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J. Biol. Chem., Vol. 279, Issue 8, 6296-6304, February 20, 2004
Ectodomains 3 and 4 of Human Polymeric Immunoglobulin Receptor (hpIgR) Mediate Invasion of Streptococcus pneumoniae into the Epithelium*
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| ABSTRACT |
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| INTRODUCTION |
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SIgA represents the first line of specific immune defense on mucosal surfaces (8-12) performing immune exclusion of antigens such as bacteria, viruses, parasites, and toxins (10, 11, 13-16). In addition to its role in pIgA transport, pIgR/SC provides increased stability and mucosal anchoring to secretory antibodies (17, 18). Moreover, free or IgA-bound SC may compete with pathogens for adhesion sites on the apical surface of mucosal epithelial cells (19, 20) and also act as a nonspecific microbial scavenger (21, 22).
Some pathogens have developed strategies to exploit these host defense functions of the pIgR, for their invasion into the epithelium. In infections by type 2 herpes simplex virus and Epstein-Barr virus, virus-specific pIgA antibodies act as a bridge that connects the pathogen with the pIgR-expressing epithelium thereby facilitating internalization of virus (23-26). Recently, adherence of Streptococcus pneumoniae to nasopharyngeal epithelial cells was associated with pIgR-mediated translocation of the bacteria across the epithelial barrier (27). S. pneumoniae is a frequent resident of the upper and lower respiratory tract of humans, but pneumococci are also important human pathogens, causing relatively harmless local infections such as otitis media and sinusitis as well as life-threatening diseases such as pneumonia, septicemia, and meningitis (28, 29). Pneumococcal dissemination starts at the respiratory tract after penetration of the epithelial barrier, and disease outcome depends on bacterial virulence and host defense factors. The surface-displayed choline-binding protein SpsA (also designated CbpA and PspC) of S. pneumoniae exhibits a unique interaction with FSC or the SC portion of pIgR and SIgA (27, 30). This interaction may be of pathogenic significance because it provides a mechanism for adherence of pneumococci to nasopharyngeal pIgR-expressing cells. Apical recycling of the pIgR may allow bacterial invasion and subsequent translocation across human epithelial barriers (27). Whether this apical to basolateral translocation occurs by utilizing the pIgR-transcytosis machinery in reverse or by other mechanisms is not known.
We have previously shown that SC from mouse, rat, guinea pig, and rabbit does not interact with SpsA in vitro (31). Furthermore, a hexapeptide motif (YRNYPT), located in a highly conserved part of the N-terminal region of SpsA, was identified as the minimal pIgR/SC-binding motif by synthetic peptide technology. Systematic replacement analysis indicated a crucial role of the YPT sequence in this motif (31). In this study we demonstrate by the sensitive surface plasmon resonance (SPR) technique that pIgR/SC from mouse, rat, guinea pig, hamster, rabbit, dog, cow, and horse do not bind to SpsA. Furthermore, we used two complementary approaches to identify the SpsA binding site on human SC: first, chimeric domains swap molecules between human and mouse SC identified human D3 and D4 as required for the interaction with SpsA; second, synthetic peptide array technology identified several epitopes in human pIgR capable of interacting with SpsA. Putative binding sites were identified in extracellular domains D2133-148, D2/3208-225, and D4349-375. Crucial roles of the hexapeptide binding motif of SpsA and the identified SpsA binding sites in D3 and D4 in hpIgR-mediated adherence of SpsA coated latex beads and in pneumococcal invasion of epithelial cells was confirmed.
| EXPERIMENTAL PROCEDURES |
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Cell CultureThe pIgR-expressing human lung epithelial cell line Calu-3 (ATCC HTB-55) and Madin-Darby canine kidney (ATCC CCL-34) epithelial cells that were stably transfected with the hpIgR cDNA in pCB6 (MDCK-hpIgR) (32) were cultured in Eagle's minimum essential medium supplemented with 10% fetal calf serum, 2 mM glutamine, penicillin G (100 IU ml-1), and streptomycin (100 µg ml-1) (all from Invitrogen) at 37 °C under 5% CO2. The medium for Calu-3 cells was further supplemented with 1 mM sodium pyruvate and 0.1 mM nonessential amino acids.
