Streptococcal Immunity Is Constrained by Lack of Immunological Memory following a Single Episode of Pyoderma

PLoS Pathog. 2016 Dec 27;12(12):e1006122. doi: 10.1371/journal.ppat.1006122. eCollection 2016 Dec.

Abstract

The immunobiology underlying the slow acquisition of skin immunity to group A streptococci (GAS), is not understood, but attributed to specific virulence factors impeding innate immunity and significant antigenic diversity of the type-specific M-protein, hindering acquired immunity. We used a number of epidemiologically distinct GAS strains to model the development of acquired immunity. We show that infection leads to antibody responses to the serotype-specific determinants on the M-protein and profound protective immunity; however, memory B cells do not develop and immunity is rapidly lost. Furthermore, antibodies do not develop to a conserved M-protein epitope that is able to induce immunity following vaccination. However, if re-infected with the same strain within three weeks, enduring immunity and memory B-cells (MBCs) to type-specific epitopes do develop. Such MBCs can adoptively transfer protection to naïve recipients. Thus, highly protective M-protein-specific MBCs may never develop following a single episode of pyoderma, contributing to the slow acquisition of immunity and to streptococcal endemicity in at-risk populations.

MeSH terms

  • Animals
  • Enzyme-Linked Immunosorbent Assay
  • Immunologic Memory / immunology*
  • Mice
  • Pyoderma / immunology*
  • Pyoderma / microbiology*
  • Streptococcal Infections / immunology*
  • Streptococcal Infections / microbiology*
  • Streptococcus pyogenes

Grants and funding

This work was supported by grants from the National Heart Foundation of Australia (APP1044023), a National Health and Medical Research Council (NHMRC) (Australia Program grant (APP1037304), a NHMRC project grant (APP1083548) and a NHMRC Australia Fellowship grant to MFG. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.