Cited by 67Antimicrobial Resistance in StaphylococcusNeuroscience of respiration and sleepNeonatal and Maternal Infections

Factors enhancing adherence of toxigenic Staphylococcus aureus to epithelial cells and their possible role in sudden infant death syndrome

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Saadi, A. T., Blackwell, C. C., Raza, M. W., James, V. S., Stewart, J., Elton, R. A., Weir, D. M.·1993·Epidemiology and Infection

Abstract

SUMMARY: Toxigenic strains of Staphylococcus aureus have been suggested to play a role in sudden infant death syndrome (SIDS). In this study we examined two factors that might enhance binding of toxigenic staphylococci to epithelial cells of infants in the age range in which cot deaths are prevalent: expression of the Lewis a antigen and infection with respiratory syncytial virus (RSV). By flow cytometry we demonstrated that binding of three toxigenic strains of S. aureus to cells from non-secretors was significantly greater than to cells of secretors. Pre-treatment of epithelial cells with monoclonal anti-Lewis a or anti-type-1 precursor significantly reduced bacterial binding (P< 0·01); however, attachment of the bacteria correlated only with the amount of Lewis a antigen detected on the cells (P< 0·01). HEp-2 cells infected with RSV bound significantly more bacteria than uninfected cells. These findings are discussed in context of factors previously associated with SIDS (mother's smoking, bottle feeding and the prone sleeping position) and a hypothesis proposed to explain some cases of SIDS.

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Authors
Saadi, A. T., Blackwell, C. C., Raza, M. W., James, V. S., Stewart, J., Elton, R. A., & Weir, D. M.
Affiliations
University of Edinburgh (GB)
Venue
Epidemiology and Infection
Published
1993-06
Volume
110
Issue
3
Pages
507-517
ISSN
  • 0950-2688 (ISSN-L)
  • 1469-4409
OpenAlex
W2107945609
Cited by
67
References
44
Citations by year
2026: 1 · 2022: 1 · 2018: 2 · 2015: 2 · 2014: 2 · 2013: 1 · 2012: 2
FWCI
5.43
Type
journal article
Language
en
Open access
Locations
  • Epidemiology and Infection (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Infectious Diseases › Antimicrobial Resistance in Staphylococcus
  • Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroscience of respiration and sleep
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Neonatal and Maternal Infections
Keywords
Staphylococcus aureus, sudden infant death syndrome, bacterial adhesion, Lewis a antigen, secretor status, respiratory syncytial virus, epithelial cells, HEp-2 cells
MeSH terms
Antibodies, Monoclonal, Bacterial Adhesion, Cells, Cultured, Epithelial Cells, Epithelium, Humans, Infant, Isoantigens, Lewis Blood Group Antigens, Respiratory Syncytial Viruses, Staphylococcus aureus, Sudden Infant Death

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