdown of tight junctions between cells, allowing a route for rapid bacterial dissemination from the respiratory tract into the blood. Thus, our results offer an explanation for the increased invasiveness of serotype 1.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • A549 Cells
  • Animals
  • Autolysis*
  • Bacteremia / microbiology
  • Bacterial Proteins / metabolism*
  • Bacterial Toxins
  • Cell Survival
  • Disease Models, Animal
  • Epithelial Cells / microbiology
  • Female
  • Humans
  • Lung / microbiology
  • Lung / pathology
  • Mice
  • Mice, Inbred BALB C
  • Nasopharynx / microbiology
  • Pneumococcal Infections / microbiology*
  • Pneumococcal Infections / pathology*
  • Serogroup
  • Streptococcus pneumoniae / metabolism*
  • Streptococcus pneumoniae / pathogenicity*
  • Streptolysins / metabolism*
  • Virulence
  • Virulence Factors

Substances

  • Bacterial Proteins
  • Bacterial Toxins
  • Streptolysins
  • Virulence Factors
  • plY protein, Streptococcus pneumoniae