Staphylococcus aureus hijacks a skin commensal to intensify its virulence: immunization targeting β-hemolysin and CAMP factor

J Invest Dermatol. 2011 Feb;131(2):401-9. doi: 10.1038/jid.2010.319. Epub 2010 Nov 18.

Abstract

The need for a new anti-Staphylococcus aureus therapy that can effectively cripple bacterial infection, neutralize secretory virulence factors, and lower the risk of creating bacterial resistance is undisputed. Here, we propose what is, to our knowledge, a previously unreported infectious mechanism by which S. aureus may commandeer Propionibacterium acnes, a key member of the human skin microbiome, to spread its invasion and highlight two secretory virulence factors (S. aureus β-hemolysin and P. acnes CAMP (Christie, Atkins, Munch-Peterson) factor) as potential molecular targets for immunotherapy against S. aureus infection. Our data demonstrate that the hemolysis and cytolysis by S. aureus were noticeably augmented when S. aureus was grown with P. acnes. The augmentation was significantly abrogated when the P. acnes CAMP factor was neutralized or β-hemolysin of S. aureus was mutated. In addition, the hemolysis and cytolysis of recombinant β-hemolysin were markedly enhanced by recombinant CAMP factor. Furthermore, P. acnes exacerbated S. aureus-induced skin lesions in vivo. The combination of CAMP factor neutralization and β-hemolysin immunization cooperatively suppressed the skin lesions caused by coinfection of P. acnes and S. aureus. These observations suggest a previously unreported immunotherapy targeting the interaction of S. aureus with a skin commensal.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Antibodies, Monoclonal / immunology
  • Antibodies, Monoclonal / therapeutic use
  • Bacterial Proteins / immunology*
  • Bacterial Proteins / metabolism
  • Bacterial Toxins / immunology*
  • Bacterial Toxins / metabolism
  • Disease Models, Animal
  • Female
  • Hemolysin Proteins / immunology*
  • Hemolysin Proteins / metabolism
  • Hemolysis / physiology
  • Humans
  • Immunotherapy / methods*
  • Metagenome / immunology
  • Mice
  • Mice, Inbred ICR
  • Propionibacterium acnes / metabolism
  • Propionibacterium acnes / pathogenicity*
  • Skin / microbiology*
  • Skin / pathology
  • Sphingomyelin Phosphodiesterase / immunology*
  • Sphingomyelin Phosphodiesterase / metabolism
  • Staphylococcal Infections / immunology
  • Staphylococcal Infections / prevention & control*
  • Staphylococcus aureus / metabolism
  • Staphylococcus aureus / pathogenicity*

Substances

  • Antibodies, Monoclonal
  • Bacterial Proteins
  • Bacterial Toxins
  • Hemolysin Proteins
  • Sphingomyelin Phosphodiesterase
  • hlb protein, Staphylococcus aureus