The collagen-binding protein of Streptococcus mutans is involved in haemorrhagic stroke

被引:136
作者
Nakano, Kazuhiko [2 ]
Hokamura, Kazuya [3 ]
Taniguchi, Naho [2 ]
Wada, Koichiro [1 ]
Kudo, Chiho [4 ]
Nomura, Ryota [2 ]
Kojima, Ayuchi [2 ]
Naka, Shuhei [2 ]
Muranaka, Yoshinori [5 ]
Thura, Min [3 ]
Nakajima, Atsushi [6 ]
Masuda, Katsuhiko [2 ,7 ]
Nakagawa, Ichiro [8 ]
Speziale, Pietro [9 ]
Shimada, Nobumitsu [10 ]
Amano, Atsuo [11 ]
Kamisaki, Yoshinori [1 ]
Tanaka, Tokutaro [12 ,13 ]
Umemura, Kazuo [3 ]
Ooshima, Takashi [2 ]
机构
[1] Osaka Univ, Dept Pharmacol, Grad Sch Dent, Suita, Osaka 5650871, Japan
[2] Osaka Univ, Dept Pediat Dent, Grad Sch Dent, Suita, Osaka 5650871, Japan
[3] Hamamatsu Univ Sch Med, Dept Pharmacol, Hamamatsu, Shizuoka 4313192, Japan
[4] Osaka Univ, Dept Dent Anesthesiol, Grad Sch Dent, Suita, Osaka 5650871, Japan
[5] Hamamatsu Univ Sch Med, Lab Ultrastruct Res, Hamamatsu, Shizuoka 4313192, Japan
[6] Yokohama City Univ, Div Gastroenterol, Sch Med, Kanagawa 2360004, Japan
[7] Masuda Dent Clin, Osaka 5700015, Japan
[8] Tokyo Med & Dent Univ, Sect Bacterial Pathogenesis, Grad Sch Med & Dent Sci, Tokyo 1138510, Japan
[9] Univ Pavia, Dept Biochem, I-27100 Pavia, Italy
[10] Suita Municipal Hosp, Dept Neurosurg, Osaka 5640082, Japan
[11] Osaka Univ, Dept Prevent Dent, Grad Sch Dent, Suita, Osaka 5650871, Japan
[12] Seirei Hamamatsu Gen Hosp, Dept Neurosurg, Shizuoka 4308558, Japan
[13] Seirei Hamamatsu Gen Hosp, Stroke Care Ctr, Shizuoka 4308558, Japan
来源
NATURE COMMUNICATIONS | 2011年 / 2卷
关键词
INTRACEREBRAL HEMORRHAGE; INFECTIVE ENDOCARDITIS; ELECTROPHORETIC MOBILITY; PLASMINOGEN-ACTIVATOR; CEREBRAL-HEMORRHAGE; AGGREGATING AGENTS; BLOOD PLATELETS; RISK-FACTORS; MANAGEMENT; ADHESIN;
D O I
10.1038/ncomms1491
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Although several risk factors for stroke have been identified, one-third remain unexplained. Here we show that infection with Streptococcus mutans expressing collagen-binding protein (CBP) is a potential risk factor for haemorrhagic stroke. Infection with serotype k S. mutans, but not a standard strain, aggravates cerebral haemorrhage in mice. Serotype k S. mutans accumulates in the damaged, but not the contralateral hemisphere, indicating an interaction of bacteria with injured blood vessels. The most important factor for high-virulence is expression of CBP, which is a common property of most serotype k strains. The detection frequency of CBP-expressing S. mutans in haemorrhagic stroke patients is significantly higher than in control subjects. Strains isolated from haemorrhagic stroke patients aggravate haemorrhage in a mouse model, indicating that they are haemorrhagic stroke-associated. Administration of recombinant CBP causes aggravation of haemorrhage. Our data suggest that CBP of S. mutans is directly involved in haemorrhagic stroke.
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页数:10
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