Spatially-Targeted Proteomics of the Host-Pathogen Interface During Staphylococcal Abscess

Spatially-Targeted Proteomics of the Host-Pathogen Interface During Staphylococcal Abscess

bioRxiv preprint doi: https://doi.org/10.1101/2020.09.01.267773; this version posted September 1, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY-ND 4.0 International license. 1 2 3 4 5 6 7 8 Spatially-targeted proteomics of the host-pathogen interface during staphylococcal abscess 9 formation 10 11 Short Title: Proteomics of host-pathogen interface 12 13 Emma R. Guiberson#1,2, Andy Weiss#3, Daniel J. Ryan1,2, Andrew J. Monteith3, Kavya Sharman1, Danielle 14 B. Gutierrez1, William J. Perry1,2, Richard M. Caprioli1,2,4,5,6, Eric P. Skaar*3, Jeffrey M. Spraggins*1,2,4 15 #- authors contributed equally to this manuscript 16 *- Co-corresponding authors 17 [email protected] 18 [email protected] 19 20 Affiliations: 21 (1) Mass Spectrometry Research Center, Vanderbilt University, Nashville, TN, USA 22 (2) Department of Chemistry, Vanderbilt University, Nashville, TN, USA 23 (3) Department of Pathology, Microbiology, and Immunology, Vanderbilt University, Nashville, TN, 24 USA 25 (4) Department of Biochemistry, Vanderbilt University, Nashville, TN, USA 26 (5) Department of Medicine, Vanderbilt University, Nashville, TN, USA 27 (6) Department of Pharmacology, Vanderbilt University, Nashville, TN, USA 28 29 30 bioRxiv preprint doi: https://doi.org/10.1101/2020.09.01.267773; this version posted September 1, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY-ND 4.0 International license. 31 Abstract 32 Staphylococcus aureus is a common cause of invasive and life-threatening infections that are often multi- 33 drug resistant. To develop novel treatment approaches, a detailed understanding of the complex host- 34 pathogen interactions during infection is essential. This is particularly true for the molecular processes that 35 govern the formation of tissue abscesses, as these heterogeneous structures are important contributors to 36 staphylococcal pathogenicity. To fully characterize the developmental process leading to mature abscesses, 37 temporal and spatial analytical approaches are required. Spatially targeted proteomic technologies, such as 38 micro liquid extraction surface analysis, offer insight into complex biological systems including detection 39 of bacterial proteins, and their abundance in the host environment. By analyzing the proteomic constituents 40 of different abscess regions across the course of infection, we defined the immune response and bacterial 41 contribution to abscess development through spatial and temporal proteomic assessment. The information 42 gathered was mapped to biochemical pathways to characterize the metabolic processes and immune 43 strategies employed by the host. These data provide insights into the physiological state of bacteria within 44 abscesses and elucidate pathogenic processes at the host-pathogen interface. 45 46 Keywords: abscess formation/host-pathogen interface/microLESA/proteomics,/Staphylococcus aureus 47 48 bioRxiv preprint doi: https://doi.org/10.1101/2020.09.01.267773; this version posted September 1, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY-ND 4.0 International license. 49 Introduction 50 Staphylococcus aureus is one of the leading causes of bloodstream infections worldwide1. In the United 51 States alone, this bacterium is responsible for more than 600,000 hospitalizations annually2 and patients 52 with S. aureus bacteremia have a 30-day mortality rate of 20%3. S. aureus bacteremia often spreads to other 53 body sites leading to the formation of abscesses, most commonly affecting the liver, kidneys, brain, and 54 heart tissues4. 55 56 The formation of organ abscesses is a critical strategy to ensure S. aureus survival within the host5. 57 Abscesses offer a temporary refuge for S. aureus, allowing the enclosed bacteria to resist the actions of the 58 immune system, thereby securing persistence within host tissues6,7. In a murine model of systemic infection, 59 the formation of soft tissue abscesses follows distinct phases (stages I-IV)5, driven by the recruitment of 60 immune cells (e.g. neutrophils) ~2 days post infection (dpi)7, and the development of a bacterial nidus in 61 the center of the abscess ~4-5 dpi (staphylococcal abscess colony, SAC)7. The developing SAC is 62 surrounded by necrotic tissue, a fibrin pseudocapsule7,8, and an outer microcolony-associated meshwork6. 