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Updated: Jun 15, 2026

Time-Lapse Epifluorescence Microscopy Imaging of Pseudomonas aeruginosa and Staphylococcus aureus Heterogeneous Phenotypes
Published on: February 14, 2025
Microscopy-based phenotypic profiling of infection by Staphylococcus aureus clinical isolates reveals intracellular
Ines Rodrigues Lopes1,2, Laura Maria Alcantara1, Ricardo Jorge Silva2
1RNA & Infection Laboratory, Center for Neuroscience and Cell Biology (CNC), University of Coimbra, Coimbra, Portugal.
Abstract:
Staphylococcus aureus is increasingly recognized as a facultative intracellular pathogen, although the significance and pervasiveness of its intracellular lifestyle remain controversial. Here, we applied fluorescence microscopy-based infection assays and automated image analysis to profile the interaction of 191 S. aureus isolates from patients with bone/joint infections, bacteremia, and infective endocarditis, with four host cell types, at five times post-infection. This multiparametric analysis revealed that almost all isolates are internalized and that a large fraction replicate and persist within host cells, presenting distinct infection profiles in non-professional vs. professional phagocytes. Phenotypic clustering highlighted interesting sub-groups, including one comprising isolates exhibiting high intracellular replication and inducing delayed host death in vitro and in vivo. These isolates are deficient for the cysteine protease staphopain A. This study establishes S. aureus intracellular lifestyle as a prevalent feature of infection, with potential implications for the effective treatment of staphylococcal infections.
Insights
Staphylococcus aureus frequently lives inside host cells, a behavior that can lead to severe infections. This study found that a specific bacterial enzyme deficiency is linked to increased intracellular growth and worse outcomes.
Area of Science:
- Microbiology
- Infectious Diseases
- Cell Biology
Background:
- Staphylococcus aureus is a significant human pathogen.
- Its role as a facultative intracellular pathogen is debated.
- Understanding intracellular behavior is crucial for infection control.
Purpose of the Study:
- To investigate the intracellular lifestyle of Staphylococcus aureus.
- To analyze the interaction of diverse S. aureus isolates with host cells.
- To identify bacterial factors influencing intracellular survival and replication.
Main Methods:
- Utilized fluorescence microscopy and automated image analysis.
- Infected four host cell types with 191 S. aureus isolates.
- Performed multiparametric analysis at five time points post-infection.
Main Results:
- Nearly all S. aureus isolates were internalized by host cells.
- A significant proportion replicated and persisted intracellularly.
- Distinct intracellular profiles were observed in professional vs. non-professional phagocytes.
- Isolates with high intracellular replication and delayed host death were deficient in staphopain A.
Conclusions:
- The intracellular lifestyle of S. aureus is a common feature of infections.
- Staphopain A deficiency is associated with enhanced intracellular proliferation and virulence.
- Findings have implications for developing novel therapeutic strategies against staphylococcal infections.
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