The bacterial cell envelope is a crucial first line of defense for a systemic pathogen, with production of capsular polysaccharides and maintenance of the peptidoglycan cell wall serving essential roles in survival in the host environment. The LytR-CpsA-Psr proteins are important for cell envelope maintenance in many Gram-positive species. In this study, we examined the role of the extracellular domain of the CpsA protein of the zoonotic pathogen group B Streptococcus in capsule production and cell wall integrity. CpsA has multiple functional domains, including a DNA-binding/transcriptional activation domain and a large extracellular domain. We demonstrated that episomal expression of extracellularly truncated CpsA causes a dominant-negative effect on capsule production when expressed in the wild-type strain. Regions of the extracellular domain essential to this phenotype were identified. The dominant-negative effect could be recapitulated by addition of purified CpsA protein or a short CpsA peptide to cultures of wild-type bacteria. Changes in cell wall morphology were also observed when the dominant-negative peptide was added to wild-type cultures. Fluorescently labeled CpsA peptide could be visualized bound at the mid-cell region near the division septae, suggesting a novel role for CpsA in cell division. Finally, expression of truncated CpsA also led to attenuation of virulence in zebrafish models of infection, to levels below that of a cpsA deletion strain, demonstrating the key role of the extracellular domain in virulence of GBS.
Many bacterial pathogens can exist in the host as part of the normal microflora and only cause disease when they gain access to a normally sterile site, such as the bloodstream or cerebral spinal fluid, or when the host becomes immunocompromised. Group B Streptococcus (GBS), Streptococcus agalactiae, can colonize the human vaginal and rectal mucosa as a commensal organism (1-3) but can also cause a range of invasive infections in immunocompromised and older adults (4-6). GBS is also a broad-host-range pathogen capable of causing severe sepsis and meningoencephalitis in fish (7-12), bovine mastitis (13-15), and human neonatal sepsis and meningitis (16-21) and has been recently implicated in chorioamniosis (22, 23), causing premature birth (24, 25) and stillbirth (25,26). The current strategy to prevent GBS infection of neonates is intrapartum antibiotic prophylaxis (IAP) (27), i.e., intravenous antibiotics given to a woman during labor and delivery. IAP is administered either to women after a positive GBS culture during prenatal screening (27, 28) or if certain risk-based criteria are met (29, 30). Fortunately, this has led to a reduction in the incidence of GBS disease in the first week of life (early onset disease), but it has not changed the incidence of GBS disease in the first 3 months of life (late onset disease) (18,21,27).One mechanism allowing bacteria to successfully function as both a commensal and a pathogen is regulation of a polysaccharide capsule expression. This is...