Proteomic Identification ofsaeRS-Dependent Targets Critical for Protective Humoral Immunity against Staphylococcus aureus Skin Infection
RecurrentStaphylococcus aureusskin and soft tissue infections (SSTIs) are common despite detectable antibody responses, leading to the belief that the immune response elicited by these infections is not protective. We recently reported thatS. aureusUSA300 SSTI elicits antibodies that protect against recurrent SSTI in BALB/c but not C57BL/6 mice, and in this study, we aimed to uncover the specificity of the protective antibodies. Using a proteomic approach, we found thatS. aureusSSTI elicited broad polyclonal antibody responses in both BALB/c and C57BL/6 mice and identified 10S. aureusantigens against which antibody levels were significantly higher in immune BALB/c serum. Four of the 10 antigens identified are regulated by thesaeRSoperon, suggesting a dominant role forsaeRSin protection. Indeed, infection with USA300Δsaefailed to protect against secondary SSTI with USA300, despite eliciting a strong polyclonal antibody response against antigens whose expression is not regulated bysaeRS. Moreover, the antibody repertoire after infection with USA300Δsaelacked antibodies specific for 10saeRS-regulated antigens, suggesting that all or a subset of these antigens are necessary to elicit protective immunity. Infection with USA300Δhlaelicited modest protection against secondary SSTI, and complementation of USA300Δsaewithhlarestored protection but incompletely. Together, these findings support a role for both Hla and othersaeRS-regulated antigens in eliciting protection and suggest that host differences in immune responses tosaeRS-regulated antigens may determine whetherS. aureusinfection elicits protective or nonprotective immunity against recurrent infection.