Summary
The ability of Staphylococcus aureus cells to induce platelet aggregation
has long been recognized. However, despite several attempts to identify the mechanisms
involved in this interaction, the nature of the bacterial receptors required remains
poorly understood. Using genetic manipulation, this study for the first time provides
clear evidence that several S. aureus surface proteins participate in the
inter‐action with platelets. Mutants of S. aureus strain Newman lacking one
or more surface proteins were tested for their ability to stimulate platelet aggre‐gation.
This approach was complemented by the expression of a number of candidate proteins
in the non‐aggregating Gram‐positive bacterium Lacto‐coccus lactis. S.
aureus‐induced aggregation was monophasic and was dependent on the platelet receptor
GPIIb/IIIa. The fibrinogen‐binding proteins, clumping factors A and B and the serine‐aspartate
repeat protein SdrE could each induce aggregation when expressed in L. lactis.
Although protein A expressed in L. lactis was not capable of inducing aggregation
independently, it enhanced the aggregation response when expressed on the surface
of S. aureus. Thus, S. aureus has multiple mechanisms for stimulating platelet aggregation. Such functional redundancy suggests that this phenomenon may be important in the pathogenesis of invasive diseases such as infective endocarditis.
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