Staphylococcus aureus harbouring Enterotoxin A as a possible risk factor for multiple sclerosis exacerbations

Background: Staphylococcus aureus may produce superantigens that can non-specifically activate CD4+ cells to potentially target the myelin basic protein. Objective: This study examined the association between individuals with multiple sclerosis (MS) and colonization with S. aureus harbouring superan...

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Veröffentlicht in:Multiple sclerosis 2011-04, Vol.17 (4), p.397-403
Hauptverfasser: Mulvey, Michael R, Doupe, Malcolm, Prout, Michael, Leong, Christine, Hizon, Romeo, Grossberndt, Amy, Klowak, Meghann, Gupta, Aneri, Melanson, Maria, Gomori, Andrew, Esfahani, Farid, Klassen, Loressa, Frost, Emma E, Namaka, Michael
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container_end_page 403
container_issue 4
container_start_page 397
container_title Multiple sclerosis
container_volume 17
creator Mulvey, Michael R
Doupe, Malcolm
Prout, Michael
Leong, Christine
Hizon, Romeo
Grossberndt, Amy
Klowak, Meghann
Gupta, Aneri
Melanson, Maria
Gomori, Andrew
Esfahani, Farid
Klassen, Loressa
Frost, Emma E
Namaka, Michael
description Background: Staphylococcus aureus may produce superantigens that can non-specifically activate CD4+ cells to potentially target the myelin basic protein. Objective: This study examined the association between individuals with multiple sclerosis (MS) and colonization with S. aureus harbouring superantigens. Methods: Nasal swabs were collected from non-MS subjects and patients with MS who had not experienced a relapse in the past six months (MS stable group) and who had suffered a relapse within 30 days of study recruitment (MS exacerbation group). S. aureus was isolated from the anterior nares of participants following standard procedures and staphylococcal superantigen genes (sea, seb, and tsst-1) were detected using standard laboratory PCR techniques. Results: The study enrolled 204 patients, 80 in the non-MS and MS stable groups and 44 patients in the MS exacerbation group. Overall, 27.0% of patients were colonized with S. aureus with no significant differences identified between study groups. Amongst individuals colonized with S. aureus, the prevalence of sea was significantly greater in the MS exacerbation versus non-MS study group (p 
doi_str_mv 10.1177/1352458510391343
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Objective: This study examined the association between individuals with multiple sclerosis (MS) and colonization with S. aureus harbouring superantigens. Methods: Nasal swabs were collected from non-MS subjects and patients with MS who had not experienced a relapse in the past six months (MS stable group) and who had suffered a relapse within 30 days of study recruitment (MS exacerbation group). S. aureus was isolated from the anterior nares of participants following standard procedures and staphylococcal superantigen genes (sea, seb, and tsst-1) were detected using standard laboratory PCR techniques. Results: The study enrolled 204 patients, 80 in the non-MS and MS stable groups and 44 patients in the MS exacerbation group. Overall, 27.0% of patients were colonized with S. aureus with no significant differences identified between study groups. Amongst individuals colonized with S. aureus, the prevalence of sea was significantly greater in the MS exacerbation versus non-MS study group (p &lt; 0.05; odds ratio 7.9; 95% confidence interval 1.2–49.5). Conclusions: The ability to rapidly screen patients for the presence of S. aureus producing sea may serve as a useful marker of a potential MS exacerbation.</description><identifier>ISSN: 1352-4585</identifier><identifier>EISSN: 1477-0970</identifier><identifier>DOI: 10.1177/1352458510391343</identifier><identifier>PMID: 21212089</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Biological and medical sciences ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Enterotoxins - immunology ; Female ; Humans ; Logistic Models ; Male ; Medical sciences ; Middle Aged ; Multiple Sclerosis - immunology ; Multiple Sclerosis - microbiology ; Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis ; Nasal Cavity - immunology ; Neurology ; Risk Factors ; Staphylococcal Infections - immunology ; Staphylococcus aureus ; Staphylococcus aureus - immunology ; Superantigens - immunology</subject><ispartof>Multiple sclerosis, 2011-04, Vol.17 (4), p.397-403</ispartof><rights>The Author(s) 2011 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav</rights><rights>2015 INIST-CNRS</rights><rights>SAGE Publications © Apr 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c425t-c557e46d57d0d565ff5ad05b75b712501dda4d2b361c97fe68601ddfa7fba3853</citedby><cites>FETCH-LOGICAL-c425t-c557e46d57d0d565ff5ad05b75b712501dda4d2b361c97fe68601ddfa7fba3853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1352458510391343$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1352458510391343$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21818,27923,27924,43620,43621</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=24076826$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21212089$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mulvey, Michael