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Updated: Jun 16, 2026

On-Chip Endothelial Inflammatory Phenotyping
Published on: July 21, 2012
Staphylococcal strains vary greatly in their ability to induce an inflammatory response in endothelial cells
Matthias Grundmeier1, Lorena Tuchscherr, Michaela Brück
1Institute of Medical Microbiology, University Hospital of Münster, Domagkstrasse 10, D-48149 Münster, Germany.
Background:
Staphylococcus aureus is an important human pathogen of endovascular diseases that can take an acute destructive course and/or develop into a chronic infection with a high rate of relapse. Despite good activity of the appropriate antimicrobial substances in vitro, these infections are often difficult to treat, perhaps because of the complex infection process of endovascular tissue.
Methods:
We used the microarray technique to analyze the response of endothelial cells to different S. aureus strains, including highly virulent isolates (6850 and ST239); the Cowan I strain, which has a nonfunctioning accessory gene regulator (agr) quorum-sensing system; and various clinical isolates.
Results:
All tested strains were equally invasive in endothelial cells and were found intracellularly, but they differed greatly in their ability to induce inflammation. Wild-type isolates (6850 and ST239) up-regulated a huge number of genes, including many genes involved in innate immunity. By contrast, Cowan I, which failed to express important virulence factors related to the agr system (eg, alpha-toxin and proteases), did not induce these dramatic changes in endothelial gene expression. Similar results were obtained with clinical isolates.
Conclusion:
Given that agr-defective strains are commonly recovered during colonization and infection, agr deficiency might represent a strategy of S. aureus to hide intracellularly without provoking the host immune system and causing relapsing infections.
Insights
Staphylococcus aureus strains lacking the accessory gene regulator (agr) quorum-sensing system are less inflammatory. This agr deficiency may allow bacteria to hide within endothelial cells, potentially causing chronic, relapsing infections.
Area of Science:
- Microbiology
- Immunology
- Infectious Diseases
Background:
- Staphylococcus aureus is a significant pathogen causing severe endovascular infections.
- These infections often become chronic and relapse despite antimicrobial treatment due to complex tissue interactions.
Purpose of the Study:
- To investigate endothelial cell responses to various Staphylococcus aureus strains.
- To understand the role of the accessory gene regulator (agr) quorum-sensing system in S. aureus virulence and host response.
Main Methods:
- Microarray analysis was employed to study endothelial cell gene expression.
- Different S. aureus strains were tested, including highly virulent isolates, an agr-defective strain (Cowan I), and clinical isolates.
Main Results:
- All S. aureus strains demonstrated similar invasiveness into endothelial cells.
- Wild-type strains significantly upregulated genes involved in innate immunity, while the agr-defective strain induced minimal changes.
- The agr system's virulence factors, like alpha-toxin, were crucial for this inflammatory response.
Conclusions:
- Staphylococcus aureus strains with defective agr systems induce less inflammation.
- Agr deficiency may be a bacterial strategy for intracellular survival, evading immune detection.
- This mechanism could contribute to the development of chronic and relapsing endovascular infections.
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