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Updated: Aug 14, 2026

Quantifying the Cytotoxicity of Staphylococcus aureus Against Human Polymorphonuclear Leukocytes
Published on: January 3, 2020
Ciprofloxacin and trimethoprim cause phage induction and virulence modulation in Staphylococcus aureus
Christiane Goerke1, Johanna Köller, Christiane Wolz
1Institut für Medizinische Mikrobiologie und Hygiene, Universitätsklinikum Tübingen, Elfriede-Aulhorn-Str. 6, 72076 Tübingen, Germany. christiane.goerke@med.uni-tuebingen.de
Abstract:
In Staphylococcus aureus strains of human origin, phages which integrate into the chromosomal gene coding for beta-hemolysin (hlb) are widely distributed. Most of them encode accessory virulence determinants such as staphylokinase (sak) or enterotoxins. Here, we analyzed the effects of ciprofloxacin and trimethoprim on phage induction and expression of phage-encoded virulence factors by using isolates from patients with cystic fibrosis for which the induction of hlb-converting phages was demonstrated in vivo (C. Goerke, S. Matias y Papenberg, S. Dasbach, K. Dietz, R. Ziebach, B. C. Kahl, and C. Wolz, J. Infect. Dis. 189:724-734, 2004) as well as a phi13 lysogen of phage-cured strain 8325-4. Treatment of lysogens with subinhibitory concentrations of either antibiotic resulted in (i) delysogenization of strains resembling the isolates picked up after chronic lung infection and (ii) replication of phages in the bacterial host in a dose-dependent manner. Ciprofloxacin treatment resulted in enhanced recA transcription, indicating involvement of the SOS response in phage mobilization. Induction of phi13 was linked to elevated expression of the phage-encoded virulence gene sak, chiefly due to the activation of latent phage promoters. In summary, we could show the induction of hlb-converting phages and a subsequent virulence modulation of the host bacterium by ciprofloxacin and trimethoprim.
Insights
Antibiotics like ciprofloxacin and trimethoprim can trigger the induction of bacteriophages (viruses that infect bacteria) in Staphylococcus aureus. This phage induction leads to increased expression of bacterial virulence factors, potentially impacting infections.
Area of Science:
- Microbiology
- Bacteriology
- Molecular Biology
Background:
- Bacteriophages integrating into the beta-hemolysin (hlb) gene are common in human Staphylococcus aureus.
- These phages often carry accessory virulence factors like staphylokinase (sak) and enterotoxins.
Purpose of the Study:
- To investigate the effects of ciprofloxacin and trimethoprim on phage induction and virulence factor expression in Staphylococcus aureus.
- To analyze phage mobilization and virulence modulation in clinical isolates and laboratory strains.
Main Methods:
- Treatment of Staphylococcus aureus lysogens with subinhibitory concentrations of ciprofloxacin and trimethoprim.
- Monitoring of phage induction, delysogenization, and phage replication.
- Analysis of recA transcription to assess SOS response involvement.
- Quantification of phage-encoded virulence gene (sak) expression.
Main Results:
- Subinhibitory antibiotic concentrations induced delysogenization and dose-dependent phage replication.
- Ciprofloxacin treatment enhanced recA transcription, indicating SOS response activation.
- Phage induction correlated with increased expression of the sak gene, driven by latent phage promoters.
Conclusions:
- Ciprofloxacin and trimethoprim can induce hlb-converting phages in Staphylococcus aureus.
- Antibiotic-induced phage activation modulates bacterial virulence, potentially affecting infection dynamics.
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