I.1. BACTERIA: PATHOGENICITY FACTORS – 47
the bacteria. Its activity also causes invasion, hence hyaluronidase is also seen as an
invasin (Table 1.2).
Table 1.3. Bacterial proteins that act as immunomodulatorBacteria/disease Immunomodulator Action Reference
Borrelia burgdorferi/Lyme
diseaseOspE Binds factor H McDowell et al. (2004)Enterococcus faecalis Capsular polysaccharide Resistance to
opsonophagocytic killingHancock and Gilmore (2002)Francisella tularensis/Tularemia? Survive and multiply inside
macrophagesMaier et al. (2007)Streptococcus pneumoniae PspA Inhibitor of factor B mediating
complement activation and
opsonisationTu et al. (1999)Group A Streptococcus
(S. pyogenes)Fba Binds factor H and fH-like
protein, contribute to
phagocytosis resistanceWei et al. (2005)Streptococci Protein M Alteration of
opsonophagocytosis by
recruitment of factor HJarva et al. (2003)Group B Streptococcus (GBS) Capsule Protects from opsonisation by
C3. ß-protein binds factorHRubens et al. (1987);
Jarva et al. (2003)
Group B Streptococcus (GBS) CspA (serine protease-
like)Evasion of
opsonophagocytosisHarris et al. (2003)Lysteria monocytogenes Lysterio-lysin O Evasion of phagosome Schnupf and Portnoy (2007)
Neisseria gonorrhoea Por 1A Binds factor H, C4 bp,
mediates serum resistanceRam et al. (1998; 2001)Neisseria meningitides Bind factor H Avoids lysis by complement
systemSchneider et al. (2006)Staphylococcus aureus Secretes extracellular
adherence protein (EAP)Binds to Inter-Cellular
Adhesion Molecule (ICAM)-1,
fibrinogen, vitronectin
resulting in the disruption of
the leukocyte recruitmentAthanasopoulos et al. (2006)Yersinia spp. Yop E, T A, H and Yop J Block phagocytosis and
suppress inflammatory
mediatorsFällman and Gustavsson
(2005)Yersinia enterocolica YadA Alteration of
opsonophagocytosis by
recruitement of factor HChina et al. (1993)Kinases
Streptokinase and staphylokinase are produced by streptococci and staphylococci,
respectively. These enzymes convert inactive plasminogen to plasmin which digests
fibrin and prevents clotting of the blood. The relative absence of fibrin in bacterial lesions
allows more rapid diffusion of the bacteria (Gladysheva et al., 2003). Like hyaluronidase,
kinases also cause invasion, and are seen as invasins (Table 1.2).
Sialidases/neuraminidase
Extracellular sialidases or neuraminidases, produced by various pathogens, have the
ability to hydrolyse the sialic acid residues located on many mammalian cell membranes
(Rood, 1998). The neuraminidase produced by Mannheimia haemolytica decreases the
viscosity of respiratory mucus, thus providing the bacteria with greater access to the cell
surface (Zecchinon, Fett and Desmecht, 2005).