透明质酸酶可损害中性粒细胞功能并促进 B 族链球菌侵袭和早产。

Hyaluronidase Impairs Neutrophil Function and Promotes Group B Invasion and Preterm Labor in Nonhuman Primates.

机构信息

Center for Global Infectious Disease Research, Seattle Children's Research Institute, Seattle, Washington, USA.

Department of Global Health, University of Washington, Seattle, Washington, USA.

出版信息

mBio. 2021 Jan 5;12(1):e03115-20. doi: 10.1128/mBio.03115-20.

Abstract

Invasive bacterial infections during pregnancy are a major risk factor for preterm birth, stillbirth, and fetal injury. Group B streptococci (GBS) are Gram-positive bacteria that asymptomatically colonize the lower genital tract but infect the amniotic fluid and induce preterm birth or stillbirth. Experimental models that closely emulate human pregnancy are pivotal for the development of successful strategies to prevent these adverse pregnancy outcomes. Using a unique nonhuman primate model that mimics human pregnancy and informs temporal events surrounding amniotic cavity invasion and preterm labor, we show that the animals inoculated with hyaluronidase (HylB)-expressing GBS consistently exhibited microbial invasion into the amniotic cavity, fetal bacteremia, and preterm labor. Although delayed cytokine responses were observed at the maternal-fetal interface, increased prostaglandin and matrix metalloproteinase levels in these animals likely mediated preterm labor. HylB-proficient GBS dampened reactive oxygen species production and exhibited increased resistance to neutrophils compared to an isogenic mutant. Together, these findings demonstrate how a bacterial enzyme promotes GBS amniotic cavity invasion and preterm labor in a model that closely resembles human pregnancy. Group B streptococci (GBS) are bacteria that commonly reside in the female lower genital tract as asymptomatic members of the microbiota. However, during pregnancy, GBS can infect tissues at the maternal-fetal interface, leading to preterm birth, stillbirth, or fetal injury. Understanding how GBS evade host defenses during pregnancy is key to developing improved preventive therapies for these adverse outcomes. In this study, we used a unique nonhuman primate model to show that an enzyme secreted by GBS, hyaluronidase (HylB) promotes bacterial invasion into the amniotic cavity and fetus. Although delayed immune responses were seen at the maternal-fetal interface, animals infected with hyaluronidase-expressing GBS exhibited premature cervical ripening and preterm labor. These observations reveal that HylB is a crucial GBS virulence factor that promotes bacterial invasion and preterm labor in a pregnancy model that closely emulates human pregnancy. Therefore, hyaluronidase inhibitors may be useful in therapeutic strategies against ascending GBS infection.

摘要

在怀孕期间,细菌性感染是导致早产、死产和胎儿损伤的主要风险因素。B 群链球菌(GBS)是一种革兰氏阳性细菌,无症状地定植于下生殖道,但会感染羊水并引发早产或死产。模拟人类妊娠的实验模型对于开发预防这些不良妊娠结局的成功策略至关重要。本研究使用一种独特的非人灵长类动物模型来模拟人类妊娠,并告知围绕羊膜腔侵袭和早产的时间事件,我们发现接种透明质酸酶(HylB)表达 GBS 的动物始终表现出微生物侵入羊膜腔、胎儿菌血症和早产。尽管在母体-胎儿界面观察到延迟的细胞因子反应,但这些动物中增加的前列腺素和基质金属蛋白酶水平可能介导了早产。与遗传同源突变株相比,HylB 阳性 GBS 可减少活性氧的产生并增强对中性粒细胞的抵抗力。总之,这些发现表明,细菌酶如何在类似于人类妊娠的模型中促进 GBS 羊膜腔侵袭和早产。B 群链球菌(GBS)是一种常见的细菌,通常作为微生物群落的无症状成员存在于女性下生殖道。然而,在怀孕期间,GBS 可以感染母体-胎儿界面的组织,导致早产、死产或胎儿损伤。了解 GBS 如何在怀孕期间逃避宿主防御是开发这些不良结局的改进预防疗法的关键。在这项研究中,我们使用独特的非人灵长类动物模型表明,GBS 分泌的酶透明质酸酶(HylB)促进细菌侵入羊膜腔和胎儿。尽管在母体-胎儿界面观察到延迟的免疫反应,但感染表达 HylB 的 GBS 的动物表现出宫颈过早成熟和早产。这些观察结果表明,HylB 是 GBS 的一个关键毒力因子,它在模拟人类妊娠的妊娠模型中促进细菌侵袭和早产。因此,透明质酸酶抑制剂可能对针对上行 GBS 感染的治疗策略有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c819/8545101/28e7f1bba665/mbio.03115-20-f0001.jpg

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