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Updated: Feb 8, 2026

Standardized In vitro Assays to Visualize and Quantify Interactions between Human Neutrophils and Staphylococcus aureus Biofilms
Published on: June 8, 2022
Staphylococcus aureus biofilms release leukocidins to elicit extracellular trap formation and evade
Mohini Bhattacharya1,2, Evelien T M Berends3, Rita Chan3
1Department of Microbiology, The Ohio State University, Columbus, OH 43210.
Abstract:
Bacterial biofilms efficiently evade immune defenses, greatly complicating the prognosis of chronic infections. How methicillin-resistant Staphylococcus aureus (MRSA) biofilms evade host immune defenses is largely unknown. This study describes some of the major mechanisms required for S. aureus biofilms to evade the innate immune response and provides evidence of key virulence factors required for survival and persistence of bacteria during chronic infections. Neutrophils are the most abundant white blood cells in circulation, playing crucial roles in the control and elimination of bacterial pathogens. Specifically, here we show that, unlike single-celled populations, S. aureus biofilms rapidly skew neutrophils toward neutrophil extracellular trap (NET) formation through the combined activity of leukocidins Panton-Valentine leukocidin and γ-hemolysin AB. By eliciting this response, S. aureus was able to persist, as the antimicrobial activity of released NETs was ineffective at clearing biofilm bacteria. Indeed, these studies suggest that NETs could inadvertently potentiate biofilm infections. Last, chronic infection in a porcine burn wound model clearly demonstrated that leukocidins are required for "NETosis" and facilitate bacterial survival in vivo.
Insights
Methicillin-resistant Staphylococcus aureus (MRSA) biofilms evade immune cells by triggering neutrophil extracellular traps (NETs). However, these NETs are ineffective against biofilms, promoting chronic MRSA infections.
Area of Science:
- Microbiology
- Immunology
- Infectious Diseases
Background:
- Bacterial biofilms present significant challenges in treating chronic infections due to their ability to evade host immune responses.
- The specific mechanisms by which methicillin-resistant Staphylococcus aureus (MRSA) biofilms evade innate immunity remain largely uncharacterized.
Purpose of the Study:
- To elucidate key mechanisms employed by S. aureus biofilms to evade the innate immune response.
- To identify virulence factors crucial for bacterial survival and persistence in chronic infections.
Main Methods:
- Investigated the interaction between S. aureus biofilms and neutrophils, focusing on neutrophil extracellular trap (NET) formation.
- Assessed the efficacy of NETs in clearing biofilm bacteria.
- Utilized a porcine burn wound model to evaluate the role of leukocidins in vivo.
Main Results:
- S. aureus biofilms, unlike planktonic cells, induce rapid neutrophil extracellular trap (NET) formation via Panton-Valentine leukocidin and γ-hemolysin AB.
- The antimicrobial activity of NETs was insufficient to eliminate bacteria within biofilms, suggesting NETs may exacerbate infection.
- Leukocidins were essential for "NETosis" and bacterial survival in a chronic porcine burn wound infection model.
Conclusions:
- S. aureus biofilms subvert neutrophil responses by inducing NETosis, but NETs fail to clear biofilm-associated bacteria.
- Leukocidins are critical virulence factors that promote bacterial survival during chronic infections by manipulating the host immune response.
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