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Updated: Feb 2, 2026

Development and Assessment of Intracellular Infection Models for Staphylococcus aureus
Published on: January 17, 2025
Neonatal gut colonization by Staphylococcus aureus strains with certain adhesins and superantigens is negatively
F L Nowrouzian1, A Ljung1, S Nilsson1
1Institution for Biomedicine, Department of Infectious Disease, University of Gothenburg, Gothenburg, Sweden.
Insights
Early gut colonization by specific Staphylococcus aureus strains, particularly those with enterotoxin gene (egc) cluster and elastin-binding protein (ebp) genes, may protect infants from developing atopic eczema.
Area of Science:
- Microbiology and Immunology
- Dermatology
- Pediatrics
Background:
- Insufficient early immune stimulation is linked to atopic diseases.
- Staphylococcus aureus, a common colonizer, produces immune-modulating substances like protein A and superantigens.
- Previous research indicated a negative association between early gut colonization by specific S. aureus strains and atopic eczema development.
Purpose of the Study:
- To replicate findings on S. aureus gut colonization and atopic eczema in a new birth cohort (FARMFLORA).
- To investigate the relationship between nasal S. aureus colonization and subsequent atopic eczema.
- To identify specific S. aureus virulence factors associated with protection against atopic eczema.
Main Methods:
- Cultured S. aureus from fecal and nasal samples of infants in the FARMFLORA cohort (n=65) within the first two months of life.
- Utilized random amplified polymorphic DNA for strain differentiation and PCR to detect adhesin and superantigen genes (including egc and ebp).
- Correlated S. aureus colonization patterns and specific gene carriage with atopic eczema diagnosis at 18 months of age.
Main Results:
- Overall S. aureus colonization did not predict eczema development.
- Infants who developed atopic eczema had gut S. aureus strains less frequently carrying the elastin-binding protein (ebp) gene and enterotoxin gene (egc) cluster genes compared to healthy infants.
- Nasal S. aureus colonization showed a less consistent association with subsequent eczema development.
Conclusions:
- Findings replicate previous observations, suggesting a protective role for certain S. aureus strains.
- Mucosal colonization by specific S. aureus strains may provide crucial immune stimulation.
- This immune stimulation could strengthen the epithelial barrier, potentially preventing atopic eczema development.
Background:
Insufficient early immune stimulation may predispose to atopic disease. Staphylococcus aureus, a skin and gut colonizer, produces the B-cell mitogen protein A and T-cell-activating superantigens. Early gut colonization by S. aureus strains that possess the superantigens encoded by the enterotoxin gene (egc) cluster and elastin-binding protein is negatively associated with development of atopic eczema.
Objectives:
To investigate (i) whether these findings could be replicated in a second birth cohort, FARMFLORA, and (ii) whether nasal colonization by S. aureus also relates to subsequent atopic eczema development.
Methods:
Faecal samples and nasal swabs from infants in the FARMFLORA birth cohort (n = 65) were cultured for S. aureus. Individual strains were distinguished by random amplified polymorphic DNA and assessed for adhesin and superantigen gene carriage by polymerase chain reaction. Atopic eczema at 18 months of age was related to nasal and gut S. aureus colonization patterns during the first 2 months of life (well before onset of eczema).
Results:
Staphylococcus aureus colonization per se was unrelated to subsequent eczema development. However, gut S. aureus strains from the infants who subsequently developed atopic eczema less frequently carried the ebp gene, encoding elastin-binding protein, and superantigen genes encoded by egc, compared with strains from children who remained healthy. Nasal colonization by S. aureus was less clearly related to subsequent eczema development.
Conclusions:
The results precisely replicate our previous observations and may suggest that mucosal colonization by certain S. aureus strains provides immune stimulation that strengthens the epithelial barrier and counteracts the development of atopic eczema.
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