cGAS/STING sensing in dendritic cells discriminates between daptomycin sensitive and resistant Staphylococcus aureus

Timothy Patton1,2, Nazneen Jahan1, Jhih-Hang Jiang3,4

  • 1Monash Biomedicine Discovery Institute, and Department of Biochemistry and Molecular Biology, Monash University, Clayton, VIC 3800, Australia.

Iscience
|May 21, 2026
PubMed

Insights

Antibiotic-resistant MRSA infections hinder the immune system. Daptomycin-resistant MRSA impairs dendritic cell sensing, reducing phagocytosis and cGAS/STING pathway activation, thus evading immune detection.

Area of Science:

  • Microbiology
  • Immunology
  • Infectious Diseases

Background:

  • Antimicrobial resistance (AMR) poses a significant global health threat, with MRSA being a common pathogen.
  • MRSA frequently develops resistance to last-line antibiotics like daptomycin through genetic mutations.
  • These resistance mechanisms can alter bacterial cell structures, impacting host immune responses.

Purpose of the Study:

  • To investigate how daptomycin resistance in MRSA affects innate immune sensing by dendritic cells (DCs).
  • To elucidate the specific mechanisms by which resistant MRSA evades DC recognition and activation.

Main Methods:

  • Comparative analysis of daptomycin-susceptible and daptomycin-resistant MRSA strains.
  • Assessment of phagocytosis efficiency by DCs.
  • Evaluation of the cytoplasmic cGAS/STING pathway activation in DCs upon encountering resistant MRSA.

Main Results:

  • Daptomycin-resistant MRSA exhibited reduced phagocytosis by DCs compared to susceptible strains.
  • Resistant MRSA impaired the recognition of bacterial isolates via the cGAS/STING pathway.
  • This impairment affected the production of cyclic dinucleotides by both host and bacterium.

Conclusions:

  • MRSA's acquisition of daptomycin resistance impedes innate immune sensing by DCs.
  • Resistance mutations concurrently hinder the innate immune system's ability to recognize and respond to bacteria.
  • This dual effect highlights a critical mechanism of immune evasion by antibiotic-resistant pathogens.