Differential expression of Streptococcus Pneumoniae genes during pathogenesis.

Abstract

Streptococcus pneumoniae is a nasopharyngeal commensal in most healthy individuals. However, it can translocate from this niche to deeper tissues, causing diseases such as otitis media, meningitis, sepsis and pneumonia, which are responsible for significant morbidity and mortality worldwide. At the commencement of this work, inherent difficulties in harvesting sufficient bacterial numbers from experimental animals restricted the examination of pneumococcal gene expression during pathogenesis, and thus virulence gene transcription patterns were largely unknown outside of an in vitro environment. This thesis aimed to investigate such transcriptional patterns in vivo, and to hence gain a better understanding of pneumococcal behaviour during colonisation and disease. This work describes refinement of an intranasal S. pneumoniae infection model in CD-1 mice that enables pneumococci to be harvested from multiple niches with low contamination by nasopharyngeal microflora or host tissue, and minimal crosscontamination with circulating pneumococci in the vascular system. The challenge route simulates the acquisition of S. pneumoniae in the human population, and progression to IPD occurs naturally. RNA extraction, enrichment and linear amplification procedures were optimised so that RNA could be obtained from in vivo site in sufficient quantities and with sufficient integrity to be used in semi-quantitative assays. Linear amplification allowed the examination of gene expression in niches where low bacterial numbers had previously prevented such analyses. Real-time RT-PCR and microarray analyses were used to examine bacterial RNA samples recovered from the nasopharynx, lungs, blood and brains of CD-1 mice, providing the first comparative transcriptional data for pneumococci during carriage and disease, within the same animal model. Two pneumococcal serotypes were examined; a type 2 (D39) and a type 6A (WCH16) strain. CbpA, Ply, and SpxB were shown to be important for carriage in both strains, with pneumococci up-regulating the expression of the genes encoding these virulence proteins in the nasopharynx. This provides in vivo evidence supporting the ascribed roles of these proteins in reducing the level of competing microflora and promoting nasopharyngeal adherence. Similarly, D39 nanA and pspA transcription levels were up-regulated in the nasopharynx. The level of pspA mRNA was also higher in the blood than the lungs, suggesting an increased requirement in the bloodstream, where PspA is involved in reducing complement-mediated opsonisation. Despite the antiphagocytic role of the pneumococcal polysaccharide capsule in the bloodstream, D39 cpsA mRNA was present in similar quantities in the nasopharynx, lungs and blood, which may support previous studies indicating post-transcriptional regulation of capsule expression. However, cpsA expression was up-regulated in the blood for WCH16. These results may indicate the existence of strain-specific differences in virulence gene regulation. Microarray analysis of in vivo-harvested S. pneumoniae D39 found that mRNAs encoding components of phosphotransferase systems, CbpA, a putative neuraminidase, and v-type sodium ATP synthase subunits were significantly higher in bacteria involved in carriage than bacteraemia. Conversely, the expression of genes involved in competence, and dinF (present on a competence-induced operon), were up-regulated in the blood compared to the nasopharynx, providing evidence that competence is induced during bacteraemia. Pneumococci also showed increased expression of genes involved in fatty acid metabolism, pgdA, lytB and cbpG in the blood compared to the nasopharynx. This study used a single pneumococcal strain and infection model and, therefore, overcomes inherent issues of serotype/strain- and animal model- specific gene expression that may have complicated interpretation of data in previous studies. This thesis reports some of the first in vivo pneumococcal gene expression data gained using a single animal model and pneumococcal strain. The data reinforce the putative roles of several virulence factors, and provides novel transcription data for pneumococci during carriage. Results suggest the existence of core genes that are essential for infection in multiple pneumococcal serotypes, whereas other genes appear to have strain-specific roles.