[HTML][HTML] DNase Sda1 provides selection pressure for a switch to invasive group A streptococcal infection

MJ Walker, A Hollands, ML Sanderson-Smith… - Nature medicine, 2007 - nature.com
MJ Walker, A Hollands, ML Sanderson-Smith, JN Cole, JK Kirk, A Henningham, JD McArthur…
Nature medicine, 2007nature.com
Most invasive bacterial infections are caused by species that more commonly colonize the
human host with minimal symptoms. Although phenotypic or genetic correlates underlying a
bacterium's shift to enhanced virulence have been studied, the in vivo selection pressures
governing such shifts are poorly understood. The globally disseminated M1T1 clone of
group A Streptococcus (GAS) is linked with the rare but life-threatening syndromes of
necrotizing fasciitis and toxic shock syndrome. Mutations in the GAS control of virulence …
Abstract
Most invasive bacterial infections are caused by species that more commonly colonize the human host with minimal symptoms. Although phenotypic or genetic correlates underlying a bacterium's shift to enhanced virulence have been studied, the in vivo selection pressures governing such shifts are poorly understood. The globally disseminated M1T1 clone of group A Streptococcus (GAS) is linked with the rare but life-threatening syndromes of necrotizing fasciitis and toxic shock syndrome. Mutations in the GAS control of virulence regulatory sensor kinase (covRS) operon are associated with severe invasive disease, abolishing expression of a broad-spectrum cysteine protease (SpeB), and allowing the recruitment and activation of host plasminogen on the bacterial surface. Here we describe how bacteriophage-encoded GAS DNase (Sda1), which facilitates the pathogen's escape from neutrophil extracellular traps,, serves as a selective force for covRS mutation. The results provide a paradigm whereby natural selection exerted by the innate immune system generates hypervirulent bacterial variants with increased risk of systemic dissemination.
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