Evidence map›Paper›PMID 37430325›Full record

ArticleJournal of biomedical science2023

Neutrophil-derived reactive agents induce a transient SpeB negative phenotype in Streptococcus pyogenes.

Patience Shumba, Thomas Sura, Kirsten Moll, Bhavya Chakrakodi, Lea A Tölken, Jörn Hoßmann, Katharina J Hoff, Ole Hyldegaard, Michael Nekludov, Mattias Svensson and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of biomedical science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

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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

15 authors at 8 institutions in 4 countries.

Patience ShumbaDepartment of Molecular Genetics and Infection Biology, University of Greifswald, Greifswald, Germany.
Thomas SuraDepartment of Microbial Proteomics, Institute of Microbiology, University of Greifswald, Greifswald, Germany.
Kirsten MollCenter for Infectious Medicine, Karolinska Institutet, Karolinska University Hospital, Huddinge, Stockholm, Sweden.
Bhavya ChakrakodiCenter for Infectious Medicine, Karolinska Institutet, Karolinska University Hospital, Huddinge, Stockholm, Sweden.
Lea A TölkenDepartment of Molecular Genetics and Infection Biology, University of Greifswald, Greifswald, Germany.
Jörn HoßmannHelmholtz Center for Infection Research, Brunswick, Germany.
Katharina J HoffInstitute of Mathematics and Computer Science, University of Greifswald, Greifswald, Germany.
Ole HyldegaardDepartment of Anaesthesia, Head and Orthopedic Center, University Hospital Copenhagen, Rigshospitalet, Copenhagen, Denmark.
Michael NekludovDepartment of Anaesthesia, Surgical Services and Intensive Care, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden.
Mattias SvenssonCenter for Infectious Medicine, Karolinska Institutet, Karolinska University Hospital, Huddinge, Stockholm, Sweden.
Per ArnellDepartment of Anaesthesiology and Intensive Care Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.
Steinar SkredeDepartment of Medicine, Haukeland University Hospital, Bergen, Norway.
INFECT Study Group
Anna Norrby-Teglund *Center for Infectious Medicine, Karolinska Institutet, Karolinska University Hospital, Huddinge, Stockholm, Sweden.
Nikolai Siemens *Department of Molecular Genetics and Infection Biology, University of Greifswald, Greifswald, Germany. nikolai.siemens@uni-greifswald.de.ORCID http://orcid.org/0000-0003-0657-3822
Haukeland University Hospital · NOKarolinska University Hospital · SEUniversität Greifswald · DECopenhagen University Hospital · DKHelmholtz Centre for Infection Research · DESahlgrenska University Hospital · SEUniversitätsmedizin Greifswald · DEUniversity of Copenhagen · DK

Funding

Center for Innovative Medicine 20180058Deutsche Forschungsgemeinschaft 407176682Deutsche Forschungsgemeinschaft 492903360Deutsche Forschungsgemeinschaft 503880638Vetenskapsrådet 2018-02475Vetenskapsrådet 2018-151VINNOVA 90456
6 · The paper itself

Abstract

backgroundStreptococcus pyogenes (group A streptococci; GAS) is the main causative pathogen of monomicrobial necrotizing soft tissue infections (NSTIs). To resist immuno-clearance, GAS adapt their genetic information and/or phenotype to the surrounding environment. Hyper-virulent streptococcal pyrogenic exotoxin B (SpeB) negative variants caused by covRS mutations are enriched during infection. A key driving force for this process is the bacterial Sda1 DNase.

methodsBacterial infiltration, immune cell influx, tissue necrosis and inflammation in patient´s biopsies were determined using immunohistochemistry. SpeB secretion and activity by GAS post infections or challenges with reactive agents were determined via Western blot or casein agar and proteolytic activity assays, respectively. Proteome of GAS single colonies and neutrophil secretome were profiled, using mass spectrometry.

resultsHere, we identify another strategy resulting in SpeB-negative variants, namely reversible abrogation of SpeB secretion triggered by neutrophil effector molecules. Analysis of NSTI patient tissue biopsies revealed that tissue inflammation, neutrophil influx, and degranulation positively correlate with increasing frequency of SpeB-negative GAS clones. Using single colony proteomics, we show that GAS isolated directly from tissue express but do not secrete SpeB. Once the tissue pressure is lifted, GAS regain SpeB secreting function. Neutrophils were identified as the main immune cells responsible for the observed phenotype. Subsequent analyses identified hydrogen peroxide and hypochlorous acid as reactive agents driving this phenotypic GAS adaptation to the tissue environment. SpeB-negative GAS show improved survival within neutrophils and induce increased degranulation.

conclusionsOur findings provide new information about GAS fitness and heterogeneity in the soft tissue milieu and provide new potential targets for therapeutic intervention in NSTIs.

Indexed as

NeutrophilsStreptococcus pyogenesBacterial ProteinsExotoxinsBacterial Proteinserythrogenic toxinExotoxinsNecrotizing soft tissue infectionsNeutrophilsSpeBStreptococcus pyogenes

Identifiers

PMID37430325
PMCPMC10331992
OpenAlexW4383720665

What OpenQuestion holds

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LicenceCC BY
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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.