Is Panton‐Valentine Leukocidin the Major Virulence Determinant in Community‐Associated Methicillin‐Resistant Staphylococcus aureus Disease?

Methicillin‐resistant Staphylococcus aureus (MRSA) remains a major problem in hospitals, and it is now spreading in the community. A single toxin, Panton‐Valentine leukocidin (PVL), has been linked by epidemiological studies to community‐associated MRSA (CA‐MRSA) disease. However, the role that PVL...

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Veröffentlicht in:The Journal of infectious diseases 2006-12, Vol.194 (12), p.1761-1770
Hauptverfasser: Voyich, Jovanka M. , Otto, Michael , Mathema, Barun , Braughton, Kevin R. , Whitney, Adeline R. , Welty, Diane , Long, R. Daniel , Dorward, David W. , Gardner, Donald J. , Lina, Gérard , Kreiswirth, Barry N. , DeLeo, Frank R. 
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container_issue 12
container_start_page 1761
container_title The Journal of infectious diseases
container_volume 194
creator Voyich, Jovanka M. 
Otto, Michael 
Mathema, Barun 
Braughton, Kevin R. 
Whitney, Adeline R. 
Welty, Diane 
Long, R. Daniel 
Dorward, David W. 
Gardner, Donald J. 
Lina, Gérard 
Kreiswirth, Barry N. 
DeLeo, Frank R. 
description Methicillin‐resistant Staphylococcus aureus (MRSA) remains a major problem in hospitals, and it is now spreading in the community. A single toxin, Panton‐Valentine leukocidin (PVL), has been linked by epidemiological studies to community‐associated MRSA (CA‐MRSA) disease. However, the role that PVL plays in the pathogenesis of CA‐MRSA has not been tested directly. To that end, we used mouse infection models to compare the virulence of PVL‐positive with that of PVL‐negative CA‐MRSA representing the leading disease‐causing strains. Unexpectedly, strains lacking PVL were as virulent in mouse sepsis and abscess models as those containing the leukotoxin. Isogenic PVL‐negative (lukS/F‐PV knockout) strains of USA300 and USA400 were as lethal as wild‐type strains in a sepsis model, and they caused comparable skin disease. Moreover, lysis of human neutrophils and pathogen survival after phagocytosis were similar between wild‐type and mutant strains. Although the toxin may be a highly linked epidemiological marker for CA‐MRSA strains, we conclude that PVL is not the major virulence determinant of CA‐MRSA.
doi_str_mv 10.1086/509506
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A single toxin, Panton‐Valentine leukocidin (PVL), has been linked by epidemiological studies to community‐associated MRSA (CA‐MRSA) disease. However, the role that PVL plays in the pathogenesis of CA‐MRSA has not been tested directly. To that end, we used mouse infection models to compare the virulence of PVL‐positive with that of PVL‐negative CA‐MRSA representing the leading disease‐causing strains. Unexpectedly, strains lacking PVL were as virulent in mouse sepsis and abscess models as those containing the leukotoxin. Isogenic PVL‐negative (lukS/F‐PV knockout) strains of USA300 and USA400 were as lethal as wild‐type strains in a sepsis model, and they caused comparable skin disease. Moreover, lysis of human neutrophils and pathogen survival after phagocytosis were similar between wild‐type and mutant strains. 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A single toxin, Panton‐Valentine leukocidin (PVL), has been linked by epidemiological studies to community‐associated MRSA (CA‐MRSA) disease. However, the role that PVL plays in the pathogenesis of CA‐MRSA has not been tested directly. To that end, we used mouse infection models to compare the virulence of PVL‐positive with that of PVL‐negative CA‐MRSA representing the leading disease‐causing strains. Unexpectedly, strains lacking PVL were as virulent in mouse sepsis and abscess models as those containing the leukotoxin. Isogenic PVL‐negative (lukS/F‐PV knockout) strains of USA300 and USA400 were as lethal as wild‐type strains in a sepsis model, and they caused comparable skin disease. Moreover, lysis of human neutrophils and pathogen survival after phagocytosis were similar between wild‐type and mutant strains. Although the toxin may be a highly linked epidemiological marker for CA‐MRSA strains, we conclude that PVL is not the major virulence determinant of CA‐MRSA.</abstract><cop>Chicago, IL</cop><pub>University of Chicago Press</pub><pmid>17109350</pmid><doi>10.1086/509506</doi><tpages>10</tpages></addata></record>
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source Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection
subjects Abscess - microbiology
Abscesses
Animals
Animals, Outbred Strains
Bacteria
Bacterial Toxins - genetics
Bacterial Toxins - metabolism
Bacteriology
Biological and medical sciences
Epidemiology
Exotoxins - genetics
Exotoxins - metabolism
Exotoxins - physiology
Female
Fundamental and applied biological sciences. Psychology
Humans
Immunocompetence
Infections
Infectious diseases
Leukocidins
Leukocidins - genetics
Leukocidins - metabolism
Leukocidins - physiology
Leukocytes, Mononuclear - microbiology
Medical sciences
Methicillin - pharmacology
Methicillin Resistance
Mice
Mice, Hairless
Microbiology
Miscellaneous
Neutrophils
Neutrophils - microbiology
Pathogenesis
Point Mutation
Sepsis
Sepsis - microbiology
Staphylococcal Infections - microbiology
Staphylococcus aureus
Staphylococcus aureus - drug effects
Staphylococcus aureus - growth & development
Staphylococcus aureus - metabolism
Staphylococcus aureus - pathogenicity
Virulence
title Is Panton‐Valentine Leukocidin the Major Virulence Determinant in Community‐Associated Methicillin‐Resistant Staphylococcus aureus Disease?
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