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Published on: February 19, 2019
Effects of subinhibitory concentrations of antibiotics on virulence factor expression by community-acquired
Marie Pierre Otto1, Emilie Martin, Cedric Badiou
1Centre National de Référence des Staphylocoques, Faculté de Médecine Lyon Est, Université de Lyon, Lyon F-69008, France.
Objectives:
To examine the effect of subinhibitory concentrations (sub-MICs) of antistaphylococcal drugs on Panton-Valentine leucocidin (PVL), α-haemolysin (Hla) and protein A (SpA) expression by community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA).
Methods:
Five clinical isolates representing the main worldwide CA-MRSA clones were grown with sub-MICs (1/8, 1/4 and 1/2 MIC) of five antibiotics (clindamycin, daptomycin, linezolid, tigecycline and vancomycin). After 4 and 6 h of incubation, culture pellets were used for relative quantitative RT-PCR with primers specific for pvl, hla, spa and gyrB. The PVL, Hla and SpA concentrations were measured in the supernatant (for PVL and Hla) and in the cell pellet (for SpA) using specific ELISAs.
Results:
For all strains tested, clindamycin and linezolid dramatically reduced mRNA levels of PVL and SpA. Tigecycline also decreased the PVL and SpA mRNA levels of 3/5 and 4/5 strains tested, respectively, whereas daptomycin and vancomycin had no significant effect. PVL and SpA quantification confirmed the concentration-dependent inhibition of PVL and SpA production by clindamycin and, to a lesser extent, by linezolid and tigecycline. Only clindamycin decreased Hla mRNA expression, whereas linezolid, tigecycline and daptomycin showed heterogeneous strain-dependent results, and vancomycin had no significant effect. Analysis of the Hla level revealed a stronger concentration-dependent inhibition of Hla release by clindamycin than by linezolid.
Conclusions:
The effect of sub-MICs on virulence expression depended on the antibiotic and the virulence factor. Clindamycin and linezolid consistently suppressed the expression of different virulence factors by CA-MRSA, whereas tigecycline specifically suppressed PVL expression. Daptomycin and vancomycin seem to have no significant effects at these concentrations.
Insights
Clindamycin and linezolid effectively reduced virulence factors like Panton-Valentine leucocidin (PVL) and protein A (SpA) in community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA). Tigecycline specifically targeted PVL, while other antibiotics showed limited effects.
Area of Science:
- Microbiology
- Infectious Diseases
- Pharmacology
Background:
- Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) poses a significant public health threat.
- Virulence factors such as Panton-Valentine leucocidin (PVL), α-haemolysin (Hla), and protein A (SpA) contribute to CA-MRSA pathogenicity.
- Understanding how sub-MICs of antibiotics affect virulence factor expression is crucial for treatment strategies.
Purpose of the Study:
- To investigate the impact of sub-MICs of five antistaphylococcal antibiotics on the expression of PVL, Hla, and SpA in CA-MRSA.
- To determine the differential effects of clindamycin, daptomycin, linezolid, tigecycline, and vancomycin on key CA-MRSA virulence factors.
Main Methods:
- Five distinct CA-MRSA clones were cultured with sub-inhibitory concentrations (1/8, 1/4, 1/2 MIC) of five antibiotics.
- Relative quantitative RT-PCR was employed to measure mRNA levels of pvl, hla, and spa genes.
- PVL, Hla, and SpA protein concentrations were quantified using ELISAs in culture supernatants and cell pellets.
Main Results:
- Clindamycin and linezolid significantly reduced PVL and SpA mRNA levels across all tested strains.
- Tigecycline demonstrated a notable decrease in PVL and SpA mRNA, while daptomycin and vancomycin showed minimal impact.
- Clindamycin was the most effective in inhibiting Hla mRNA and protein release, with linezolid showing some effect.
Conclusions:
- Antibiotic choice and concentration critically influence virulence factor expression in CA-MRSA.
- Clindamycin and linezolid demonstrate consistent suppression of multiple virulence factors.
- Tigecycline specifically targets PVL, suggesting potential for targeted therapy, while daptomycin and vancomycin appear less effective at sub-MICs.
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