苯唑西林改变社区相关性耐甲氧西林金黄色葡萄球菌的毒素表达谱。

Oxacillin alters the toxin expression profile of community-associated methicillin-resistant Staphylococcus aureus.

机构信息

Department of Biology and Biochemistry, University of Bath, Bath, United Kingdom.

出版信息

Antimicrob Agents Chemother. 2014;58(2):1100-7. doi: 10.1128/AAC.01618-13. Epub 2013 Dec 2.

Abstract

The emergence of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) is a growing cause for concern. These strains are more virulent than health care-associated MRSA (HA-MRSA) due to higher levels of toxin expression. In a previous study, we showed that the high-level expression of PBP2a, the alternative penicillin binding protein encoded by the mecA gene on type II staphylococcal cassette chromosome mec (SCCmec) elements, reduced toxicity by interfering with the Agr quorum sensing system. This was not seen in strains carrying the CA-MRSA-associated type IV SCCmec element. These strains express significantly lower levels of PBP2a than the other MRSA type, which may explain their relatively high toxicity. We hypothesized that as oxacillin is known to increase mecA expression levels, it may be possible to attenuate the toxicity of CA-MRSA by using this antibiotic. Subinhibitory oxacillin concentrations induced PBP2a expression, repressed Agr activity, and, as a consequence, decreased phenol-soluble modulin (PSM) secretion by CA-MRSA strains. However, consistent with other studies, oxacillin also increased the expression levels of alpha-toxin and Panton-Valentine leucocidin (PVL). The net effect of these changes on the ability to lyse diverse cell types was tested, and we found that where the PSMs and alpha-toxin are important, oxacillin reduced overall lytic activity, but where PVL is important, it increased lytic activity, demonstrating the pleiotropic effect of oxacillin on toxin expression by CA-MRSA.

摘要

社区相关性耐甲氧西林金黄色葡萄球菌(CA-MRSA)的出现引起了越来越多的关注。这些菌株由于毒素表达水平更高,比与医疗保健相关的耐甲氧西林金黄色葡萄球菌(HA-MRSA)更为毒力。在之前的一项研究中,我们表明高水平表达 PBP2a(由 mecA 基因编码的替代青霉素结合蛋白),该基因位于 II 型葡萄球菌盒式染色体 mec(SCCmec)元件上,通过干扰 Agr 群体感应系统降低了毒性。这在携带 CA-MRSA 相关的 IV 型 SCCmec 元件的菌株中并未出现。这些菌株表达的 PBP2a 水平明显低于其他 MRSA 类型,这可能解释了它们相对较高的毒性。我们假设,由于已知苯唑西林增加 mecA 表达水平,因此使用这种抗生素可能会降低 CA-MRSA 的毒性。亚抑菌浓度的苯唑西林诱导 PBP2a 表达,抑制 Agr 活性,从而减少 CA-MRSA 菌株酚可溶性调节素(PSM)的分泌。然而,与其他研究一致,苯唑西林也增加了α-毒素和杀白细胞素(PVL)的表达水平。这些变化对裂解多种细胞类型能力的净效应进行了测试,我们发现 PSM 和α-毒素很重要的地方,苯唑西林降低了整体裂解活性,但 PVL 很重要的地方,它增加了裂解活性,证明了苯唑西林对 CA-MRSA 毒素表达的多效性影响。

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