Intraspecific cooperation allows the survival of Staphylococcus aureus staff: a novel strategy for disease relapse

Hua Luo1,2, Lijia Ni1,2, Tongling Chen1,2

  • 1Department of Clinical Laboratory, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, 510120, China.

BMC Infectious Diseases
|October 1, 2024
PubMed
Abstract

Insights

Intraspecific cooperation between two methicillin-sensitive Staphylococcus aureus (MSSA) strains led to chronic refractory pulmonary infection. This bacterial interaction enhanced pathogenicity and promoted infection relapse, highlighting a novel mechanism in persistent infections.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Bacterial Pathogenesis

Background:

  • Interspecies pathogen interactions are known to affect pathogenicity in chronic infections.
  • The role of intraspecific interactions between different strains of the same pathogen in infection relapse remains largely unexplored.
  • Clinical infections frequently involve cross-talk between multiple strains of a single species.

Purpose of the Study:

  • To investigate the impact of intraspecific interactions between two Staphylococcus aureus strains on chronic refractory infection.
  • To elucidate the mechanisms by which intraspecific cooperation influences pathogenicity and infection relapse.
  • To report a novel strategy for infection relapse mediated by intraspecific cooperation.

Main Methods:

  • Analysis of hemolytic activity, growth curves, and biofilm formation of S. aureus strains.
  • Assessment of virulence gene expression, including hemolysin genes and Hla.
  • Evaluation of G. mellonella larval response to mono- and coinfection with S. aureus strains.
  • Investigation of the potential role of AIP-RNAIII in mediating intraspecific interactions.

Main Results:

  • One S. aureus strain (SA01) inhibited the hemolytic activity and hemolysin gene expression of another strain (SA02).
  • SA01 significantly enhanced biofilm formation in SA02, suggesting a cooperative strategy.
  • Coinfection with both MSSA strains resulted in worse outcomes in G. mellonella larvae, including decreased survival and increased microbial burden, compared to mono-infection.
  • AIP-RNAIII was identified as a potential mediator of this intraspecific interaction.

Conclusions:

  • Intraspecific interactions among Staphylococcus aureus strains can alter pathogenicity.
  • Bacterial cooperation between strains can lead to enhanced virulence and contribute to chronic, refractory infections.
  • Understanding intraspecific interactions is crucial for developing effective strategies against persistent bacterial infections.