Impact of Superantigen-Producing Bacteria on T Cells from Tonsillar Hyperplasia

<i>Staphylococcus aureus</i> and Group A Streptococcus (GAS) are common occupants of the tonsils and many strains produce potent exotoxins (mitogens) that directly target T cells, which could be a driver for tonsillar hyperplasia. Tonsil tissues from 41 patients were tested for these bac...

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Main Authors: Fiona J Radcliff, Sharon Waldvogel-Thurlow, Fiona Clow, Murali Mahadevan, James Johnston, Gen Li, Thomas Proft, Richard G Douglas, John D Fraser
Format: Article
Language:English
Published: MDPI AG 2019-06-01
Series:Pathogens
Subjects:
Online Access:https://www.mdpi.com/2076-0817/8/3/90
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author Fiona J Radcliff
Sharon Waldvogel-Thurlow
Fiona Clow
Murali Mahadevan
James Johnston
Gen Li
Thomas Proft
Richard G Douglas
John D Fraser
author_facet Fiona J Radcliff
Sharon Waldvogel-Thurlow
Fiona Clow
Murali Mahadevan
James Johnston
Gen Li
Thomas Proft
Richard G Douglas
John D Fraser
author_sort Fiona J Radcliff
collection DOAJ
description <i>Staphylococcus aureus</i> and Group A Streptococcus (GAS) are common occupants of the tonsils and many strains produce potent exotoxins (mitogens) that directly target T cells, which could be a driver for tonsillar hyperplasia. Tonsil tissues from 41 patients were tested for these bacteria in conjunction with profiling of B and T cells by flow cytometry. <i>S. aureus</i> and GAS were detected in tonsil tissue from 44% and 7%, respectively, of patients by bacteriological culture; immuno-histology showed bacteria in close proximity to both B and T lymphocytes. The presence of tonsillar <i>S. aureus</i> did not alter B or T cell populations, whereas peripheral blood mucosal-associated invariant T (MAIT) cells were significantly increased in <i>S. aureus</i> culture positive individuals (<i>p</i> &lt; 0.006). Alterations of tonsil CD4<sup>+</sup> TCR V&#946; family members relative to peripheral blood were evident in 29 patients. Three patients had strong TCR V&#946; skewing indicative of recent exposure to superantigens, their tonsils contained mitogenic bacteria, and supernatants from these bacteria were used to partially recapitulate the skewing profile in vitro, supporting the notion that superantigens can target tonsillar T cells in situ. Tonsils are a reservoir for superantigen-producing bacteria with the capacity to alter the composition and function of key immune cells.
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spelling doaj.art-09b06b73edee4eb8b6de73a4ef5964f92022-12-22T01:57:24ZengMDPI AGPathogens2076-08172019-06-01839010.3390/pathogens8030090pathogens8030090Impact of Superantigen-Producing Bacteria on T Cells from Tonsillar HyperplasiaFiona J Radcliff0Sharon Waldvogel-Thurlow1Fiona Clow2Murali Mahadevan3James Johnston4Gen Li5Thomas Proft6Richard G Douglas7John D Fraser8Department of Molecular Medicine and Pathology, University of Auckland, Auckland 1023, New ZealandDepartment of Surgery, University of Auckland, Auckland 1023, New ZealandDepartment of Molecular Medicine and Pathology, University of Auckland, Auckland 1023, New ZealandDepartment of Surgery, University of Auckland, Auckland 1023, New ZealandDepartment of Surgery, University of Auckland, Auckland 1023, New ZealandDepartment of Molecular Medicine and Pathology, University of Auckland, Auckland 1023, New ZealandDepartment of Molecular Medicine and Pathology, University of Auckland, Auckland 1023, New ZealandDepartment of Surgery, University of Auckland, Auckland 1023, New ZealandDepartment of Molecular Medicine and Pathology, University of Auckland, Auckland 1023, New Zealand<i>Staphylococcus aureus</i> and Group A Streptococcus (GAS) are common occupants of the tonsils and many strains produce potent exotoxins (mitogens) that directly target T cells, which could be a driver for tonsillar hyperplasia. Tonsil tissues from 41 patients were tested for these bacteria in conjunction with profiling of B and T cells by flow cytometry. <i>S. aureus</i> and GAS were detected in tonsil tissue from 44% and 7%, respectively, of patients by bacteriological culture; immuno-histology showed bacteria in close proximity to both B and T lymphocytes. The presence of tonsillar <i>S. aureus</i> did not alter B or T cell populations, whereas peripheral blood mucosal-associated invariant T (MAIT) cells were significantly increased in <i>S. aureus</i> culture positive individuals (<i>p</i> &lt; 0.006). Alterations of tonsil CD4<sup>+</sup> TCR V&#946; family members relative to peripheral blood were evident in 29 patients. Three patients had strong TCR V&#946; skewing indicative of recent exposure to superantigens, their tonsils contained mitogenic bacteria, and supernatants from these bacteria were used to partially recapitulate the skewing profile in vitro, supporting the notion that superantigens can target tonsillar T cells in situ. Tonsils are a reservoir for superantigen-producing bacteria with the capacity to alter the composition and function of key immune cells.https://www.mdpi.com/2076-0817/8/3/90superantigen<i>Staphylococcus aureus</i><i>Streptococcus pyogenes</i>Group A StreptococcusTCR Vβmucosal-associated invariant T cellsrecurrent tonsillitisobstructive sleep apneatonsillar hyperplasia
spellingShingle Fiona J Radcliff
Sharon Waldvogel-Thurlow
Fiona Clow
Murali Mahadevan
James Johnston
Gen Li
Thomas Proft
Richard G Douglas
John D Fraser
Impact of Superantigen-Producing Bacteria on T Cells from Tonsillar Hyperplasia
Pathogens
superantigen
<i>Staphylococcus aureus</i>
<i>Streptococcus pyogenes</i>
Group A Streptococcus
TCR Vβ
mucosal-associated invariant T cells
recurrent tonsillitis
obstructive sleep apnea
tonsillar hyperplasia
title Impact of Superantigen-Producing Bacteria on T Cells from Tonsillar Hyperplasia
title_full Impact of Superantigen-Producing Bacteria on T Cells from Tonsillar Hyperplasia
title_fullStr Impact of Superantigen-Producing Bacteria on T Cells from Tonsillar Hyperplasia
title_full_unstemmed Impact of Superantigen-Producing Bacteria on T Cells from Tonsillar Hyperplasia
title_short Impact of Superantigen-Producing Bacteria on T Cells from Tonsillar Hyperplasia
title_sort impact of superantigen producing bacteria on t cells from tonsillar hyperplasia
topic superantigen
<i>Staphylococcus aureus</i>
<i>Streptococcus pyogenes</i>
Group A Streptococcus
TCR Vβ
mucosal-associated invariant T cells
recurrent tonsillitis
obstructive sleep apnea
tonsillar hyperplasia
url https://www.mdpi.com/2076-0817/8/3/90
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