Skip to main content
Top
Published in: Journal of Orthopaedic Surgery and Research 1/2019

Open Access 01-12-2019 | Osteomyelitis | Research article

Virulence of methicillin-resistant Staphylococcus aureus modulated by the YycFG two-component pathway in a rat model of osteomyelitis

Authors: Shizhou Wu, Yunjie Liu, Lei Lei, Hui Zhang

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2019

Login to get access

Abstract

Objectives

Methicillin-resistant Staphylococcus aureus (MRSA) strains present an urgent medical problem in osteomyelitis cases. Our previous study indicated that the YycFG two-component regulatory pathway is associated with the bacterial biofilm organization of MRSA strains. The aim of this study was to investigate the regulatory roles of ASyycG in the bacterial biofilm formation and the pathogenicity of MRSA strains using an antisense RNA strategy.

Methods

An ASyycG-overexpressing MRSA clinical isolate was constructed. The bacterial growth was monitored, and the biofilm biomass on bone specimens was examined using scanning electron microscopy and confocal laser scanning microscopy. Furthermore, quantitative RT-PCR (QRT-PCR) analysis was used to measure the expression of yycF/G/H and icaA/D in the MRSA and ASyycG strains. The expression of the YycG protein was quantified by Western blot assays. We validated the role of ASyycG in the invasive ability and pathogenicity of the strains in vivo using histology and peptide nucleic acid fluorescent in situ hybridization.

Results

The results showed that overexpression of ASyycG lead to a reduction in biofilm formation and exopolysaccharide (EPS) synthesis compared to the control MRSA strains. The ASyycG strains exhibited decreased expression of the yycF/G/H and icaA/D genes. Furthermore, Western blot data showed that the production of the YycG protein was inhibited in the ASyycG strains. In addition, we demonstrated that ASyycG suppressed the invasive ability and pathogenicity of the strain in vivo using an SPF (specific pathogen free) rat model.

