Abstract

Several species of Gram-positive bacteria can avidly bind soluble and surface-associated fibrinogen (Fng), a property that is considered important in the pathogenesis of human infections. To gain insights into the mechanism by which group B Streptococcus (GBS), a frequent neonatal pathogen, interacts with Fng, we have screened two phage displayed genomic GBS libraries. All of the Fng-binding phage clones contained inserts encoding fragments of FbsA, a protein displaying multiple repeats. Since the functional role of this protein is only partially understood, representative fragments were recombinantly expressed and analyzed for Fng binding affinity and ability to induce immune protection against GBS infection. Maternal immunization with 6pGST, a fragment containing five repeats, significantly protected mouse pups against lethal GBS challenge and these protective effects could be recapitulated by administration of anti-6pGST serum from adult animals. Notably, a monoclonal antibody that was capable of neutralizing Fng binding by 6pGST, but not a non-neutralizing antibody, could significantly protect pups against lethal GBS challenge. These data suggest that FbsA-Fng interaction promotes GBS pathogenesis and that blocking such interaction is a viable strategy to prevent or treat GBS infections.

Highlights

  • IntroductionThe Gram positive bacterium Streptococcus agalactiae (group B Streptococcus, GBS) is a frequent colonizer of the intestinal and genital tracts of humans and a leading neonatal pathogen [1,2]

  • The Gram positive bacterium Streptococcus agalactiae is a frequent colonizer of the intestinal and genital tracts of humans and a leading neonatal pathogen [1,2]

  • Due to the inconsistence of our data with those of the previous study cited above [17], we investigated whether 6pGST immunization could afford protection against infection caused by the same group B Streptococcus (GBS) strain used in that study

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Summary

Introduction

The Gram positive bacterium Streptococcus agalactiae (group B Streptococcus, GBS) is a frequent colonizer of the intestinal and genital tracts of humans and a leading neonatal pathogen [1,2]. Maternal colonization with GBS is the primary risk factor for life-threatening neonatal infections, including pneumonia, sepsis and meningitis. Colonization and invasion of host barriers is, at least partially, related to the ability of GBS to bind human fibrinogen (Fng) [5,6,7] and strains causing severe invasive infections can strongly interact with this protein [8]. Fng can act as a molecular nexus between pathogens and human tissues and can modulate a number of host cell functions, those involved in inflammatory responses and coagulation [10]

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