Fn is widely abundant in animal tissues and fluids and potentially serves as a substrate for bacterial adhesion and host cell infection (27). Bacteria can express several receptors on their surface, which exhibit recognition specificity towards distinct Fn domains, mainly the N-terminal (NTD) and central cell-binding domains (CBD) (27). In many cases, Fn receptors engage in functions beyond simple adhesion. In fact, adhesion is often the prerequisite for the invasion and internalisation of microorganisms into the cells of colonised tissues. Furthermore, the presence of Fn on the surface of microbes may enable them to evade recognition by host defence mechanisms (27). Consequently, Fn-binding proteins on bacterial surfaces can serve both as adhesion/invasion and anti-opsonic factors, and therefore have good potential as virulence determinants.
Among the best-characterised Fn adhesins are two proteins encoded by closely related genes, Fn-Binding Protein A and B (FnBPA and FnBPB), expressed by the majority of strains of Staphylococcus aureus, one the most important human pathogens (28). FnBPA and FnBPB have the ability to bind the NTD of Fn through an intricately disordered region consisting of several repeating units (11 repeats for FnBPA and 10 for FnBPB) located at the C-terminus of the proteins (29). Each repeat unit binds Fn with varying affinities, adopting an ordered secondary structure upon binding. At least six repeats bind to the NTD of Fn with high affinity through the b-zipper model (30–32).
Several Fn-binding adhesins have been described in streptococcal species, e.g. S. pyogenes (33) and S. pneumoniae (34–36). The Fn binding proteins identified in GBS so far include: i) the streptococcal C5a peptidase B (ScpB), which is able to interact with adsorbed Fn (37), ii) the streptococcal Fn binding protein A (SfbA), which facilitates the invasion of GBS into human brain microvascular endothelial cells (hBMECs) in vitro and contributes to meningitis development in vivo (38), and iii) the GBS bacterial surface adhesin (BsaB), that promotes GBS attachment to epithelial vaginal ME-180 cells (39).
In this work we show that deletion of the global transcriptional regulator CodY in the hypervirulent ST-17 GBS strain BM110 causes a significant increase in bacterial interaction with Fn and Fbg. We have recently shown that deletion of codY increases the expression of the srr2 gene (15). Considering that this adhesin is a well-known ligand of Fbg (9), we postulated its potential involvement also in Fn binding. The results reported in this study concurrently support this hypothesis, as the deletion of srr2 resulted in a remarkable decrease in the ability of strain BM110 to bind not only Fbg (used as control) but also Fn. Conversely, complementation of the srr2 mutation restored binding to wild-type levels, strongly suggesting that the protein can indeed play a role in this interaction. As deletion of srr2 in the codY-null background abolished bacterial binding to Fn, we ruled out the possibility that other proteins, whose expression is controlled by the global regulator CodY, could account for the increase in Fn binding observed in the codY mutant strain when compared to the wild-type. Nonetheless, bacterial interaction with Fn was restored in the back to wild-type strain (ΔcodY Δsrr2 (srr2 BTWT)).
The hypervirulent ST-17 BM110 strain exhibits a significantly higher interaction with Fn compared to the non-ST-17 strain NEM316. Therefore, the capacity of Srr2 to interact with Fn, abundantly found in both plasma and the extracellular matrix, may substantially contribute to the enhanced virulence of ST-17 strains (8).
GBS colonisation of the vaginal mucosa is the very first essential step for bacterial pathogenesis (40). In this work we observed that in the presence of Fn, GBS shows significantly greater adhesion to cervico-vaginal epithelial (HeLa) cell monolayers. Conversely, the srr2 deletion mutant exhibited comparable adhesion levels to epithelial cell monolayers regardless of the presence or absence of Fn. Our results indicate that the interaction between Srr2 and Fn contributes to cell adhesion but not to the invasion process for the cell line under our investigation. It is likely that Srr2 binding to Fn is important for GBS colonisation and niche establishment in the vaginal tract. As the most common route of GBS dissemination to the newborn is by vertical transmission at the moment of labour from a vaginally colonised mother, we can speculate that Srr2 interaction with Fn at the level of the vaginal epithelium could additionally contribute to the increased pathogenic potential of GBS ST-17 strains.
