Virulence determinants in community and hospital meticillin-resistant Staphylococcus aureus

被引:87
作者
Tristan, Anne [1 ]
Ferry, Tristan [1 ]
Durand, Geraldine [1 ]
Dauwalder, Olivier [1 ]
Bes, Michele [1 ]
Lina, Gerard [1 ]
Vandenesch, Francois [1 ]
Etienne, Jerome [1 ]
机构
[1] Univ Lyon 1, Fac Med Laennec, INSERM E0230, Ctr Natl Reference Staphylocoques, F-69008 Lyon, France
关键词
Staphylococcus aureus; virulence factors; superantigenic toxins; Panton Valentine leukocidin; meticillin resistance;
D O I
10.1016/S0195-6701(07)60025-5
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Staphylococcus aureus produces many virulence factors, most of which act in a synergistic and coordinated fashion. Some appear to be specifically associated with certain severe infections and are produced by meticillin-resistant Staphylococcus aureus (MRSA) clones distributed worldwide. Superantigenic exotoxins appear to be major virulence factors in hospital MRSA clones (HA-MRSA), and staphylococcal enterotoxin A (SEA) may be involved in the physiopathology of septic shock. Panton Valentine Leucocidin (PVL) has emerged as a major virulence factor in community-acquired Staphylococcus aureus (CA-MRSA) infections. In particular, the Leukotoxic action of PVL is responsible for the high mortality rate associated with necrotizing pneumonia. CA-MRSA can also harbour the toxic shock toxin 1 (TSST-1) and rarely the exfoliative toxin. (C) 2007 The Hospital Infection Society. Published by Elsevier Ltd. Alt rights reserved.
引用
收藏
页码:105 / 109
页数:5
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