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Updated: Jun 11, 2026

Quantifying the Cytotoxicity of Staphylococcus aureus Against Human Polymorphonuclear Leukocytes
Published on: January 3, 2020
Rapid neutrophil destruction following phagocytosis of Staphylococcus aureus
Scott D Kobayashi1, Kevin R Braughton, Amy M Palazzolo-Ballance
1Laboratory of Human Bacterial Pathogenesis, Research Technologies Section, Rocky Mountain Laboratories, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Hamilton, MT 59840, USA.
Abstract:
Mechanisms underlying the enhanced virulence phenotype of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) are incompletely defined, but presumably include evasion of killing by human polymorphonuclear leukocytes (PMNs or neutrophils). To better understand this phenomenon, we investigated the basis of rapid PMN lysis after phagocytosis of USA300, a prominent CA-MRSA strain. Survival of USA300 clinical isolates after phagocytosis ultimately resulted in neutrophil lysis. PMNs containing ingested USA300 underwent morphological changes consistent with apoptosis, but lysed rapidly thereafter (within 6 h), whereas cells undergoing FAS-mediated apoptosis or phagocytosis-induced cell death remained intact. Phagosome membranes remained intact until the point of PMN destruction, suggesting lysis was not caused by escape of S. aureus from phagosomes or the cytolytic action of pore-forming toxins. Microarray analysis of the PMN transcriptome after phagocytosis of representative community-associated S. aureus and healthcare-associated MRSA strains revealed changes unique to community-associated S. aureus strains, such as upregulation of transcripts involved in regulation of calcium homeostasis. Collectively, the data suggest that neutrophil destruction after phagocytosis of USA300 is in part a form of programmed necrosis rather than direct lysis by S. aureus pore-forming toxins. We propose that the ability of CA-MRSA strains to induce programmed necrosis of neutrophils is a component of enhanced virulence.
Insights
Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) USA300 triggers rapid programmed necrosis in human neutrophils, contributing to its enhanced virulence. This neutrophil destruction mechanism differs from typical apoptosis or lysis by toxins.
Area of Science:
- Microbiology
- Immunology
- Molecular Biology
Background:
- Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) exhibits enhanced virulence.
- Mechanisms of CA-MRSA virulence, including evasion of immune cells, are not fully understood.
- Polymorphonuclear leukocytes (PMNs), or neutrophils, are critical immune cells for combating bacterial infections.
Purpose of the Study:
- To investigate the mechanism of rapid PMN lysis following phagocytosis of the CA-MRSA strain USA300.
- To differentiate the observed PMN death from standard apoptosis or phagocytosis-induced cell death.
- To identify molecular changes in PMNs upon interaction with CA-MRSA.
Main Methods:
- Phagocytosis assays using USA300 and human PMNs.
- Morphological analysis of PMNs post-phagocytosis.
- Transcriptomic analysis (microarray) of PMNs exposed to CA-MRSA and healthcare-associated MRSA strains.
Main Results:
- Ingestion of USA300 by PMNs led to rapid lysis (within 6 hours).
- PMN destruction exhibited characteristics of programmed necrosis, distinct from FAS-mediated apoptosis or phagocytosis-induced cell death.
- Transcriptomic analysis revealed unique upregulation of calcium homeostasis-related transcripts in PMNs exposed to CA-MRSA.
Conclusions:
- Neutrophil destruction induced by USA300 is a form of programmed necrosis, not direct lysis by toxins.
- The ability of CA-MRSA to induce programmed necrosis in neutrophils is a significant factor in its enhanced virulence.
- Understanding this mechanism provides insights into CA-MRSA pathogenesis and potential therapeutic targets.
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