The Ubiquitous Human Skin Commensal Staphylococcus hominis Protects against Opportunistic Pathogens

Human skin is home to a variety of commensal bacteria, including many species of coagulase-negative staphylococci (CoNS). While it is well established that the microbiota as a whole maintains skin homeostasis and excludes pathogens (i.e., colonization resistance), relatively little is known about the unique contributions of individual CoNS species to these interactions. Staphylococcus hominis is the second most frequently isolated CoNS from healthy skin, and there is emerging evidence to suggest that it may play an important role in excluding pathogens, including Staphylococcus aureus, from colonizing or infecting the skin. ABSTRACT Staphylococcus hominis is frequently isolated from human skin, and we hypothesize that it may protect the cutaneous barrier from opportunistic pathogens. We determined that S. hominis makes six unique autoinducing peptide (AIP) signals that inhibit the major virulence factor accessory gene regulator (agr) quorum sensing system of Staphylococcus aureus. We solved and confirmed the structures of three novel AIP signals in conditioned medium by mass spectrometry and then validated synthetic AIP activity against all S. aureus agr classes. Synthetic AIPs also inhibited the conserved agr system in a related species, Staphylococcus epidermidis. We determined the distribution of S. hominis agr types on healthy human skin and found S. hominis agr-I and agr-II were highly represented across subjects. Further, synthetic AIP-II was protective in vivo against S. aureus-associated dermonecrotic or epicutaneous injury. Together, these findings demonstrate that a ubiquitous colonizer of human skin has a fundamentally protective role against opportunistic damage. IMPORTANCE Human skin is home to a variety of commensal bacteria, including many species of coagulase-negative staphylococci (CoNS). While it is well established that the microbiota as a whole maintains skin homeostasis and excludes pathogens (i.e., colonization resistance), relatively little is known about the unique contributions of individual CoNS species to these interactions. Staphylococcus hominis is the second most frequently isolated CoNS from healthy skin, and there is emerging evidence to suggest that it may play an important role in excluding pathogens, including Staphylococcus aureus, from colonizing or infecting the skin. Here, we identified that S. hominis makes 6 unique peptide inhibitors of the S. aureus global virulence factor regulation system (agr). Additionally, we found that one of these peptides can prevent topical or necrotic S. aureus skin injury in a mouse model. Our results demonstrate a specific and broadly protective role for this ubiquitous, yet underappreciated skin commensal.

[1]  R. Gallo,et al.  Mechanisms for control of skin immune function by the microbiome. , 2021, Current opinion in immunology.

[2]  Felipe A. Simão,et al.  BUSCO Update: Novel and Streamlined Workflows along with Broader and Deeper Phylogenetic Coverage for Scoring of Eukaryotic, Prokaryotic, and Viral Genomes , 2021, Molecular biology and evolution.

[3]  R. Gallo,et al.  Development of a human skin commensal microbe for bacteriotherapy of atopic dermatitis and use in a phase 1 randomized clinical trial , 2021, Nature Medicine.

[4]  A. Horswill,et al.  Staphylococcus epidermidis—Skin friend or foe? , 2020, PLoS pathogens.

[5]  G. Thomas,et al.  The molecular basis of thioalcohol production in human body odour , 2020, Scientific Reports.

[6]  M. Akiyama,et al.  Staphylococcus Agr virulence is critical for epidermal colonization and associates with atopic dermatitis development , 2020, Science Translational Medicine.

[7]  A. Horswill,et al.  Staphylococcus epidermidis protease EcpA can be a deleterious component of the skin microbiome in atopic dermatitis. , 2020, The Journal of allergy and clinical immunology.

[8]  Yuhui Sun,et al.  Skin microbiota analysis-inspired development of novel anti-infectives , 2020, Microbiome.

[9]  A. Horswill,et al.  Novel Peptide from Commensal Staphylococcus simulans Blocks Methicillin-Resistant Staphylococcus aureus Quorum Sensing and Protects Host Skin from Damage , 2020, Antimicrobial Agents and Chemotherapy.

