The structure of Neisseria meningitidis lipid A determines outcome in experimental meningococcal disease

Infect Immun. 2010 Jul;78(7):3177-86. doi: 10.1128/IAI.01311-09. Epub 2010 May 3.

Abstract

Lipopolysaccharide (LPS), a major component of the meningococcal outer membrane, is sensed by the host through activation of Toll-like receptor 4 (TLR4). Recently, we demonstrated that a surprisingly large fraction of Neisseria meningitidis disease isolates are lipid A mutants, due to inactivating mutations in the lpxL1 gene. The lpxL1 mutants activate human TLR4 much less efficiently than wild-type bacteria, which may be advantageous by allowing them to escape from the innate immune system. Here we investigated the influence of lipid A structure on virulence in a mouse model of meningococcal sepsis. One limitation, however, is that murine TLR4 recognizes lpxL1 mutant bacteria much better than human TLR4. We show that an lpxL2 mutant, another lipid A mutant lacking an acyl chain at a different position, activates murine TLR4 less efficiently than the lpxL1 mutant. Therefore, the lpxL2 mutant in mice might be a better model for infections with lpxL1 mutants in humans. Interestingly, we found that the lpxL2 mutant is more virulent in mice than the wild-type strain, whereas the lpxL1 mutant is actually much less virulent than the wild-type strain. These results demonstrate the crucial role of N. meningitidis lipid A structure in virulence.

MeSH terms

  • Animals
  • Bacteremia / immunology
  • Bacteremia / microbiology
  • Bacterial Outer Membrane Proteins / immunology
  • Cell Line
  • Cytokines / blood
  • Cytokines / immunology
  • Disease Models, Animal
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Immunity, Innate / immunology
  • Immunity, Innate / physiology
  • Lipid A / immunology
  • Lipid A / physiology*
  • Meningococcal Infections / immunology
  • Meningococcal Infections / microbiology*
  • Mice
  • Mice, Inbred C57BL
  • Mutation
  • Neisseria meningitidis / immunology
  • Neisseria meningitidis / pathogenicity*
  • Neisseria meningitidis / physiology
  • Toll-Like Receptor 4 / immunology
  • Toll-Like Receptor 4 / physiology

Substances

  • Bacterial Outer Membrane Proteins
  • Cytokines
  • Lipid A
  • Toll-Like Receptor 4