Academic Journal
Complement receptor 2 downregulation is associated with mortality in Staphylococcus aureus sepsis in both mice and humans.
| Τίτλος: | Complement receptor 2 downregulation is associated with mortality in Staphylococcus aureus sepsis in both mice and humans. |
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| Συγγραφείς: | Kopparapu PK; Department of Rheumatology and Inflammation Research, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden., Deshmukh M; Department of Rheumatology and Inflammation Research, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden., Subhash S; Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, United States.; Department of Biosciences and Bioengineering, Indian Institute of Technology Jammu, Jammu, Jammu and Kashmir, India., Mohammad M; Department of Rheumatology and Inflammation Research, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden., Hu Z; Department of Rheumatology and Inflammation Research, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.; Center for Clinical Laboratories, The Affiliated Hospital of Guizhou Medical University, Guiyang, China., Jarneborn A; Department of Rheumatology and Inflammation Research, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.; Department of Rheumatology, Sahlgrenska University Hospital, Gothenburg, Sweden., Arif M; Department of Molecular and Clinical Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.; Science for Life Laboratory, University of Gothenburg, Gothenburg, Sweden., Pekna M; Center for Brain Repair and Rehabilitation, Department of Clinical Neuroscience and Rehabilitation, Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden., Ljungström L; Department of Infectious Diseases, Skaraborg Hospital, Skövde, Sweden., Jacobsson G; Department of Infectious Diseases, Skaraborg Hospital, Skövde, Sweden., Grimsholm O; Department of Rheumatology and Inflammation Research, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.; Institute of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria., Jin T; Department of Rheumatology and Inflammation Research, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.; Department of Rheumatology, Sahlgrenska University Hospital, Gothenburg, Sweden. |
| Πηγή: | Frontiers in immunology [Front Immunol] 2026 Jul 09; Vol. 17, pp. 1724049. Date of Electronic Publication: 2026 Jul 09 (Print Publication: 2026). |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Frontiers Research Foundation] Country of Publication: Switzerland NLM ID: 101560960 Publication Model: eCollection Cited Medium: Internet ISSN: 1664-3224 (Electronic) Linking ISSN: 16643224 NLM ISO Abbreviation: Front Immunol Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [Lausanne : Frontiers Research Foundation] |
| Ιατρικοί όροι (MeSH): | Staphylococcal Infections*/mortality , Staphylococcal Infections*/immunology , Staphylococcal Infections*/genetics , Staphylococcal Infections*/microbiology , Sepsis*/mortality , Sepsis*/immunology , Sepsis*/microbiology , Sepsis*/genetics , Staphylococcus aureus*/immunology , Receptors, Complement 3d*/genetics , Receptors, Complement 3d*/metabolism, B-Lymphocytes/immunology ; B-Lymphocytes/metabolism ; Animals ; Humans ; Mice ; Down-Regulation ; Disease Models, Animal ; Male ; Biomarkers ; Female ; Mice, Inbred C57BL |
| Περίληψη: | Although sepsis is a leading cause of global mortality, the lack of reliable biomarkers hinders early risk stratification. Such biomarkers would facilitate timely and precise therapeutic interventions. Using a murine model of Staphylococcus aureus (S. aureus) sepsis, we performed transcriptomic analysis and identified numerous genes that distinguished survivors from fatal cases. The top 16 candidate genes were further evaluated in patients with severe invasive bacterial infections. Among these, complement receptor 2 (CR2) was significantly downregulated in deceased patients compared with survivors and healthy controls. The extent of CR2 downregulation was dependent on the administered dose of S. aureus. Time-course experiments conducted in infected mice showed progressive B-cell depletion and CR2 downregulation, correlating with disease severity. Importantly, CR2 downregulation was independent of complement factor 3, TLR2, and tumor necrosis (TNF)-α, but was reversed in infections with S. aureus strains that lacked sortase A and B, and restored by antibiotic treatment of the infected mice. Loss of CR2 expression may reflect B-cell activation followed by differentiation into plasmablasts and redistribution to secondary lymphoid organs. The present study suggests that CR2 downregulation is associated with severe infection and mortality in S. aureus sepsis and may represent a candidate biomarker of host immune dysregulation that warrants further validation in larger clinical cohorts. (Copyright © 2026 Kopparapu, Deshmukh, Subhash, Mohammad, Hu, Jarneborn, Arif, Pekna, Ljungström, Jacobsson, Grimsholm and Jin.) |
| Competing Interests: | The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author TJ declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision. |
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| Contributed Indexing: | Keywords: B cells; biomarkers; complement receptor 2; mortality; rna sequencing; sepsis |
| Substance Nomenclature: | 0 (Biomarkers) 0 (Receptors, Complement 3d) |
| Entry Date(s): | Date Created: 20260724 Date Completed: 20260724 Latest Revision: 20260813 |
| Update Code: | 20260814 |
| PubMed Central ID: | PMC13391265 |
| DOI: | 10.3389/fimmu.2026.1724049 |
| PMID: | 42495651 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1664-3224 |
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| DOI: | 10.3389/fimmu.2026.1724049 |