Vitamin D sufficiency and Staphylococcus aureus infection in children

Jeffrey W Wang1, Patrick G Hogan, David A Hunstad

  • 1From the *Department of Pediatrics and †Department of Molecular Microbiology, Washington University School of Medicine, St. Louis, Missouri.

Insights

Children with low vitamin D levels are more prone to recurrent Staphylococcus aureus skin infections. Ensuring vitamin D sufficiency may help reduce the frequency of these common bacterial infections.

Area of Science:

  • Immunology
  • Nutritional Science
  • Dermatology

Background:

  • Vitamin D plays a role in immune function.
  • Antimicrobial peptides like LL-37 are crucial for fighting bacterial infections.
  • Staphylococcus aureus is a common cause of skin and soft tissue infections.

Purpose of the Study:

  • To investigate the association between vitamin D levels and Staphylococcus aureus skin infections in children.
  • To explore the potential role of vitamin D sufficiency in preventing recurrent S. aureus infections.

Main Methods:

  • The study analyzed vitamin D levels (25-hydroxyvitamin D) in children.
  • Infection history, specifically primary versus recurrent S. aureus skin or soft tissue infections, was assessed.

Main Results:

  • Children with vitamin D deficiency or insufficiency (25-hydroxyvitamin D <30 ng/mL) showed a higher likelihood of recurrent S. aureus skin infections.
  • A correlation was observed between lower vitamin D status and increased frequency of S. aureus infections.

Conclusions:

  • Vitamin D deficiency is linked to an increased risk of recurrent Staphylococcus aureus skin infections in children.
  • Maintaining vitamin D sufficiency may be a modifiable factor to reduce the incidence of S. aureus skin and soft tissue infections.

Related Concept Videos

Staphylococcal Skin Infections01:29

Staphylococcal Skin Infections

Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...
99
Clinical Significance of Antibiotic Resistance01:25

Clinical Significance of Antibiotic Resistance

Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within...
57
Role of Skin in Vitamin D Synthesis01:23

Role of Skin in Vitamin D Synthesis

The skin plays a crucial role in the synthesis of vitamin D, a vital nutrient for various physiological processes in the body. Vitamin D is unique because it can be synthesized in the skin through a series of chemical reactions triggered by exposure to ultraviolet B (UVB) radiation from sunlight.
The solar UV B rays (290-315 nm) are absorbed by the skin, and 7-dehydrocholesterol (provitamin D3) photolyzes it to previtamin D3, which undergoes a rapid transformation to vitamin...
9.0K
Role of Vitamins in Maintaining Bone Health01:25

Role of Vitamins in Maintaining Bone Health

The growth and maintenance of bone are regulated by a combination of nutritional factors, including vitamins, such as vitamin A, B12, C, D, and K.
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
6.1K
Factors Affecting the Risk of Infection01:26

Factors Affecting the Risk of Infection

The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
14.7K
Mechanism of Antibiotic Resistance in MRSA01:25

Mechanism of Antibiotic Resistance in MRSA

Antibiotic resistance in bacteria arises when microorganisms evolve the ability to withstand drugs designed to kill them or inhibit their growth, rendering once-effective treatments useless. This phenomenon, driven by genetic change and selection under antibiotic exposure, poses a profound threat to modern medicine. Mechanisms include drug-inactivating enzymes (e.g., β-lactamases), efflux pumps that eject antibiotics, mutations altering antibiotic targets, decreased drug uptake, and...
141