Abstract
Staphylococcus aureus (S. aureus) is one of the most common causative agents of mammary gland infection and mastitis, but the specific role of S. aureus-derived extracellular vesicles (SaEVs) in mastitis has been poorly studied to date. Here, we aimed to investigate the response of bovine monocyte-derived macrophages (boMdM) to SaEVs of the genotype B (GTB) mastitis-related strain M5512B. Specifically, we evaluated the effects on the actin cytoskeleton, gene expression, and the SaEV proteomic cargo. Furthermore, we assessed to what extent the cellular and molecular response of boMdM to SaEVs differed from peripheral mononuclear blood cells (PBMCs) used for in vitro derivation of the former. We observed that SaEVs induced morphological changes in boMdM, leading to a pro-inflammatory and pyroptosis-related increased gene expression. Additionally, our study revealed that boMdM and PBMCs exhibited stimulus-specific differing responses. The proteomic analysis of SaEVs identified clusters of proteins related to virulence and antibiotic resistance, supporting the theory that S. aureus might use EVs to evade host defences and colonize the mammary gland. Our results bring new insights into how SaEVs might impact the host during an S. aureus infection, which can be useful for future S. aureus vaccine development.
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Introduction
Mastitis, the inflammation of the mammary gland, can develop when the host’s innate and adaptive defences fail to prevent the invasion and establishment of microorganisms in the gland tissue1,2. Apart from a significant reduction in milk yield and quality, mastitis in dairy farms imposes further costs, such as an increased workload, discarded milk, reduced suitability for cheesing, veterinary costs and antibiotic treatment. For that reason, mastitis is one of the costliest diseases in dairy farming worldwide and a leading cause of premature end of cows’ production periods and increased antimicrobial use3,4.
The Gram-positive bacteria Staphylococcus aureus (S. aureus) is one of the main causative agents for mastitis2. Often, S. aureus causes an asymptomatic/subclinical form of mastitis that is not readily detectable to either farmer or veterinarian and can easily be transmitted to other animals in the herd during the milking routine5. Subclinical mastitis can lead to chronic, possibly lifelong disease1. Furthermore, S. aureus expresses a set of antimicrobial resistance genes6,7, which, together with its ability to form biofilms and live inside the mammary gland cells, contributes to the major problem of therapeutic antibiotic failure2. The epidemiology of S. aureus markedly depends on the particular genotype8,9. In particular, S. aureus genotype B (GTB) is of primary concern because it is related to high contagiousness and pathogenicity8,10,11,12. S. aureus GTB has been associated with intramammary infections and was found to be highly abundant in raw milk cheese, risking enterotoxin intoxication in humans13.
It has been shown that Gram-positive bacteria, including S. aureus, can produce vesicular bodies carrying toxins and enzymes14,15,16,17. Bacterial EVs play crucial roles in bacterial physiology, pathogenic processes, environmental adaptation and infections18. The proteins and nucleic acids encapsulated within S. aureus extracellular vesicles (SaEVs) are protected from degradation or neutralisation by the host and, therefore, play an important role during pathogenesis19. In mice, it was demonstrated in vivo that SaEVs can cause a local inflammatory reaction in the mammary gland20 and induce apoptosis of lung cells16 and arthritis21. In vitro, SaEVs induce a dose-dependent pro-inflammatory response in peritoneal macrophages and splenocytes21 that is mediated by lipoproteins and via Toll-like receptor 2-dependent mechanisms21.
In the context of mastitis, bacterial EVs intensify the inflammatory response and contribute to infection within the mammary gland20. However, the pro-inflammatory effect of SaEVs on the bovine udder is unknown since in vivo studies in cows assessing the mammary gland response to SaEVs are still lacking. We have previously shown that primary mammary epithelial cells of cattle minimally respond to SaEVs, which could explain the high capacity of S. aureus to affect the mammary epithelial cells effectively22. However, the effect of SaEVs on the innate immune system of the cow udder is still unknown. Monocytes and their tissue derivatives, such as macrophages and certain dendritic cell subpopulations, play crucial roles in nearly all stages of inflammation23. Macrophages interact with S. aureus, especially in the early stages, to control and restrict the initial bacterial inoculum. They are essential to contain and resolve S. aureus infections. However, in its defence, S. aureus has developed numerous tactics to evade and manipulate host cells for its benefit24. Among the self-defence strategies, S.aureus can alter the actin cytoskeleton of the host cell, specifically by disaggregating cell-cell contacts25 and focal adhesions26 and consequently damaging the epithelial barriers.
We hypothesised that S. aureus uses SaEVs to favour the establishment of chronic subclinical infections by dampening the immune-related activities and escaping the innate host response. Thus, in this study, we aimed to investigate the effect of SaEVs on immune cells. For this reason, we evaluated the macrophage morphological and molecular gene expression response using bovine monocyte-derived macrophages (boMdM) and compared it to the peripheral mononuclear blood cells (PBMCs) of origin.
