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2017 ; 8
(2
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Staphylococcal ?-Toxin Modulates Human Aortic Endothelial Cell and Platelet
Function through Sphingomyelinase and Biofilm Ligase Activities
#MMPMID28325766
Herrera A
; Kulhankova K
; Sonkar VK
; Dayal S
; Klingelhutz AJ
; Salgado-Pabón W
; Schlievert PM
mBio
2017[Mar]; 8
(2
): ä PMID28325766
show ga
Staphylococcus aureus causes many infections, such as skin and soft tissue,
pneumonia, osteomyelitis, and infective endocarditis (IE). IE is an endovascular
infection of native and prosthetic valves and the lining of the heart; it is
characterized by the formation of cauliflower-like "vegetations" composed of
fibrin, platelets, other host factors, bacteria, and bacterial products. ?-Toxin
is an S. aureus virulence factor that contributes to the microorganism's ability
to cause IE. This cytolysin has two enzymatic activities: sphingomyelinase
(SMase) and biofilm ligase. Although both activities have functions in a rabbit
model of IE, the mechanism(s) by which ?-toxin directly affects human cells and
is involved in the infectious process has not been elucidated. Here, we compared
the in vitro effects of purified recombinant wild-type ?-toxin, SMase-deficient
?-toxin (H289N), and biofilm ligase-deficient ?-toxin (H162A and/or D163A) on
human aortic endothelial cells (HAECs) and platelets. ?-Toxin was cytotoxic to
HAECs and inhibited the production of interleukin 8 (IL-8) from these cells by
both SMase and biofilm ligase activities. ?-Toxin altered HAEC surface expression
of CD40 and vascular cell adhesion molecule 1 (VCAM-1). HAECs treated with
?-toxin displayed granular membrane morphology not seen in treatment with the
SMase-deficient mutant. The altered morphology resulted in two possibly separable
activities, cell rounding and redistribution of cell membranes into granules,
which were not the result of endosome production from the Golgi apparatus or
lysosomes. ?-Toxin directly aggregated rabbit platelets via SMase
activity.IMPORTANCE Each year there are up to 100,000 cases of infective
endocarditis (IE) in the United States. S. aureus is the most common pathogen in
patients with health care-associated IE and the leading cause of
community-associated IE in the developed world. Multiple clonal group strains as
defined by the Centers for Disease Control and Prevention, particularly USA200
and other clones encoding ?-toxin, are highly associated with IE. Considering the
strong association and established contribution of ?-toxin in animal models of
IE, determining how ?-toxin directly affects human cell types, including
endothelial cells and platelets, is important. In this study, we demonstrate that
?-toxin functions to modulate endothelial cells and platelets by both toxin
sphingomyelinase and biofilm ligase activities. Our data suggest that these
activities modulate inflammation and increase infection severity.