Department of Infectious Diseases, College of Veterinary Medicine, University of Georgia, Athens, Georgia, United States of America.
Department of Biochemistry, University of Georgia, Athens, Georgia, United States of America.
PLoS Pathog. 2021 Aug 4;17(8):e1009735. doi: 10.1371/journal.ppat.1009735. eCollection 2021 Aug.
Whooping cough is resurging in the United States despite high vaccine coverage. The rapid rise of Bordetella pertussis isolates lacking pertactin (PRN), a key vaccine antigen, has led to concerns about vaccine-driven evolution. Previous studies showed that pertactin can mediate binding to mammalian cells in vitro and act as an immunomodulatory factor in resisting neutrophil-mediated clearance. To further investigate the role of PRN in vivo, we examined the functions of pertactin in the context of a more naturally low dose inoculation experimental system using C3H/HeJ mice that is more sensitive to effects on colonization, growth and spread within the respiratory tract, as well as an experimental approach to measure shedding and transmission between hosts. A B. bronchiseptica pertactin deletion mutant was found to behave similarly to its wild-type (WT) parental strain in colonization of the nasal cavity, trachea, and lungs of mice. However, the pertactin-deficient strain was shed from the nares of mice in much lower numbers, resulting in a significantly lower rate of transmission between hosts. Histological examination of respiratory epithelia revealed that pertactin-deficient bacteria induced substantially less inflammation and mucus accumulation than the WT strain and in vitro assays verified the effect of PRN on the induction of TNF-α by murine macrophages. Interestingly, only WT B. bronchiseptica could be recovered from the spleen of infected mice and were further observed to be intracellular among isolated splenocytes, indicating that pertactin contributes to systemic dissemination involving intracellular survival. These results suggest that pertactin can mediate interactions with immune cells and augments inflammation that contributes to bacterial shedding and transmission between hosts. Understanding the relative contributions of various factors to inflammation, mucus production, shedding and transmission will guide novel strategies to interfere with the reemergence of pertussis.
尽管疫苗接种率很高,但在美国百日咳仍在卷土重来。博德特氏菌 pertactin(PRN)缺失株的迅速增加, pertactin 是一种关键的疫苗抗原,这引起了人们对疫苗驱动进化的担忧。以前的研究表明 pertactin 可以介导体外与哺乳动物细胞的结合,并作为抵抗中性粒细胞介导的清除的免疫调节因子。为了进一步研究 PRN 在体内的作用,我们使用更敏感的 C3H/HeJ 小鼠,在一种更自然的低剂量接种实验系统中,研究 pertactin 的功能,该系统更敏感于对定植、生长和在呼吸道内传播的影响,以及一种用于测量宿主间脱落和传播的实验方法。发现 B. bronchiseptica pertactin 缺失突变体在鼻腔、气管和肺部的定植方面与野生型(WT)亲本菌株相似。然而, pertactin 缺陷株从鼻腔脱落的数量要少得多,导致宿主间的传播率显著降低。对呼吸道上皮的组织学检查表明,pertactin 缺陷菌引起的炎症和粘液积聚比 WT 株少得多,体外试验证实了 PRN 对 TNF-α诱导的影响。有趣的是,只有 WT B. bronchiseptica 可以从感染小鼠的脾脏中恢复,并且在体外试验中进一步观察到其在分离的脾细胞中是细胞内的,这表明 pertactin 有助于涉及细胞内生存的系统性传播。这些结果表明 pertactin 可以介导与免疫细胞的相互作用,并增强炎症,这有助于细菌脱落和在宿主之间传播。了解各种因素对炎症、粘液产生、脱落和传播的相对贡献,将为干扰百日咳的重新出现提供新的策略。