Objective: The aim of this study was to determine the specific role of manganese in oxygen tolerance and virulence for endocarditis in Streptococcus sanguinis.
Method: Isogenic mutants lacking SsaB, the manganese-dependent superoxide dismutase, SodA, or both, in S. sanguinis were generated. Using an in vivo rabbit model for endocarditis and in vitro growth assays, wild-type and mutant S. sanguinis virulence, metal composition, colonization, growth characteristics, SodA activity, and oxidative stress were assessed.
Result: The role of SsaB as a metal transporter was confirmed by reduction of cellular manganese and iron levels in the ssaB mutant. In an animal model of endocarditis, all three mutants exhibited reduced virulence, with the double mutant exhibiting the greatest defect and the sodA mutant, the least. This reduction of virulence was not due to diminished resistance to phagocytic killing or heart valve colonization in either single mutant. Furthermore, the relative virulence of wild-type and mutant strains was reproduced by a growth assay employing only normal rabbit serum and physiological levels of oxygen. Using these physiological conditions, SodA activity was decreased but not absent in the ssaB mutant. Additionally, antioxidant studies suggested that increased damage by superoxide was necessary for the ssaB mutant’s reduced-growth phenotype, but not sufficient, with additional contributions by hydroxyl radicals likely.
Conclusion: These studies indicate that SsaB-mediated manganese uptake enables virulence by providing resistance to oxidative stress through both SodA-dependent and independent mechanisms.