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Blood, 1 February 2005, Vol. 105, No. 3, pp. 1052-1059.
Prepublished online as a Blood First Edition Paper on September 21, 2004; DOI 10.1182/blood-2004-06-2149.


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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

FbsA, a fibrinogen-binding protein from Streptococcus agalactiae, mediates platelet aggregation

Giampiero Pietrocola, Axel Schubert, Livia Visai, Mauro Torti, J. Ross Fitzgerald, Timothy J. Foster, Dieter J. Reinscheid, and Pietro Speziale

From the University of Pavia, Department of Biochemistry, Pavia, Italy; Department of Microbiology and Biotechnology, University of Ulm, Ulm, Germany; and Microbiology Department, Moyne Institute of Preventive Medicine, Trinity College, Dublin, Ireland.

The bacterium Streptococcus agalactiae is an etiologic agent in the pathogenesis of endocarditis in humans. FbsA, a fibrinogen-binding protein produced by this pathogen, is considered an important virulence factor. In the present study we provide evidence that S agalactiae clinical isolates bearing FbsA attach to fibrinogen and elicit a fibrinogen-dependent aggregation of platelets. Mutants of S agalactiae lacking the fbsA gene lost the ability to attach to fibrinogen and to aggregate platelets. Plasmid-mediated expression of fbsA restored the capability for fibrinogen binding and platelet aggregation in S agalactiae fbsA mutants, and allowed Lactococcus lactis to interact with fibrinogen and to aggregate human platelets. Moreover, a monoclonal anti-FbsA antibody inhibited bacterial adherence to fibrinogen and S agalactiae–induced platelet aggregation. Platelet aggregation was inhibited by aspirin, prostaglandin E1, the peptide RGDS, and the antibody abciximab, demonstrating the specificity of platelet aggregation by S agalactiae and indicating an involvement of integrin glycoprotein IIb/IIIa in the induction of platelet aggregation. Aggregation was also dependent on anti-FbsA IgG and could be inhibited by an antibody against the platelet Fc{gamma}RIIA receptor. These findings indicate that FbsA is a crucial factor in S agalactiae–induced platelet aggregation and may therefore play an important role in S agalactiae–induced endocarditis.


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