ARTICLES
https://doi.org/10.1038/s41564-018-0159-x
© 2018 Macmillan Publishers Limited, part of Springer Nature. All rights reserved.
1
Department of Medical Microbiology, University Medical Center Utrecht, Utrecht, The Netherlands.
2
Department of Microbiology, University of Chicago,
Chicago, IL, USA.
3
CIRI, Centre International de Recherche en Infectiologie, Inserm, U1111, Université Claude Bernard Lyon 1, CNRS UMR5308, Ecole
Normale Supérieure de Lyon, Université Lyon, Hospices Civils de Lyon, Lyon, France.
4
Department of Microbiology and Immunology, UCSF Diabetes Center,
Keck Center for Noncoding RNA, University of California, San Francisco, San Francisco, CA, USA.
5
Institute for Glycomics, Griffith University, Gold Coast,
Queensland, Australia.
6
St. Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, The Rockefeller University, New York, NY, USA.
7
These authors contributed equally: Angelino T. Tromp, Michiel Van Gent.
8
These authors jointly supervised this work: Thomas Henry, András N. Spaan.
*e-mail: thomas.henry@inserm.fr; a.n.spaan@umcutrecht.nl
S
taphylococcus aureus is a major bacterial pathogen in humans
and is responsible for a diverse disease spectrum, ranging from
superficial skin and soft tissue infections to severe invasive
disease. Severe infections with S. aureus have a poor prognosis
1
.
Treatment is further complicated by the emergence of methicillin-
resistant S. aureus (MRSA) strains
2
and by a lack of advancements in
vaccine development
3
. A better understanding of the host–pathogen
interaction during infection with S. aureus is essential to develop
new therapeutic approaches.
Phagocytes have a pivotal role in the containment of S. aureus
early after infection
4
. To counteract elimination by phagocytes,
S. aureus secretes an arsenal of virulence factors. Among these are
the leukocidins, a family of bi-component pore-forming toxins that
target and kill phagocytes
5,6
. Human S. aureus isolates secrete up
to five different leukocidins
7
: Panton–Valentine leukocidin (PVL;
also known as LukSF-PV), γ-haemolysin AB and CB (HlgAB and
HlgCB, respectively), leukocidin ED (LukED) and leukocidin AB
(LukAB; also known as LukGH). Chromatography elution profiles
differentiate the leukocidin protein components into S-migrating
(slow) and F-migrating (fast) components, which are, with the
exception of LukAB, secreted as inactive monomers
5
. Each canoni-
cal leukocidin combination consists of S- and F-components that
hetero-oligomerize into an octameric membrane-spanning pore
5,7
.
The leukocidins show structural and functional resemblance to
the single-component pore-forming toxin of S. aureus, α-toxin
(haemolysin-α (Hla))
8
, but the biological rationale for a bi-compo-
nent system remains unresolved. Functional interactions by forma-
tion of non-canonical combinations of S- and F-components that
are active (as for PVL and HlgCB
9–11
) or inactive (as for PVL and
LukED
12
) suggest that the contribution of leukocidins to pathogen-
esis differs when expressed simultaneously. However, the contribu-
tion of the leukocidins to infection is incompletely understood
5,7
.
Specificity for human phagocytes and resistance of murine
phagocytes to the majority of leukocidins hinder investigation dur-
ing infection
7
. Recently, proteinaceous receptors have been iden-
tified for all leukocidins
7,13–20
. These receptors are targeted by the
S-components in a species-specific manner. For the S-components
of PVL and HlgCB, LukS-PV and HlgC, respectively, the human
complement C5a receptor 1 (hC5aR1) was identified as the major
receptor
14,16
. The identification of hC5aR1 as a shared receptor for
LukS-PV and HlgC explains the specificity for human phagocytes
as both toxins are incompatible with the murine C5aR1 ortho-
logue
14,16
. Although differences exist in the interaction between
LukS-PV and HlgC with hC5aR1 (refs
21,22
), the necessity for
S. aureus to secrete apparently redundant toxins is incompletely
appreciated
7
. Even though receptors have been identified for all
leukocidin S-components, it remains to be established whether
the F-components also have host receptors. A recent study on the
Human CD45 is an F-component-specific receptor
for the staphylococcal toxin Panton–Valentine
leukocidin
Angelino T. Tromp
1,7
, Michiel Van Gent
1,7
, Pauline Abrial
3
, Amandine Martin
3
, Joris P. Jansen
1
,
Carla J. C. De Haas
1
, Kok P. M. Van Kessel
1
, Bart W. Bardoel
1
, Elisabeth Kruse
1
, Emilie Bourdonnay
3
,
Michael Boettcher
4
, Michael T. McManus
4
, Christopher J. Day
5
, Michael P. Jennings
5
, Gérard Lina
3
,
François Vandenesch
3
, Jos A. G. Van Strijp
1
, Robert Jan Lebbink
1
, Pieter-Jan A. Haas
1
,
Thomas Henry
3,8
* and András N. Spaan
1,6,8
*
The staphylococcal bi-component leukocidins Panton–Valentine leukocidin (PVL) and γ-haemolysin CB (HlgCB) target human
phagocytes. Binding of the toxins’ S-components to human complement C5a receptor 1 (C5aR1) contributes to cellular tropism
and human specificity of PVL and HlgCB. To investigate the role of both leukocidins during infection, we developed a human
C5aR1 knock-in (hC5aR1
KI
) mouse model. HlgCB, but unexpectedly not PVL, contributed to increased bacterial loads in tissues
of hC5aR1
KI
mice. Compared to humans, murine hC5aR1
KI
neutrophils showed a reduced sensitivity to PVL, which was mediated
by the toxin’s F-component LukF-PV. By performing a genome-wide CRISPR–Cas9 screen, we identified CD45 as a receptor
for LukF-PV. The human-specific interaction between LukF-PV and CD45 provides a molecular explanation for resistance of
hC5aR1
KI
mouse neutrophils to PVL and probably contributes to the lack of a PVL-mediated phenotype during infection in these
mice. This study demonstrates an unsuspected role of the F-component in driving the sensitivity of human phagocytes to PVL.
Corrected: Publisher Correction
NATURE MICROBIOLOGY | VOL 3 | JUNE 2018 | 708–717 | www.nature.com/naturemicrobiology
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