Staphylococcus aureus triggers nitric oxide production in human upper airway epithelium

Background Nitric oxide (NO) is an important antibacterial defense molecule produced by upper airway (sinonasal) epithelial cells. We previously showed that a bitter taste receptor expressed in airway epithelium detects quorum‐sensing molecules secreted by Gram‐negative bacteria and subsequently triggers bactericidal NO production. We hypothesized that the upper airway epithelium may also be able to detect the Gram‐positive aerobe Staphylococcus aureus and mount an NO response. Methods Human sinonasal air‐liquid interface (ALI) cultures were treated with methicillin‐resistant S. aureus (MRSA)‐conditioned medium (CM), and NO production was measured using fluorescence imaging. Inhibitors of bitter taste receptor signaling were used to pharmacologically determine if this pathway was involved in the production of NO. Results A low‐molecular‐weight, heat, and protease‐stabile product found in MRSA CM induced differential, NO synthase (NOS)‐mediated NO production. This response varied markedly between individual patients. The MRSA‐stimulated NO production was not dependent on 2 important components of bitter taste signaling: phospholipase C isoform β‐2 or the transient receptor potential melastatin isoform 5 (TRPM5) ion channel. Conclusion This study shows that a S. aureus product elicits an NO‐mediated innate defense response in human upper airway epithelium. The active bacterial product is likely a small, nonpeptide molecule that triggers a pathway independent of bitter taste receptors. Patient variation in the NO response to MRSA product(s), potentially due to genetic differences, might play a role in pathophysiology of Gram‐positive upper respiratory infections and/or pathogenesis of chronic rhinosinusitis.