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Discussion Staphylococci are common human pathogens, that target a broad range of eukaryotic tissues. While S. aureus interactions with many host matrix components facilitate the attachment stage of pathogenesis, their ability to exploit the immune system enables them to persist and thrive, even in the presence of a normal immune response. Protein A expression appears to play an important role in the success of S. aureus as a human pathogen. Most bacterial pathogens elicit proinflammatory signaling that stimulates the influx of neutrophils to eradicate infection. The host, then, must regulate chemokine and cytokine responses appropriately. However, in addition to its potent immunostimulatory activity, S. aureus, through the expression of protein A, has also evolved complex mechanisms to regulate TNFR1 signaling. Protein A effectively activates TACE, which is targeted to newly mobilized TNFR1, inducing its release from the cell surface.
The binding of protein A to the Fc region of IgG, the Fab region of immunoglobulin of the VH3 subclass (Moks et al, 1986; Sasso et al, 1989; Roben et al, 1995; Jansson et al, 1998), the von Willebrand factor (Hartleib et al, 2000) and TNFR1 (Gómez et al, 2006) have been mapped. The protein A–TNFR1 interaction mimics the pathway stimulated by the natural ligand TNF- . However, the same IgG-binding domain of protein A also has novel interactions with epithelial cells that are not analogous to those of the endogenous ligand TNF- . Although TNF- –TNFR1 activation and protein A–TNFR1 ligation both stimulate an identical proinflammatory signaling cascade (Gómez et al, 2004), protein A also interacts with EGFR to induce phosphorylation and activation of TACE.
The involvement of EGFR, ubiquitously expressed on the airway cells, in mediating TNFR1 shedding via TACE was unanticipated. Although there are several reports detailing TACE activation to cleave ligands involved in subsequent autocrine stimulation of EGFR (Shao and Nadel, 2005; Janes et al, 2006; Zhao et al, 2006), we show instead, that a protein A–EGFR interaction stimulates phosphorylation of both EGFR and TACE itself. Although the specific EGFR locus that is recognized by protein A was not mapped, we show by co-immunoprecipation and confocal imaging that protein A and EGFR are closely associated. Moreover, we identified protein A mutants capable of activating IL-8 signaling that are unable to activate EGFR, indicating a discrete interaction, separate from the proinflammatory signal. This protein A–EGFR interaction is required for receptor shedding, as mutants unable to bind EGFR fail to induce EGFR activation and TNFR1 cleavage. EGFR is also a target of an autocrine system stimulated by the epithelial production of TGF- . Although protein A induces TGF- production, this cytokine by itself failed to induce receptor shedding, and the interaction of protein A with EGFR is sufficient to activate TACE in the presence of a metalloprotease inhibitor that prevents TGF- release.
Several pathways that initiate TACE activity have been identified in the airway epithelial cells (Shao et al, 2004; Shao and Nadel, 2005; Kuwahara et al, 2006). The phosphorylation of TACE by erk1/2, induced by protein A, is also induced by phorbol esters (Doedens et al, 2003) or ROS (Hino et al, 1999; Zhang et al, 2001; Shao et al, 2004) in other cell systems. The signaling pathways initiated by the activation of TNFR1, however, are insufficient to activate TACE and induce TNFR1 shedding, as shown in cells where TNFR1 signaling was blocked through the expression of a TRAF2 DN mutant. Moreover, TNF- alone is an insufficient stimulus to induce TACE activation. Alternative routes of TACE activation, such as TGF- –EGFR signaling were also insufficient to induce TNFR1 shedding. It appears that mobilization of TNFR1, induced by protein A but not by TNF- , is necessary to deliver the receptor to the cell surface, where it becomes a substrate for the activated TACE. As TACE has many potential substrates, the mobilization of TNFR1 in conjunction with TACE phosphorylation may serve to target activated TACE to this specific substrate. The domains of protein A that are involved in receptor mobilization are yet to be identified.
The interaction between protein A, a single bacterial virulence factor, and EGFR, provides a novel mechanism to regulate TNFR1 availability. Other human pathogens also exploit EGFR signaling to evade immune responses. Members of the Herpes virus family have several interactions with EGFR that contribute to pathogenesis. Binding of the cytomegalovirus glycoprotein B to EGFR induces receptor phosphorylation and contributes to viral invasion (Wang et al, 2003b; Compton, 2004). Similarly, the Epstein-Barr virus latent membrane protein 1 (LMP1) activates EGFR phosphorylation to induce cell proliferation (Miller et al, 1997; Brinkmann and Schulz, 2006). Of note, protein A shares conserved sequence domains with LMP1, indicating that Staphylococci may be using a similar strategy to exploit host signaling cascades without inducing responses that would be deleterious to either the host cell or the organism.