Protein Expression and PurificationEscherichia coli M15[pREP4] (Qiagen, Hilden, Germany) was used as host for recombinant pQE expression plasmids and cultured at 37 °C on Luria-Bertani (LB) agar or grown on LB-agar containing 100 µgml-1 ampicillin. Expression and purification of His-tagged fusion proteins was performed as described previously (31). To obtain His-tagged fusion proteins SpsA SH2, SpsA SH12, SpsA SH3, SpsA SM1, and SpsA SH2201 (31) of highest purity and to eliminate contaminations that might interfere in the BIAcore analysis, affinity purified His-tagged proteins were subjected to gel filtration chromatography using HiLoad 16/60 Superdex 75 according to the manufacturer's instructions (Amersham Biosciences). To obtain the bacterial adhesin for hpIgR/SC in its native form, SpsA from S. pneumoniae ATCC 33400 serotype 1 was purified by immunoaffinity chromatography. Protein A-purified polyclonal anti-SpsA IgG (10 mg) generated in rabbit against SpsA protein SH2 (31) was coupled to CNBr-activated Sepharose 4B (Amersham Biosciences) according to the manufacturer's instructions. Fractionation and enrichment of solubilized pneumococcal cell wall proteins was performed as described previously (33). The cell wall protein fraction was applied to the coupled antiserum and SpsA was eluted with 0.1 M glycine, pH 2.4. Its purity was confirmed by SDS-PAGE followed by silver stain and its SC binding activity by immunoblot analysis. SIgA and FSC from humans and other species such as rats, mice, rabbits, guinea pigs, bovines, equine, canines, and hamsters were purified as described earlier from milk or bile (31).
Surface Plasmon ResonanceAssociation and dissociation reactions of FSC and SIgA were analyzed by surface plasmon resonance using a BIAcoreTM optical biosensor 2000 (Amersham Biosciences). SpsA purified from S. pneumoniae and SpsA derivatives SH2, SH12, SM1, and SH2201 were covalently immobilized on CM5 sensor chips as described previously (34). Briefly, SpsA proteins, each in a concentration of 1 mg ml-1 in 20 mM sodium acetate, pH 4.0, were coupled at 10 µl min-1 onto N-hydroxysuccinimide (0.05 M), N-ethyl-N'-(diethylaminopropyl)carbodiimide (0.2 M)-activated sensor chips using a volume of 70 µl with a flow rate of 10 µl min-1. Binding analysis was performed in a HBS BIAcore running buffer (10 mM HEPES, 150 mM NaCl, 1.4 mM EDTA, 0.05% Tween 20, pH 7.4) using a flow rate of 10 µl ml-1 in all experiments. Regeneration of the affinity surface between sequential analyte injections was conducted twice with 20 µl of 20-30 mM NaOH. The kinetics of FSC and SIgA binding to immobilized SpsA proteins was analyzed from raw data of the BIAcore sensorgrams using a linear kinetic model included in BIAevaluation software version 3.0. For every evaluation, a minimum of six data sets corresponding to FSC/SIgA binding reactions at concentrations between 0.19 and 500 nM were analyzed. Sensorgram data were fitted globally to the algorithms representing a simple 1:1 Langmuir kinetic.
Construction of Chimeric SC Molecules and Binding to SpsAA pcDNA3.1-derived (Invitrogen) expression plasmid encoding human FSC has been described previously (35). A similar expression plasmid for murine FSC was made by amplifying the 6 extracellular domains of murine pIgR and inserting the coding region into pcDNA3.1his6. Domain swap chimeras indicated in Figs. 3 and 4 were made by PCR splice overlap extension and the chimeric cDNA was inserted into pcDNA3.1his6 (details provided upon request). Domain boundaries of the chimeric constructs were verified by DNA sequencing, and were as indicated in Piskurich et al. (2) and shown in Fig. 4. For recombinant expression of wild-type human and murine SC as well as all the chimeric and mutant SC variants, 293E cells, maintained in Dulbecco's modified Eagle's medium with 10% fetal calf serum, 2 mM L-glutamine, and 50 µg ml-1 gentamicin, were transiently transfected by FuGENE (Roche) according to the manufacturer's protocol. Supernatants were harvested 2, 4, and 6 days after the end of the transfection, pooled (30 ml in total), SC precipitated by adding 12 g of ammonium sulfate, and resuspended in 1 ml of phosphate-buffered saline (PBS) with 0.05% azide. Binding to SpsA fragments was analyzed by ELISA. Microtiter plates (Costar) were coated with 1.5 µg ml-1 of SpsA fragments in 0.02 M ammonium acetate, pH 7.0, overnight and then blocked with 1% bovine serum albumin in PBS for 90 min. Dimeric IgA was coated at 3.0 µg ml-1. Titration experiments demonstrated that maximal OD was achieved when the SC concentration was between 0.5 and 1.0 µg ml-1. All SC variants were therefore diluted to
2 µg ml-1 in ELISA buffer (PBS with 0.5% bovine serum albumin, 0.05% Tween 20) and incubated for 90 min, and binding was determined by incubation with a mixture of rabbit antiserum to human SC (DAKO; diluted 1/3000) and murine SC (gift from Blaise Corthesy, diluted 1/10000), and revealed by alkaline phosphatase-conjugated goat anti-rabbit serum.