Results
M5512B SaEVs isolation and characterization
The isolated SaEVs from the M5512B S. aureus strain were characterized using transmission electron microscopy (TEM), tunable resistive pulse sensing (TRPS), and western blot (WB). The TEM images showed cup-shaped intact vesicles of different sizes in the SaEV pellet (Fig. 1a) and the absence of vesicles and aggregates in the non-EV secretions (Fig. 1b). The isolated particles had a diameter in the 80–250 nm range, with the higher population being around 100 nm (Fig. 1c). We then confirmed by WB the presence of the S. aureus toxin alpha-hemolysin (Hla) in our SaEVs extract but not in the non-EV secretions (Fig. 1d).
Successful isolation of S. aureus M5512B extracellular vesicles (SaEVs) and in vitro generation of bovine monocytes derived macrophages (boMdM). (a) TEM images showing heterogenic populations of SaEVs. Black arrows point to representative SaEV structures. (b) TEM images confirm the absence of SaEVs in the EV-depleted supernatant (non-EV secretions). (c) Particle concentration and size distribution of SaEVs used for the in vitro stimulation. (d) Full WB membrane shows alpha-toxin (Hla) in SaEVs (3–5) but not in non-EV secretions (6,7), TSB medium without S. aureus (1), or non-processed S. aureus medium (2). In samples 2–5, a strong band around 50 kDa is observable, which might indicate the presence of an immunoglobulin-binding protein that binds to the Fc regions of both the primary and secondary antibodies22. L: protein size ladder. (e) Diff-Quik staining of the in vitro derived boMdM used for the experiments showed the typical flattened, adherent shape with an amoeboid appearance macrophage morphology. (f) Confocal imaging confirmed that boMdM were positively stained with CD14, commonly considered a macrophage marker. (g) Negative control staining included only the secondary antibody.
Bovine monocyte-derived macrophages (boMdMs) characterization
The adherence-based method was employed to differentiate attached monocytes from the PBMC pool into macrophages over a 7-day culture period. Most attached cells changed to a typical macrophage morphology (Fig. 1e). In addition, we observed that most of the cells were CD14-positive (Fig. 1f, g). CD14 is an endotoxin receptor typical of monocytes and tissue macrophages expected to be present in boMdM (Günther et al., 2016).
M5512B S. aureus secretions induce changes in the actin cytoskeleton of boMdM
Since the rearrangement of the cytoskeleton in the host cells is a dominant feature of S. aureus infection, we evaluated the actin cytoskeleton using phalloidin staining 24 h after stimulation with SaEVs, non-EV secretion, or lipoteichoic acid (LTA). We observed how exposure to all S. aureus secretions induced morphological changes in boMdM (Fig. 2a-g). More cells changed morphology after LTA exposure as compared to SaEVs followed by non-EV secretions. No additional signals were detected in the DNA channel beyond the nuclear region, ruling out the presence of macrophage extracellular traps (MET) after 24 h of culture.
Fluorescence microscopy images showing the different morphologies of boMdM 24 h after stimulation with (a) PBS (Control), (b) non-EV secretions, (c) SaEVs, and (d) LTA. Different magnifications illustrate the typical morphology of non-stimulated cells, the abundance of morphological changes, and specific cytoplasmic changes in response to stimuli. Actin cytoskeleton was stained with phalloidin (blue), and DNA was stained in DAPI (purple). White arrows point to those boMdM with morphological changes. (e-g) Additional fluorescence microscopy images were acquired at a higher magnitude to appreciate the cytoplasmatic changes in boMdM.
Pro-inflammatory response of boMdM to M5512B SaEVs
Incubation with SaEVs significantly upregulated several typical pro-inflammatory genes, including interleukin 1 beta (IL1B), interleukin 6 (IL6), interleukin 8 (IL8), tumor necrosis factor (TNF), interferon-gamma (IFNG), inducible nitric oxide synthase (iNOS), C-X-C motif chemokine ligand 1 (CXCL1), and C-X-C motif chemokine ligand 2 (CXCL2) (Fig. 3a). This upregulation was comparable to LTA and was higher than that caused by non-EV secretions. Additionally, SaEVs led to a significantly increased expression of interleukin 17 A (IL17A), showing a more pronounced effect than either non-EV secretions or LTA (Fig. 3a). Also the beta-actin gene (ACTB) expression showed increased transcript abundance following all types of stimulation (Fig. 3a).
Effect of M5512B SaEVs on bovine Monocytes derived Macrophages (boMdM). Relative gene expression of pro-inflammatory genes (a), anti-inflammatory genes (b), and apoptosis-related genes (c) in boMdM 24 h after stimulation with PBS (control), non-EV secretion, SaEV, or LTA. Bar charts show the mean and standard deviation. Groups with different letters are statistically different from each other at a significance level of P < 0.05. “ns” denotes no significant differences. (d) Interleukin 1B protein release in boMdM 24 h after stimulation with PBS (control), non-EV secretion, SaEVs, or LTA.
