PMID- 27315768 OWN - NLM STAT- MEDLINE DCOM- 20170803 LR - 20181107 IS - 1097-6825 (Electronic) IS - 0091-6749 (Linking) VI - 139 IP - 2 DP - 2017 Feb TI - Staphylococcal serine protease-like proteins are pacemakers of allergic airway reactions to Staphylococcus aureus. PG - 492-500.e8 LID - S0091-6749(16)30272-X [pii] LID - 10.1016/j.jaci.2016.03.045 [doi] AB - BACKGROUND: A substantial subgroup of asthmatic patients have "nonallergic" or idiopathic asthma, which often takes a severe course and is difficult to treat. The cause might be allergic reactions to the gram-positive pathogen Staphylococcus aureus, a frequent colonizer of the upper airways. However, the driving allergens of S aureus have remained elusive. OBJECTIVE: We sought to search for potentially allergenic S aureus proteins and characterize the immune response directed against them. METHODS: S aureus extracellular proteins targeted by human serum IgG(4) were identified by means of immunoblotting to screen for potential bacterial allergens. Candidate antigens were expressed as recombinant proteins and used to analyze the established cellular and humoral immune responses in healthy adults and asthmatic patients. The ability to induce a type 2 immune response in vivo was tested in a mouse asthma model. RESULTS: We identified staphylococcal serine protease-like proteins (Spls) as dominant IgG(4)-binding S aureus proteins. SplA through SplF are extracellular proteases of unknown function expressed by S aureus in vivo. Spls elicited IgE antibody responses in most asthmatic patients. In healthy S aureus carriers and noncarriers, peripheral blood T cells elaborated T(H)2 cytokines after stimulation with Spls, as is typical for allergens. In contrast, T(H)1/T(H)17 cytokines, which dominated the response to S aureus alpha-hemolysin, were of low concentration or absent. In mice inhalation of SplD without adjuvant induced lung inflammation characterized by T(H)2 cytokines and eosinophil infiltration. CONCLUSION: We identify Spls as triggering allergens released by S aureus, opening prospects for diagnosis and causal therapy of asthma. CI - Copyright (c) 2016 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Stentzel, Sebastian AU - Stentzel S AD - Department of Immunology, University Medicine Greifswald, Greifswald, Germany. FAU - Teufelberger, Andrea AU - Teufelberger A AD - Upper Airways Research Laboratory, Ghent University, Ghent, Belgium. FAU - Nordengrun, Maria AU - Nordengrun M AD - Department of Immunology, University Medicine Greifswald, Greifswald, Germany. FAU - Kolata, Julia AU - Kolata J AD - Department of Immunology, University Medicine Greifswald, Greifswald, Germany; Medical Microbiology, University Medical Center Utrecht, Utrecht, The Netherlands. FAU - Schmidt, Frank AU - Schmidt F AD - Interfaculty Institute for Genetics and Functional Genomics, Department of Functional Genomics, University Medicine Greifswald, Greifswald, Germany; Junior Group Applied Proteomics, ZIK FunGene, University Medicine Greifswald, Greifswald, Germany. FAU - van Crombruggen, Koen AU - van Crombruggen K AD - Upper Airways Research Laboratory, Ghent University, Ghent, Belgium. FAU - Michalik, Stephan AU - Michalik S AD - Interfaculty Institute for Genetics and Functional Genomics, Department of Functional Genomics, University Medicine Greifswald, Greifswald, Germany; Junior Group Applied Proteomics, ZIK FunGene, University Medicine Greifswald, Greifswald, Germany. FAU - Kumpfmuller, Jana AU - Kumpfmuller J AD - Department of Pharmaceutical Biotechnology, Institute of Pharmacy, Ernst-Moritz-Arndt-University Greifswald, Greifswald, Germany; Department of Biomolecular Chemistry, Leibniz Institute for Natural Product Research and Infection Biology, HKI, Jena, Germany. FAU - Tischer, Sebastian AU - Tischer S AD - Department of Immunology, University Medicine Greifswald, Greifswald, Germany. FAU - Schweder, Thomas AU - Schweder T AD - Department of Pharmaceutical Biotechnology, Institute of Pharmacy, Ernst-Moritz-Arndt-University Greifswald, Greifswald, Germany. FAU - Hecker, Michael AU - Hecker M AD - Institute for Microbiology, Ernst-Moritz-Arndt-University Greifswald, Greifswald, Germany. FAU - Engelmann, Susanne AU - Engelmann S AD - Institute for Microbiology, Ernst-Moritz-Arndt-University Greifswald, Greifswald, Germany; Institute for Microbiology, University of Braunschweig, Braunschweig, Germany; Helmholtz Center for Infection Research, Microbial Proteomics, Braunschweig, Germany. FAU - Volker, Uwe AU - Volker U AD - Interfaculty Institute for Genetics and Functional Genomics, Department of Functional Genomics, University Medicine Greifswald, Greifswald, Germany. FAU - Krysko, Olga AU - Krysko O AD - Upper Airways Research Laboratory, Ghent University, Ghent, Belgium. FAU - Bachert, Claus AU - Bachert C AD - Upper Airways Research Laboratory, Ghent University, Ghent, Belgium; Division of Ear, Nose, and Throat Diseases, Clintec, Karolinska Institute, Stockholm, Sweden. FAU - Broker, Barbara M AU - Broker BM AD - Department of Immunology, University Medicine Greifswald, Greifswald, Germany. Electronic address: broeker@uni-greifswald.de. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160510 PL - United States TA - J Allergy Clin Immunol JT - The Journal of allergy and clinical immunology JID - 1275002 RN - 0 (Allergens) RN - 0 (Bacterial Proteins) RN - 0 (Immunoglobulin G) RN - 37341-29-0 (Immunoglobulin E) RN - EC 3.4.- (Serine Proteases) SB - IM MH - Adult MH - Aged MH - Allergens/immunology/*metabolism MH - Animals MH - Asthma/*immunology MH - Bacterial Proteins/immunology/*metabolism MH - Cells, Cultured MH - Female MH - Humans MH - Hypersensitivity/*immunology MH - Immunoglobulin E/metabolism MH - Immunoglobulin G/metabolism MH - Lymphocyte Activation MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Middle Aged MH - Protein Binding MH - Serine Proteases/*immunology MH - Staphylococcal Infections/*immunology MH - Staphylococcus aureus/*immunology MH - Th2 Cells/*immunology MH - Young Adult OTO - NOTNLM OT - Asthma OT - IgE OT - Staphylococcus aureus OT - serine protease-like proteins OT - type 2 inflammation EDAT- 2016/06/19 06:00 MHDA- 2017/08/05 06:00 CRDT- 2016/06/19 06:00 PHST- 2015/10/04 00:00 [received] PHST- 2016/02/15 00:00 [revised] PHST- 2016/03/22 00:00 [accepted] PHST- 2016/06/19 06:00 [pubmed] PHST- 2017/08/05 06:00 [medline] PHST- 2016/06/19 06:00 [entrez] AID - S0091-6749(16)30272-X [pii] AID - 10.1016/j.jaci.2016.03.045 [doi] PST - ppublish SO - J Allergy Clin Immunol. 2017 Feb;139(2):492-500.e8. doi: 10.1016/j.jaci.2016.03.045. Epub 2016 May 10.