9The Gram-positive bacterium Streptococcus pneumoniae (pneumococcus) is an 10 important human pathogen. It can either asymptomatically colonize the nasopharynx or spread 11 to other tissues to cause mild to severe diseases. Nasopharyngeal colonization is a 12 prerequisite for all pneumococcal diseases. We describe a molecular pathway utilized by 13 pneumococcus to adhere to host cells and promote colonization. We demonstrate that the 14 secreted peptide VP1 enhances pneumococcal attachment to epithelial cells. Transcriptional 15 studies reveal that VP1 triggers the expression of operons involved in the transport and 16 metabolism of hyaluronic acid (HA), a glycosaminoglycan present in the host extracellular 17 matrix. Genetic experiments in the pneumococcus reveal that HA processing locus (HAL) 18 promotes attachment. Further, overexpression of HAL genes in the Dvp1 background, reveal 19 that the influence of VP1 on attachment is mediated via its effect on HA. In addition, VP1 also 20 enhances degradation of the HA polymer, in a process that depends on the HAL genes. siRNA 21 experiments to knockdown host HA synthesis support this conclusion. In these knockdown 22 that connects nutrient availability, population-level signaling, adhesion, biofilm formation, 32 colonization, and virulence. 33
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AUTHOR SUMMARY
34Streptococcus pneumoniae (the pneumococcus) is a major human pathogen. This 35 bacterium asymptomatically colonizes the human upper respiratory tract from where it can 36 disseminate to other tissues causing mild to severe disease. Colonization is a prerequisite for 37 dissemination and disease, such that the molecules that control colonization are high-value 38 candidates for therapeutic interventions. Pneumococcal colonization is a population-level 39 response, which requires attachment to host cells and biofilm development. VP1 is a signaling 40 peptide, highly induced in the presence of host cells and in vivo, promotes biofilm 41 development, and serves as a potent virulence determinant. In this study, we build on the 42 molecular mechanism of VP1 function to reveal novel bacterial and host molecules that 43 enhance adherence and colonization. Our findings suggest that host hyaluronic acid serves as 44 an anchor for pneumococcal cells, and that genes involved in the transport and metabolism of 45 HA promote adherence. These genes are triggered by VP1, which in turn, is controlled by 46 regulators that respond to nutrient status of the host. Finally, our results are strongly supported 47 50The Gram-positive bacterium Streptococcus pneumoniae (also known as the 51 pneumococcus) is an important human pathogen. A recent global study on lower respiratory 52 infections determined that the pneumococcus contributed to morbidity more than all other 53 etiologies combined: it was responsible for an estimated 1.18 million deaths (1,2). This 54 pathogen can either asymptomatically colonize the nasopharynx or spread to other tissues to 55 cause mild to severe diseases. It can spread to the middle ear and sinus, leadi...