Kinney Kyle J, Tang Sharon S, Wu Xiao-Jun, Tran Phuong M, Bharadwaj Nikhila S, Gibson-Corley Katherine N, Forsythe Ana N, Kulhankova Katarina, Gumperz Jenny E, Salgado-Pabón Wilmara
Department of Microbiology and Immunology, University of Iowa, Iowa City, IA, USA.
Department of Pathobiological Sciences, University of Wisconsin-Madison, Madison, WI, USA.
Sci Adv. 2022 May 13;8(19):eabo1072. doi: 10.1126/sciadv.abo1072. Epub 2022 May 11.
The superantigen staphylococcal enterotoxin C (SEC) is critical for infective endocarditis (SAIE) in rabbits. Superantigenicity, its hallmark function, was proposed to be a major underlying mechanism driving SAIE but was not directly tested. With the use of MW2 expressing SEC toxoids, we show that superantigenicity does not sufficiently account for vegetation growth, myocardial inflammation, and acute kidney injury in the rabbit model of native valve SAIE. These results highlight the critical contribution of an alternative function of superantigens to SAIE. In support of this, we provide evidence that SEC exerts antiangiogenic effects by inhibiting branching microvessel formation in an ex vivo rabbit aortic ring model and by inhibiting endothelial cell expression of one of the most potent mediators of angiogenesis, VEGF-A. SEC's ability to interfere with tissue revascularization and remodeling after injury serves as a mechanism to promote SAIE and its life-threatening systemic pathologies.
超抗原葡萄球菌肠毒素C(SEC)对兔感染性心内膜炎(SAIE)至关重要。超抗原性作为其标志性功能,被认为是驱动SAIE的主要潜在机制,但尚未得到直接验证。通过使用表达SEC类毒素的MW2,我们发现超抗原性不足以解释兔天然瓣膜SAIE模型中的赘生物生长、心肌炎症和急性肾损伤。这些结果突出了超抗原的另一种功能对SAIE的关键作用。为此,我们提供证据表明,SEC通过在体外兔主动脉环模型中抑制分支微血管形成以及抑制血管生成最有效介质之一VEGF-A的内皮细胞表达来发挥抗血管生成作用。SEC干扰损伤后组织再血管化和重塑的能力是促进SAIE及其危及生命的全身病理状况的一种机制。