63 At the end of abscess development (~15-30 dpi), the persistent and increasingly larger lesions rupture and 64 release bacteria that seed new abscesses or cause secondary infections7. 65 66 Abscess formation requires the involvement of both host and bacterial factors. Several staphylococcal 67 proteins, including both coagulases, Coa and vWbp, are essential for fibrin pseudocapsule formation and 68 abscess development9. Additionally, a few other S. aureus proteins, associated with virulence, (e.g. Emp, 69 Eap, Hla, IsdA, IsdB, SdrC, SrtA, Spa) have been found to be required for abscess formation6-8,10,11. The 70 majority of these data describing bacterial contributions to abscess development were generated from 71 histological stains or characterization of isogenic S. aureus mutants and their ability to persist within host 72 tissues. However, unbiased studies that aim to assess the bacterial abscess proteome are sparse. This is 73 similarly true for proteinaceous host factors in proximity to the abscess. While it is established that specific 74 cell types (e.g. fibroblasts and neutrophils12) or immune proteins (e.g. the metal scavenging protein bioRxiv preprint doi: https://doi.org/10.1101/2020.09.01.267773; this version posted September 1, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY-ND 4.0 International license. 75 calprotectin13) play essential roles during the immune response to S. aureus, we lack a detailed 76 understanding of specific cellular processes involved in the host response to tissue colonization by S. 77 aureus. Although a previous study from our laboratory addressed some of these shortcomings by assessing 78 the proteinaceous composition of kidneys infected with S. aureus14, the current study also examines the 79 temporal and spatial aspects of abscess development. 80 81 Various proteomic technologies offer insight into complex biological systems, including the interplay 82 between host and pathogen during infection15,16. Recent technological advances have enabled pairing of 83 spatially targeted surface sampling with high-performance mass spectrometry for molecular analysis of 84 tissue. Imaging mass spectrometry (IMS) technology, such as matrix-assisted laser desorption/ionization 85 (MALDI) IMS, offers the unique combination of high molecular specificity and high spatial resolution 86 imaging17-19. However, the sensitivity of MALDI IMS for analysis of large proteins (> 30 kDa) can be 87 limited due to low ionization efficiency of proteins from tissue and the poor transmission efficiency of high 88 mass-to-charge ratio (m/z) ions19,20. The identification of proteins with MALDI IMS is also challenging due 89 to inefficient fragmentation of low charge state species. To facilitate this process, we have investigated the 90 utility of complementary surface sampling technologies for discovery-based proteomic studies. 91 92 Traditional liquid chromatography coupled with tandem mass spectrometry (LC-MS/MS) of peptides 93 derived from proteolytic digestion provides the greatest proteomic sensitivity 21. LC-MS/MS requires liquid 94 samples, usually through homogenization of tissue, limiting spatial information from the sample of interest. 95 To address this, we recently introduced a spatially targeted, bottom-up proteomics workflow used in 96 analysis of S. aureus kidney infection22. Specific foci were targeted using picoliter-sized droplets of trypsin 97 protease and the resulting proteolytic peptides were sampled using liquid extraction surface analysis 98 (LESA). The entire process, termed microLESA, is histologically guided using autofluorescence 99 microscopy. Herein, we expand on this work using microLESA to analyze regions from the abscess 100 community (SAC), host-pathogen interface surrounding the community, and regions of cortical tissue of S. bioRxiv preprint doi: https://doi.org/10.1101/2020.09.01.267773; this version posted September 1, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. It is made available under aCC-BY-ND 4.0 International license. 101 aureus infected kidneys. Spatial and temporal proteomic changes were examined by sampling various time 102 points allowing us to follow responses of both the pathogen and the immune system over the course of 103 infection. By studying three defined regions, and their dynamics over the course of the infection, changes 104 in both host and pathogen can be observed across the organ. 105 106 Results and Discussion 107 108

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