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耐甲氧西林和敏感金黄色葡萄球菌:耐受性、免疫逃避与治疗

Methicillin-resistant and susceptible Staphylococcus aureus: tolerance, immune evasion and treatment.

作者信息

Parsons Joshua B, Mourad Ahmad, Conlon Brian P, Kielian Tammy, Fowler Vance G

机构信息

Division of Infectious Diseases, Department of Medicine, Duke University Medical Center, Durham, NC, USA.

Duke Clinical Research Institute, Duke University, Durham, NC, USA.

出版信息

Nat Rev Microbiol. 2025 Aug 20. doi: 10.1038/s41579-025-01226-2.

DOI:10.1038/s41579-025-01226-2
PMID:40835978
Abstract

Staphylococcus aureus is capable of infecting every organ system in the body and developing resistance to every available antibiotic used to treat it, such as methicillin-resistant S. aureus (commonly referred to as MRSA). This pathogen is characterized by the sudden emergence of virulent new clones and an array of mechanisms to circumvent the immune system and antibiotics. Furthermore, despite the development of new antibiotics and a growing body of high-quality data to inform their use, S. aureus continues to be a leading bacterial cause of death worldwide. In this Review, we provide an overview of the basic research on the complex interplay between S. aureus, the host and antibiotics. We also provide an update on the contemporary clinical studies on the treatment and prevention of S. aureus.

摘要

金黄色葡萄球菌能够感染人体的每个器官系统,并对用于治疗它的每种现有抗生素产生耐药性,例如耐甲氧西林金黄色葡萄球菌(通常称为MRSA)。这种病原体的特征是突然出现毒性新克隆以及一系列规避免疫系统和抗生素的机制。此外,尽管开发了新抗生素并积累了越来越多的高质量数据以指导其使用,但金黄色葡萄球菌仍然是全球主要的细菌性死亡原因。在本综述中,我们概述了关于金黄色葡萄球菌、宿主和抗生素之间复杂相互作用的基础研究。我们还提供了关于金黄色葡萄球菌治疗和预防的当代临床研究的最新情况。

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本文引用的文献

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A SpA+LukAB vaccine targeting Staphylococcus aureus evasion factors restricts infection in two minipig infection models.一种靶向金黄色葡萄球菌逃逸因子的SpA+LukAB疫苗在两种小型猪感染模型中限制感染。
NPJ Vaccines. 2025 Apr 20;10(1):78. doi: 10.1038/s41541-025-01119-8.
2
Eosinophil innate immune memory after bacterial skin infection promotes allergic lung inflammation.细菌性皮肤感染后嗜酸性粒细胞的固有免疫记忆促进过敏性肺部炎症。
Sci Immunol. 2025 Apr 4;10(106):eadp6231. doi: 10.1126/sciimmunol.adp6231.
3
Mitochondria sense bacterial lactate and drive release of neutrophil extracellular traps.
线粒体感知细菌乳酸并驱动中性粒细胞胞外陷阱的释放。
Cell Host Microbe. 2025 Mar 12;33(3):341-357.e9. doi: 10.1016/j.chom.2025.02.003. Epub 2025 Feb 27.
4
Macrophages recycle phagocytosed bacteria to fuel immunometabolic responses.巨噬细胞循环利用吞噬的细菌以促进免疫代谢反应。
Nature. 2025 Apr;640(8058):524-533. doi: 10.1038/s41586-025-08629-4. Epub 2025 Feb 26.
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Identification and Characterization of Vancomycin-Resistant Staphylococcus aureus CC45/USA600, North Carolina, USA, 2021.2021年美国北卡罗来纳州耐万古霉素金黄色葡萄球菌CC45/USA600的鉴定与特征分析
Emerg Infect Dis. 2025 Jan;31(1):194-196. doi: 10.3201/eid3101.241573.
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Pathobiont-driven antibody sialylation through IL-10 undermines vaccination.致病共生菌通过白细胞介素-10驱动的抗体唾液酸化会削弱疫苗接种效果。
J Clin Invest. 2024 Dec 16;134(24):e179563. doi: 10.1172/JCI179563.
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induced trained immunity in macrophages confers heterologous protection against gram-negative bacterial infection.巨噬细胞中诱导的训练免疫赋予对革兰氏阴性细菌感染的异源保护。
iScience. 2024 Oct 29;27(12):111284. doi: 10.1016/j.isci.2024.111284. eCollection 2024 Dec 20.
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Single-cell profiling reveals a conserved role for hypoxia-inducible factor signaling during human craniotomy infection.单细胞分析揭示了缺氧诱导因子信号在人类开颅手术感染过程中的保守作用。
Cell Rep Med. 2024 Nov 19;5(11):101790. doi: 10.1016/j.xcrm.2024.101790. Epub 2024 Oct 18.
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