DNase Sda1 provides selection pressure for a switch to invasive group A streptococcal infection

Nat Med. 2007 Aug;13(8):981-5. doi: 10.1038/nm1612. Epub 2007 Jul 15.

Abstract

Most invasive bacterial infections are caused by species that more commonly colonize the human host with minimal symptoms. Although phenotypic or genetic correlates underlying a bacterium's shift to enhanced virulence have been studied, the in vivo selection pressures governing such shifts are poorly understood. The globally disseminated M1T1 clone of group A Streptococcus (GAS) is linked with the rare but life-threatening syndromes of necrotizing fasciitis and toxic shock syndrome. Mutations in the GAS control of virulence regulatory sensor kinase (covRS) operon are associated with severe invasive disease, abolishing expression of a broad-spectrum cysteine protease (SpeB) and allowing the recruitment and activation of host plasminogen on the bacterial surface. Here we describe how bacteriophage-encoded GAS DNase (Sda1), which facilitates the pathogen's escape from neutrophil extracellular traps, serves as a selective force for covRS mutation. The results provide a paradigm whereby natural selection exerted by the innate immune system generates hypervirulent bacterial variants with increased risk of systemic dissemination.

Publication types

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

MeSH terms

  • Animals
  • Cell Survival
  • Deoxyribonuclease I / genetics
  • Deoxyribonuclease I / metabolism*
  • Humans
  • Immunity, Innate
  • Mice
  • Neutrophils / cytology
  • Neutrophils / microbiology
  • Phenotype
  • Selection, Genetic
  • Streptococcal Infections / microbiology*
  • Streptococcal Infections / pathology
  • Streptococcus pyogenes / enzymology*
  • Streptococcus pyogenes / genetics
  • Streptococcus pyogenes / pathogenicity*
  • Virulence

Substances

  • Deoxyribonuclease I
  • Sda1 protein, Streptococcus pyogenes