Methicillin resistance reduces the virulence of healthcare-associated methicillin-resistant staphylococcus aureus by interfering with the agr quorum sensing system
Author(s)
Type
Journal Article
Abstract
The difficulty in successfully treating infections caused by methicillin-resistant Staphylococcus aureus (MRSA) has led to them being referred to as highly virulent or pathogenic. In our study of one of the major healthcare-associated MRSA (HA-MRSA) clones, we show that expression of the gene responsible for conferring methicillin resistance (mecA) is also directly responsible for reducing the ability of HA-MRSA to secrete cytolytic toxins. We show that resistance to methicillin induces changes in the cell wall, which affects the bacteria's agr quorum sensing system. This leads to reduced toxin expression and, as a consequence, reduced virulence in a murine model of sepsis. This diminished capacity to cause infection may explain the inability of HA-MRSA to move into the community and help us understand the recent emergence of community-associated MRSA (CA-MRSA). CA-MRSA typically express less penicillin-binding protein 2a (encoded by mecA), allowing them to maintain full virulence and succeed in the community environment.
Date Issued
2012-03-01
Date Acceptance
2011-10-14
Citation
Journal of Infectious Diseases, 2012, In press, 205 (5), pp.798-806
ISSN
0022-1899
Publisher
Oxford University Press (OUP)
Start Page
798
End Page
806
Journal / Book Title
Journal of Infectious Diseases
Volume
205
Issue
5
Copyright Statement
© The Author 2012. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Identifier
https://academic.oup.com/jid/article/205/5/798/839668
Subjects
Science & Technology
Life Sciences & Biomedicine
Immunology
Infectious Diseases
Microbiology
PENICILLIN-BINDING PROTEIN-2A
COMMUNITY
INFECTION
BACTEREMIA
EXPRESSION
EVOLUTION
STRAIN
GENE
IDENTIFICATION
HEMOLYSIN
Notes
The author made a substantial contribution to the conception and design of the study and to analysis and interpretation of study data.
Edition
In press
Date Publish Online
2012-03-01