Necrotizing Soft Tissue Infection Staphylococcus aureus but not S. pyogenes Isolates Display High Rates of

Jessica Baude1, Sylvère Bastien1, Yves Gillet1,2

  • 1Centre International de Recherche en Infectiologie, Université de Lyon; Inserm U1111; Ecole Normale Supérieure de Lyon; Université Lyon 1, CNRS, UMR5308; Lyon, France.

Abstract

Insights

Staphylococcus aureus (SA) readily invades muscle cells, unlike group A Streptococcus (GAS). This strong invasiveness in muscle cells contributes to the severity of SA necrotizing soft tissue infections (NSTIs).

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Cell Biology

Background:

  • Necrotizing soft tissue infections (NSTIs) often involve deep fascia and muscle necrosis.
  • Group A Streptococcus (GAS) and Staphylococcus aureus (SA) are key causative agents of NSTIs.

Purpose of the Study:

  • To compare the pathogenicity of GAS and SA in muscle cells versus keratinocytes.
  • To investigate the adhesion and invasion mechanisms of NSTI-associated GAS and SA isolates.

Main Methods:

  • Assessed adhesion and invasion of NSTI-GAS and NSTI-SA isolates in human keratinocytes and myoblasts.
  • Utilized bloodstream infection SA (BSI-SA) and coagulase-negative staphylococci (CNS) as controls.
  • Analyzed cytotoxicity, gene transcript levels (psmα, RNAIII), and α5β1 integrin expression.

Main Results:

  • NSTI-SA and BSI-SA showed significantly higher internalization into human myoblasts compared to keratinocytes.
  • S. aureus internalization exceeded 30% in myoblasts, with higher infection rates than in keratinocytes.
  • NSTI-SA exhibited greater myoblast cytotoxicity, linked to elevated psmα and RNAIII transcripts and α5β1 integrin expression.

Conclusions:

  • The strong invasiveness of S. aureus in muscle cells is a key factor in NSTI severity.
  • This muscle cell invasiveness is a characteristic not observed with GAS isolates.
  • The FnbpAB-integrin α5β1 pathway plays a major role in S. aureus internalization into myoblasts.

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