R</creatorcontrib><creatorcontrib>Doupe, Malcolm</creatorcontrib><creatorcontrib>Prout, Michael</creatorcontrib><creatorcontrib>Leong, Christine</creatorcontrib><creatorcontrib>Hizon, Romeo</creatorcontrib><creatorcontrib>Grossberndt, Amy</creatorcontrib><creatorcontrib>Klowak, Meghann</creatorcontrib><creatorcontrib>Gupta, Aneri</creatorcontrib><creatorcontrib>Melanson, Maria</creatorcontrib><creatorcontrib>Gomori, Andrew</creatorcontrib><creatorcontrib>Esfahani, Farid</creatorcontrib><creatorcontrib>Klassen, Loressa</creatorcontrib><creatorcontrib>Frost, Emma E</creatorcontrib><creatorcontrib>Namaka, Michael</creatorcontrib><title>Staphylococcus aureus harbouring Enterotoxin A as a possible risk factor for multiple sclerosis exacerbations</title><title>Multiple sclerosis</title><addtitle>Mult Scler</addtitle><description>Background: Staphylococcus aureus may produce superantigens that can non-specifically activate CD4+ cells to potentially target the myelin basic protein. Objective: This study examined the association between individuals with multiple sclerosis (MS) and colonization with S. aureus harbouring superantigens. Methods: Nasal swabs were collected from non-MS subjects and patients with MS who had not experienced a relapse in the past six months (MS stable group) and who had suffered a relapse within 30 days of study recruitment (MS exacerbation group). S. aureus was isolated from the anterior nares of participants following standard procedures and staphylococcal superantigen genes (sea, seb, and tsst-1) were detected using standard laboratory PCR techniques. Results: The study enrolled 204 patients, 80 in the non-MS and MS stable groups and 44 patients in the MS exacerbation group. Overall, 27.0% of patients were colonized with S. aureus with no significant differences identified between study groups. Amongst individuals colonized with S. aureus, the prevalence of sea was significantly greater in the MS exacerbation versus non-MS study group (p &lt; 0.05; odds ratio 7.9; 95% confidence interval 1.2–49.5). Conclusions: The ability to rapidly screen patients for the presence of S. aureus producing sea may serve as a useful marker of a potential MS exacerbation.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Enterotoxins - immunology</subject><subject>Female</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multiple Sclerosis - immunology</subject><subject>Multiple Sclerosis - microbiology</subject><subject>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. 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Leukodystrophies. Prion diseases</topic><topic>Enterotoxins - immunology</topic><topic>Female</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multiple Sclerosis - immunology</topic><topic>Multiple Sclerosis - microbiology</topic><topic>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. 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Objective: This study examined the association between individuals with multiple sclerosis (MS) and colonization with S. aureus harbouring superantigens. Methods: Nasal swabs were collected from non-MS subjects and patients with MS who had not experienced a relapse in the past six months (MS stable group) and who had suffered a relapse within 30 days of study recruitment (MS exacerbation group). S. aureus was isolated from the anterior nares of participants following standard procedures and staphylococcal superantigen genes (sea, seb, and tsst-1) were detected using standard laboratory PCR techniques. Results: The study enrolled 204 patients, 80 in the non-MS and MS stable groups and 44 patients in the MS exacerbation group. Overall, 27.0% of patients were colonized with S. aureus with no significant differences identified between study groups. Amongst individuals colonized with S. aureus, the prevalence of sea was significantly greater in the MS exacerbation versus non-MS study group (p &lt; 0.05; odds ratio 7.9; 95% confidence interval 1.2–49.5). Conclusions: The ability to rapidly screen patients for the presence of S. aureus producing sea may serve as a useful marker of a potential MS exacerbation.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>21212089</pmid><doi>10.1177/1352458510391343</doi><tpages>7</tpages></addata></record>
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subjects Adult
Biological and medical sciences
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Enterotoxins - immunology
Female
Humans
Logistic Models
Male
Medical sciences
Middle Aged
Multiple Sclerosis - immunology
Multiple Sclerosis - microbiology
Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis
Nasal Cavity - immunology
Neurology
Risk Factors
Staphylococcal Infections - immunology
Staphylococcus aureus
Staphylococcus aureus - immunology
Superantigens - immunology
title Staphylococcus aureus harbouring Enterotoxin A as a possible risk factor for multiple sclerosis exacerbations
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