Staphylococcus aureus Small Colony Variants (SCVs): News From a Chronic Prosthetic Joint Infection

被引:73
作者
Loss, Guilherme [1 ]
Simoes, Patricia Martins [2 ,3 ]
Valour, Florent [3 ,4 ]
Cortes, Marina Farrel [5 ]
Gonzaga, Luiz [1 ]
Bergot, Marine [3 ]
Trouillet-Assant, Sophie [6 ]
Josse, Jerome [3 ]
Diot, Alan [3 ]
Ricci, Emiliano [3 ]
Vasconcelos, Ana Tereza [1 ]
Laurent, Frederic [2 ,3 ]
机构
[1] Lab Nacl Comp Cient, Rio De Janeiro, Brazil
[2] Northern Hosp Grp, IAI Dept Clin Microbiol, Hosp Civils Lyon, Natl Reference Ctr Staphylococci, Lyon, France
[3] CIRI, Lyon, France
[4] Northern Hosp Grp, Infect Dis Dept, Hosp Civils Lyon, Lyon, France
[5] Univ Fed Rio de Janeiro, Inst Microbiol Prof Paulo de Goes, Rio De Janeiro, Brazil
[6] Ctr Hosp Lyon Sud, Joint Res Unit HCL BioMerieux, Hosp Civils Lyon, Pierre Benite, France
关键词
Staphylococcus aureus; small colony variant; prosthetic joint infection; chronic infection; rifampicin resistance; DIFFERENTIAL EXPRESSION ANALYSIS; ANTIMICROBIAL ACTIVITY; RIFAMPIN RESISTANCE; STRINGENT RESPONSE; OSTEOMYELITIS; PERSISTENT; VIRULENCE; BACTERIA; MUTATION; IRON;
D O I
10.3389/fcimb.2019.00363
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Small colony variants (SCV) of Staphylococcus aureus have been reported as implicated in chronic infections. Here, we investigated the genomic and transcriptomic changes involved in the evolution from a wild-type to a SCV from in a patient with prosthetic joint infection relapse. The SCV presented a stable phenotype with no classical auxotrophy and the emergence of rifampicin resistance. Whole Genome Sequencing (WGS) analysis showed only the loss of a 42.5 kb phage and 3 deletions, among which one targeting the rpoB gene, known to be the target of rifampicin and to be associated to SCV formation in the context of a constitutively active stringent response. Transcriptomic analysis highlighted a specific signature in the SCV strain including a complex, multi-level strategy of survival and adaptation to chronicity within the host including a protection from the inflammatory response, an evasion of the immune response, a constitutively activated stringent response and a scavenging of iron sources.
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页数:12
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