Mulks M H, Plaut A G
N Engl J Med. 1978 Nov 2;299(18):973-6. doi: 10.1056/NEJM197811022991802.
IgA proteases are extracellular enzymes of bacteria that have human immunoglobulin A of the IgA1 subclass as their only known substrate. The identification of this enzyme in neisseria prompted us to determine whether IgA protease production correlates with pathogenicity within this genus. Multiple clinical isolates of Neisseria gonorrhoeae, N. meningitidis and eight species of non-pathogenic neisseria that commonly colonize the normal human nasopharynx were examined for IgA protease activity. All N. gonorrhoeae and N. meningitidis strains were enzyme positive; all non-pathogenic strains were negative. Among meningococci, the enzyme occurred in strains carried harmlessly in the nasopharynx as well as those isolated from systemic infections. Because mucosal immune defense is largely mediated by antibodies of the IgA isotype, the finding that IgA protease activity is linked specifically to the pathogenic neisseria suggests that the enzyme may be involved in the pathogenesis of neisserial infection.
IgA蛋白酶是细菌的细胞外酶,其唯一已知的底物是IgA1亚类的人免疫球蛋白A。在奈瑟菌中发现这种酶促使我们确定IgA蛋白酶的产生是否与该属内的致病性相关。我们检测了淋病奈瑟菌、脑膜炎奈瑟菌的多个临床分离株以及通常定植于正常人类鼻咽部的8种非致病性奈瑟菌的IgA蛋白酶活性。所有淋病奈瑟菌和脑膜炎奈瑟菌菌株的酶活性均为阳性;所有非致病性菌株均为阴性。在脑膜炎奈瑟菌中,该酶存在于无害定植于鼻咽部的菌株以及从全身感染中分离出的菌株中。由于黏膜免疫防御主要由IgA同种型抗体介导,IgA蛋白酶活性与致病性奈瑟菌特异性相关这一发现表明该酶可能参与了奈瑟菌感染的发病机制。