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Quorum Sensing and Toxin Production in Staphylococcus aureus Osteomyelitis: Pathogenesis and Paradox
Abstract
Staphylococcus aureus is a Gram-positive pathogen capable of infecting nearly every vertebrate organ. Among these tissues, invasive infection of bone (osteomyelitis) is particularly common and induces high morbidity. Treatment of osteomyelitis is notoriously difficult and often requires debridement of diseased bone in conjunction with prolonged antibiotic treatment to resolve infection. During osteomyelitis, S. aureus forms characteristic multicellular microcolonies in distinct niches within bone. Virulence and metabolic responses within these multicellular microcolonies are coordinated, in part, by quorum sensing via the accessory gene regulator (agr) locus, which allows staphylococcal populations to produce toxins and adapt in response to bacterial density. During osteomyelitis, the Agr system significantly contributes to dysregulation of skeletal homeostasis and disease severity but may also paradoxically inhibit persistence in the host. Moreover, the Agr system is subject to complex crosstalk with other S. aureus regulatory systems, including SaeRS and SrrAB, which can significantly impact the progression of osteomyelitis. The objective of this review is to highlight Agr regulation, its implications on toxin production, factors that affect Agr activation, and the potential paradoxical influences of Agr regulation on disease progression during osteomyelitis.
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“However, the mere presence of a pathogenicity factor gene does not always equate to its expression, which is subject to one or more regulatory systems present in the bacterial cell, such as the Agr/Sar system [10]”
From Molecular Mechanisms of Drug Resistance in Staphylococcus aureus (2022) · cites this paper as [10]
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Wardenburg, J. B., Palazzolo‐Ballance, A. M., Otto, M., Schneewind, O., & DeLeo, F. R. (2008) · The Journal of Infectious Diseases · doi:10.1086/592053 · Cited by 236
Potter, A. D., Butrico, C. E., Ford, C. A., Curry, J. M., Trenary, I. A., Tummarakota, S. S., Hendrix, A. S., Young, J. D., & Cassat, J. E. (2020) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1922211117 · Cited by 73
Self-citationMike, L. A., Choby, J. E., Brinkman, P. R., Olive, L. Q., Dutter, B. F., Ivan, S. J., Gibbs, C. M., Sulikowski, G. A., Stauff, D. L., & Skaar, E. P. (2014) · PLoS Pathogens · doi:10.1371/journal.ppat.1004044 · Cited by 49 · cited 1×
“Interestingly, some activated response regulators can cross-regulate transcription of genes associated with other two-component systems [16,17].”
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Cited by
Molecular Mechanisms of Drug Resistance in Staphylococcus aureus
Mlynarczyk-Bonikowska, B., Kowalewski, C., Krolak-Ulinska, A., & Marusza, W. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23158088 · Cited by 412
Metadata
- Authors
- Butrico, C. E., & Cassat, J. E.
- Venue
- Toxins
- Publisher
- MDPI AG
- Published
- 2020-08-12
- Volume
- 12
- Issue
- 8
- Pages
- 516
- ISSN
- 2072-6651
- Cited by
- 65
- References
- 3
- Language
- en
- Funders
- National Institute of Allergy and Infectious Diseases (R01AI132560, T32AI11254)
- Burroughs Wellcome Fund (1013348)
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