Comparative transcriptomic analysis of Staphylococcus epidermidis associated with periprosthetic joint infection

Cody R Fisher1, Thao L Masters2, Stephen Johnson3

  • 1Mayo Clinic Graduate School of Biomedical Sciences, Department of Immunology, Mayo Clinic, Rochester, MN 55905, USA; Division of Clinical Microbiology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN 55905, USA.

Insights

Staphylococcus epidermidis adapts to infection by altering gene expression, not genomics. This study reveals phenotypic changes in pathogenic bacteria, offering potential therapeutic targets for infections like periprosthetic joint infection (PJI).

Area of Science:

  • Microbiology
  • Genomics
  • Infectious Diseases

Background:

  • Staphylococcus epidermidis is a common skin microbe that can cause serious infections, such as periprosthetic joint infection (PJI).
  • Understanding how S. epidermidis transitions between commensal and pathogenic states is crucial for developing effective treatments.

Purpose of the Study:

  • To compare the transcriptomes of S. epidermidis from in vivo (PJI) and in vitro (laboratory culture) conditions.
  • To investigate genomic differences between pathogenic and commensal S. epidermidis isolates.
  • To identify adaptive mechanisms and potential therapeutic targets for S. epidermidis infections.

Main Methods:

  • Total RNA sequencing was used to profile and compare transcriptomes of 19 paired PJI-associated S. epidermidis samples (in vivo vs. in vitro).
  • Genomic comparison of PJI-associated and publicly available commensal S. epidermidis isolates.
  • Differential gene expression analysis was performed to identify significant changes.

Main Results:

  • 145 differentially expressed genes (DEGs) were identified between in vivo and in vitro samples; 42 were upregulated and 103 downregulated in vivo.
  • Metal sequestration genes (staphylopine activity) were upregulated in a subset of in vivo samples.
  • No significant genomic differences were found between commensal and PJI-associated S. epidermidis, suggesting pathogenicity is not primarily driven by genomic variation.

Conclusions:

  • S. epidermidis exhibits significant phenotypic alterations, particularly in gene expression, to adapt to different microenvironments (infective vs. non-infective).
  • The study highlights the importance of phenotypic plasticity in bacterial adaptation and pathogenesis.
  • Findings may inform the development of novel therapeutic strategies targeting S. epidermidis adaptation mechanisms.