[10]  K. Zengler,et al.  Interplay of Staphylococcal and Host Proteases Promotes Skin Barrier Disruption in Netherton Syndrome , 2020, Cell reports.

[11]  A. Odgaard,et al.  Universal Dermal Microbiome in Human Skin , 2020, mBio.

[12]  Julia Oh,et al.  Host-Specific Evolutionary and Transmission Dynamics Shape the Functional Diversification of Staphylococcus epidermidis in Human Skin , 2020, Cell.

[13]  Zhen Xu,et al.  The Staphylococcus aureus ArlRS two‐component system regulates virulence factor expression through MgrA , 2020, Molecular microbiology.

[14]  P. Schlievert,et al.  Staphylococcal Virulence Factors on the Skin of Atopic Dermatitis Patients , 2019, mSphere.

[15]  Jonathan L. Linehan,et al.  MAIT cells are imprinted by the microbiota in early life and promote tissue repair , 2019, Science.

[16]  P. Andersen,et al.  Effect of Co-inhabiting Coagulase Negative Staphylococci on S. aureus agr Quorum Sensing, Host Factor Binding, and Biofilm Formation , 2019, Front. Microbiol..

[17]  Chun-Ming Huang,et al.  5-Methyl Furfural Reduces the Production of Malodors by Inhibiting Sodium l-Lactate Fermentation of Staphylococcus epidermidis: Implication for Deodorants Targeting the Fermenting Skin Microbiome , 2019, Microorganisms.

[18]  A. Horswill,et al.  Commensal Staphylococci Influence Staphylococcus aureus Skin Colonization and Disease. , 2019, Trends in microbiology.

[19]  K. Zengler,et al.  Quorum sensing between bacterial species on the skin protects against epidermal injury in atopic dermatitis , 2019, Science Translational Medicine.

[20]  H. Ingmer,et al.  Identification of autoinducing thiodepsipeptides from staphylococci enabled by native chemical ligation , 2019, Nature Chemistry.

[21]  H. Raja,et al.  Apicidin Attenuates MRSA Virulence through Quorum-Sensing Inhibition and Enhanced Host Defense. , 2019, Cell reports.

[22]  Dongqing Li,et al.  Lipopeptide 78 from Staphylococcus epidermidis Activates β-Catenin To Inhibit Skin Inflammation , 2019, The Journal of Immunology.

[23]  R. P. Ross,et al.  Human skin microbiota is a rich source of bacteriocin-producing staphylococci that kill human pathogens , 2018, FEMS microbiology ecology.

[24]  V. Young,et al.  The role of the microbiota in infectious diseases , 2018, Nature Microbiology.

[25]  J. Gern,et al.  Staphylococcus aureus and Staphylococcus epidermidis Strain Diversity Underlying Pediatric Atopic Dermatitis , 2018, Pediatrics.

[26]  J. Neufeld,et al.  Comprehensive skin microbiome analysis reveals the uniqueness of human skin and evidence for phylosymbiosis within the class Mammalia , 2018, Proceedings of the National Academy of Sciences.

[27]  T. Biedermann,et al.  Cutaneous Barriers and Skin Immunity: Differentiating A Connected Network. , 2018, Trends in immunology.

[28]  Julia Oh,et al.  A commensal strain of Staphylococcus epidermidis protects against skin neoplasia , 2018, Science Advances.

[29]  Yasmine Belkaid,et al.  The human skin microbiome , 2018, Nature Reviews Microbiology.

[30]  A. Horswill,et al.  Coagulase-Negative Staphylococcal Strain Prevents Staphylococcus aureus Colonization and Skin Infection by Blocking Quorum Sensing. , 2017, Cell host & microbe.

[31]  R. Gallo,et al.  Evidence that Human Skin Microbiome Dysbiosis Promotes Atopic Dermatitis. , 2017, The Journal of investigative dermatology.

[32]  R. Geha,et al.  Staphylococcus aureus Epicutaneous Exposure Drives Skin Inflammation via IL-36-Mediated T Cell Responses. , 2017, Cell host & microbe.

