Affiliation:
1. National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
2. Department of Pulmonary and Critical Care Medicine, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China
3. School of Laboratory Medicine and Life Sciences, Wenzhou Medical University, Wenzhou, China
Abstract
ABSTRACT
Nocardia farcinica
can cause a rare, yet potentially fatal, central nervous system infection. NbtS protein may be a key virulence factor in
N. farcinica
infection of the brain. In this study, we investigated the function of the virulence-associated factor NbtS in microglial cells
in vitro
and in infected mice
in vivo
. We explored the interactions between NbtS and microglial cells (BV2 and human microglial clone 3), revealing that NbtS activates the toll-like receptor 4-dependent MyD88-IRAK4-IRAK1 and MAPK/nuclear factor kappa B (NF-κB) pathways, significantly enhancing pro-inflammatory responses as indicated by increased levels of tumor necrosis factor alpha (TNF-α) and interleukin-1β (IL-1β), as measured by ELISA and quantitative PCR. Apoptosis was elevated in these cells, as shown by increased expression of Bax and caspase-3 and decreased Bcl-2 levels. The terminal deoxynucleotidyl transferase dUTP nick end labeling assay also confirmed the occurrence of apoptosis. In vivo, mice infected with an
RS03155
-deficient strain of
N. farcinica
exhibited higher survival rates and reduced brain inflammation, suggesting a pivotal role for the NbtS protein in the pathogenesis of
Nocardia
. Conservation of the
RS03155
gene across
Nocardia
spp. was verified by PCR, and the immunogenic potential of NbtS was confirmed by Western blot analysis using sera from infected mice. These findings suggest that targeting NbtS may offer a novel therapeutic strategy against
Nocardia
infection.
IMPORTANCE
The study presented in this article delves into the molecular underpinnings of
Nocardia farcinica
-induced neuroinflammation. By focusing on the salicylate synthase gene,
RS03155
, and its encoded protein, NbtS, we uncover a pivotal virulence factor that triggers a cascade of immunological responses leading to apoptosis in microglial cells. This research not only enhances our comprehension of the pathogenesis of
Nocardia
infections but also provides a potential therapeutic target. Given the rising importance of understanding host-microbe interactions within the context of the central nervous system, especially in immunocompromised individuals, the findings are of significant relevance to the field of microbiology and could inform future diagnostic and treatment modalities for
Nocardia
-associated neurological disorders. Our work emphasizes the need for continued research into the intricate mechanisms of microbial pathogenesis and the development of novel strategies to combat life-threatening infections.
Funder
MOST | National Natural Science Foundation of China
MOST | National Key Research and Development Program of China
Publisher
American Society for Microbiology