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Pneumococcal Adherence and InvasionPneumococcal adherence to and invasion of Calu-3 and MDCK-hpIgR-expressing cells were performed in 24-well plates (Greiner, Germany) on glass coverslips (diameter, 12 mm). Confluent epithelial cells with a density of
2 x 105 cells were inoculated with 5 x 106 to 1 x 107 pneumococci and infections were carried out for 4 h in Dulbecco's minimal essential medium-HEPES at 37 °C under 5% CO2. To remove non-adherent bacteria, the cells were rinsed several times with PBS. Synthetic peptides used in inhibition experiments were purified by preparative high-performance liquid chromatography (RP-8) with water/acetonitrile gradients containing 0.5% trifluoroacetic acid and characterized by amino acid analysis.
ImmunofluorescenceExtra- and intracellular pneumococci were stained using a polyclonal anti-pneumococcal antiserum and secondary goat anti-rabbit IgG coupled to Alexa 488 (green) or Alexa 568 (red) (MoBiTec). Pneumococcal antiserum was generated in rabbit against heat-inactivated pneumococci (R6x and ATCC 11733) and it reacts equally well against different pneumococcal strains. Briefly, extracellular bacteria, adhering to epithelial cells, were incubated for 15 min with the polyclonal anti-pneumococcal antiserum, washed, and fixated in 3.7% paraformaldehyde. After washing coverslips were incubated with the Alexa 488 goat anti-rabbit Ig conjugate. The intracellularly located invasive pneumococci were stained after permeabilization of the cells with 0.1% Triton X-100 for 5 min, washed in PBS, followed by incubation with anti-pneumococcal antiserum and Alexa fluor 568 goat anti-rabbit Ig conjugate. Extracellular pneumococci appear yellow, whereas intracellular appear red. At least 50 cells per glass coverslip were scored for pneumococcal adherence and invasion. Each experiment was repeated at least five times and results were expressed as mean ± S.D.
Mutagenesis of hpIg Receptor DomainsDeletion of regions in pIgR that were identified as potential SpsA binding sites was achieved by inframe deletions of the domain encoding sequences by inverse PCR. PCR products were generated using DNA primers incorporating SacII restriction sites for re-ligation and pcDNA3.1hpIgR as template. This strategy finally resulted in hpIgR expression derivatives pcDNA3.1hpIgRD2
133-148, pcDNA3.1hpIgRD2/3
206-229, and pcDNA3.1hpIgRD4
349-389 (indicated in Fig. 4).
Transfection of Epithelial CellsTransfection of MDCK cells with pcDNA3.1hpIgR and constructs pcDNA3.1hpIgRD2
133-148, pcDNA3.1hpIgRD2/3
206-229, and pcDNA3.1hpIgRD4
349-389, respectively, were conducted using FuGENE 6 (Roche) as transfection reagent according to the instructions of the supplier. Briefly, 1 x 104 MDCK cells were seeded on coverslips in medium without antibiotics. Serum- and antibiotic-free medium was mixed with FuGENE reagent and 0.5 µg of DNA was added (FuGENE:DNA in a ratio of 3:1). The solution was mixed gently and incubated for 30 min at room temperature. The complex mixture was added to the cells and the 24-well plate was swirled to ensure even dispersal. Cells were incubated at 37 °C in 5% CO2 for at least 2 days prior to incubation with the SpsA-coated latex beads. SpsA-coated latex beads were detected by anti-SpsA IgG followed by goat anti-rabbit IgG coupled to Alexa 568 and efficiency of transfection was visualized by immunofluorescence using rabbit anti-SC antiserum as primary antibody followed by Alexa fluor 488 goat anti-rabbit Ig conjugate (MoBiTec).