These isolates are able to translocate across the intestinal epithelial barrier via transcytosis of Peyer's patch M cells through Srr2 (7). It is interesting to note that Fn is abundantly expressed in the intestinal epithelium (41). Consequently, the interaction between Srr2 and Fn might facilitate gut colonisation by GBS ST-17 strains, serving as an initial step that promotes subsequent stages of bacterial invasion in the host. In a future study, it would be worth investigating the role of Srr2-Fn interaction in the colonisation of the intestinal epithelium by strain ST-17.
In order to deepen our understanding of Srr2-Fn interaction at the molecular level, we produced by recombinant DNA techniques the BR domain of Srr2, which has been already known to interact with Fbg (9). The results obtained provide solid experimental evidence that the BR region is involved in Fn binding as well. The apparent Kd value of the Srr2-BR-Fn interaction obtained by ELISA was approximately 60-fold higher than that measured for Fbg. It is conceivable that the interaction between Srr2 and Fn plays a greater role in Fn-rich tissues. Srr2-Fn interaction was also confirmed by surface plasmon resonance, obtaining a Kd value comparable to that determined by ELISA.
The strong inhibition exerted by Fbg on the binding of Fn to the Srr2-BR region suggests that the binding sites for the two proteins on the Srr2-BR region are partially overlapped. Furthermore, increasing ionic strength had a detrimental effect on the binding of both Fn and Fbg to Srr2, indicating that electrostatic interactions play a significant role in the formation of these complexes. These results led us to assume that both ligands exploit a similar mechanism to bind the BR region. Since the binding of Fbg to the BR region has previously been shown to occur via the dock, lock, and latch (DLL) (9) mechanism, here we decided to verify whether this mechanism was also involved in the interaction with Fn. We found that Fn binds to the BR region of Srr2, most likely by the DLL mechanism used to bind Fbg, because variants lacking the ability to bind Fbg were also defective in Fn binding. To localise the binding site(s) of Srr2-BR on Fn, we tested its interaction with the main Fn fragments. The results obtained indicate that Srr-BR binds Fn at the level of the cell-binding domain (CBD). Similar conclusions have been also reported for other Fn-binding bacterial adhesins, such as BBK32 from Borrelia burgdorferi (42) and Scl1 from S. pyogenes (43). In our laboratory, structural biology studies are underway to locate which of the type III modules, forming the Fn CBD domain, are involved in the interaction with Srr2-BR. Whereas the results of this study concurrently indicate that Srr2-BR is the hot spot for both FbG and Fn binding, the structural and physico-chemical properties of the putative Srr2 binding regions on the two proteins remain elusive.
Intriguingly, Fbg and Fn display remarkably different structural properties and organization, but nevertheless, our results concurrently indicate that they are both able to interact with the same target adhesin (i.e., Srr2), at roughly the same binding site (i.e., Srr2-BR), and exploiting the same interaction mechanism (i.e., DLL). More specifically, earlier work has localized the binding site for Srr2 on Fbg at the level of the tandem repeats 6–8 of the conformationally flexible domain of the A chain, i.e. residues 283–410 (9). In our work we report that Srr2 binds Fn at the level of the CBD, mainly formed by type-III modules lacking any internal disulfide bonds, highlighting the possibility that these domains could be stretched by mechanical forces for interacting with other proteins (44). The binding data reported in this study put forward the promiscuity of Srr2 in protein binding, and emphasize the structural plasticity that Srr2-BR should have to recognize different protein entities, such as Fbg and Fn. Structural biology studies are awaited to address this key feature of Srr2 interaction mechanism.
In conclusion, the results of this work highlight a new role for the multivalent adhesin Srr2 expressed by the hypervirulent strain BM110. Noteworthy, the role of Srr2 interaction with Fn in promoting GBS adhesion to epithelial cells could represent a novel pathogenic route that could explain the increased virulence potential of this strain in the development of GBS-related diseases. Further experiments, however, are awaited to validate Srr2-Fn binding complex as a druggable interface for the development of novel therapeutic strategies aimed at interfering with GBS adhesion to target tissues and, finally, in the treatment of GBS infections.