PMID- 33833764 OWN - NLM STAT- MEDLINE DCOM- 20210924 LR - 20210924 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 12 DP - 2021 TI - Allergic Reactions to Serine Protease-Like Proteins of Staphylococcus aureus. PG - 651060 LID - 10.3389/fimmu.2021.651060 [doi] LID - 651060 AB - In cystic fibrosis (CF) infectious and allergic airway inflammation cause pulmonary exacerbations that destroy the lungs. Staphylococcus aureus is a common long-term colonizer and cause of recurrent airway infections in CF. The pathogen is also associated with respiratory allergy; especially the staphylococcal serine protease-like proteins (Spls) can induce type 2 immune responses in humans and mice. We measured the serum IgE levels specific to 7 proteases of S. aureus by ELISA, targeting 5 Spls (76 CF patients and 46 controls) and the staphopains A and B (16 CF patients and 46 controls). Then we compared cytokine release and phenotype of T cells that had been stimulated with Spls between 5 CF patients and 5 controls. CF patients had strongly increased serum IgE binding to all Spls but not to the staphopains. Compared to healthy controls, their Spl-stimulated T cells released more type 2 cytokines (IL-4, IL-5, IL-13) and more IL-6 with no difference in the secretion of type 1- or type 3 cytokines (IFNgamma, IL-17A, IL-17F). IL-10 production was low in CF T cells. The phenotype of the Spl-exposed T cells shifted towards a Th2 or Th17 profile in CF but to a Th1 profile in controls. Sensitization to S. aureus Spls is common in CF. This discovery could explain episodes of allergic inflammation of hitherto unknown causation in CF and extend the diagnostic and therapeutic portfolio. CI - Copyright (c) 2021 Nordengrun, Abdurrahman, Treffon, Wachter, Kahl and Broker. FAU - Nordengrun, Maria AU - Nordengrun M AD - Department of Immunology, Institute for Immunology and Transfusion Medicine, University Medicine Greifswald, Greifswald, Germany. FAU - Abdurrahman, Goran AU - Abdurrahman G AD - Department of Immunology, Institute for Immunology and Transfusion Medicine, University Medicine Greifswald, Greifswald, Germany. FAU - Treffon, Janina AU - Treffon J AD - Institute of Medical Microbiology, University Hospital Munster, Munster, Germany. AD - Institute of Hygiene, University Hospital Munster, Munster, Germany. FAU - Wachter, Hannah AU - Wachter H AD - Institute of Medical Microbiology, University Hospital Munster, Munster, Germany. FAU - Kahl, Barbara C AU - Kahl BC AD - Institute of Medical Microbiology, University Hospital Munster, Munster, Germany. FAU - Broker, Barbara M AU - Broker BM AD - Department of Immunology, Institute for Immunology and Transfusion Medicine, University Medicine Greifswald, Greifswald, Germany. LA - eng PT - Journal Article PT - Multicenter Study PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20210323 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Antibodies, Bacterial) RN - 0 (Bacterial Proteins) RN - 37341-29-0 (Immunoglobulin E) RN - EC 3.4.- (Serine Proteases) SB - IM MH - Adolescent MH - Animals MH - Antibodies, Bacterial/blood/immunology MH - Bacterial Proteins/*immunology/metabolism MH - Case-Control Studies MH - Cells, Cultured MH - Cystic Fibrosis/blood/*immunology/microbiology MH - Female MH - Healthy Volunteers MH - Host-Pathogen Interactions/immunology MH - Humans MH - Hypersensitivity/blood/immunology/*microbiology MH - Immunoglobulin E/blood/immunology MH - Male MH - Primary Cell Culture MH - Serine Proteases/*immunology/metabolism MH - Staphylococcal Infections/blood/*immunology/microbiology MH - Staphylococcus aureus/enzymology/immunology MH - T-Lymphocytes/immunology MH - Young Adult PMC - PMC8021911 OTO - NOTNLM OT - IgE OT - Staphylococcus aureus OT - Th2 cells OT - allergy OT - cystic fibrosis OT - type 2 immune response COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/04/10 06:00 MHDA- 2021/09/25 06:00 PMCR- 2021/01/01 CRDT- 2021/04/09 06:26 PHST- 2021/01/08 00:00 [received] PHST- 2021/03/08 00:00 [accepted] PHST- 2021/04/09 06:26 [entrez] PHST- 2021/04/10 06:00 [pubmed] PHST- 2021/09/25 06:00 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2021.651060 [doi] PST - epublish SO - Front Immunol. 2021 Mar 23;12:651060. doi: 10.3389/fimmu.2021.651060. eCollection 2021.