Clearance of experimental cutaneous Staphylococcus aureus infections in mice

Charles C Onunkwo1, Beth L Hahn, Peter G Sohnle

  • 1Division of Infectious Diseases, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, USA.

Insights

Staphylococcus aureus skin infections in mice show bacteria persisting in superficial crusts, not deep tissues. Clearance involves bacterial redistribution to crusts and epidermal healing.

Area of Science:

  • Microbiology
  • Dermatology
  • Immunology

Background:

  • Staphylococcal skin infections are common and can lead to severe, disseminated disease.
  • Previous studies show Staphylococcus aureus rapidly disseminates from skin to spleen and kidney.
  • The clearance phase of cutaneous Staphylococcus aureus infections requires further investigation.

Purpose of the Study:

  • To investigate the clearance mechanisms of experimental Staphylococcus aureus skin infections in a mouse model.
  • To determine the location and persistence of Staphylococcus aureus during the resolution of skin infections.
  • To characterize the types of crusts formed during cutaneous staphylococcal infections.

Main Methods:

  • Experimental cutaneous Staphylococcus aureus infection in a mouse model.
  • Bacterial load assessment in skin, spleen, and kidney at various time points post-inoculation.
  • Histological examination of infected skin to identify bacterial location and tissue response.
  • Classification and characterization of crust types formed during infection.

Main Results:

  • Staphylococcus aureus persisted in skin infection sites for at least 8 days, while clearing from spleen and kidney.
  • Bacteria rapidly invaded skin layers within 6 hours, then redistributed to superficial crusts by 1-2 days.
  • Two distinct crust types (Type 1 and Type 2) were identified, with Type 2 associated with dermal necrosis.
  • Deep hair follicle infections were observed but did not persist or act as a bacterial reservoir.
  • Resolution involved bacterial redistribution to crusts, epidermal proliferation, crust shedding, and healing.

Conclusions:

  • Cutaneous Staphylococcus aureus infections in mice resolve through bacterial relocation to superficial crusts rather than elimination from deeper skin layers.
  • Epidermal proliferation and shedding of bacteria-laden crusts are key events in the resolution of these experimental skin infections.
  • The mouse model effectively mimics aspects of staphylococcal skin infection clearance, highlighting the role of superficial structures in resolution.