The expression of lactotransferrin (LTF), which can act as either a pro-inflammatory or anti-inflammatory gene, did not change after incubation with SaEVs (Fig. 3a). Similarly, the transcript abundance of the typical anti-inflammatory genes mannose receptor C-type 1 (MRC1) and arginase 1 (ARG1) remained unchanged. In contrast, the expression of interleukin 10 (IL10) was significantly upregulated, similar to the effect seen with exposure to lipoteichoic acid (LTA) (Fig. 3b).
M5512B SaEVs are likely to initiate pyroptosis instead of apoptosis in boMdM
Incubation with SaEVs and non-EV secretions for 24 h did not change the apoptosis-related gene expression of caspase 3 (CASP3), caspase 9 (CASP9), and BCL2-associated X protein (BAX) (Fig. 3c). However, in the case of SaEVs, we observed a significant upregulation of the toll-like receptor 2 (TLR2) gene and the inflammasome-related gene NLR family pyrin domain containing 3 (NLRP3). The gene expression changes were accompanied by increased cytokine interleukin 1 beta (IL1B) protein release into the medium, which was not observed in neither control nor non-EV secretions groups (Fig. 3d).
Differential gene expression response between boMdM and peripheral blood mononuclear cells (PBMCs) to M5512B SaEVs and non-EV secretions
To evaluate the specificity of the response of boMdM, we stimulated bovine PBMCs using the same S.aureus agents as with boMdM. Isolated PBMCs showed a different morphology than boMdM (Fig. 4a). Specifically, bovine PBMCs include a large number of lymphocytes (T cells, B cells, and Natural Killer cells), characterized by small, round nuclei with densely packed chromatin, giving a strong and uniform DAPI signal, and monocytes, which often display a larger kidney-shaped nucleus with more dispersed chromatin (Fig. 4b, c).
Effect of M5512B SaEVs on bovine peripheral blood mononuclear cells (PBMCs). (a) Diff-Quik staining of isolated bovine PBMCs. Scale bar: 10 μm. (b) Merged image of DNA staining (blue) and brightfield (BF, grey) imaging, showing the different nuclear compositions of the PBMCs. (c) Enlarged image illustrating that the PBMC composition includes lymphocytes (round-shaped nuclei, red arrow) and monocytes (kidney-shaped nuclei, white arrow). (d) Relative gene expression of pro-inflammatory genes in PBMCs 24 h after stimulation with PBS (control), non-EV secretion, SaEV, or LTA. Bar charts show the mean and standard deviation. Groups with different letters are statistically different from each other at a significance level of P < 0.05. (e) Interleukin 1B protein release in PBMCs 24 h after stimulation with PBS (control), non-EV secretion, SaEVs, or LTA.
In the PBMCs, the gene expression of ACTB, IL1B, IL6, IL8, IFNG, iNOS, TNF, TLR2, IL17A, and NLRP3 was upregulated 24 h after SaEV exposure. However, unlike in boMdM, the non-EV secretions also induced a higher or similar upregulation (Fig. 4d). We also observed that LTA stimulation did not affect the expression of IL1B, IL17A, INFG, iNOS, TNF, or NLRP3 or the release of IL1B protein (Fig. 4e). Indeed, in PBMCs, the release of ILB1 was only significantly increased after SaEVs stimulation.
Proteomic analysis of M5512B SaEVs and non-EV secretions
To understand the origin of the morphological and gene expression changes in boMdM and PBMCs, we performed a proteomic analysis of the SaEVs and non-EV secretions used for the in vitro stimulation. The protein identification analysis revealed 655 unique proteins. From these, 555 proteins were present only in SaEVs, 4 proteins were present only in non-EV secretions, and 96 proteins were shared between both (Fig. 5a, Supplementary Table 1). From the shared proteins between SaEVs and non-EV secretions, 77 proteins were more abundant (fold change > 2) in SaEVs, while only 6 proteins were more abundant (fold change < 0.5) in non-EV secretions (Supplementary Table 1). The protein with the highest count for SaEVs and non-EV secretions was the Immunoglobulin-binding protein Sbi, with 586 counts in SaEVs and 45 in non-EV secretions (Supplementary Table 1). The Sbi is an S. aureus immunoglobulin-binding protein that inhibits opsonisation and phagocytosis by attaching to the Fc region of the antibodies. This protein is approximately 60 kDa in size, which might correspond to the prominent nonspecific band we observed in the WB, showing a higher intensity in SaEVs compared to non-EV secretions (Fig. 1d). When analysing the proteins uniquely present or more abundant in non-EV secretions, the predicted location was cytoplasmic or membrane-associated (Fig. 5b, Supplementary Table 2). The highest proportion of proteins in SaEVs were related to cellular and metabolic processes (Supplementary Table 3). In particular, the COG category with a higher count was “Translation, ribosomal structure, and biogenesis”, followed by “Energy production and conversion” and “Cell wall/membrane/envelope biogenesis” (Fig. 5c, Supplementary Table 4). We further used protein-to-protein interaction analyses to evaluate the potential links between those more abundant proteins in SaEVs. We performed a cluster analysis and obtained 8 clusters with more than 10 proteins (Supplementary Table 5). The first 5 clusters, including 80 to 22 proteins, had a structural function such as translation, ribosome biogenesis, metabolic processes and DNA replication. Cluster 6 was related to peptidoglycan biosynthesis, the major structural component of the S. aureus cell wall. Interestingly, in Cluster 7, with 14 proteins included, the most significant terms were cell wall organisation, penicillin-binding, and beta-lactamase resistance (Fig. 5d). Finally, in Cluster 8, most enriched categories were related to the stress response. We could also observe that some of the proteins isolated within SaEVs (Table 1) were related to pathogenesis or virulence (Uniprot-Keywords KW-0843) or included in the Virulence Factor Database (VFDB). Moreover, some virulence-associated proteins were also classified as core pathogenic proteins from several S. aureus strains isolated from cattle or humans27.
