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Updated: Sep 8, 2025

Stress-induced Antibiotic Susceptibility Testing on a Chip
Published on: January 8, 2014
Sub-inhibitory concentrations of oxacillin modulate biogenesis and function of extracellular vesicles secreted by
Zhaoxia Ran1,2, Minghui Hao1, Binxin Guo1
1Department of Laboratory Medicine, Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China.
Background:
Extracellular vesicles (EVs) derived from Staphylococcus aureus (S. aureus) carry multiple components, such as toxins, antigens, and resistance determinants, whose production is influenced by exposure to β-lactam antibiotics. However, systematic studies on the effects of β-lactam antibiotics on the release and functions of EVs remain limited.
Methods:
Extracellular vesicles (EVs) were isolated from the OS-MRSA (OS-200) strain by ultracentrifugation, including both EVs untreated with antibiotics and those exposed to sub-inhibitory concentrations of oxacillin (OI-EVs). Proteomic analysis was performed using liquid chromatography-tandem mass spectrometry (LC-MS/MS). The functional changes of these EVs were further assessed through erythrocyte hemolysis assays, biofilm formation assays, measurement of cytokines, and cell invasion assays.
Results:
Exposure to sub-inhibitory concentrations of oxacillin (half and one-eighth of the minimum inhibitory concentration [MIC]) significantly enhanced the secretion of OI-EVs and increased the abundance of several proteins, including penicillin-binding protein 2, EmrB, Hlg, and enolase, in a concentration-dependent manner. Notably, EV1/2MIC exhibited more pronounced functional changes and enhanced hemolytic activity against rabbit red blood cells. Also, EV1/2MIC exhibited significant promoting effects on biofilm formation of OS-200. Additionally, OI-EVs stimulated the secretion of interleukin-6 and tumor necrosis factor-α by THP-1 macrophages in a dose-dependent manner and demonstrated greater penetration potential into A549 lung epithelial cells.
Conclusion:
Exposure to sub-inhibitory concentrations of oxacillin significantly altered the secretion and composition of EVs, highlighting a novel relationship between antimicrobial exposure, exosome biogenesis, and OS-MRSA pathogenicity. These findings provide new insights into how β-lactam antibiotics influence host-pathogen interactions by modulating the secretion of bacterial vesicles.
Insights
Sub-inhibitory oxacillin boosts Staphylococcus aureus extracellular vesicle (EV) release and alters their protein content. These modified EVs enhance bacterial virulence, impacting host-pathogen interactions.
Area of Science:
- Microbiology
- Bacterial Pathogenesis
- Extracellular Vesicles
Background:
- Staphylococcus aureus (S. aureus) extracellular vesicles (EVs) contain toxins and resistance determinants.
- Production of EV components is influenced by beta-lactam antibiotics.
- Limited studies exist on beta-lactam effects on EV release and function.
Purpose of the Study:
- To investigate the impact of sub-inhibitory oxacillin concentrations on S. aureus EV secretion and function.
- To analyze proteomic changes in oxacillin-induced EVs (OI-EVs).
- To assess functional alterations in OI-EVs related to pathogenicity.
Main Methods:
- Isolation of EVs from OS-MRSA (OS-200) strain via ultracentrifugation.
- Proteomic analysis using liquid chromatography-tandem mass spectrometry (LC-MS/MS).
- Functional assays including erythrocyte hemolysis, biofilm formation, cytokine measurement, and cell invasion.
Main Results:
- Sub-inhibitory oxacillin significantly increased OI-EV secretion and protein abundance (e.g., PBP2, EmrB, Hlg, enolase) in a dose-dependent manner.
- OI-EVs exhibited enhanced hemolytic activity, promoted biofilm formation, and stimulated pro-inflammatory cytokine secretion (IL-6, TNF-α).
- OI-EVs demonstrated increased invasion potential into lung epithelial cells.
Conclusions:
- Sub-inhibitory oxacillin alters S. aureus EV secretion and composition.
- A novel link exists between antimicrobial exposure, EV biogenesis, and S. aureus pathogenicity.
- Findings offer insights into how beta-lactams modulate bacterial vesicles, influencing host-pathogen interactions.
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