Attachment and Internalization of SpsA Derivatives Coupled to Latex BeadsSpsA derivatives (rSpsA SH12, rSpsA SH2, rSpsA SH201) expressed as recombinant proteins were coated on 3-µm polystyrene latex beads (Sigma) by incubating 108 beads with 5 µg of the proteins in PBS for 12 h at 4 °C. After washing with PBS, beads were resuspended in culture medium to a final concentration of 108 beads ml-1. Efficiency of protein coating was verified by fluorescence-activated cell sorting (data not shown). Binding of 107 SpsA-coated beads was assayed to 2 x 105 Calu-3 or MDCK cells. Cells were grown on a 12-mm glass coverslip and incubated with latex beads for 1 to 4 h incubation at 37 °C under 5% CO2. After washing six times with adhered or internalized PBS, beads were visualized by light microscopy, immunofluorescence, or scanning electron microscopy.
Scanning Electron MicroscopyFollowing incubation with SpsA-coupled latex beads, Calu-3 or MDCK-hpIgR cells were fixed with a fixation solution containing 2% glutaraldehyde and 3% formaldehyde in cacodylate buffer for 1 h on ice and washed with cacodylate buffer. After washing several times in TE buffer, samples were dehydrated with a gradient series of acetone (10, 30, 50, 70, 90, and 100%) on ice, each step 15 min, followed by critical point drying with liquid CO2. Samples were examined in a Zeiss field emission scanning electron microscope DSM982 Gemini at an acceleration voltage of 5 kV using the Everhard Thornely SE-detector and the inlens-SE detector in a 50:50 ratio.
Statistical AnalysisThe differences in adherence were analyzed by the Student's t test, unpaired, and statistically significant for p < 0.05 and p < 0.001, respectively.
| RESULTS |
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Asp) of the hexapeptide binding motif (Fig. 1), were measured. Representative sensorgrams are shown in Fig. 2. The observed rates of complex formation between native SpsA, SH2, SH12, and SM1 were dependent on the concentration of applied hFSC or SIgA (Fig. 2, A and B). SpsA with a single substitution of a critical amino acid in the hexapepetide motif did not bind hFSC or human SIgA as shown by a total lack of increase of resonance units (Fig. 2C). Assuming a simple one-step bimolecular association reaction and fitting, therefore, the data globally according to the 1:1 Langmuir kinetic model revealed similar association and dissociation rate constants for native SpsA-hFSC/SIgA (Table I). The equilibrium dissociation constants as defined by KD = koff/kass are in the nanomolar range (Table I) for the interaction of hFSC with native SpsA (KD = 3.53 x 10-9 M), to SpsA derivatives SH2 (KD = 3.29 x 10-9 M) and SH12 (KD = 8.20 x 10-9 M), respectively (Table I). The hexapeptide motif YRNYPT of SpsA, which represents the minimal SC binding motif (31), is present once in SpsA derivative SH2 at position 198-203 and twice in SpsA derivative SH12, at positions 163-168 and 325-330. Nevertheless, SPR revealed that the number of SC binding motifs does not affect rates of association and dissociation of the SpsA and SC interaction. Moreover, SPR analysis confirmed our previous findings that SC from mouse, rat, and SIgA from bovine, canine, equine, guinea pig, hamster, mouse, rabbit, and rat did not bind to SpsA as indicated by a total lack of increase of resonance units (data not shown).
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Binding of SpsA to Spot Synthesized pIgR PeptidesAlthough mouse SC failed to interact with SpsA, interacting epitopes in the SC molecule could include both species-divergent and conserved regions. We therefore proceeded to analyze the SpsA-hpIgR interaction by using synthetic peptides representing sequences of hpIgR. The sequence of hpIgR, which covers the leader peptide and extracellular domains D1 to D5, was divided into 200 overlapping 15-mer peptides, having an offset of three amino acids (see Supplementary Materials). Results of the spot membrane overlay assay, probed with SpsA, demonstrated binding of SpsA to five spot peptides of D1 and two regions in D2 consisting each of five positive peptide spots (Figs. 4 and 5). The sequence in D1 was not investigated further because it overlaps the pIg binding site and would therefore not be accessible in SIgA. The sequences of the positively assayed peptides localized in D2 of hpIgR are at amino acid positions 133-159 (D2133-159) and 160-186 (D2160-186), respectively. In addition, binding was also observed to peptides that represent amino acid residues 208-225 (D2/3208-225) and 265-282 (D3265-282) in D2 and D3 of hpIgR, respectively (Figs. 4 and 5). The screening of the membrane-spotted peptides showed also a positive reaction of membrane-spotted synthetic peptides spanning amino acids 349-375 of D4 (D4349-375) of hpIgR (Figs. 4 and 5). Computer-aided primary and secondary structural analysis (39, 40, 41) revealed that the region D2/3208-225, which comprises the end of domain 2 and the beginning of domain 3, and the region D4349-375 are with the highest probability located on the surface of the pIgR and therefore should be accessible for the SpsA-pIgR interaction. The region spanning amino acids 138-144 in D2 was also predicted to be surface located. In contrast, regions spanning amino acids 160-186 of D2 and 265-282 of D3, respectively, were not predicted to be surface located.
