Reviewer #1 (Public review):
Summary:
The manuscript by Wang et al. investigates the relationship between Streptococcus Suis (S. Suis) growth phases and levels of virulence factor, capsular polysaccharide (CPS), in the bacterial cell wall. They use an understudied mouse intranasal infection model to connect growth phase related CPS abundance to the pathogenicity of the bacteria in the nose, blood, and other organs. Adoptive transfer of serum against either CPS or V5 (five other virulence factors) reinforces their discovery of CPS levels on S. Suis in different organs and stages of infection. Vaccination against bacterial infections can be difficult, and understanding how the serotype of a bacterial pathogen changes between infection sights and systemic disease is critical. Further, understanding host-pathogen interactions at early time points in the upper respiratory tract may have broad implications for vaccine development. While some of the results are interesting and compelling, others are not supported by the data and require further experimental work.
Strengths:
The model of intranasal infection is compelling to expand upon work previously done in vitro and with systemic routes of infection. The histology and fluorescent imaging of the olfactory epithelium and olfactory bulb complement work in Figure 2 about the attachment of S. suis to epithelial cells and the bacterial burden over time in different organs of Figure 3. Histology was performed at 1 hour and 9 days after intranasal infection with stationary phase S. suis and drives home that this pathogen can invade the olfactory nerve and may potentially cause bacterial meningitis seen in some infected swine.
The adoptive transfer of either anti-CPS or anti-V5 to mice before infection at both longer (12 hr), and shorter (0.5 hr) time points is useful to demonstrate that the changes in cell wall composition between the NALT/CSF and blood compartments result in different efficacy in clearing bacteria from those locations. This is fundamental for the development of vaccines for the swine industry and begs those developing other bacterial vaccines to consider what virulence factors are the most useful as neutralizing antibody targets at the sight of bacterial invasion.
Demonstrating that the amount of CPS within the cell wall of S. Suis is related to the growth phase of the bacteria is an important consideration for vaccine development. While others had previously shown that CPS levels were higher in the blood than in the CNS, and that CPS decreases the invasion of epithelial cells, the close look at the olfactory epithelium at an early time point ties together in vitro findings. The control of a CPS-negative strain was critical to understanding their findings. The location and the microbial community that bacterial pathogens live within may change the growth phase and therefore also the cell wall components.
Weaknesses:
The authors present compelling data that is relevant to the development of anti-bacterial vaccinations and show a relationship between CPS levels and pathogenicity. However, the use of a laboratory murine model requiring acetic acid pre-treatment and a high i.n. dose. Therefore, the findings presented may not represent what occurs in swine. Furthermore, several conclusions are not supported by the data and require substantial new experimental support. Thus, major concerns remain that impact the validity of the findings.
Major concerns for the manuscript:
The intranasal infections were done with S. Suis in the stationary phase which has been shown to have less CPS on the cell wall. While this mimics the literature that shows S. Suis to have less CPS in the CNS, the difference in the pathogenesis of a log phase vs. stationary phage intranasal infection would be interesting. Especially because the bacteria is a part of the natural microbial community of swine tonsils, it is curious if the change in growth phase and therefore CPS levels may be a causative reason for pathogenic invasion in some pigs. To take this line of thought a step further, the authors should consider taking the bacteria from NALT/CSF and blood and compare the lag times bacteria from different organs take to enter a log growth phase to show whether the difference in CPS is because S. Suis in each location is in a different growth phase. If log phase bacteria were intranasally delivered, would it adapt a stationary phase life strategy? How long would that take? Lastly, the authors should be cautious about claims about S. suis downregulating CPS in the NALT for increased invasion and upregulating CPS to survive phagocytosis in blood. While it is true that the data shows that there are different levels of CPS in these locations, the regulation and mechanism of the recorded and observed cell wall difference is not investigated past the correlation to the growth phase. While mechanistic work is outside the scope of the current work, readers should keep in mind that these results may be explained multiple ways. In addition, the mouse model is used rather than the usual host of a pig. The NALTs of conventional pigs and SPF mice certainly have unique microbial communities and this may affect the pathogenesis of S. suis in the mouse, therefore influencing the results. Because the authors show a higher infection rate in the mouse with acetic acid, they may want to consider investigating what the mouse NALT microenvironment is naturally doing to exclude more bacterial invasion in future studies. Is it simply a host mismatch or is there something about the microbiome or steady-state immune system in the nose of mice that is different from pigs?