Etude de la biodiversité des souches de Streptococcus pyogenes responsables d'infections invasives et de cas groupés par une approche de génomique comparative

Résumé confidentielRésumé confidentielPARIS5-Bibliotheque electronique (751069902) / SudocSudocFranceF

Clonal Spread of Streptococcus pyogenes emm44 among Homeless Persons, Rennes, France

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Biodiversity study of Streptococcus pyogenes strains responsible for invasive infections and clusters by a comparative genomic approach

Streptococcus pyogenes (Streptocoque du Groupe A (SGA)) est un germe humain responsable d’un large éventail de pathologies invasives et non-invasives, mais aucun attribut génétique ne rend compte à lui seul de cette diversité. Notre objectif a été de rechercher des liens entre génotype, présence de gènes de virulence et caractère invasif des souches par une approche d’épidémiologie moléculaire. Une association entre génotypes et présence de certains gènes de virulence a été établie sur une collection de souches françaises de SGA responsables d’infections invasives chez des adultes. De même, la présence du locus sil, codant un système de quorum-sensing, est liée au génotype des souches, mais non à leur caractère invasif. Concernant la réponse immunitaire innée, contrairement aux souches emm1, emm4 et emm28, les souches invasives emm3 et emm89 sont plus phagocytées par les macrophages que leurs homologues non-invasives. Les souches emm89 sont plus phagocytées et survivent plus longtemps dans les macrophages que les souches des autres génotypes. Par ailleurs, les souches emm3 induisent l’apoptose des macrophages. Enfin, la cinétique de production des médiateurs pro et anti-inflammatoires est dépendante du génotype. La souche de colonisation d’un cas groupé, incluant aussi une souche invasive, présente une mutation originale dans covS (codant le senseur d’un système de régulation à deux composants). La protéine CovSY39H répond peu aux signaux de l’environnement, correspondant à une protéine CovS constitutive. Le phénotype de ce mutant, résultant de l’expression de certains gènes de virulence, est favorable à la colonisation. Sa survie dans les macrophages et sa virulence sont altérées.Streptococcus pyogenes (Group A Streptococcus (GAS)) is a human pathogen responsible for a wide range of diseases including non-invasive and invasive infections. To date no specific GAS attribute has been associated with a type of infection although a link between genetic background and tissue tropism has been demonstrated. Our objective was to investigate the relationship between genotype, the presence of genes encoding virulence factors and invasive strains by molecular epidemiology approach. An association between genotypes and the presence of genes encoding virulence factors has been established among a collection of French strains responsible for invasive GAS infections in adults. Similarly, the presence of sil locus, encoding a quorum sensing system, is related to genotype, but not to the invasive status of the GAS strains. Regarding the innate immune response, unlike emm1, emm4 and emm28 strains, invasive emm3 and emm89 strains are more phagocytosed by macrophages than their non-invasive counterparts. The emm89 strains are phagocytosed and survive longer in macrophages than strains belonging to any other genotype. Moreover, emm3 strains induce macrophage apoptosis. Finally, the kinetics of production of pro- and anti-inflammatory mediators are genotype-dependent. A colonization strain belonging to a cluster that also includes an invasive strain, has a unique mutation in covS (encoding the sensor of a two-component system). The CovSY39H protein responds less to some environmental signals, corresponding to a constitutive CovS protein. The phenotype of the mutant, resulting in the expression of certain genes encoding virulence factors, favors a colonization state. Survival in macrophages and virulence are also altered

Résistance aux fluoroquinolones des souches de Streptococcus pneumoniae isolées au centre hospitalier de Versailles

PARIS-BIUP (751062107) / SudocSudocFranceF

Streptococcus pyogenes infects human endometrium by limiting the innate immune response

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The N-terminal domain of the R28 protein promotes emm28 group A Streptococcus adhesion to host cells via direct binding to three integrins

International audienceGroup A Streptococcus (GAS) is a human-specific pathogen responsible for a wide range of diseases, ranging from superficial to life-threatening invasive infections, including endometritis, and autoimmune sequelae. GAS strains express a vast repertoire of virulence factors that varies depending on the strain genotype, and many adhesin proteins that enable GAS to adhere to host cells are restricted to some genotypes. GAS emm28 is the third most prevalent genotype in invasive infections in France and is associated with gyneco-obstetrical infections. emm28 strains harbor R28, a cell wall-anchored surface protein that has previously been reported to promote adhesion to cervical epithelial cells. Here, using cellular and biochemical approaches, we sought to determine whether R28 supports adhesion also to other cells and to characterize its cognate receptor. We show that through its N-terminal domain, R28Nt, R28 promotes bacterial adhesion to both endometrial-epithelial and endometrial-stromal cells. R28Nt was further subdivided into two domains, and we found that both are involved in cell binding. R28Nt and both subdomains interacted directly with the laminin-binding α3β1, α6β1, and α6β4 integrins; interestingly, these bindings events did not require divalent cations. R28 is the first GAS adhesin reported to bind directly to integrins that are expressed in most epithelial cells. Finally, R28Nt also promoted binding to keratinocytes and pulmonary epithelial cells, suggesting that it may be involved in supporting the prevalence in invasive infections of the emm28 genotype

The innate immune response elicited by Group A Streptococcus is highly variable among clinical isolates and correlates with the emm type.

Group A Streptococcus (GAS) infections remain a significant health care problem due to high morbidity and mortality associated with GAS diseases, along with their increasing worldwide prevalence. Macrophages play a key role in the control and clearance of GAS infections. Moreover, pro-inflammatory cytokines production and GAS persistence and invasion are related. In this study we investigated the correlation between the GAS clinical isolates genotypes, their known clinical history, and their ability to modulate innate immune response. We constituted a collection of 40 independent GAS isolates representative of the emm types currently prevalent in France and responsible for invasive (57.5%) and non-invasive (42.5%) clinical manifestations. We tested phagocytosis and survival in mouse bone marrow-derived macrophages and quantified the pro-inflammatory mediators (IL-6, TNF-α) and type I interferon (INF-β) production. Invasive emm89 isolates were more phagocytosed than their non-invasive counterparts, and emm89 isolates more than the other isolates. Regarding the survival, differences were observed depending on the isolate emm type, but not between invasive and non-invasive isolates within the same emm type. The level of inflammatory mediators produced was also emm type-dependent and mostly invasiveness status independent. Isolates of the emm1 type were able to induce the highest levels of both pro-inflammatory cytokines, whereas emm89 isolates induced the earliest production of IFN-β. Finally, even within emm types, there was a variability of the innate immune responses induced, but survival and inflammatory mediator production were not linked