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The collagen-binding protein of Streptococcus mutans is involved in haemorrhagic stroke

Author

Listed:
  • Kazuhiko Nakano

    (Graduate School of Dentistry, Osaka University)

  • Kazuya Hokamura

    (Hamamatsu University School of Medicine)

  • Naho Taniguchi

    (Graduate School of Dentistry, Osaka University)

  • Koichiro Wada

    (Graduate School of Dentistry, Osaka University)

  • Chiho Kudo

    (Graduate School of Dentistry, Osaka University)

  • Ryota Nomura

    (Graduate School of Dentistry, Osaka University)

  • Ayuchi Kojima

    (Graduate School of Dentistry, Osaka University)

  • Shuhei Naka

    (Graduate School of Dentistry, Osaka University)

  • Yoshinori Muranaka

    (Laboratory for Ultrastructure Researches, Hamamatsu University School of Medicine)

  • Min Thura

    (Hamamatsu University School of Medicine)

  • Atsushi Nakajima

    (Yokohama City University School of Medicine)

  • Katsuhiko Masuda

    (Graduate School of Dentistry, Osaka University
    Masuda Dental Clinic)

  • Ichiro Nakagawa

    (Section of Bacterial Pathogenesis, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University)

  • Pietro Speziale

    (University of Pavia)

  • Nobumitsu Shimada

    (Suita Municipal Hospital)

  • Atsuo Amano

    (Graduate School of Dentistry, Osaka University)

  • Yoshinori Kamisaki

    (Graduate School of Dentistry, Osaka University)

  • Tokutaro Tanaka

    (Seirei Hamamatsu General Hospital)

  • Kazuo Umemura

    (Hamamatsu University School of Medicine)

  • Takashi Ooshima

    (Graduate School of Dentistry, Osaka University)

Abstract

Although several risk factors for stroke have been identified, one-third remain unexplained. Here we show that infection with Streptococcus mutans expressing collagen-binding protein (CBP) is a potential risk factor for haemorrhagic stroke. Infection with serotype k S. mutans, but not a standard strain, aggravates cerebral haemorrhage in mice. Serotype k S. mutans accumulates in the damaged, but not the contralateral hemisphere, indicating an interaction of bacteria with injured blood vessels. The most important factor for high-virulence is expression of CBP, which is a common property of most serotype k strains. The detection frequency of CBP-expressing S. mutans in haemorrhagic stroke patients is significantly higher than in control subjects. Strains isolated from haemorrhagic stroke patients aggravate haemorrhage in a mouse model, indicating that they are haemorrhagic stroke-associated. Administration of recombinant CBP causes aggravation of haemorrhage. Our data suggest that CBP of S. mutans is directly involved in haemorrhagic stroke.

Suggested Citation

  • Kazuhiko Nakano & Kazuya Hokamura & Naho Taniguchi & Koichiro Wada & Chiho Kudo & Ryota Nomura & Ayuchi Kojima & Shuhei Naka & Yoshinori Muranaka & Min Thura & Atsushi Nakajima & Katsuhiko Masuda & Ic, 2011. "The collagen-binding protein of Streptococcus mutans is involved in haemorrhagic stroke," Nature Communications, Nature, vol. 2(1), pages 1-10, September.
  • Handle: RePEc:nat:natcom:v:2:y:2011:i:1:d:10.1038_ncomms1491
    DOI: 10.1038/ncomms1491
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