(a) The Venn diagram shows unique and shared proteins identified in SaEVs and non-EV secretions. (b) Bar chart showing the different subcellular locations and percentages of the proteins identified in SaEVs. (c) The Clusters of Orthologous Groups (COGs) categories analysis. Adjacent numbers on the bar charts denote the total proteins identified per category. A: RNA processing and modification; C: Energy production and conversion; D: Cell cycle control, cell division, and chromosome partitioning; E: Amino acid transport and metabolism; F: Nucleotide transport and metabolism; G: Carbohydrate transport and metabolism; H: Coenzyme transport and metabolism; I: Lipid transport and metabolism; J: Translation, ribosomal structure, and biogenesis; K: Transcription; L: Replication, recombination, and repair; M: Cell wall/membrane/envelope biogenesis; N: Cell motility; O: Post-translational modification, protein turnover, and chaperones; P: Inorganic ion transport and metabolism; Q: Secondary metabolites biosynthesis, transport, and catabolism; S: Function unknown; T: Signal transduction mechanisms; U: Intracellular trafficking, secretion, and vesicular transport; V: Defense mechanisms; Z: Cytoskeleton. (d) Protein-protein interaction of cluster 7 (Supplementary Tables 3, 14 proteins) showing the most significant terms: cell wall organisation (purple), penicillin-binding (green), and beta-lactamase resistance (red).
Discussion
Monocytes are typically purified from PBMCs based on their adhesive properties or using magnetic-activated cell sorting (MACS)23. We opted for the adhesive method because it is simpler and does not require complex equipment. However, this method does not allow for the specific isolation of monocyte subsets (like the CD14 + fraction) with high-purity23. Therefore, we stained the derived boMdM with a CD14-specific antibody to verify that most of the cells used in the experiment were CD14-positive. Using cellular component staining, we also observed morphological differences between the in vitro-derived boMdM and their PBMCs of origin.
We isolated EVs from a mastitis-related strain, M5512B, which we previously named M5512VL22. We changed the name to acknowledge that it is a genotype B (GTB) strain. GTB and its variants form a genotypic cluster named CLB, which is almost exclusively associated with clonal complex 8 (CC8)28. Specifically, the M5512B strain carries the genomic island vSaβ type II, which contains several virulence-associated and pathogenic genes29. We selected this S. aureus genotype because it has been linked to a high prevalence of intramammary infections within herds, especially in Central Europe30. Additionally, it has been reported to release virulence factors that evade the immune response and favour the establishment of chronic and subclinical infections30. Whole-genome sequencing data of the M5512B strain is available in the NCBI database under the reference SZZF00000000 30. Since the secretome of S. aureus is very extended and not limited to EVs19, we included the same protein concentration of non-EV secretions as a control to assess the specificity of the effect of SaEVs stimulation and LTA as a positive control to ensure the responsiveness of our cells.
Alpha-hemolysin (Hla) was selected because its gene is present in the M5512B strain (located in contig00005, reference SZZF01000005.1) and has been reported as one of the most toxic pore-forming proteins found in S. aureus EVs14. Additionally, we have previously used Hla in our research22, obtaining consistent and reliable results with Western blot analysis. In the current study, its presence was further confirmed through the proteomic analysis of SaEVs.
Macrophages exert their immune function by rearranging the actin cytoskeleton, which is essential for migration31, phagocytosis of the invading pathogens32 and antigen presentation33. Immune stimulation can also upregulate the actin mRNA levels of macrophages34. On the other hand, bacteria developed numerous toxins and effectors acting in the absence of the bacteria itself. These effectors target the actin cytoskeleton to dampen the immune activity and to hijack the multitude of functions of the cytoskeleton for their own advantage35. Toxins such as Hla can induce rearrangements of the actin cytoskeleton in macrophages and epithelial cells36, which S. aureus uses to invade the host cells and evade detection and destruction by the host immune system25. We observed that all types of S.aureus stimuli upregulated actin gene expression and changed boMdM morphology. However, in the latter case, we cannot discern the contribution of regular macrophage immune function from an S. aureus-mediated cytoskeletal rearrangement.
