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*Streptococcal Infections
The Journal of Immunology, 2003, 171: 2532-2537.
Copyright © 2003 by The American Association of Immunologists

Membranous Cells in Nasal-Associated Lymphoid Tissue: A Portal of Entry for the Respiratory Mucosal Pathogen Group A Streptococcus 1

Hae-Sun Park*, Kevin P. Francis{dagger}, Jun Yu{dagger} and P. Patrick Cleary2,*

* Department of Microbiology, University of Minnesota Medical School, Minneapolis, MN 55455; and {dagger} Xenogen Corp., Alameda, CA 94501

Human tonsils are suspected to be an antibiotic-impervious human reservoir for group A streptococcus. An intranasal infection model in mice and a bioluminescent-tagged strain were used to investigate this possibility. Viable streptococci were predominantly found both intra- and extracellularly in nasal-associated lymphoid tissue (NALT), a human tonsil homologue. Ulex europaeus-1, a membranous (M) cell-specific lectin, identified cells harboring streptococci at the epithelial surface of NALT and blocked bacterial colonization of this tissue. These results suggest that M cells in NALT transport this Gram-positive pathogen across the epithelial layers in a manner similar to those in Peyer’s patches, which permit enteric pathogens to invade deeper tissues from the gastrointestinal tract.




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