Table 2 Proteins and peptides secreted by atherosclerotic plaque-associated bacteria and their potential roles in disease aetiology

From: Linkages between oral commensal bacteria and atherosclerotic plaques in coronary artery disease patients

Microbes

Secreted proteins

Mol wt. (kDa)

Function

Reference

A. actinomycetemcomitans

Leukotoxin (LtxA)

114

Targets leukocyte function antigen-1 on activated WBC triggering lysosomal-mediated cell death.

113

 

Cytolethal distending toxin (Cdt)

31.5

Inhibits macrophage phagocytosis and subverts cytokine production

114

C. pneumoniae

(CPAF) chlamydial protease-like or proteasome-like activity factor

70

Disrupts host MHC antigen presentation

115, 116

E. corrodens

Corrodecin (bacteriocin)

23.6

Potential role at the periodontal site

117

 

Hydrolytic enzymes (includes proline aminopeptidase, thiol-dependent haemolysin and esterase activities)

–

Proposed to act against proline residues in collagen, immunoglobulin and complement proteins

118

F. necrophorum

Leukotoxin (LktA)

335.9

Virulence factor

49

F. nucleatum

Fusolysin

115

–

119

H. pylori

CagA oncoprotein

132.4

Virulence factor. Reprograms gastric epithelial cells

120

 

VacA exotoxin (Vacuolating cytotoxin A)

88

Virulence factor

121

 

HP-NAP (neutrophil activating protein)

204

Activates innate immunity

122

 

CagL Y58/E59 (amino acid polymorphisms)

26.8

Increases hypochlorhydria; disrupts cell membrane integrity

123

 

Hpn

7

Modulates cytokine secretion

46

 

Tip-α

19.6

Bacterial pathogenesis

124

H. pylori

HP0175

34

Virulence factor

125

 

HcpE(HP0235)

39.4

Virulence factor

126

 

DupA (Duodenal ulcer producing)

20

Virulence factor

50

 

HtrA (high temperature requirement—A) chaperones and serine protease

48

Virulence factor

51

P. endodontalis

35,406 protease

88

Role in pathogenesis and nutrition of the microbe

127

P. gingivalis

Arginine gingipain

81

Regulates IL-8; modulates microbiome population

44, 45

 

Lysine gingipain

60

  
 

SerB protein

45.9

Entry and survival of P. gingivalis in the epithelial cells

48

 

Fimbrilin A

43

Hemagglutinating activity

128

P. intermedia

Interpain A

27

Potential virulence factor

52

P. aeruginosa

Alkaline protease

50

Suggested role in pathogenesis

53

 

(AprA)

45.5

  
 

Elastase A (LasA)

53.7

  
 

Elastase B (LasB)

26

  
 

Protease IV

   
 

LepA (large exoprotease)

66.3

Activation of pro-inflammatory pathway

 

S. gordonii

A soluble GAPDH (glyceraldehyde 3-phosphate dehydrogenase)

35.9

Virulence factor

129

S. mitis

Mitilysin (cholesterol-dependant cytolysin)

53

Cholesterol-dependent cytolysin

130

S. mutans

CSP (competence-stimulating peptide)

5.2

Inhibits Candida albicans morphological switch, found in oral cavity

131

S. sanguinis

FruA (exo-beta-D-fructosidase)

140

Multifunctional enzyme

132

 

CD-14 binding protein

190

Stimulate cytokine synthesis

47

T. forsythia

Karilysin

52

Virulence factor

133

 

KLIKK protease

–

Host protein degradation and pathogenicity

134

T. denticola

Dentipain (IdeT) cysteine protease

43

Virulence factor

135