Abstract

Group B Streptococcus (GBS) is an important agent of life-threatening invasive infection. It has been previously shown that encapsulated type III GBS is easily internalized by dendritic cells (DCs), and that this internalization had an impact on cytokine production. The receptors underlying these processes are poorly characterized. Knowledge on the mechanisms used by type V GBS to activate DCs is minimal. In this work, we investigated the role of Toll-like receptor (TLR)/MyD88 signaling pathway, the particular involvement of TLR2, and that of the intracellular sensing receptor NOD2 in the activation of DCs by types III and V GBS. The role of capsular polysaccharide (CPS, one of the most important GBS virulence factors) in bacterial-DC interactions was evaluated using non-encapsulated mutants. Despite differences in the role of CPS between types III and V GBS in bacterial internalization and intracellular survival, no major differences were observed in their capacity to modulate release of cytokines by DC. For both serotypes, CPS had a minor role in this response. Production of cytokines by DCs was shown to strongly rely on MyD88-dependent signaling pathways, suggesting that DCs recognize GBS and become activated mostly through TLR signaling. Yet, GBS-infected TLR2-/- DCs only showed a partial reduction in the production of IL-6 and CXCL1 compared to control DCs. Surprisingly, CXCL10 release by type III or type V GBS-infected DCs was MyD88-independent. No differences in DC activation were observed between NOD2-/- and control DCs. These results demonstrate the involvement of various receptors and the complexity of the cytokine production pathways activated by GBS upon DC infection.

Highlights

  • Group B Streptococcus (GBS) or Streptococcus agalactiae is an important cause of severe invasive bacterial infections worldwide [1]

  • Despite interactions with human epithelial and endothelial cells [35,36,37,38,39], mouse macrophages or human neutrophils [23, 40,41,42], no data are available on the phagocytosis capacity of bone marrow-derived DCs (bmDCs) face to type V GBS or on the importance of the type V capsular polysaccharide (CPS) in modulating this activity

  • As TLR2 was not involved in GBS internalization, we firstly focused on those cytokines that seem to be mainly triggered upon GBS contact with a cell surface receptor (IL-6, tumor necrosis factor alpha (TNF-a), CXCL1, CCL2 and CCL3 [28, 29])

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Summary

Introduction

Group B Streptococcus (GBS) or Streptococcus agalactiae is an important cause of severe invasive bacterial infections worldwide [1]. GBS diseases occur in pregnant women, and have been recognized as an emerging cause of life-threatening invasive infections in adults, the elderly and immunocompromised patients [2]. A cohort study suggested that the high invasiveness of this serotype may be related, at least in part, to inadequate maternal and infant levels of type III CPS-specific antibodies [5]. Type V GBS has long been recognized as a leading cause of invasive disease in adults [2, 6]. In a cross-sectional study analyzing older adult subjects [7], impaired type V GBS killing was associated with a low concentration of CPS-specific antibodies as well [7, 8]

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