RT Journal Article SR Electronic T1 Staphylococcal protein A inhibits complement activation by interfering with IgG hexamer formation JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.07.20.212118 DO 10.1101/2020.07.20.212118 A1 Ana Rita Cruz A1 Maurits A. den Boer A1 Jürgen Strasser A1 Frank J. Beurskens A1 Carla J. C. de Haas A1 Piet C. Aerts A1 Guanbo Wang A1 Rob N. de Jong A1 Fabio Bagnoli A1 Jos A. G. van Strijp A1 Kok P. M. van Kessel A1 Janine Schuurman A1 Johannes Preiner A1 Albert J. R. Heck A1 Suzan H. M. Rooijakkers YR 2020 UL http://biorxiv.org/content/early/2020/07/21/2020.07.20.212118.abstract AB IgG molecules are essential players in the human immune response against bacterial infections. An important effector of IgG-dependent immunity is the induction of complement activation, a reaction that triggers a variety of responses that help to kill bacteria. Antibody-dependent complement activation is promoted by the organization of target-bound IgGs into hexamers that are held together via noncovalent Fc-Fc interactions. Here we show that Staphylococcal protein A (SpA), an important virulence factor and vaccine candidate of Staphylococcus aureus, effectively blocks IgG hexamerization and subsequent complement activation. Using native mass spectrometry and high-speed atomic force microscopy, we demonstrate that SpA blocks IgG hexamerization through competitive binding to the Fc-Fc interaction interface on IgG monomers. In concordance, we show that SpA interferes with the formation of (IgG)6:C1q complexes and prevents downstream complement activation on the surface of S. aureus. Lastly, we demonstrate that IgG3 antibodies against S. aureus can potently induce complement activation even in the presence of SpA. Altogether, this study identifies SpA as an immune evasion protein that specifically blocks IgG hexamerization.