Symptomatic infection of humans with Neisseria gonorrhoeae is characterized by a neutrophil-rich cervical or urethral exudate, suggesting that neutrophils are important both for the clearance of these bacteria and for the pathogenesis of gonorrhea. Neisseria interacts with neutrophils through ligation of human carcinoembryonic antigen related-cellular adhesion molecules (CEACAMs) by their surface-expressed Opa proteins, resulting in bacterial binding, engulfment, and neutrophil activation. Multiple CEACAMs are expressed by human neutrophils, and yet their coexpression has precluded understanding of the relative contribution of each CEACAM to functional responses of neutrophils during neisserial infection. In this work, we directly address the role of each CEACAM during infection by introducing individual human CEACAMs into a differentiated murine MPRO cell line-derived neutrophil model. Murine neutrophils cannot bind the human-restricted Neisseria; however, we show that introducing any of the Opa-binding CEACAMs of human neutrophils (CEACAM1, CEACAM3, and CEACAM6) allows binding and entry of Neisseria into murine neutrophils. While CEACAM1-and CEACAM6-expressing neutrophils bind more bacteria, neisserial uptake via these two receptors unexpectedly proceeds without appreciable neutrophil activation. In stark contrast, neisserial engulfment via CEACAM3 recapitulates the oxidative burst and intracellular granule release seen during human neutrophil infection. Finally, by coexpressing multiple CEACAMs in our model, we show that the expression of CEACAM1 and CEACAM6 potentiate, rather than hinder, CEACAM3-dependent responses of neutrophils, exposing a cooperative role for this family of proteins during neisserial infection of neutrophils. These observations illustrate a divergence in function of CEACAMs in neutrophils and implicate the human-restricted CEACAM3 in the neutrophil innate response to neisserial infection.
Symptomatic gonococcal infection is caused by the humanrestricted bacterial pathogen Neisseria gonorrhoeae and involves a massive influx of polymorphonuclear neutrophils (PMNs) into the infected urogenital tract. This results in the characteristic PMN-filled urethral or cervical exudate, which is the hallmark of gonorrhea. PMNs are part of a "first line of defense" against bacterial infection through their prompt recruitment and activation at infected sites, where they internalize and neutralize invading pathogens via the production of reactive oxygen species and the release of antimicrobial agents (27). Recognition of bacteria by PMNs can involve specific binding to host-derived opsonins such as serum complement or immunoglobulins that coat the bacteria; however, the interaction between Neisseria and PMNs can also be opsonin independent (40). Specifically, these microorganisms can bind to and activate neutrophils directly via their colony opacity-associated (Opa) outer membrane proteins, the majority of which bind members of the human carcinoembryonic antigen-related cellular adhesion molecule (CEACAM)...