학술논문

Emerging enterococcus pore-forming toxins with MHC/HLA-I as receptors
Document Type
Report
Source
Cell. March 31, 2022, Vol. 185 Issue 7, 1157
Subject
Interferon
Microbiota (Symbiotic organisms)
Genomics
HLA histocompatibility antigens
Biological response modifiers
Histocompatibility antigens
Cells
Biological sciences
Language
English
ISSN
0092-8674
Abstract
Keywords Enterococcus; E. faecalis; E. faecium; E. hirae; pore-forming toxin; bacterial toxin; MHC-I; HLA-I; interferon; CRISPR screen Highlights * A family of novel pore-forming toxins (Epx1--8) is identified in genus Enterococcus * Structural studies reveal a unique top domain and homo-octameric pore assembly * CRISPR-Cas9 screen identifies MHC/HLA-I as a receptor for Epx family members * Toxin-carrying E. faecium damages human PBMCs and intestinal organoids through Epx Summary Enterococci are a part of human microbiota and a leading cause of multidrug resistant infections. Here, we identify a family of Enterococcus pore-forming toxins (Epxs) in E. faecalis, E. faecium, and E. hirae strains isolated across the globe. Structural studies reveal that Epxs form a branch of [beta]-barrel pore-forming toxins with a [beta]-barrel protrusion (designated the top domain) sitting atop the cap domain. Through a genome-wide CRISPR-Cas9 screen, we identify human leukocyte antigen class I (HLA-I) complex as a receptor for two members (Epx2 and Epx3), which preferentially recognize human HLA-I and homologous MHC-I of equine, bovine, and porcine, but not murine, origin. Interferon exposure, which stimulates MHC-I expression, sensitizes human cells and intestinal organoids to Epx2 and Epx3 toxicity. Co-culture with Epx2-harboring E. faecium damages human peripheral blood mononuclear cells and intestinal organoids, and this toxicity is neutralized by an Epx2 antibody, demonstrating the toxin-mediated virulence of Epx-carrying Enterococcus. Author Affiliation: (1) Department of Urology, Boston Children's Hospital, Department of Surgery, Harvard Medical School, Boston, MA 02115, USA (2) Department of Microbiology, Harvard Medical School, Boston, MA 02115, USA (3) Department of Ophthalmology, Harvard Medical School, Massachusetts Eye and Ear Infirmary, Boston, MA 02114, USA (4) Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA (5) Multidrug-Resistant Organism Repository and Surveillance Network (MRSN), Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA (6) Department of Molecular Medicine, The Scripps Research Institute, Jupiter, FL 33458, USA (7) Wyss Institute for Biologically Inspired Engineering, Harvard University, Boston, MA 02115 (8) Division of Endocrinology, Boston Children's Hospital, and Department of Pediatrics, Harvard Medical School, Boston, MA 02115, USA (9) Program in Cellular and Molecular Medicine, Boston Children's Hospital, and Department of Biological Chemistry and Molecular Pharmacology, Harvard Medical School, Boston, MA 02115, USA (10) Vascular Biology Program, Department of Surgery, Boston Children's Hospital and Harvard Medical School, Boston, MA 02115, USA (11) Department of Immunology, University of Connecticut Health School of Medicine, Farmington, CT 06030, USA (12) Harvard Stem Cell Institute, Cambridge, MA 02138, USA (13) Division of Infectious Diseases, Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115, USA * Corresponding author Article History: Received 2 July 2021; Revised 15 December 2021; Accepted 1 February 2022 (miscellaneous) Published: March 7, 2022 (footnote)14 These authors contributed equally (footnote)15 Lead contact Byline: Xiaozhe Xiong (1,2,14), Songhai Tian (1,2,14), Pan Yang (2,14), Francois Lebreton (2,3,4,5,14), Huan Bao (6), Kuanwei Sheng (7), Linxiang Yin (1,2), Pengsheng Chen (1,2), Jie Zhang (1), Wanshu Qi (8), Jianbin Ruan (9,11), Hao Wu (10), Hong Chen (10), David T. Breault (8,12), Hao Wu (9), Ashlee M. Earl (4), Michael S. Gilmore [michael_gilmore@meei.harvard.edu] (2,3,4,*), Jonathan Abraham [jonathan_abraham@hms.harvard.edu] (2,4,13,**), Min Dong [min.dong@childrens.harvard.edu] (1,2,15,***)