Impact of theglpQ2Gene on Virulence in a Streptococcus pneumoniae Serotype 19A Sequence Type 320 Strain
Glycerophosphodiester phosphodiesterase (GlpQ) metabolizes glycerophosphorylcholine from the lung epithelium to produce free choline, which is transformed into phosphorylcholine and presented on the surfaces of many respiratory pathogens. Two orthologs ofglpQgenes are found inStreptococcus pneumoniae:glpQ, with a membrane motif, is widespread in pneumococci, whereasglpQ2, which shares high similarity withglpQinHaemophilus influenzaeandMycoplasma pneumoniae, is present only inS. pneumoniaeserotype 3, 6B, 19A, and 19F strains. Recently, serotype 19A has emerged as an epidemiological etiology associated with invasive pneumococcal diseases. Thus, we investigated the pathophysiological role ofglpQ2in a serotype 19A sequence type 320 (19AST320) strain, which was the prevalent sequence type in 19A associated with severe pneumonia and invasive pneumococcal disease in pediatric patients. Mutations inglpQ2reduced phosphorylcholine expression and the anchorage of choline-binding proteins to the pneumococcal surface during the exponential phase, where the mutants exhibited reduced autolysis and lower natural transformation abilities than the parent strain. The deletion ofglpQ2also decreased the adherence and cytotoxicity to human lung epithelial cell lines, whereas these functions were indistinguishable from those of the wild type in complementation strains. In a murine respiratory tract infection model,glpQ2was important for nasopharynx and lung colonization. Furthermore, infection with aglpQ2mutant decreased the severity of pneumonia compared with the parent strain, andglpQ2gene complementation restored the inflammation level. Therefore,glpQ2enhances surface phosphorylcholine expression inS. pneumoniae19AST320 during the exponential phase, which contributes to the severity of pneumonia by promoting adherence and host cell cytotoxicity.