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Mechanisms of mast cell activation by bacterial virulence factors: Implications for mucosal infection
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Biochemistry and Microbiology. (Mikael Sellin)ORCID iD: 0000-0001-6310-7583
2025 (English)Doctoral thesis, comprehensive summary (Other academic)
Description
Abstract [en]

Mast cells are innate immune cells, which can be found in nearly all tissues of the human body. Activated by receptors for IgE or bacterial compounds, mast cells are complex effector cells which respond in many ways to bacterial infection. However, decades of research did not lead to a general model of how mast cells are activated by bacteria. Examples of pathogenic bacteria include the extracellular Streptococcus equi subspecies equi (S. equi) that colonizes the airways in horses by secretion of powerful toxins, and the invasive enterobacterium Salmonella enterica subspecies Typhimurium (S.Tm). The latter is taken up with contaminated food and invades the epithelium in the distal small and proximal large intestine to reach the deeper layers of the tissue. Mast cells are present as early responders towards both bacteria. In this thesis, I elucidated how pathogenic bacteria activate these versatile immune cells. In Paper I, I demonstrated which virulence factors of S. equi that activate mast cells, by utilizing bacterial knockout mutants of several virulence factors or a combination of those. While superantigens or the protective capsule did not lead to mast cell activation, removal of the pore-forming toxin streptolysin S led to complete ablation of the mast cell response to S. equi, establishing that sublytic pore formation leads to membrane stress, which results in inflammation. To compare our findings from extracellular bacteria with the invasive S.Tm, we explored in Paper II, if its type-three-secretion system induces a similar sublytic pore-mediated immune activation. We found however, that S.Tm triggers mast cell activation by a two-step activation process, involving 1) priming by toll-like receptor (TLR) 4 and 2) effector-induced immunity. While we mainly focused on classical mouse mast cells, we extended our findings further in Paper III. In this study, the use of connective tissue-type and mucosal-type mouse mast cells, as well as a human mast cell line broadened the validity of our two-step activation model. We discovered, moreover, that mucosal-like mast cells lack TLR2 and TLR4, making them only responsive to invasive bacteria. Overall, this thesis contributes to our understanding of the general mechanisms for how mast cells are activated by bacteria.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2025. , p. 76
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 2138
Keywords [en]
Mast cells, bacteria, Salmonella, infection, enterobacteria
National Category
Immunology in the Medical Area
Research subject
Medical Science
Identifiers
URN: urn:nbn:se:uu:diva-552635ISBN: 978-91-513-2436-4 (print)OAI: oai:DiVA.org:uu-552635DiVA, id: diva2:1945253
Public defence
2025-05-21, room A1:111a, BMC, Husargatan 3, Uppsala, 09:00 (English)
Opponent
Supervisors
Available from: 2025-04-28 Created: 2025-03-18 Last updated: 2025-04-28
List of papers
1. Streptococcal sagA activates a proinflammatory response in mast cells by a sublytic mechanism
Open this publication in new window or tab >>Streptococcal sagA activates a proinflammatory response in mast cells by a sublytic mechanism
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2019 (English)In: Cellular Microbiology, ISSN 1462-5814, E-ISSN 1462-5822, Vol. 21, no 9, article id e13064Article in journal (Refereed) Published
Abstract [en]

Mast cells are implicated in the innate proinflammatory immune defence against bacterial insult, but the mechanisms through which mast cells respond to bacterial encounter are poorly defined. Here, we addressed this issue and show that mast cells respond vividly to wild type Streptococcus equi by up-regulating a panel of proinflammatory genes and by secreting proinflammatory cytokines. However, this response was completely abrogated when the bacteria lacked expression of sagA, whereas the lack of a range of other potential virulence genes (seeH, seeI, seeL, seeM, hasA, seM, aroB, pyrC, and recA) had no effect on the amplitude of the mast cell responses. The sagA gene encodes streptolysin S, a lytic toxin, and we next showed that the wild type strain but not a sagA-deficient mutant induced lysis of mast cells. To investigate whether host cell membrane perturbation per se could play a role in the activation of the proinflammatory response, we evaluated the effects of detergent- and pneumolysin-dependent lysis on mast cells. Indeed, exposure of mast cells to sublytic concentrations of all these agents resulted in cytokine responses of similar amplitudes as those caused by wild type streptococci. This suggests that sublytic membrane perturbation is sufficient to trigger full-blown proinflammatory signalling in mast cells. Subsequent analysis showed that the p38 and Erk1/2 signalling pathways had central roles in the proinflammatory response of mast cells challenged by either sagA-expressing streptococci or detergent. Altogether, these findings suggest that sagA-dependent mast cell membrane perturbation is a mechanism capable of activating the innate immune response upon bacterial challenge.