[33]  C. Wolz,et al.  Keratinocytes as sensors and central players in the immune defense against Staphylococcus aureus in the skin. , 2017, Journal of dermatological science.

[34]  P. Dorrestein,et al.  Antimicrobials from human skin commensal bacteria protect against Staphylococcus aureus and are deficient in atopic dermatitis , 2017, Science Translational Medicine.

[35]  H. Kong,et al.  Skin microbiome before development of atopic dermatitis: Early colonization with commensal staphylococci at 2 months is associated with a lower risk of atopic dermatitis at 1 year , 2017, The Journal of allergy and clinical immunology.

[36]  Ryan R. Wick,et al.  Unicycler: Resolving bacterial genome assemblies from short and long sequencing reads , 2016, bioRxiv.

[37]  P. Andersen,et al.  Cross-Talk between Staphylococcus aureus and Other Staphylococcal Species via the agr Quorum Sensing System , 2016, Front. Microbiol..

[38]  R. Gallo,et al.  The Cutaneous Microbiome and Aspects of Skin Antimicrobial Defense System Resist Acute Treatment with Topical Skin Cleansers. , 2016, The Journal of investigative dermatology.

[39]  K. Hon,et al.  Exploring Staphylococcus epidermidis in atopic eczema: friend or foe? , 2016, Clinical and experimental dermatology.

[40]  Christopher S. Stach,et al.  Phenotypes and Virulence among Staphylococcus aureus USA100, USA200, USA300, USA400, and USA600 Clonal Lineages , 2016, mSphere.

[41]  Allyson L. Byrd,et al.  Temporal Stability of the Human Skin Microbiome , 2016, Cell.

[42]  H. Rohde,et al.  Antagonism between Staphylococcus epidermidis and Propionibacterium acnes and its genomic basis , 2016, BMC Genomics.

[43]  A. Horswill,et al.  The Staphylococcal Biofilm: Adhesins, Regulation, and Host Response , 2016, Microbiology spectrum.

[44]  M. Fischbach,et al.  A Wave of Regulatory T Cells into Neonatal Skin Mediates Tolerance to Commensal Microbes. , 2015, Immunity.

[45]  M. Otto,et al.  Quorum-sensing regulation in staphylococci—an overview , 2015, Front. Microbiol..

[46]  B. Cravatt,et al.  An Alternative Terminal Step of the General Secretory Pathway in Staphylococcus aureus , 2015, mBio.

[47]  Justin Zobel,et al.  Bandage: interactive visualization of de novo genome assemblies , 2015, bioRxiv.

[48]  H. Matsui,et al.  Suppression of Microbial Metabolic Pathways Inhibits the Generation of the Human Body Odor Component Diacetyl by Staphylococcus spp , 2014, PloS one.

[49]  Georg Peters,et al.  Coagulase-Negative Staphylococci , 2005 .

[50]  H. Rohde,et al.  Staphylococcus epidermidis agr Quorum-Sensing System: Signal Identification, Cross Talk, and Importance in Colonization , 2014, Journal of bacteriology.

[51]  Torsten Seemann,et al.  Prokka: rapid prokaryotic genome annotation , 2014, Bioinform..

[52]  P. Fey Staphylococcus epidermidis : methods and protocols , 2014 .

[53]  F. Götz,et al.  Epidermin and gallidermin: Staphylococcal lantibiotics. , 2014, International journal of medical microbiology : IJMM.

[54]  Dongqing Li,et al.  A Novel Lipopeptide from Skin Commensal Activates TLR2/CD36-p38 MAPK Signaling to Increase Antibacterial Defense against Bacterial Infection , 2013, PloS one.

[55]  Tyler K. Nygaard,et al.  Staphylococcus aureus Nuclease Is an SaeRS-Dependent Virulence Factor , 2013, Infection and Immunity.

[56]  Karsten Zengler,et al.  The microbiome extends to subepidermal compartments of normal skin , 2012, Nature Communications.

