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Updated: May 6, 2026

Development and Assessment of Intracellular Infection Models for Staphylococcus aureus
Published on: January 17, 2025
Cytoplasmic replication of Staphylococcus aureus upon phagosomal escape triggered by phenol-soluble modulin α
Magdalena Grosz1, Julia Kolter, Kerstin Paprotka
1Department of Microbiology, University of Würzburg, Biocenter, Am Hubland, D-97074, Würzburg, Germany; Institute for Hygiene and Medical Microbiology, Josef-Schneider-Str. 2, Bldg. E1, D-97080, Würzburg, Germany.
Abstract:
Staphylococcus aureus is a Gram-positive human pathogen that is readily internalized by professional phagocytes such as macrophages and neutrophils but also by non-professional phagocytes such as epithelial or endothelial cells. Intracellular bacteria have been proposed to play a role in evasion of the innate immune system and may also lead to dissemination within migrating phagocytes. Further, S. aureus efficiently lyses host cells with a battery of cytolytic toxins. Recently, phenol-soluble modulins (PSM) have been identified to comprise a genus-specific family of cytolytic peptides. Of these the PSMα peptides have been implicated in killing polymorphonuclear leucocytes after phagocytosis. We questioned if the peptides were active in destroying endosomal membranes to avoid lysosomal killing of the pathogen and monitored integrity of infected host cell endosomes by measuring the acidity of the intracellular bacterial microenvironment via flow cytometry and by a reporter recruitment technique. Isogenic mutants of the methicillin-resistant S. aureus (MRSA) strains USA300 LAC, USA400 MW2 as well as the strongly cytolytic methicillin-sensitive strain 6850 were compared with their respective wild type strains. In all three genetic backgrounds, PSMα mutants were unable to escape from phagosomes in non-professional (293, HeLa, EAhy.926) and professional phagocytes (THP-1), whereas mutants in PSMβ and δ-toxin as well as β-toxin, phosphatidyl inositol-dependent phospholipase C and Panton Valentine leucotoxin escaped with efficiencies of the parental strains. S. aureus replicated intracellularly only in presence of a functional PSMα operon thereby illustrating that bacteria grow in the host cell cytoplasm upon phagosomal escape.
Insights
Staphylococcus aureus uses phenol-soluble $\alpha$ (PSM$\\alpha$) peptides to escape host cell endosomes, enabling intracellular replication. Mutants lacking PSM$\\alpha$ are trapped in phagosomes, preventing bacterial growth within host cells.
Area of Science:
- Microbiology
- Cell Biology
- Immunology
Background:
- Staphylococcus aureus is a Gram-positive bacterium internalized by various host cells.
- Intracellular survival of S. aureus may facilitate immune evasion and dissemination.
- Phenol-soluble modulins (PSMs) are cytolytic peptides, with PSM$\\alpha$ implicated in polymorphonuclear leukocyte killing.
Purpose of the Study:
- To investigate the role of PSM$\\alpha$ peptides in S. aureus escape from host cell endosomes.
- To determine if PSM$\\alpha$ is essential for intracellular bacterial replication.
- To assess the impact of PSM$\\alpha$ on phagosomal integrity.
Main Methods:
- Comparison of isogenic PSM$\\alpha$ mutants with wild-type S. aureus strains (MRSA and MSSA).
- Monitoring of intracellular bacterial microenvironment acidity using flow cytometry.
- Assessment of endosomal integrity via a reporter recruitment technique.
Main Results:
- PSM$\\alpha$ mutants were impaired in phagosomal escape in both professional and non-professional phagocytes.
- Mutants in other toxins (PSM$\\beta$, $\\delta$-toxin, $\\beta$-toxin, PI-PLC, PVL) showed wild-type escape efficiencies.
- Intracellular replication of S. aureus occurred only when the PSM$\\alpha$ operon was functional, indicating cytoplasmic growth after escape.
Conclusions:
- PSM$\\alpha$ peptides are critical for S. aureus to escape the endosome and enter the host cell cytoplasm.
- Phagosomal escape mediated by PSM$\\alpha$ is a prerequisite for intracellular replication of S. aureus.
- Targeting PSM$\\alpha$ may represent a strategy to inhibit intracellular S. aureus infections.
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