Related Experiment Video
Updated: Apr 1, 2026

Time-Lapse Epifluorescence Microscopy Imaging of Pseudomonas aeruginosa and Staphylococcus aureus Heterogeneous Phenotypes
Published on: February 14, 2025
Sublethal vancomycin-induced ROS mediating antibiotic resistance in Staphylococcus aureus
Gui-qiu Li1, Feng Quan2, Ting Qu3
1Department of Laboratory Diagnosis, the first Affiliated Hospital of Harbin Medical University, No. 194, Rd. Xuefu, District Nangang, Harbin, 150081, Heilongjiang Province, China.
Abstract:
Staphylococcus aureus is the leading cause of many human infectious diseases. Besides infectious dangers, S. aureus is well-known for the quickly developed drug resistance. Although great efforts have been made, mechanisms underlying the antibiotic effects of S. aureus are still not well clarified. Recently, reports have shown that oxidative stress connects with bactericidal antibiotics [Dwyer et al. (2009) Curr. Opin. Microbiol. 12: , 482-489]. Based on this point, we demonstrate that reactive oxygen species (ROS) induced by sublethal vancomycin may be partly responsible for the antibiotic resistance in heterogeneous vancomycin resistant S. aureus (hVRSA). Sublethal vancomycin treatment may induce protective ROS productions in hVRSA, whereas reduction in ROS level in hVRSA strains may increase their vancomycin susceptibility. Moreover, low dose of ROS in VSSA (vancomycin susceptible S. aureus) strains may promote their survival under vancomycin conditions. Our findings reveal that modest ROS generation may be protective for vancomycin resistance in hVRSA. These results recover novel insights into the relationship between oxidative stress and bacterial resistance, which has important applications for further use of antibiotics and development of therapeutics strategies for hVRSA.
Insights
Sublethal vancomycin induces reactive oxygen species (ROS) in resistant Staphylococcus aureus, potentially explaining antibiotic resistance. Reducing ROS may restore vancomycin susceptibility in these infections.
Area of Science:
- Microbiology
- Infectious Diseases
- Drug Resistance
Background:
- Staphylococcus aureus is a major cause of human infections and exhibits rapid antibiotic resistance.
- Mechanisms of antibiotic resistance in S. aureus are not fully understood.
- Oxidative stress is increasingly recognized as a factor in antibiotic efficacy.
Purpose of the Study:
- To investigate the role of reactive oxygen species (ROS) in vancomycin resistance in Staphylococcus aureus.
- To explore the relationship between sublethal vancomycin treatment, ROS production, and antibiotic resistance.
- To identify potential therapeutic targets for combating vancomycin-resistant S. aureus.
Main Methods:
- Treatment of heterogeneous vancomycin-resistant S. aureus (hVRSA) with sublethal vancomycin.
- Measurement of reactive oxygen species (ROS) levels in bacterial strains.
- Assessment of vancomycin susceptibility in hVRSA and vancomycin-susceptible S. aureus (VSSA) strains under varying ROS conditions.
Main Results:
- Sublethal vancomycin treatment induced protective ROS production in hVRSA.
- Reducing ROS levels in hVRSA strains increased their susceptibility to vancomycin.
- Low doses of ROS appeared to promote the survival of VSSA strains under vancomycin exposure.
- Modest ROS generation was found to be protective for vancomycin resistance in hVRSA.
Conclusions:
- Reactive oxygen species play a dual role in vancomycin resistance of Staphylococcus aureus.
- Modest ROS generation may contribute to vancomycin resistance in hVRSA.
- Targeting ROS pathways could offer novel therapeutic strategies against hVRSA infections.
More Related Videos
Related Concept Videos
Mechanism of Antibiotic Resistance in MRSA
Clinical Significance of Antibiotic Resistance
Development of Antibiotic Resistance
Antibiotic Selection
Defense Against Bacterial Pathogens
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
Staphylococcal Skin Infections

