bProteins in human saliva are thought to modulate bacterial colonization of the oral cavity. Yet, information is sparse on how salivary proteins interact with systemic pathogens that transiently or permanently colonize the oral environment. Staphylococcus aureus is a pathogen that frequently colonizes the oral cavity and can cause respiratory disease in hospitalized patients at risk. Here, we investigated salivary protein binding to this organism upon exposure to saliva as a first step toward understanding the mechanism by which the organism can colonize the oral cavity of vulnerable patients. By using fluorescently labeled saliva and proteomic techniques, we demonstrated selective binding of major salivary components by S. aureus to include DMBT1 gp-340 , mucin-7, secretory component, immunoglobulin A, immunoglobulin G, S100-A9, and lysozyme C. Biofilm-grown S. aureus strains bound fewer salivary components than in the planctonic state, particularly less salivary immunoglobulins. A corresponding adhesive component on the S. aureus surface responsible for binding salivary immunoglobulins was identified as staphylococcal protein A (SpA). However, SpA did not mediate binding of nonimmunoglobulin components, including mucin-7, indicating the involvement of additional bacterial surface adhesive components. These findings demonstrate that a limited number of salivary proteins, many of which are associated with various aspects of host defense, selectively bind to S. aureus and lead us to propose a possible role of saliva in colonization of the human mouth by this pathogen.
Saliva plays a key role in host defense against invading pathogens (1-4). Among the more than 2,000 proteins and peptides found in saliva (5), many exhibit direct antimicrobial activity (6). Others can bind to bacteria to facilitate either their colonization on oral surfaces or their clearance from the oral cavity through agglutination (7,8). It has been suggested that systemic pathogens can be killed, inactivated, or agglutinated by salivary components and, thus, become cleared from the oral cavity through swallowing, thereby preventing them from colonizing the oral cavity of healthy individuals (2, 9). Thus, binding of salivary proteins to pathogens is thought to play an important role in preventing systemic infections. In hospitalized patients, the protective and antimicrobial functions of saliva, which play a crucial role in host defense against invading pathogens (1-3), are frequently impaired by reduction of salivary flow or lack of salivary secretion (9-11). Under such conditions of dry mouth and poor oral hygiene, the normal commensal oral microflora shifts to a community that harbors a higher number of pathogens (12, 13).Among the various systemic pathogens in the oral cavity, attention has been given to Staphylococcus aureus (14, 15), since both endocarditis and pneumonia have been related to oral colonization by this organism (16,17). Studies have shown the occurrence of S. aureus in oral biofilm and saliva of healthy individuals (18), bu...