To study the effect of SaEVs on boMdM gene expression, we included pro- and anti-inflammatory genes in the analysis. We observed that in boMdM, SaEVs induced a strong pro-inflammatory response of IL1B, IL6, IL8, iNOS, TNF, TLR2, CXCL1, and CXCL2, similar to the LTA and higher than the one produced by the non-EV secretions. On the contrary, the transcriptional abundance of the anti-inflammatory genes ARG1 or MRC1 was not changed. The expression of IL10 was significantly upregulated but to a lesser extent than other pro-inflammatory cytokines. The simpler composition in non-EV secretions compared to SaEVs may account for the attenuated immune response.
It has been shown that the reaction of boMdM to heat-killed S. aureus peaks at 3 h and decreases by 24 h, returning to homeostasis37. However, in our experiment, the pro-inflammatory upregulation of these genes remained active 24 h after stimulating with SaEVs. This was similar to what was observed in murine peritoneal macrophages21. Macrophages are professional antigen-presenting cells that can get activated by several bacterial epitopes21,37. Since SaEVs concentrate many cell membrane proteins and toxins, they can activate the macrophage pro-inflammatory response, even in the absence of the bacteria. This, together with the fact that SaEVs can also be released during bacterial cell lysis19, might help S. aureus to prolong the inflammatory process and cause tissue damage even after the bacteria are no longer alive.
While both boMdM and PBMCs exhibited significant upregulation of pro-inflammatory genes, the response in PBMCs was generally more pronounced. Moreover, SaEVs and non-EV secretions did not display pronounced differences in response. This result highlights the cell type-specific responses of PBMCs compared to boMdM and shows the inherent differences in sensitivity and function between the immune cells to S. aureus infections.
Our findings indicate that SaEVs preferentially activate pyroptosis rather than apoptosis in boMdM. Pyroptosis is an inflammatory form of cell death often triggered by bacterial infections that can act as a double-edged sword by eliminating infected cells but contributing to tissue damage and inflammation and potentially leading to detrimental effects on the host38. Pyroptosis initiation was evidenced by the significant upregulation of TLR2 and NLRP3 genes and increased release of IL1B. The lack of upregulation of apoptotic-related genes such as CASP3, CASP9, and BAX in boMdM further supports the selective activation of pyroptosis. The upregulation in TLR2 gene expression was significantly higher in SaEVs than in LTA. These results agree with previous reports in which chemically synthesized LTA did not activate TLR2 signalling39,40. In addition, SaEVs’ activation of TLR2 and cytokine transcription correlates with the presence of lipoproteins41, which are also included in the proteins identified in SaEVs.
The toxins we identified in our SaEVs might serve as a mechanism for S. aureus to induce inflammation, activate cell death, and promote its survival and dissemination within the host. Previous proteome analyses of EVs of different S. aureus strains revealed a content highly enriched in specific proteins responsible for transport, virulence, and pathological functions. Therefore, a specific sorting of proteins into EVs was suggested, named S. aureus core EV proteome27. Our proteomic analysis revealed that the cargo of SaEVs from the genotype B M5512B strain was similar to the S. aureus core EV proteome, mostly composed of cytoplasmatic proteins, followed by membrane proteins. Additionally, the majority of the proteins also belonged to the “translation, ribosomal structure, and biogenesis” group of the COGs, followed by “energy production and conversion”, and “cell wall/membrane/envelope biogenesis”, likely ensuring the continuation of metabolic processes in the host cell. Many of the virulence-associated factors found in the SaEVs (Table 1) were also included in the common pathogenic proteins of the S. aureus core EV proteome27.
The proteomic results suggest that SaEVs might play a critical role in modulating host cell functions by influencing its protein synthesis machinery, metabolism, and structural integrity. The identification of clusters related to peptidoglycan biosynthesis, antibiotic resistance, and stress response also proposes that SaEVs may play critical roles in maintaining bacterial integrity and adapting to host environments.
The presence of several key proteins, such as Hla, Clumping Factor B (ClfB), Enolase (eno) and Sortase A (srtA) suggested a role of SaEVs during S. aureus-host cell interaction and internalisation27. Additionally, the presence of other pathogenic proteins such as gamma-hemolysin and leukocidins (important for host cell lysis), Staphylococcal Accessory Regulator A (SarA) and phenol-soluble modulins (PSMs) (critical for biofilm formation), accessory gene regulator protein B (AgrB) (involved in quorum sensing), and fibrinogen- and elastin-binding proteins (essential for adhesion to host tissues) reinforces the theory of SaEVs as a crucial weapon to evade host defences and colonise the mammary gland.
The SaEV proteins may also influence host cytokine profiles in subclinical infections such as chronic mastitis. The upregulation observed in pro-inflammatory cytokines such as IL-1β and TNF-α could exacerbate the inflammation process, and a simultaneous upregulation of antiinflammatory IL-10 may suppress effective bacterial clearance, contributing to the tuned immune modulation characteristic of subclinical infections.
