dChlamydia trachomatis infection in the lower genital tract can ascend to and cause pathologies in the upper genital tract, potentially leading to severe complications, such as tubal infertility. However, chlamydial organisms depleted of plasmid or deficient in the plasmid-encoded Pgp3 are attenuated in ascending infection and no longer are able to induce the upper genital tract pathologies, indicating a significant role of Pgp3 in chlamydial pathogenesis. We now report that C. trachomatis Pgp3 can neutralize the antichlamydial activity of human cathelicidin LL-37, a host antimicrobial peptide secreted by both genital tract epithelial cells and infiltrating neutrophils. Pgp3 bound to and formed stable complexes with LL-37. We further showed that the middle region of Pgp3 (Pgp3m) was responsible for both the binding to and neutralization of LL-37, suggesting that Pgp3m can be targeted for attenuating chlamydial pathogenicity or developed for blocking LL-37-involved non-genital-tract pathologies, such as rosacea and psoriasis. Thus, the current study has provided significant information for both understanding the mechanisms of chlamydial pathogenesis and developing novel therapeutic agents.
Chlamydia trachomatis infection in women's lower genital tract can ascend to and cause inflammatory pathologies in the upper genital tract, resulting in complications such as ectopic pregnancy and tubal infertility (1, 2). However, the mechanisms of how the C. trachomatis organisms ascend to the upper genital tract remain unknown. It is thought that the organisms' ability to complete intracellular replication and to spread from cell to cell significantly contributes to chlamydial pathogenicity (3-6). Chlamydial intracellular infection starts with the entry of an infectious elementary body (EB) into an epithelial cell via pathogen-induced endocytosis (7,8). The endocytosed EB differentiates to a noninfectious but metabolically active reticulate body (RB). After replication, the progeny RBs differentiate back to EBs that exit the infected cells to invade adjacent cells (6). The spreading from cell to cell inevitably exposes the progeny EBs to the extracellular mucosal environment, in which numerous host defense molecules, such as antimicrobial peptides (AMPs), are available for attacking the extracellular EBs. It is unclear how the C. trachomatis EB organisms manage to overcome these host defense mechanisms to ascend to the upper genital tract.Cationic peptides that possess antimicrobial activities are defined as AMPs, which include human alpha-defensins (HADs) or human neutrophil peptides (HNPs), human beta-defensins (HBDs), and cathelicidin LL-37 (9-12). LL-37 is a C-terminal 37-amino-acid peptide starting with double leucines (LL) processed from human cationic antimicrobial protein 18 (hCAP; 18 kDa) that contains a highly conserved amino-terminal cathelinlike domain and a variable carboxy-terminal domain (9, 11). The mouse orthologue is called cathelin-related antimicrobial peptide (CRAMP) (13). HNPs are produced mainly by neu...