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Updated: May 13, 2026

Quantifying the Cytotoxicity of Staphylococcus aureus Against Human Polymorphonuclear Leukocytes
Published on: January 3, 2020
Interactions of methicillin resistant Staphylococcus aureus USA300 and Pseudomonas aeruginosa in polymicrobial wound
Irena Pastar1, Aron G Nusbaum, Joel Gil
1Department of Dermatology and Cutaneous Surgery, Wound Healing and Regenerative Medicine Research Program, University of Miami Miller School of Medicine, Miami, Florida, United States of America.
Abstract:
Understanding the pathology resulting from Staphylococcus aureus and Pseudomonas aeruginosa polymicrobial wound infections is of great importance due to their ubiquitous nature, increasing prevalence, growing resistance to antimicrobial agents, and ability to delay healing. Methicillin-resistant S. aureus USA300 is the leading cause of community-associated bacterial infections resulting in increased morbidity and mortality. We utilized a well-established porcine partial thickness wound healing model to study the synergistic effects of USA300 and P. aeruginosa on wound healing. Wound re-epithelialization was significantly delayed by mixed-species biofilms through suppression of keratinocyte growth factor 1. Pseudomonas showed an inhibitory effect on USA300 growth in vitro while both species co-existed in cutaneous wounds in vivo. Polymicrobial wound infection in the presence of P. aeruginosa resulted in induced expression of USA300 virulence factors Panton-Valentine leukocidin and α-hemolysin. These results provide evidence for the interaction of bacterial species within mixed-species biofilms in vivo and for the first time, the contribution of virulence factors to the severity of polymicrobial wound infections.
Insights
Polymicrobial wound infections with Staphylococcus aureus and Pseudomonas aeruginosa significantly delay healing. Pseudomonas aeruginosa enhances Staphylococcus aureus virulence, increasing infection severity.
Area of Science:
- Microbiology
- Wound Healing Research
- Infectious Diseases
Background:
- Staphylococcus aureus and Pseudomonas aeruginosa are common causes of difficult-to-heal wound infections.
- Methicillin-resistant S. aureus USA300 is a significant pathogen in community-associated infections.
- Polymicrobial infections complicate treatment due to bacterial interactions and resistance.
Purpose of the Study:
- To investigate the synergistic effects of Staphylococcus aureus USA300 and Pseudomonas aeruginosa in a polymicrobial wound infection model.
- To understand the impact of these bacteria on wound re-epithelialization and virulence factor expression.
Main Methods:
- Utilized a porcine partial thickness wound healing model.
- Studied mixed-species biofilms in vitro and in vivo.
- Analyzed wound re-epithelialization and bacterial growth.
- Measured the expression of Staphylococcus aureus virulence factors.
Main Results:
- Mixed-species biofilms significantly delayed wound re-epithelialization by suppressing keratinocyte growth factor 1.
- Pseudomonas aeruginosa inhibited Staphylococcus aureus growth in vitro but co-existed in vivo.
- Pseudomonas aeruginosa induced the expression of Staphylococcus aureus virulence factors Panton-Valentine leukocidin and α-hemolysin.
Conclusions:
- Bacterial interactions within polymicrobial biofilms in vivo are crucial for wound infection pathology.
- Pseudomonas aeruginosa contributes to the severity of Staphylococcus aureus wound infections by upregulating virulence factors.
- Understanding these interactions is key to developing effective treatments for complex wound infections.
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