Effective vaccines need to be developed to minimise the use of antibiotics for prevention and to combat chronic intramammary infections that are resistant to treatment4. Bacterial EVs contain numerous pathogen-associated molecular patterns that can trigger both innate and adaptive immune responses, making them potential candidates for use as adjuvants and vaccines42. Adjuvants are anticipated to enhance the intensity, quality and duration of the adaptive immune response43. Our results show that SaEVs contain specific cell surface proteins and toxins that can elicit an effective innate and adaptive immune response. In particular, the upregulation of IL17A in boMdM and PBMCs is of great interest because it has been related to type 3 immunity, which has been proposed as a novel approach in S. aureus vaccination research44. Both SaEVs and non-EV secretions increased the expression of IL17A and INFG, but the response was higher in SaEVs. Thus, our findings endorse the potential of SaEVs as a promising strategy for developing vaccines against S. aureus infections.
In conclusion, our study emphasises the multifaceted roles of mastitis-related SaEVs in modulating host immune responses and contributing to S. aureus pathogenesis. Additionally, it lays the groundwork for future in vivo experiments into the molecular mechanisms of SaEV-mediated virulence and immune modulation. Finally, the proteomic profile of SaEVs provides a basis for unravelling the molecular components that underlie the observed morphological and gene expression changes and that could be targeted for novel therapeutic strategies such as developing SaEV-based vaccines.
Materials and methods
Isolation of S. aureus M5512B extracellular vesicles (SaEVs)
The M5512B S. aureus strain used in these experiments was kindly provided by Hans Ulrich Graber (Agroscope, Liebefeld, Switzerland) to the Laboratory of Food Microbiology collection at ETH Zurich (Zurich, Switzerland). S. aureus M5512B was grown in 1 L of TSB (Tryptic Soy Broth, Biolife) medium at 37 °C until the optical density at 600 nm (OD600) was 1.0. We obtained 9.96E + 07 Colony Forming Unit (CFU) per mL for this specific strain and culture. The culture medium was filtered with a 0.22 μm filter, and the filtrate was subjected to ultracentrifugation (UC).
All procedures before and after UC were performed under the sterile hood to avoid external contamination of SaEVs. The UC was performed in an Optimax 90XE ultracentrifuge (Beckman Coulter) with a 50.2 Ti rotor (Beckman Coulter). In total, 770 mL of S. aureus M5512B medium were divided into 20 tubes of 38.5 mL and centrifuged in two rounds at 150’000 xg for 2 h at 4 °C. The SaEV pellet of each tube was resuspended in 20 µL of sterile phosphate buffer saline PBS (Thermo Fisher, Gibco). The resuspended pellets from the same round were pooled in one sample and stored at -80 °C. Finally, 2 mL of the supernatant from each tube of one round were pooled in one sample and immediately subjected to additional ultracentrifugation (150’000 xg for 16 h at 4 °C) to obtain the SaEV-free supernatant (non-EV secretions).
SaEV and non-EV secretions sterility test
The SaEVs and SaEV-free supernatant for cell stimulation were tested for environmental contamination due to the isolation procedure. For this, 50 µL of the samples were plated on an LB agar plate. Then, the plates were kept at 37 °C for 24 h to visualize the appearance of colonies.
SaEV characterization
Transmission Electron microscope (TEM)
Transmission electron microscopy (TEM) was performed at the Scientific Center for Optical and Electron Microscopy service of ETH Zurich, as previously described22. Imaging of SaEVs and SN was done in a transmission electron microscopy (TEM) Morgagni 268 (Thermo Fisher) operated at 100 kV.
Tunable resistive pulse sensing (TRPS)
Particle size and concentration of isolated SaEVs were assessed using the qNano Gold system (Izon Science). More than 1000 particles were measured in an NP150 Nanopore using CPC100 beads as calibration particles. Analyses were performed with Izon Control Suite v.3.3.
Protein concentration measurement and Western blot (WB)
The SaEV protein concentration was determined using the Pierce™ BCA Protein Assay (Thermo Fisher) and a Nanodrop 2000 (Thermo Fisher). For western blots, 10 µg of SaEV sample from each round of ultracentrifugation were mixed with 10% beta-mercaptoethanol (Bio-Rad) and incubated for 5 min at 95 °C. Then, the samples were run in on an SDS-PAGE gel (Bio-Rad) for 35 min at 200 V. Proteins were transferred onto a 0.2 μm PVDF membrane in a Transturbo system (Bio-Rad) using 1.3 A, 25 V, and 7 min as transfer conditions. Blocking of the membrane was performed with 5% skim milk (Sigma-Aldrich) in Tris-buffered saline (TBS) with Tween® 20 (TBS-T, 0.05% Tween® 20) for 1 h. Membranes were incubated overnight with the Anti-α-hemolysin (Hla) primary antibody (ab190467, Abcam, 1:1000). After three washes of 5 min with TBS-T buffer, the membrane was incubated for 1 h with the secondary antibody goat anti-mouse IgG-HRP (sc2005, Santa Cruz Biotechnology,1:10’000). Precision Protein Strep Tactin-HRP was also added (1:10,000, Bio-Rad) to visualize the ladder. Following three more washes with TBS-T, an antibody signal was developed using the ClarityTM Western ECL kit (Bio-Rad), and images were acquired using the ChemiDoc MP Imaging System (Bio-Rad).
