Evidence map›Paper›PMID 34060329›Full record

ArticlemBio2021

Staphylococcal Protein A Induces Leukocyte Necrosis by Complexing with Human Immunoglobulins.

Proinnsias G Fox, Francesca Schiavetti, Rino Rappuoli, Rachel M McLoughlin, Fabio Bagnoli

Open access · goldAbstract read
In one paragraph

Article in mBio, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Bacterial and host interactions inFrontiers in microbiology · 2025
    Review
  6. Non-Affinity Purification of Antibodies.Antibodies (Basel, Switzerland) · 2023
    Review
  7. Anti-leishmaniasis Effect ofAdvanced biomedical research · 2023
    Article
  8. The immune evasion roles ofFrontiers in cellular and infection microbiology · 2023
    Review
  9. Article
  10. Exploring the Role ofToxins · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Proinnsias G FoxGSK, Siena, Italy.
Francesca SchiavettiGSK, Siena, Italy.
Rino RappuoliGSK, Siena, Italy.
Rachel M McLoughlin *Host-Pathogen Interactions Group, School of Biochemistry and Immunology, Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin, Ireland.
Fabio Bagnoli *GSK, Siena, Italy.
Trinity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

One of the defining features of Staphylococcus aureus is its ability to evade and impair the human immune response through expression of staphylococcal protein A (SpA). Herein, we describe a previously unknown mechanism by which SpA can form toxic immune complexes when in the presence of human serum, which leads to the loss of human leukocytes. Further, we demonstrate that these toxic complexes are formed specifically through SpA's interaction with intact human IgG and that, in the presence of purified IgG Fab and Fc fragments, SpA shows no such toxicity. The mechanism of action of this toxicity appears to be one mediated by necrosis and not by apoptosis, as previously hypothesized, with up to 90% of human B cells rapidly becoming necrotic following stimulation with SpA-IgG complexes. This phenomenon depends on the immunoglobulin binding capacity of SpA, as a nonbinding mutant of SpA did not induce necrosis. Importantly, immune sera raised against SpA had the capacity to significantly reduce the observed toxicity. An unprecedented toxic effect of SpA-IgG complexes on monocytes was also observed, suggesting the existence of a novel mechanism independent from the interaction of SpA with the B cell receptor. Together, these data implicate SpA in inducing indiscriminate leukocyte toxicity upon formation of complexes with IgG and highlight the requirement for vaccination strategies to inhibit this mechanism.

Indexed as

Antigen-Antibody ComplexAnimalsB-LymphocytesCell Line, TumorFemaleHumansImmunoglobulin GMiceMice, Inbred BALB CNecrosisStaphylococcal Protein AStaphylococcus aureusVaccinationAntigen-Antibody ComplexImmunoglobulin GStaphylococcal Protein AB cellsstaphylococcal protein AStaphylococcus aureusvaccine

Identifiers

PMID34060329
PMCPMC8262926
OpenAlexW3165011590

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.