The M1 serotype of Streptococcus pyogenes plays an important role in streptococcal toxic shock syndrome. Simvastatin, a 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitor, has been shown to inhibit streptococcal M1 protein-induced acute lung damage, although downstream mechanisms remain elusive. Protein isoprenylation, such as farnesylation and geranylgeranylation, has been suggested to regulate anti-inflammatory effects exerted by statins. Here, we examined the effect of a farnesyltransferase inhibitor (FTI-277) on M1 protein-triggered lung inflammation. Male C57BL/6 mice were treated with FTI-277 prior to M1 protein challenge. Bronchoalveolar fluid and lung tissue were harvested for quantification of neutrophil recruitment, edema, and CXC chemokine formation. Flow cytometry was used to determine Mac-1 expression on neutrophils. The gene expression of CXC chemokines was determined in alveolar macrophages by using quantitative reverse transcription (RT)-PCR. We found that the administration of FTI-277 markedly decreased M1 protein-induced accumulation of neutrophils, edema formation, and tissue damage in the lung. Notably, inhibition of farnesyltransferase abolished M1 protein-evoked production of CXC chemokines in the lung and gene expression of CXC chemokines in alveolar macrophages. Moreover, FTI-277 completely inhibited chemokine-induced neutrophil migration in vitro. However, farnesyltransferase inhibition had no effect on M1 protein-induced expression of Mac-1 on neutrophils. Our findings suggest that farnesyltransferase is a potent regulator of CXC chemokine formation in alveolar macrophages and that inhibition of farnesyltransferase not only reduces neutrophil recruitment but also attenuates acute lung injury provoked by streptococcal M1 protein. We conclude that farnesyltransferase activity is a potential target in order to attenuate acute lung damage in streptococcal infections.
Streptococcal toxic shock syndrome (STSS) is a fatal condition associated with acute lung injury (2, 5, 24). Due to the limited understanding of the underlying pathophysiology, management of patients with STSS poses a major challenge to clinicians and is largely limited to antibiotics and supportive therapy. It is known that the M1 serotype of Streptococcus pyogenes is most frequently associated with fatal STSS (14, 25). M1 protein is a potent stimulator of neutrophils (40), and STSS-associated lung injury is characterized by massive infiltration of neutrophils (32, 39). Neutrophils are generally considered to be the first line of defense against microbial invasion. Nonetheless, overwhelming neutrophil infiltration appears to constitute a rate-limiting step in the pathophysiology of M1 protein-induced lung damage. For example, systemic depletion of neutrophils abolishes acute lung injury in mice challenged with M1 protein (32, 40). Chemokines are known to be key regulators of leukocyte trafficking at sites of inflammation. CXC chemokines, such as CXCL1 and CXCL2, orchestrate tissue recruitment of neutrophils. C...