Isolation and culturing of bovine monocyte-derived macrophages (boMdMs)
Peripheral blood mononuclear cells (PBMCs) were isolated from venous blood from 6 cows collected separately at a local slaughterhouse using 50 mL Leucosep tubes (Greiner bio one) filled with 15 ml separation medium (Histopaque®-1077, Sigma-Aldrich). Then, 8 mL of blood was mixed with the same amount of PBS and poured into the prepared Leucosep tubes. After centrifugation (10 min, 1000 xg, 21 °C, break off), the cell-enriched fraction with PBMCs was removed and washed twice with PBS. The remaining erythrocytes were lysed with 1 mL of ACK lysis buffer (Thermo Fisher, Gibco) and washed twice with PBS.
The boMdMs were generated from purified PBMCs using an adherence-based method45,46. Briefly, PBMCs were seeded in Nunc™ 4-Well Dishes (Thermo Fisher) in a complex medium (CM) consisting of RPMI-1640 with 20 mM 4-(2-hydroxyethyl)-1 piperazine ethane sulfonic acid (HEPES; Sigma-Aldrich), 10% heat-inactivated fetal bovine serum (FBS; Biochrom AG), 100 IU/mL penicillin and 100 g/mL streptomycin. To remove most non-adherent lymphocytes and non-viable cells, culture dishes were washed twice with sterile warm PBS after one hour of incubation (37 °C, 5% CO2). The complete medium was refreshed on day 3 and day 5 post-isolation. Cells stayed 7 days in culture until they developed into bovine monocyte-derived macrophages (boMdMs).
Morphological characterization and CD14 immunostaining of boMdM
Morphological evaluation of boMdM was done using the DiffQuik staining (AMR Vet Collective), a commercial Romanowsky stain variant. The presence of boMdM CD14 + was confirmed by immunostaining with the anti-CD14 antibody (sc-1182, Santa Cruz Biotech). Briefly, boMdM cultured for 7 days were fixed with PFA 4% for 20 min and washed and stored in PBS at 4 °C until further used. Blocking was performed with filtered PBS complemented with 1% BSA for 1 h at room temperature (RT). Then, the primary antibody solution (dilution 1:100, in 0.1% BSA in PBS) or the non-primary antibody control solution (only 0.1% BSA in PBS) was added and incubated overnight in a cold room with gentle agitation. After 3 washes, the secondary antibody solution (anti-mouse Alexa 594, dilution 1:500), complemented with DAPI (dilution 1:500, D9542, Sigma-Aldrich), was added to the wells and incubated for 1 h at room temperature. Imaging of the boMdM was performed after three PBS washes with the confocal microscope Zeiss LSM 780 (Zeiss).
Stimulation of boMdM and PBMCs with M5512B antigens
Six cultures of primary PBMCs and boMdM from six different cows were stimulated with 10 µg of M5512B SaEVs pool, M5512B non-EV secretions pool, and LTA (L2515, Sigma-Aldrich) prepared in 500 µL of CM medium. The control group (Ctr) received only CM, without M5512B S. aureus antigens. Following 24 h of incubation, the cells were rinsed twice with PBS, and 350 µL of RTL buffer (Qiagen) with 10% β-mercaptoethanol was added to each well to detach the cells. The cell mixture was then transferred to a tube and frozen at -80 °C for further analysis.
RNA extraction and cDNA synthesis
RNA extraction was done using the Qiagen RNeasy® Mini kit. The amount of RNA was measured with the Nanodrop 2000 (Thermo Fisher), and the integrity was evaluated using the BioAnalyzer 2100 (Agilent Technologies). Then, RNA was stored at -80 °C until further use. One hundred ng of total RNA was reverse transcribed using the RevertAid First Strand cDNA Synthesis Kit (Thermo Fisher).
RT-qPCR and statistical analysis
The cDNA was diluted 1:10 in RNase-free water and combined with the master mix of the specific genes in the qPCR 384-well plate. The master mix was composed of 5 µL KAPA SYBR® Fast (Sigma-Aldrich), 0.2 µL forward and reverse primer at concentrations of 10 µM and 0.6 µL of RNase-free water per sample. Each sample contained 6 µL of master mix and 4 µL of diluted cDNA. Per gene, one non-template control was run, plus two positive controls consisting of a pool of all the samples to test the pipetting error. Samples were run in a Biorad CFX ConnectTM device (Bio-Rad Laboratories Inc., Hercules, CA, USA). The program consisted of an initial denaturation of 15 min at 95 °C, followed by 40 cycles of 15 s at 95 °C and 30 s at 60 °C. The histone 3 mRNA expression was used as a reference for the relative quantification. The primers used in the RT-qPCR are listed in Supplementary Table 6. Gene expression analysis was performed using the following formula: relative expression (∆Cq) = (geometric average Cqreferences – (Cq target) + 20 23,47. Statistical analysis was done using Graph Pad Prism software v9.0. First, values were tested for normality with the Shapiro-Wilk test. Then a repeated measures ANOVA or a mixed-effects model (when a value was missing) was used with Tukey’s multiple comparison test. Results with a P < 0.05 were considered statistically significant.