These studies provide further evidence to demonstrate the contribution of protein A to the success of S. aureus as a human pathogen. It is an exceptional virulence factor, a single protein that can target multiple immunologically important eukaryotic receptors. It is probably not a coincidence that protein A is among the most highly conserved staphylococcal virulence factors expressed, nor that its levels of expression are significantly increased in staphylococci isolated from invasive human infections.
Materials and methods Cell lines, bacterial strains and reagents
1HAEo- and 16HBE cells (human airway epithelial lines) (D Gruenert, Pacific Medical Center Research Institute, San Francisco, California) were grown as previously described (Rajan et al, 2000; Ratner et al, 2001) Primary airway epithelial cells isolated from human nasal polyps (HNP) were grown on Transwell-clear filters (Corning Costar) in M3 medium as previously described (DiMango et al, 1998). RAW cells (a murine macrophage line) were grown in RPMI medium supplemented with 10% fetal calf serum (Invitrogen). Protein A from S. aureus Newman and the IgG binding domain D were cloned and purified as a GST-fusion protein, resuspended in PBS and used at a concentration of 2.5 M for stimulation. Mutations were introduced into SpA domain D using a PCR-based mutagenesis strategy. The amino-acid substitutions F5A and L17A were selected for this study among 10 constructed (Gómez et al, 2006). TNF- and TGF- (Calbiochem) were used for stimulation at 100 ng/ml and 10 ng/ml, respectively. Brefeldin A (Sigma-Fluka) was used at 10 g/ml and cycloheximide (Sigma) was used at 10 g/ml. TAPI-1 (Calbiochem) was used at 50 M.
Flow cytometry
Cells were stimulated with protein A or TNF- , washed three times and stained with anti-TNFR1 (H-271) or anti-TACE (C-15) polyclonal antibodies (Santa Cruz Biotech). Alexa Fluor 488-conjugated secondary antibody (Molecular Probes) was used. Cells were then washed, fixed in 1% paraformaldehyde and analyzed with a Becton Dickinson FACS Calibur. Data were collected using Cell Quest software and analyzed with Winmdi.
IL-8, TGF- and sTNFR1 ELISA
Cells were weaned from serum for 24 h and exposed to protein A, TNF- or TGF- for 4 h unless indicated. IL-8 (BD pharmingen), TGF- and sTNFR1 (R&D Systems) in the supernatant were measured by ELISA. The effect of MEK, c-Src and EGFR tyrosine kinase inhibitors was tested by pretreating the cells for 30 min with 10 M UO126 (MEK, Calbiochem), 50 M PP1 (c-Src, Biomol), 50 M PP2 (c-Src, Calbiochem), 10 M AG1478 (EGFR tyrosine kinase, Calbiochem) or 50 M compound 56 (EGFR tyrosine kinase, Calbiochem) and adding fresh inhibitors during stimulation. The effect of MEK and TRAF2 DN mutants was tested by transfecting 1HAEo- cells grown to 50–70% confluence with HMEK (K97R) (Adamo et al, 2004) TRAF2 DN (Gómez et al, 2004) or a vector control using FuGene6.0 (Roche). After 16 h, cells were weaned from serum for 24 h and stimulated with protein A.
