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Updated: Aug 12, 2026

Invasion of Human Cells by a Bacterial Pathogen
Published on: March 21, 2011
The collagen-binding adhesin is a virulence factor in Staphylococcus aureus keratitis
M N Rhem1, E M Lech, J M Patti
1Sid W. Richardson Ocular Microbiology Laboratory, Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, USA.
Staphylococcus aureus uses collagen-binding adhesins to infect corneas, causing bacterial keratitis in contact lens wearers. Blocking this adhesin reduced bacterial adherence, suggesting a new therapeutic target.
Area of Science:
- Ophthalmology
- Microbiology
- Infectious Diseases
Background:
- Bacterial keratitis is a serious eye infection, often associated with contact lens wear.
- Staphylococcus aureus is a common causative agent of bacterial keratitis.
- The mechanisms by which S. aureus adheres to and infects the cornea are not fully understood.
Purpose of the Study:
- To investigate the role of collagen-binding adhesins in Staphylococcus aureus pathogenesis of bacterial keratitis.
- To evaluate the potential of targeting collagen-binding adhesins as a therapeutic strategy.
Main Methods:
- A rabbit model of soft contact lens-associated bacterial keratitis was used.
- Collagen-binding and collagen-binding-negative isogenic mutant strains of S. aureus were compared.
- The effect of a collagen-binding peptide on bacterial adherence was assessed.
Main Results:
- A collagen-binding strain of S. aureus caused more suppurative inflammation than its mutant.
- Reintroducing the collagen adhesin gene (cna) restored corneal adherence and infectivity.
- Topical collagen-binding peptide application reduced S. aureus adherence to damaged corneas.
Conclusions:
- Collagen-binding adhesins play a significant role in the pathogenesis of S. aureus corneal infections.
- Targeting these adhesins may offer a novel approach for treating bacterial keratitis.
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