Biofilm-Forming Methicillin-Resistant Staphylococcus aureus Survive in Kupffer Cells and Exhibit High Virulence in Mice

Although Staphylococcus aureus is part of the normal body flora, heavy usage of antibiotics has resulted in the emergence of methicillin-resistant strains (MRSA). MRSA can form biofilms and cause indwelling foreign body infections, bacteremia, soft tissue infections, endocarditis, and osteomyelitis....

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Main Authors: Takuto Oyama, Motoyasu Miyazaki, Michinobu Yoshimura, Tohru Takata, Hiroyuki Ohjimi, Shiro Jimi
Format: Article
Language:English
Published: MDPI AG 2016-06-01
Series:Toxins
Subjects:
Online Access:http://www.mdpi.com/2072-6651/8/7/198
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author Takuto Oyama
Motoyasu Miyazaki
Michinobu Yoshimura
Tohru Takata
Hiroyuki Ohjimi
Shiro Jimi
author_facet Takuto Oyama
Motoyasu Miyazaki
Michinobu Yoshimura
Tohru Takata
Hiroyuki Ohjimi
Shiro Jimi
author_sort Takuto Oyama
collection DOAJ
description Although Staphylococcus aureus is part of the normal body flora, heavy usage of antibiotics has resulted in the emergence of methicillin-resistant strains (MRSA). MRSA can form biofilms and cause indwelling foreign body infections, bacteremia, soft tissue infections, endocarditis, and osteomyelitis. Using an in vitro assay, we screened 173 clinical blood isolates of MRSA and selected 20 high-biofilm formers (H-BF) and low-biofilm formers (L-BF). These were intravenously administered to mice and the general condition of mice, the distribution of bacteria, and biofilm in the liver, lung, spleen, and kidney were investigated. MRSA count was the highest in the liver, especially within Kupffer cells, which were positive for acid polysaccharides that are associated with intracellular biofilm. After 24 h, the general condition of the mice worsened significantly in the H-BF group. In the liver, bacterial deposition and aggregation and the biofilm-forming spot number were all significantly greater for H-BF group than for L-BF. CFU analysis revealed that bacteria in the H-BF group survived for long periods in the liver. These results indicate that the biofilm-forming ability of MRSA is a crucial factor for intracellular persistence, which could lead to chronic infections.
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spelling doaj.art-0603d3992f9947b2878be7f28bc448782022-12-22T04:19:53ZengMDPI AGToxins2072-66512016-06-018719810.3390/toxins8070198toxins8070198Biofilm-Forming Methicillin-Resistant Staphylococcus aureus Survive in Kupffer Cells and Exhibit High Virulence in MiceTakuto Oyama0Motoyasu Miyazaki1Michinobu Yoshimura2Tohru Takata3Hiroyuki Ohjimi4Shiro Jimi5Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Fukuoka University, Fukuoka 814-0180, JapanDepartment of Pharmacy, Fukuoka University Chikushi Hospital, Chikusino 818-8502, JapanDepartment of Medical Oncology, Hematology, and Infectious Diseases, Faculty of Medicine, Fukuoka University, Fukuoka 814-0180, JapanDepartment of Medical Oncology, Hematology, and Infectious Diseases, Faculty of Medicine, Fukuoka University, Fukuoka 814-0180, JapanDepartment of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Fukuoka University, Fukuoka 814-0180, JapanCentral Laboratory for Pathology and Morphology, Department of Pathology, Faculty of Medicine, Fukuoka University, Fukuoka 814-0180, JapanAlthough Staphylococcus aureus is part of the normal body flora, heavy usage of antibiotics has resulted in the emergence of methicillin-resistant strains (MRSA). MRSA can form biofilms and cause indwelling foreign body infections, bacteremia, soft tissue infections, endocarditis, and osteomyelitis. Using an in vitro assay, we screened 173 clinical blood isolates of MRSA and selected 20 high-biofilm formers (H-BF) and low-biofilm formers (L-BF). These were intravenously administered to mice and the general condition of mice, the distribution of bacteria, and biofilm in the liver, lung, spleen, and kidney were investigated. MRSA count was the highest in the liver, especially within Kupffer cells, which were positive for acid polysaccharides that are associated with intracellular biofilm. After 24 h, the general condition of the mice worsened significantly in the H-BF group. In the liver, bacterial deposition and aggregation and the biofilm-forming spot number were all significantly greater for H-BF group than for L-BF. CFU analysis revealed that bacteria in the H-BF group survived for long periods in the liver. These results indicate that the biofilm-forming ability of MRSA is a crucial factor for intracellular persistence, which could lead to chronic infections.http://www.mdpi.com/2072-6651/8/7/198MRSAvirulencebiofilmintracellular persistenceKupffer cellsmice
spellingShingle Takuto Oyama
Motoyasu Miyazaki
Michinobu Yoshimura
Tohru Takata
Hiroyuki Ohjimi
Shiro Jimi
Biofilm-Forming Methicillin-Resistant Staphylococcus aureus Survive in Kupffer Cells and Exhibit High Virulence in Mice
Toxins
MRSA
virulence
biofilm
intracellular persistence
Kupffer cells
mice
title Biofilm-Forming Methicillin-Resistant Staphylococcus aureus Survive in Kupffer Cells and Exhibit High Virulence in Mice
title_full Biofilm-Forming Methicillin-Resistant Staphylococcus aureus Survive in Kupffer Cells and Exhibit High Virulence in Mice
title_fullStr Biofilm-Forming Methicillin-Resistant Staphylococcus aureus Survive in Kupffer Cells and Exhibit High Virulence in Mice
title_full_unstemmed Biofilm-Forming Methicillin-Resistant Staphylococcus aureus Survive in Kupffer Cells and Exhibit High Virulence in Mice
title_short Biofilm-Forming Methicillin-Resistant Staphylococcus aureus Survive in Kupffer Cells and Exhibit High Virulence in Mice
title_sort biofilm forming methicillin resistant staphylococcus aureus survive in kupffer cells and exhibit high virulence in mice
topic MRSA
virulence
biofilm
intracellular persistence
Kupffer cells
mice
url http://www.mdpi.com/2072-6651/8/7/198
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