Immunoprecipitation and Western Blot
Cells were lysed using 60 mM n-octyl- -D-glucopyranoside in TBS (0.1 M Tris–HCl and 0.15 M NaCl (pH 7.8)) containing Complete Mini protease inhibitor tablets (Roche), 1 mM sodium orthovanadate, 100 mM sodium fluoride and 20 M GM6001. For protein A–EGFR co-immunoprecipitation, lysates (500 g of protein) from cells stimulated with bovine serum albumin (control), protein A, protein A domain D or the L17A and F5A mutants were incubated with the monoclonal antibody to protein A (Sigma) overnight at 4°C with shaking. For TACE immunoprecipitations, cell lysates (300 g of protein) were incubated with 1 g of goat anti-TACE (C-15) antibody (Santa Cruz Biotech) overnight at 4°C with shaking. Protein G agarose beads were then added for 1 h at 4°C with shaking. Beads were washed twice with 500 mM NaCl, 50 mM Tris and 1% NP-40, followed by a wash with 20 mM Tris and resuspended in NUPAGE sample buffer and reducing agent (Invitrogen). Proteins were separated on 4–12% bis–tris NUPAGE gels (Invitrogen), transferred to PVDF Immobilon P membrane (Millipore) and blocked with 5% milk in TBST (50 mM Tris pH 7.5, 150 mM NaCl and 0.05% Tween) for 1 h at room temperature. Immunodetection was performed using anti-phospho-Threonine (Cell signaling), anti-phospho-erk1/2, anti-erk1/2, anti-phospho EGFR (Tyr 1173), anti-EGFR (1005) or anti-TACE (C-15) (Santa Cruz Biotech) antibodies, followed by secondary antibodies conjugated to horseradish peroxidase (Santa Cruz). Anti-TACE antibody C-15 recognized both the pro-form and the mature form (devoid of the pro-domain) of TACE in the airway epithelial cells. The identity of these bands in the airway cell lines used was confirmed by using the anti-TACE antibody H-300 that only recognizes the pro-form of TACE.
RNA interference
Inhibition of TACE expression in the 16HBE airway epithelial cells was previously described (Gómez et al, 2005). Briefly, two cell lines were constructed by using two pairs of oligonucleotides containing 19 bp of human TACE were generated as follows: pair 1: 5'gatccccGTAAGGCCCAGGAGTGTTTttcaaga gaAAACACTCCTGGGCCTTACttttggaaa3' and 5'agcttttccaaaaGTAAGGCCCAGGAGTGTTTt ctcttgaaAAACACTCCTGGGCCTTACggg3'; pair 2: 5'gatccccCATAGAGCCACTTTGGAGAttcaaga gaTCTCCAAAGTGGCTCTATGttttggaaa3' and 5'agcttttccaaaaCATAGAGCCACTTTGGAGAt ctcttgaaTCTCCAAAGTGGCTCTATGggg3'. To construct pRS-TACE-1 and pRS-TACE-2, the oligos were annealed and ligated into BglII and HindIII sites of the pRetroSuper vector (pRS) (Brummelkamp et al, 2002). Construct integrity was confirmed by direct sequencing of the plasmid. Packaging of retroviral constructs was carried out in HEK293T cells (Pear et al, 1993). 16HBE cells were infected for 18 h in the presence of 4 mg/ml polybrene (Sigma). pBabe-puro-EGFP was used to monitor the efficiency of transfection to 293T cells and infection. A pRS-scramble plasmid (pRS-sc) was used as a control by cloning the sequence ggcagttccaccccagtgc into pRS as described for pRS–TACE.
Confocal microscopy
1HAEo-, 16HBE or primary airway epithelial cells isolated from human nasal polyps (HNP) were grown on Transwell-Clear filters (Corning-Costar) with an air–liquid interface to form polarized monolayers. Protein A stimulated and control unstimulated cells were fixed with 4% paraformaldehyde and after blocking with 5% normal serum, rabbit polyclonal anti-TNFR1 or goat polyclonal anti-TACE antibodies (Santa Cruz Biotech) were added for 1 h. For protein A binding experiments, cells were fixed as above and incubated with the full-length protein A, protein A domain D or the mutant L17A for 1 h at room temperature. After washing, rabbit polyclonal anti-EGFR and monoclonal antibody to protein A were added for 1 h. For Golgi colocalization experiments, cells were incubated prior to stimulation with 5 uM of the Golgi probe BODIPY TR (Molecular Probes) for 30 min at 4°C. Cells were preincubated with the media or brefeldin for 30 min and stimulated in the presence or absence of brefeldin for 2 h. Cells were fixed with 4% paraformaldehyde and permeabilized with 0.1% Triton-100 and then blocked and stained for TNFR1 as described above. Alexa Fluor 488- and 594-conjugated secondary antibodies (Molecular Probes) were used. After washing, filters were removed from transwells and mounted with Vectashield (Vector Laboratories Inc.) onto glass slides.
Acknowledgements
This work was funded by the NIH grant HL079395 to ASP, a US Cystic Fibrosis Foundation postdoctoral fellowship to MIG and the Health Research Board of Ireland (MO'S). Confocal microscopy was performed at the Herbert Irving Optical Microscopy facility at Columbia University.
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