Title:
|
Factors determining Staphylococcus aureus invasion of host epithelial cells
|
Invasion of host cells by S. aureus is likely to play an important role during colonisation
and infection. Studies have shown S. aureus invasion to occur via an interaction
between its fibronectin binding proteins (FnBPs) and the host integrin a5~J utilising
fibronectin (Fn) as a bridging molecule. The reports of S. aureus invasion vary in a
number of ways and a number of factors are likely to influence invasion. The aim of this
study was to investigate factors involved in determining S. aureus invasion of epithelial
cells.
The presence of a stable sub-population with enhanced invasive capability has
previously been identified for the oral bacterium Porphyromonas gingivalis. In this
study consecutive antibiotic protection assays were used in an attempt to determine
whether such a sub-population structure exists in S. aureus cultures. Initial findings
indicated that S. aureus cultures may contain an invasive sub-population but that this
was transient and not stable. This was later attributed to technical aspects of the assay,
in particular variation in multiplicity of infection (MOl) between the first and second
rounds of invasion. When a MOl of 100 was maintained throughout, S. aureus cultures
did not appear to contain invasive sub-populations. This work also highlighted a
number of other methodological factors in the antibiotic protection assay, which is most
commonly used, including intracellular growth, growth phase of bacteria, MOl and host
cell confluence.
S. aureus invasion is highly variable between strains and host cell lines. Expression and
availability of FnBPs and a5~J are likely to be factors in determining the level of
invasion. However, invasion did not correlate completely with levels of Fn-binding and
expression of FnBPs, indicating additional factors are involved. The multi functional
adhesin Iron-regulated surface determinant protein A (lsdA), was identified as a
potential invasin due to its ability to bind Fn and its expression under conditions
expected to pertain in vivo. Despite binding Fn, IsdA was not found to facilitate
invasion. However, growth of S. aureus in minimal media produced slightly and
reproducibly enhanced invasion and may therefore influence expression of other factors
involved in facilitating invasion.
The level of expression of a5~1 was found to be comparable in an oral, nasal and skin
cell line and is therefore unlikely to be responsible for variation in S. aureus invasion.
Invasion was enhanced in all cell lines when carried out in suspension; conditions that
would allow access to a5~1 molecules even if they had been distributed unevenly on the
cell surface when growing on polystyrene. Such polarity, however, did not account for
the variation seen in invasion between cell types though further work showed that the
nasal epithelial cells exibited significantly reduced binding to Fn. Since Fn acts as a
bridging molecule between a5~1 and S. aureus, presence of non-active integrins would
explain the difference in invasion seen.
In summary, this work confirms Fn-binding capability by host cells is important in
bacterial adhesion and invasion of cells but shows that the traditional proteins involved
in Fn binding (e.g. FnBP) do not explain fully the different invasive behaviours of
S. aureus strains. There is, therefore, redundancy in this functionality.
II
|