1. Staphylococcus aureus adhesion in endovascular infections is controlled by the ArlRS-MgrA signaling cascade.
- Author
-
Kwiecinski JM, Crosby HA, Valotteau C, Hippensteel JA, Nayak MK, Chauhan AK, Schmidt EP, Dufrêne YF, and Horswill AR
- Subjects
- Animals, Bacterial Proteins antagonists & inhibitors, Bacterial Proteins genetics, Endothelium, Vascular metabolism, Endothelium, Vascular pathology, Female, Fibrinogen genetics, Fibrinogen metabolism, Fibronectins genetics, Fibronectins metabolism, Humans, Membrane Proteins genetics, Mice, Mice, Inbred C57BL, Protein Kinases genetics, Protein Kinases metabolism, Staphylococcal Infections metabolism, Staphylococcal Infections pathology, Bacterial Adhesion, Bacterial Proteins metabolism, Endothelium, Vascular microbiology, Gene Expression Regulation, Bacterial, Membrane Proteins metabolism, Staphylococcal Infections microbiology, Staphylococcus aureus physiology
- Abstract
Staphylococcus aureus is a leading cause of endovascular infections. This bacterial pathogen uses a diverse array of surface adhesins to clump in blood and adhere to vessel walls, leading to endothelial damage, development of intravascular vegetations and secondary infectious foci, and overall disease progression. In this work, we describe a novel strategy used by S. aureus to control adhesion and clumping through activity of the ArlRS two-component regulatory system, and its downstream effector MgrA. Utilizing a combination of in vitro cellular assays, and single-cell atomic force microscopy, we demonstrated that inactivation of this ArlRS-MgrA cascade inhibits S. aureus adhesion to a vast array of relevant host molecules (fibrinogen, fibronectin, von Willebrand factor, collagen), its clumping with fibrinogen, and its attachment to human endothelial cells and vascular structures. This impact on S. aureus adhesion was apparent in low shear environments, and in physiological levels of shear stress, as well as in vivo in mouse models. These effects were likely mediated by the de-repression of giant surface proteins Ebh, SraP, and SasG, caused by inactivation of the ArlRS-MgrA cascade. In our in vitro assays, these giant proteins collectively shielded the function of other surface adhesins and impaired their binding to cognate ligands. Finally, we demonstrated that the ArlRS-MgrA regulatory cascade is a druggable target through the identification of a small-molecule inhibitor of ArlRS signaling. Our findings suggest a novel approach for the pharmacological treatment and prevention of S. aureus endovascular infections through targeting the ArlRS-MgrA regulatory system., Competing Interests: The authors have declared that no competing interests exist.
- Published
- 2019
- Full Text
- View/download PDF