Bacterial superantigens promote acute nasopharyngeal infection by Streptococcus pyogenes in a human MHC Class II-dependent manner

PLoS Pathog. 2014 May 29;10(5):e1004155. doi: 10.1371/journal.ppat.1004155. eCollection 2014 May.

Abstract

Establishing the genetic determinants of niche adaptation by microbial pathogens to specific hosts is important for the management and control of infectious disease. Streptococcus pyogenes is a globally prominent human-specific bacterial pathogen that secretes superantigens (SAgs) as 'trademark' virulence factors. SAgs function to force the activation of T lymphocytes through direct binding to lateral surfaces of T cell receptors and class II major histocompatibility complex (MHC-II) molecules. S. pyogenes invariably encodes multiple SAgs, often within putative mobile genetic elements, and although SAgs are documented virulence factors for diseases such as scarlet fever and the streptococcal toxic shock syndrome (STSS), how these exotoxins contribute to the fitness and evolution of S. pyogenes is unknown. Here we show that acute infection in the nasopharynx is dependent upon both bacterial SAgs and host MHC-II molecules. S. pyogenes was rapidly cleared from the nasal cavity of wild-type C57BL/6 (B6) mice, whereas infection was enhanced up to ∼10,000-fold in B6 mice that express human MHC-II. This phenotype required the SpeA superantigen, and vaccination with an MHC -II binding mutant toxoid of SpeA dramatically inhibited infection. Our findings indicate that streptococcal SAgs are critical for the establishment of nasopharyngeal infection, thus providing an explanation as to why S. pyogenes produces these potent toxins. This work also highlights that SAg redundancy exists to avoid host anti-SAg humoral immune responses and to potentially overcome host MHC-II polymorphisms.

MeSH terms

  • Acute Disease
  • Animals
  • Bacterial Proteins / immunology
  • Bacterial Proteins / metabolism*
  • Exotoxins / immunology
  • Exotoxins / metabolism*
  • Histocompatibility Antigens Class II / immunology*
  • Humans
  • Membrane Proteins / immunology
  • Membrane Proteins / metabolism*
  • Mice, Inbred C57BL
  • Nasopharynx / immunology
  • Receptors, Antigen, T-Cell / immunology
  • Streptococcal Infections / immunology*
  • Streptococcal Infections / prevention & control
  • Streptococcus pyogenes / genetics
  • Streptococcus pyogenes / immunology*
  • Superantigens / genetics
  • Superantigens / immunology*
  • T-Lymphocytes / immunology

Substances

  • Bacterial Proteins
  • Exotoxins
  • Histocompatibility Antigens Class II
  • Membrane Proteins
  • Receptors, Antigen, T-Cell
  • SpeA protein, Streptococcus pyogenes
  • Superantigens

Grants and funding

This work was supported by Canadian Institutes of Health Research (CIHR) (http://www.cihr-irsc.gc.ca) operating grant to JKM (MOP-64176). KJK was supported by a CIHR Doctoral Research award and an Ontario Graduate Scholarship (https://osap.gov.on.ca). JJZ and SXX were supported by Ontario Graduate Scholarships. EC is supported by the Calder Foundation Award, SMMH holds a Canada Research Chair (http://www.chairs-chaires.gc.ca) in Viral Immunity and Pathogenesis and JKM was the recipient of a New Investigator Award from the CIHR. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.