ELISA analysis of interleukin 1 beta (IL1B)
Interleukin 1 beta (IL1B) levels were quantified using an enzyme-linked immunosorbent assay (ELISA) kit specific for bovine (ESS0027, Invitrogen, ThermoFisher). Briefly, 96-well plates were coated with the capture antibody specific for IL1B and incubated overnight at room temperature. Plates were washed to remove unbound antibodies and blocked with the blocking buffer (4% bovine albumin serum and 5% sucrose in PBS) for 1 h at RT. Diluted samples and standards were added to the wells and incubated for 1 h at RT. After washing, the detection antibody was added and incubated for 1 h at RT, followed by incubation with streptavidin-HRP conjugate for 30 min. Plates were developed with substrate solution, and the reaction was stopped with the stop solution (0.16 M sulfuric acid). Absorbance was measured at 450 and 550 nm. The IL1B concentrations were determined by comparing absorbance values to a standard curve and subtracting the 550 nm from the 450 nm values.
SaEV and non-EV secretions proteomics
Proteomic analysis of SaEVs was analyzed by liquid chromatography coupled to high-resolution tandem mass spectrometry (LC-MS/MS) at the Functional Genomic Center Zurich (FGCZ). Briefly, samples were boiled for 10 min at 95 °C. Then, proteins were reduced by adding Tris(2-carboxyethyl)phosphine to a final concentration of 2 mM and alkylated by adding 2-chloroacetamide to a final concentration of 15 mM. After 30 min incubation at 30 °C (in the dark), samples were diluted with pure ethanol (EtOH) to reach a final concentration of 60% EtOH (v/v) before adding the corresponding amount of carboxylated magnetic beads (hydrophobic and hydrophilic) to the samples. After binding the proteins to the beads for 30 min at RT, beads were washed 3x with 80% EtOH. Enzymatic digestion was performed overnight at 37 °C using trypsin in 50 mM triethylammonium bicarbonate (TEAB) and adjusting the pH to 8. The supernatants were taken, and the remaining peptides were extracted from beads with water. The two elutions were combined and dried down. The digested samples were dissolved in aqueous 3% acetonitrile with 0.1% formic acid, and the peptide concentration was estimated with the Lunatic UV/Vis absorbance spectrometer (Unchained Lab). Peptides were separated on an M-class UPLC and analyzed on an Iontrap mass spectrometer (Thermo Fisher). The acquired MS data were processed using the Maxquant search engine (V 2.0.1.048). The spectra were searched against the Staphylococcus aureus database NCTC 8325. The protein identification results were imported for further analysis in the software Scaffold v5.2.0 (Proteome Software Inc., Portland, OR).
Proteomics data analysis
Proteins were filtered using a very stringent setting: protein FDR of 1%, a minimum of 2 peptides per protein, and a peptide FDR of 0.1%. Then, proteins identified as common contaminants at the FGCZ were also removed. A fold-change analysis was done using Scaffold v5.2.0. Functional enrichment analysis and MCL cluster analysis of protein-protein interaction were done using STRING v12.0 49. Clusters of Orthologous Groups (COGs) were used to categorize SaEV proteins functionally50. To predict the protein locations, we used pSORTb v3.0.3 51.
Data availability
The mass spectrometry proteomics data have been deposited in the ETH Research Collection (https://doi.org/10.3929/ethz-b-000706440). Further inquiries can be directed to the corresponding author.
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Acknowledgements
The authors thank Michele Guastalla for his contributions to the boMdM analyses and Stephan Handschin from the Scientific Center for Optical and Electron Microscopy (ScopeM) of ETH Zurich for the TEM imaging. We gratefully acknowledge the Functional Genomics Center Zurich (FGCZ) for performing the mass spectrometry analysis for this study.
Funding
Open access funding provided by Swiss Federal Institute of Technology Zurich. This work was supported by basic funding from ETH Zurich.
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M.D.S and S.E.U conceptualised the project. M.D.S designed the experiments with S.E.U, G.S, and S.B contributions. M.D.S, G.S and S.B performed the experiments. L.V.Z and M.S provided S. aureus data, medium and expertise. M.D.S analysed data and wrote the initial draft of the manuscript. S.E.U supervised the project, provided the funding, and revised the manuscript. All authors read, edited and approved the final manuscript.
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Saenz-de-Juano, M.D., Silvestrelli, G., Buri, S. et al. Mastitis-related Staphylococcus aureus-derived extracellular vesicles induce a pro-inflammatory response in bovine monocyte-derived macrophages. Sci Rep 15, 6059 (2025). https://doi.org/10.1038/s41598-025-90466-6
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DOI: https://doi.org/10.1038/s41598-025-90466-6
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