Lister Jessica L, Horswill Alexander R
Department of Microbiology, Roy J. and Lucille A. Carver College of Medicine, University of Iowa Iowa City, IA, USA.
Front Cell Infect Microbiol. 2014 Dec 23;4:178. doi: 10.3389/fcimb.2014.00178. eCollection 2014.
Staphylococcus aureus is a major cause of nosocomial and community-acquired infections and represents a significant burden on the healthcare system. S. aureus attachment to medical implants and host tissue, and the establishment of a mature biofilm, play an important role in the persistence of chronic infections. The formation of a biofilm, and encasement of cells in a polymer-based matrix, decreases the susceptibility to antimicrobials and immune defenses, making these infections difficult to eradicate. During infection, dispersal of cells from the biofilm can result in spread to secondary sites and worsening of the infection. In this review, we discuss the current understanding of the pathways behind biofilm dispersal in S. aureus, with a focus on enzymatic and newly described broad-spectrum dispersal mechanisms. Additionally, we explore potential applications of dispersal in the treatment of biofilm-mediated infections.
金黄色葡萄球菌是医院感染和社区获得性感染的主要原因,给医疗系统带来了沉重负担。金黄色葡萄球菌附着于医用植入物和宿主组织,并形成成熟的生物膜,在慢性感染的持续存在中起重要作用。生物膜的形成以及细胞被包裹在基于聚合物的基质中,会降低对抗菌药物和免疫防御的敏感性,使得这些感染难以根除。在感染过程中,生物膜中的细胞扩散可导致感染扩散至继发部位并使感染恶化。在本综述中,我们讨论了目前对金黄色葡萄球菌生物膜扩散背后途径的理解,重点是酶促和新描述的广谱扩散机制。此外,我们还探讨了扩散在生物膜介导感染治疗中的潜在应用。