[57]  Timothy J. Foster,et al.  Adhesion, invasion and evasion: the many functions of the surface proteins of Staphylococcus aureus , 2013, Nature Reviews Microbiology.

[58]  F. Vandenesch,et al.  Epidemiological data of staphylococcal scalded skin syndrome in France from 1997 to 2007 and microbiological characteristics of Staphylococcus aureus associated strains. , 2012, Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases.

[59]  Min Xu,et al.  Transforming the Untransformable: Application of Direct Transformation To Manipulate Genetically Staphylococcus aureus and Staphylococcus epidermidis , 2012, mBio.

[60]  D. Sturdevant,et al.  Role of the Accessory Gene Regulator agr in Community-Associated Methicillin-Resistant Staphylococcus aureus Pathogenesis , 2011, Infection and Immunity.

[61]  A. Horswill,et al.  Peptide signaling in the staphylococci. , 2011, Chemical reviews.

[62]  Blaise R. Boles,et al.  Identification of Genes Involved in Polysaccharide-Independent Staphylococcus aureus Biofilm Formation , 2010, PloS one.

[63]  M. Otto Staphylococcus epidermidis — the 'accidental' pathogen , 2009, Nature Reviews Microbiology.

[64]  C. Malone,et al.  Fluorescent reporters for Staphylococcus aureus. , 2009, Journal of microbiological methods.

[65]  M. Otto,et al.  Staphylococcal Biofilms , 2018, Microbiology spectrum.

[66]  R. Novick,et al.  Quorum sensing in staphylococci. , 2008, Annual review of genetics.

[67]  J. Maselli,et al.  National trends in ambulatory visits and antibiotic prescribing for skin and soft-tissue infections. , 2008, Archives of internal medicine.

[68]  L. Guardabassi,et al.  Population Genetic Structure of the Staphylococcus intermedius Group: Insights into agr Diversification and the Emergence of Methicillin-Resistant Strains , 2007, Journal of bacteriology.

[69]  M. Herrmann,et al.  Quorum-sensing systems in staphylococci as therapeutic targets , 2007, Analytical and bioanalytical chemistry.

[70]  A. Sheets Emergence of community-acquired methicillin-resistant Staphylococcus aureus USA 300 clone as the predominant cause of skin and soft-tissue infections , 2006 .

[71]  Colin Hill,et al.  Bile Salt Hydrolase Activity in Probiotics , 2006, Applied and Environmental Microbiology.

[72]  K. Schleifer,et al.  The Genera Staphylococcus and Macrococcus , 2006, The Prokaryotes.

[73]  R. Novick,et al.  Transient interference with staphylococcal quorum sensing blocks abscess formation. , 2005, Proceedings of the National Academy of Sciences of the United States of America.

[74]  E. Greenberg,et al.  Quorum Sensing in Staphylococcus aureus Biofilms , 2004, Journal of bacteriology.

[75]  C. K. Stover,et al.  Loss of hemolysin expression in Staphylococcus aureus agr mutants correlates with selective survival during mixed infections in murine abscesses and wounds. , 2003, FEMS immunology and medical microbiology.

[76]  F. Vandenesch,et al.  High Genetic Variability of the agr Locus in Staphylococcus Species , 2002, Journal of bacteriology.

[77]  M. Otto,et al.  Pheromone Cross-Inhibition betweenStaphylococcus aureus and Staphylococcus epidermidis , 2001, Infection and Immunity.

[78]  B. Zimmer,et al.  Staphylococcus hominis subsp. novobiosepticus subsp. nov., a novel trehalose- and N-acetyl-D-glucosamine-negative, novobiocin- and multiple-antibiotic-resistant subspecies isolated from human blood cultures. , 1998, International journal of systematic bacteriology.

[79]  Thomas L. Madden,et al.  Gapped BLAST and PSI-BLAST: a new generation of protein database search programs. , 1997, Nucleic acids research.

[80]  E. Myers,et al.  Basic local alignment search tool. , 1990, Journal of molecular biology.