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Granzyme A impairs host defense during Streptococcus pneumoniae pneumonia

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AJP Lung Cellular and Molecular Physiology

Published online on

Abstract

Streptococcus pneumoniae is the most common causative pathogen in community-acquired pneumonia (CAP). Granzyme A (GzmA) is a serine protease produced by a variety of cell types involved in the immune response. We sought to determine the role of GzmA on the host response during pneumococcal pneumonia. GzmA was measured in bronchoalveolar lavage fluid (BALF) harvested from CAP patients from the infected and contralateral uninfected side, and in lung tissue slides from CAP patients and controls. In CAP patients, GzmA levels were increased in BALF obtained from the infected lung. Human lungs showed constitutive GzmA expression by both parenchymal and non-parenchymal cells. In an experimental setting pneumonia was induced in wild type (WT) and GzmA deficient (GzmA–/–) mice by intranasal inoculation of S. pneumoniae. In separate experiments WT and GzmA–/– mice were treated with natural killer (NK) cell depleting antibodies. Upon infection with S. pneumoniae, GzmA–/– mice showed a better survival and lower bacterial counts in BALF and distant body sites compared to WT mice. Although NK cells showed strong GzmA expression, NK cell depletion did not influence bacterial loads in either WT or GzmA–/– mice. These results implicate that GzmA plays an unfavorable role in host defense during pneumococcal pneumonia by a mechanism that does not depend on NK cells.