Abstract

Phosphorylcholine (ChoP) is covalently incorporated into bacterial surface structures, contributing to host mimicry and promoting adhesion to surfaces. Our aims were to determine the frequency of ChoP display among Aggregatibacter actinomycetemcomitans strains, to clarify which surface structures bear ChoP, and whether ChoP-positivity relates to serum killing. The tested oral (N = 67) and blood isolates (N = 27) represented 6 serotypes. Mab TEPC-15 was used for immunoblotting of cell lysates and fractions and for immunofluorescence microscopy of cell surface-bound ChoP. The lysates were denatured with urea for hidden ChoP or treated with proteinase K to test whether it binds to a protein. Three ChoP-positive and two ChoP-negative strains were subjected to serum killing in the presence/absence of CRP and using Ig-depleted serum as complement source. Cell lysates and the first soluble cellular fraction revealed a < 10 kDa band in immunoblots. Among 94 strains, 27 were ChoP positive. No difference was found in the prevalence of ChoP-positive oral (21/67) and blood (6/27) strains. Immunofluorescence microscopy corresponded to the immunoblot results. Proteinase K abolished ChoP reactivity, whereas urea did not change the negative result. The TEPC-15-reactive protein was undetectable in Δflp1 mutant strain. The survival rate of serotype-b strains in serum was 100% irrespective of ChoP, but that of serotype-a was higher in ChoP-positive (85%) than ChoP-negative (71%) strains. The results suggest that a third of rough-colony strains harbor ChoP and that ChoP is attached to fimbrial subunit protein Flp1. It further seems that ChoP-positivity does not enhance but may reduce A. actinomycetemcomitans susceptibility to serum killing.

Highlights

  • Choline is a small water-soluble quaternary ammonium molecule and an essential nutrient for eukaryotes, including mammals [1]

  • This study demonstrated that the reactivity of A. actinomycetemcomitans with the choline or phosphorylcholine (ChoP)-specific MAb TEPC-15 was related to the specific strains’ rough colony morphology and serotype but not to the origin of the strains, being

  • The mere presence of fimbriae cannot be the sole determinant for bearing ChoP, since two-thirds of the present rough-colony strains did not react with the TEPC-15 antibody

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Summary

Introduction

Choline is a small water-soluble quaternary ammonium molecule and an essential nutrient for eukaryotes, including mammals [1] Both eukaryotes and prokaryotes can express choline in the form of phosphorylated choline or phosphorylcholine (ChoP; phosphocholine, choline phosphate), which has a hydrophilic polar headgroup in some membrane lipids. Host mimicry through the ChoP moiety gives bacteria functional variability and helps them evade host immune recognition, thereby promoting survival in the host [4]. It enhances bacterial colonization on epithelial and endothelial cells through platelet activating factor receptor (PAFr) [5]. ChoP-positive Aggregatibacter actinomycetemcomitans strains use PAFr to adhere and enter human

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