Lipoproteins from Staphylococcus aureus drive neutrophil extracellular trap formation in a TLR2/1-and PAD-dependent manner

JS Hook, PA Patel, A O'Malley, L Xie… - The Journal of …, 2021 - journals.aai.org
JS Hook, PA Patel, A O'Malley, L Xie, JS Kavanaugh, AR Horswill, JG Moreland
The Journal of Immunology, 2021journals.aai.org
Abstract Neutrophils, polymorphonuclear leukocytes (PMN), play a critical role in the innate
immune response to Staphylococcus aureus, a pathogen that continues to be associated
with significant morbidity and mortality. Neutrophil extracellular trap (NET) formation is
involved in ensnaring and killing of S. aureus, but this host–pathogen interaction also leads
to host tissue damage. Importantly, NET components including neutrophil proteases are
under consideration as therapeutic targets in a variety of disease processes. Although S …
Abstract
Neutrophils, polymorphonuclear leukocytes (PMN), play a critical role in the innate immune response to Staphylococcus aureus, a pathogen that continues to be associated with significant morbidity and mortality. Neutrophil extracellular trap (NET) formation is involved in ensnaring and killing of S. aureus, but this host–pathogen interaction also leads to host tissue damage. Importantly, NET components including neutrophil proteases are under consideration as therapeutic targets in a variety of disease processes. Although S. aureus lipoproteins are recognized to activate cells via TLRs, specific mechanisms of interaction with neutrophils are poorly delineated. We hypothesized that a lipoprotein-containing cell membrane preparation from methicillin-resistant S. aureus (MRSA-CMP) would elicit PMN activation, including NET formation. We investigated MRSA-CMP–elicited NET formation, regulated elastase release, and IL-8 production in human neutrophils. We studied PMN from healthy donors with or without a common single-nucleotide polymorphism in TLR1, previously demonstrated to impact TLR2/1 signaling, and used cell membrane preparation from both wild-type methicillin-resistant S. aureus and a mutant lacking palmitoylated lipoproteins (lgt). MRSA-CMP elicited NET formation, elastase release, and IL-8 production in a lipoprotein-dependent manner. TLR2/1 signaling was involved in NET formation and IL-8 production, but not elastase release, suggesting that MRSA-CMP–elicited elastase release is not mediated by triacylated lipoproteins. MRSA-CMP also primed neutrophils for enhanced NET formation in response to a subsequent stimulus. MRSA-CMP–elicited NET formation did not require Nox2-derived reactive oxygen species and was partially dependent on the activity of peptidyl arginine deiminase (PAD). In conclusion, lipoproteins from S. aureus mediate NET formation via TLR2/1 with clear implications for patients with sepsis.
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