AUTHOR=Werren Joel P. , Mostacci Nadja , Gjuroski Ilche , Holivololona Lalaina , Troxler Lukas J. , Hathaway Lucy J. , Furrer Julien , Hilty Markus TITLE=Carbon source–dependent capsule thickness regulation in Streptococcus pneumoniae JOURNAL=Frontiers in Cellular and Infection Microbiology VOLUME=Volume 13 - 2023 YEAR=2023 URL=https://www.frontiersin.org/journals/cellular-and-infection-microbiology/articles/10.3389/fcimb.2023.1279119 DOI=10.3389/fcimb.2023.1279119 ISSN=2235-2988 ABSTRACT=Background: The polysaccharide capsule of Streptococcus pneumoniae plays a major role in virulence, adherence to epithelial cells and overall survival of the bacterium in the human host. Galactose, mannose and N-acetylglucosamine (GlcNAc) are likely to be relevant for metabolization in the nasopharynx while glucose is the primary carbon source in the blood. In this study, we aim to further the understanding of the influence of carbon sources on pneumococcal growth, capsule biosynthesis and subsequent adherence potential. Methods: We tested the growth behavior of clinical wild type and capsule knock out S. pneumoniae strains, using galactose, GlcNAc, mannose and glucose as carbon source for growth. We measured capsule thickness and quantified capsule precursors by fluorescein isothiocyanate (FITC)-Dextran Exclusion Assays and 31P-Nuclear Magnetic Resonance (NMR) measurements, respectively. We also performed epithelial adherence assays using Detroit 562 cells and performed a transcriptome analysis (RNA sequencing). Results: We observed a reduced growth in galactose, mannose and GlcNAc compared to growth in glucose and found capsular size reductions in mannose and GlcNAc compared to galactose and glucose. Additionally, capsular precursor measurements of uridine diphosphate-(UDP)-glucose and UDP-galactose showed less accumulation of precursors in GlcNAc or mannose than in glucose and galactose, indicating a possible link with the received capsular thickness measurements. Epithelial adherence assays showed an increase in adherence potential for a pneumococcal strain, when grown in mannose compared to glucose. Finally, transcriptome analysis of four clinical isolates revealed strain specific but also common carbon source-specific gene expression. Conclusion: Our findings may indicate a careful adaption of the lifestyle of S. pneumoniae according to the monosaccharides encountered in the respective human niche.