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133-148, hpIgRD3
206-229, and hpIgRD4
349-389 (indicated in Fig. 4) in which the proposed binding sites were deleted. The results of the adherence studies definitively demonstrated that a deletion of amino acids 133-148 in D2 did not affect binding of SpsA to hpIgR (Fig. 8C). Moreover, deletion in D2 showed that mutated pIgR is translocated to the epithelial cell surface and suggested a correct folding of the protein. HpIgR variants with deletions in D3 or D4 were also expressed at the cell surface (Fig. 8C). However, individual deletions of the proposed binding sites in D3 and D4 resulted in complete loss of attachment of the SpsA latex particles, indicating the pivotal role of these binding sites for SpsA-hpIgR complex formation that finally is able to mediate attachment and invasion of pneumococci to hpIgR-expressing epithelial cells (Fig. 8C). | DISCUSSION |
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The intracellular transport pathways of pIgR across polarized epithelial cells have been studied in detail and provided new insights into the nature and regulation of endocytotic and transcytotic pathways (45). Whether pathogens that invade via the pIgR are delivered to identical compartments and endosomes that normally engage the internalization of the pIgR-dIgA from the basolateral surface, by co-opting the pIgR for "reverse" transcytosis, has yet to be determined. The pIgR/SC-binding domain in the pneumococcal adhesin was mapped precisely to a hexapeptide motif in the NH2-terminal and highly conserved part of the SpsA protein. Individual amino acid substitutions identified tyrosine 201, proline 202, and threonine 203 of S. pneumoniae type 1 (ATCC 33400) SpsA as crucial for the interaction with the SC (31). The hexapeptide motif Y(H/R)NYPT is present twice as part of a repetitive sequence in the NH2-terminal part of most of the SpsA proteins expressed among pneumococci of different serotype (46, 47). We used an NH2-terminal SpsA protein variant with a single hexapeptide motif and a variant containing a duplication of this sequence, as ligands in the SPR studies and for interaction studies with human, mouse, and chimeric SC molecules. The results did not reveal significant differences in the kinetic constants or species specificity of the different SpsA variants. In fact, the dissociation constants were in the same range as estimated by Scatchard analysis (30). SPR indicated a simple one-step bimolecular association with the extracellular portion of pIgR and also with SIgA via the hexapeptide motif in SpsA as demonstrated by loss of binding to the mutated SpsA201 protein. The impact of the hexapeptide motif on pneumococcal invasion in pIgR-expressing epithelial cells was confirmed by the inability of SpsA SH2201 to block adherence and invasion of pneumococci to hpIgR-expressing cells. Identification of the binding site(s) in pIgR was first achieved by assaying binding of human-mouse chimeric SC molecules to SpsA and further by employing synthetic peptide array technology. These complementary approaches identified critical binding sites in D3 and D4 of hpIgR, which were localized in surface displayed regions and therefore should be accessible for the interaction with SpsA. The results further pointed out that the SpsA-pIgR/SC interaction is independent of the glycosylation of the receptor, thereby confirming previous results (27). The impact of the binding sites in D3 and D4 on pathogenesis was illustrated through the construction of mutated hpIgR, in which binding sites in D3 and D4 were individually deleted and adherence of SpsA-coated latex beads was substantially diminished. Final evidence was provided in in vitro infection experiments, where the human-mouse chimeric SC molecules Hd3d4 and Hd4 as well as the synthetic peptide D4peptide 349-375 inhibited adherence of pneumococci to hpIgR-expressing cells. Taken together, these results indicated a key role of amino acids 349-375 in D4 of hpIgR for binding of SpsA. However, the results suggest that also D3, but not D2, is involved in this interaction.
