Understanding how leading bacterial pathogens subvert innate immunity to reveal novel therapeutic targets  Victor Nizet, MD  Journal of Allergy and Clinical.

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Understanding how leading bacterial pathogens subvert innate immunity to reveal novel therapeutic targets  Victor Nizet, MD  Journal of Allergy and Clinical Immunology  Volume 120, Issue 1, Pages 13-22 (July 2007) DOI: 10.1016/j.jaci.2007.06.005 Copyright © 2007 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 1 Mechanisms by which the bacterial pathogen SA subverts host innate immune defense. Phagocyte recruitment is limited by binding of CHIPS to chemokine receptors. Complement activation is blocked by protein Efb binding of soluble C3 and inhibition of the both the classic/lectin and alternative C3 convertases by SCIN. Golden carotenoid pigment provides an antioxidant shield whereas catalase detoxifies hydrogen peroxide. Resistance to cationic antimicrobial peptides is afforded by positive charge modifications of the cell wall, aureolysin-mediated proteolysis, and binding/inactivation by staphylokinase. Protein A binds Fc domains of Igs in a nonopsonic manner, whereas fibrinogen binding clumping factor and the surface polysaccharide capsule and poly-N-acetylglucosamine (PNAG) act to cloak surface bound opsonins from phagocyte recognition. The heptameric pore-forming toxins γ-hemolysin and PVL preferentially target leukocyte membranes. The plasminogen (PG) binding protein staphylokinase (SAK) activates the zymogen to the active protease plasmin, which can degrade complement opsonin C3b and the immunoglobulin Fc domain. Journal of Allergy and Clinical Immunology 2007 120, 13-22DOI: (10.1016/j.jaci.2007.06.005) Copyright © 2007 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 2 Mechanisms by which the bacterial pathogen GAS subverts host innate immune defense. Phagocyte recruitment is reduced by peptidases ScpA and SpyCEP/ScpC that degrade the chemokines C5a and IL-8, respectively. Complement deposition is limited by M protein binding of host counterregulatory factors C4BP and FH. Phagocytic uptake is reduced by Mac-1/2 binding of phagocyte Fc receptors. Resistance to cationic antimicrobial peptides is afforded by D-alanyl modification of cell wall teichoic acids, cysteine protease SpeB-mediated degradation, and binding/inactivation by protein streptococcal inhibitor of complement (SIC). M protein and protein H bind Fc domains of Igs in a nonopsonic manner, and proteolytic inactivation of Ig is a property of SpeB, Mac-1/2, and endopeptidase S. DNase production facilitates escape from NETs, and the pore-forming cytolysins streptolysin S (SLS) and streptolysin O (SLO) exhibit lytic activity against host neutrophils and macrophages. Journal of Allergy and Clinical Immunology 2007 120, 13-22DOI: (10.1016/j.jaci.2007.06.005) Copyright © 2007 American Academy of Allergy, Asthma & Immunology Terms and Conditions