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Updated: May 18, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
Susceptibility of Staphylococcus aureus bacteremia strains to different skin-derived antimicrobial proteins
Bente Köten1, Karsten Becker, Rainer Podschun
1Department of Dermatology, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Abstract:
Staphylococcus aureus is a major human pathogen causing cutaneous infections to life-threatening bacteremia. These infections are often caused by strains derived from the own microflora suggesting that a disturbed epidermal barrier may promote invasion of S. aureus. Antimicrobial peptides and proteins (AMP) such as human beta-defensin-3 and RNase 7 contribute to control the colonization of S. aureus on the skin surface. This leads to the hypothesis that strains with a decreased susceptibility toward skin-derived AMP may better overcome the innate cutaneous defence barrier increasing the possibility of invading into the blood stream. To address this hypothesis we determined whether S. aureus strains from bacteremia patients are less susceptible to various skin-derived AMP than strains from healthy carriers. No differences in the AMP-killing activity against bacteremia-derived S. aureus and control strains were detected suggesting that the onset of S. aureus bacteremia is not based on the varying susceptibilities against skin-derived AMP.
Insights
Staphylococcus aureus bacteremia is not caused by decreased susceptibility to skin antimicrobial peptides (AMP). Strains from bacteremia patients showed similar AMP resistance as those from healthy carriers.
Area of Science:
- Microbiology
- Immunology
- Dermatology
Background:
- Staphylococcus aureus is a significant pathogen causing skin infections and severe bacteremia.
- Innate immunity, including antimicrobial peptides (AMPs) like human beta-defensin-3 and RNase 7, controls S. aureus on the skin.
- A compromised skin barrier may facilitate S. aureus invasion.
Purpose of the Study:
- To investigate if S. aureus strains from bacteremia patients exhibit reduced susceptibility to skin-derived AMPs compared to strains from healthy individuals.
- To test the hypothesis that decreased AMP susceptibility in S. aureus contributes to invasive infections.
Main Methods:
- Collected S. aureus strains from patients with bacteremia and healthy carriers.
- Assessed the susceptibility of these strains to killing by various skin-derived AMPs in vitro.
Main Results:
- No significant difference was observed in the antimicrobial activity of skin-derived AMPs against S. aureus strains from bacteremia patients versus control strains.
- The killing efficacy of AMPs was comparable between the two groups of S. aureus isolates.
Conclusions:
- The susceptibility of S. aureus to skin-derived AMPs does not appear to be a determining factor in the development of bacteremia.
- The emergence of S. aureus bacteremia is likely not driven by variations in resistance to the skin's innate antimicrobial defenses.
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