Although pIgR transport in retrograde, from apical to basal, is less efficient than the basal-to-apical transcytosis, pneumococci are translocated from the apical surface across nasopharyngeal epithelial cells via this specific interaction (27). A broader study suggested also that factors other than the pIgR and its pneumococcal adhesin might be involved in uptake of clinical isolates in pIgR-expressing cells. Polymeric Ig-mediated invasion has been proposed to be cell- and strain-specific (42), although the nonspecific attenuation of the capsule and the colony morphology, which might favor adherence or virulence (48), have not been considered. Furthermore, the respiratory mucosa is saturated with FSC and SIgA because of efficient processing of unloaded or pIgA-complexed pIgR at the apical surface. These secreted proteins, therefore, compete with the immobilized pIgR at the apical surface for binding to its adhesin SpsA and might, thus, inhibit attachment of pneumococci to the cells (30, 44). In fact, this cell-specific uptake strongly depends on the balance of free and pIgA-complexed soluble SC with that of uncleaved membraneous pIgR on the epithelium. Viral infections and enhanced levels of cytokines including interferon-
, interleukin-1, interleukin-4, and tumor necrosis factor, which cause an up-regulation of the pIgR (49-53), might favor invasiveness of pneumococci. To gain more insight into the SpsA-pIgR-mediated pneumococcal invasion and epithelial translocation, the cell compartments involved in this specific process and morphological studies of the invaded epithelium have to be conducted.
| FOOTNOTES |
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The on-line version of this article (available at http://www.jbc.org) contains Fig. 5S. ![]()
Both authors contributed equally to this work. ![]()

To whom correspondence should be addressed: Research Center for Infectious Diseases, University of Würzburg, Röntgenring 11, Würzburg D-97070, Germany. Tel.: 49-931-31-2153; Fax: 49-931-31-2578; E-mail: s.hammerschmidt{at}mail.uni-wuerzburg.de.
1 The abbreviations used are: pIgR, polymeric immunoglobulin receptor; hpIgR, human polymeric immunoglobulin receptor; pIgA, polymeric immunoglobulin A; D, domain; SC, secretory component; SIgA, secretory IgA; FSC, free secretory component; SPR, surface plasmon resonance; PBS, phosphate-buffered saline; ELISA, enzyme-linked immunosorbent assay; MDCK, Madin-Darby canine kidney. ![]()
| ACKNOWLEDGMENTS |
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| REFERENCES |
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S. Bergmann and S. Hammerschmidt Versatility of pneumococcal surface proteins Microbiology, February 1, 2006; 152(2): 295 - 303. [Abstract] [Full Text] [PDF] |
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P. W. M. Hermans, P. V. Adrian, C. Albert, S. Estevao, T. Hoogenboezem, I. H. T. Luijendijk, T. Kamphausen, and S. Hammerschmidt The Streptococcal Lipoprotein Rotamase A (SlrA) Is a Functional Peptidyl-prolyl Isomerase Involved in Pneumococcal Colonization J. Biol. Chem., January 13, 2006; 281(2): 968 - 976. [Abstract] [Full Text] [PDF] |
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S. Hammerschmidt, S. Wolff, A. Hocke, S. Rosseau, E. Muller, and M. Rohde Illustration of Pneumococcal Polysaccharide Capsule during Adherence and Invasion of Epithelial Cells Infect. Immun., August 1, 2005; 73(8): 4653 - 4667. [Abstract] [Full Text] [PDF] |
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D. Pracht, C. Elm, J. Gerber, S. Bergmann, M. Rohde, M. Seiler, K. S. Kim, H. F. Jenkinson, R. Nau, and S. Hammerschmidt PavA of Streptococcus pneumoniae Modulates Adherence, Invasion, and Meningeal Inflammation Infect. Immun., May 1, 2005; 73(5): 2680 - 2689. [Abstract] [Full Text] [PDF] |
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K. Sun, F.-E. Johansen, L. Eckmann, and D. W. Metzger An Important Role for Polymeric Ig Receptor-Mediated Transport of IgA in Protection against Streptococcus pneumoniae Nasopharyngeal Carriage J. Immunol., October 1, 2004; 173(7): 4576 - 4581. [Abstract] [Full Text] [PDF] |
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