Place, publisher, year, edition, pages
WILEY, 2019
Keywords
mast cells, streptococci, toxins
National Category
Immunology
Identifiers
urn:nbn:se:uu:diva-396146 (URN)10.1111/cmi.13064 (DOI)000474727500001 ()31155820 (PubMedID)
Funder
Swedish Foundation for Strategic Research , ICA16-0031Swedish Research Council
Available from: 2019-11-04 Created: 2019-11-04 Last updated: 2025-03-18Bibliographically approved
2. A two-step activation mechanism enables mast cells to differentiate their response between extracellular and invasive enterobacterial infection
Open this publication in new window or tab >>A two-step activation mechanism enables mast cells to differentiate their response between extracellular and invasive enterobacterial infection
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2024 (English)In: Nature Communications, E-ISSN 2041-1723, Vol. 15, no 1, article id 904Article in journal (Refereed) Published
Abstract [en]

Mast cells localize to mucosal tissues and contribute to innate immune defense against infection. How mast cells sense, differentiate between, and respond to bacterial pathogens remains a topic of ongoing debate. Using the prototype enteropathogen Salmonella Typhimurium (S.Tm) and other related enterobacteria, here we show that mast cells can regulate their cytokine secretion response to distinguish between extracellular and invasive bacterial infection. Tissue-invasive S.Tm and mast cells colocalize in the mouse gut during acute Salmonella infection. Toll-like Receptor 4 (TLR4) sensing of extracellular S.Tm, or pure lipopolysaccharide, causes a modest induction of cytokine transcripts and proteins, including IL-6, IL-13, and TNF. By contrast, type-III-secretion-system-1 (TTSS-1)-dependent S.Tm invasion of both mouse and human mast cells triggers rapid and potent inflammatory gene expression and >100-fold elevated cytokine secretion. The S.Tm TTSS-1 effectors SopB, SopE, and SopE2 here elicit a second activation signal, including Akt phosphorylation downstream of effector translocation, which combines with TLR activation to drive the full-blown mast cell response. Supernatants from S.Tm-infected mast cells boost macrophage survival and maturation from bone-marrow progenitors. Taken together, this study shows that mast cells can differentiate between extracellular and host-cell invasive enterobacteria via a two-step activation mechanism and tune their inflammatory output accordingly.

Place, publisher, year, edition, pages
Springer Nature, 2024
National Category
Immunology in the medical area Microbiology in the medical area Immunology Cell and Molecular Biology
Identifiers
urn:nbn:se:uu:diva-526205 (URN)10.1038/s41467-024-45057-w (DOI)001163662700001 ()38291037 (PubMedID)
Funder
Knut and Alice Wallenberg Foundation, KAW 2016.0063Knut and Alice Wallenberg Foundation, 2016-00803Knut and Alice Wallenberg Foundation, 2020-00882Knut and Alice Wallenberg Foundation, 2018-02223Swedish Research Council
Available from: 2024-04-11 Created: 2024-04-11 Last updated: 2025-03-18Bibliographically approved
3. ­­­Mast Cell Subtype Features Impact the Interplay with Pathogenic Salmonella Typhimurium Bacteria
Open this publication in new window or tab >>­­­Mast Cell Subtype Features Impact the Interplay with Pathogenic Salmonella Typhimurium Bacteria
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(English)Manuscript (preprint) (Other academic)
National Category
Medical and Health Sciences
Research subject
Biology
Identifiers
urn:nbn:se:uu:diva-550171 (URN)
Available from: 2025-02-12 Created: 2025-02-12 Last updated: 2025-03-18

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