Conclusion

In summary, the overexpression of ASyycG leads to a reduction in biofilm formation and bacterial pathogenicity in vivo, which provides a potential target for the management of MRSA-induced osteomyelitis.
Appendix
Available only for authorised users
Literature
1.
go back to reference Parsons B, Strauss E. Surgical management of chronic osteomyelitis. Am J Surg. 2004;188:57–66.CrossRef Parsons B, Strauss E. Surgical management of chronic osteomyelitis. Am J Surg. 2004;188:57–66.CrossRef
2.
go back to reference Penn-Barwell JG, Bennett PM, Mortiboy DE, Fries CA, Groom AF, Sargeant ID. Factors influencing infection in 10 years of battlefield open tibia fractures. Strategies Trauma Limb Reconstr. 2016;11:13–8.CrossRef Penn-Barwell JG, Bennett PM, Mortiboy DE, Fries CA, Groom AF, Sargeant ID. Factors influencing infection in 10 years of battlefield open tibia fractures. Strategies Trauma Limb Reconstr. 2016;11:13–8.CrossRef
3.
go back to reference Boxma H, Broekhuizen T, Patka P, Oosting H. Randomised controlled trial of single-dose antibiotic prophylaxis in surgical treatment of closed fractures: the Dutch Trauma Trial. Lancet. 1996;347:1133–7.CrossRef Boxma H, Broekhuizen T, Patka P, Oosting H. Randomised controlled trial of single-dose antibiotic prophylaxis in surgical treatment of closed fractures: the Dutch Trauma Trial. Lancet. 1996;347:1133–7.CrossRef
4.
go back to reference Lima AL, Oliveira PR, Carvalho VC, Cimerman S, Savio E; Diretrizes Panamericanas para el Tratamiento de las Osteomielitis e Infecciones de Tejidos Blandos Group. Recommendations for the treatment of osteomyelitis. Braz J Infect Dis 2014; 18: 526–534.CrossRef Lima AL, Oliveira PR, Carvalho VC, Cimerman S, Savio E; Diretrizes Panamericanas para el Tratamiento de las Osteomielitis e Infecciones de Tejidos Blandos Group. Recommendations for the treatment of osteomyelitis. Braz J Infect Dis 2014; 18: 526–534.CrossRef
5.
go back to reference Darouiche RO. Treatment of infections associated with surgical implants. N Engl J Med. 2004;350:1422–9.CrossRef Darouiche RO. Treatment of infections associated with surgical implants. N Engl J Med. 2004;350:1422–9.CrossRef
6.
go back to reference Jenkins A, Diep BA, Mai TT, Vo NH, Warrener P, Suzich J, Stover CK, Sellman BR. Differential expression and roles of Staphylococcus aureus virulence determinants during colonization and disease. MBio. 2015;6:e02272–14.CrossRef Jenkins A, Diep BA, Mai TT, Vo NH, Warrener P, Suzich J, Stover CK, Sellman BR. Differential expression and roles of Staphylococcus aureus virulence determinants during colonization and disease. MBio. 2015;6:e02272–14.CrossRef
7.
go back to reference Metsemakers WJ, Kuehl R, Moriarty TF, Richards RG, Verhofstad MHJ, Borens O, Kates S, Morgenstern M. Infection after fracture fixation: current surgical and microbiological concepts. Injury. 2018;49:511–22.CrossRef Metsemakers WJ, Kuehl R, Moriarty TF, Richards RG, Verhofstad MHJ, Borens O, Kates S, Morgenstern M. Infection after fracture fixation: current surgical and microbiological concepts. Injury. 2018;49:511–22.CrossRef
8.
go back to reference Kwok KO, Read JM, Tang A, Chen H, Riley S, Kam KM. A systematic review of transmission dynamic studies of methicillin-resistant Staphylococcus aureus in non-hospital residential facilities. BMC Infect Dis. 2018;18:188.CrossRef Kwok KO, Read JM, Tang A, Chen H, Riley S, Kam KM. A systematic review of transmission dynamic studies of methicillin-resistant Staphylococcus aureus in non-hospital residential facilities. BMC Infect Dis. 2018;18:188.CrossRef
9.
go back to reference Lee BY, Wiringa AE, Bailey RR, Lewis GJ, Feura J, Muder RR. Staphylococcus aureus vaccine for orthopedic patients: an economic model and analysis. Vaccine. 2010;28:2465–71.CrossRef Lee BY, Wiringa AE, Bailey RR, Lewis GJ, Feura J, Muder RR. Staphylococcus aureus vaccine for orthopedic patients: an economic model and analysis. Vaccine. 2010;28:2465–71.CrossRef
10.
go back to reference Reizner W, Hunter JG, O'Malley NT, Southgate RD, Schwarz EM, Kates SL. A systematic review of animal models for Staphylococcus aureus osteomyelitis. Eur Cell Mater. 2014;27:196–212.CrossRef Reizner W, Hunter JG, O'Malley NT, Southgate RD, Schwarz EM, Kates SL. A systematic review of animal models for Staphylococcus aureus osteomyelitis. Eur Cell Mater. 2014;27:196–212.CrossRef
11.
go back to reference Parish T. Two-component regulatory systems of mycobacteria. Microbiol Spectr. 2014;2:MGM2–0010-2013.CrossRef Parish T. Two-component regulatory systems of mycobacteria. Microbiol Spectr. 2014;2:MGM2–0010-2013.CrossRef
12.
go back to reference Dubrac S, Bisicchia P, Devine KM, Msadek T. A matter of life and death: cell wall homeostasis and the WalKR (YycGF) essential signal transduction pathway. Mol Microbiol. 2008;70:1307–22.CrossRef Dubrac S, Bisicchia P, Devine KM, Msadek T. A matter of life and death: cell wall homeostasis and the WalKR (YycGF) essential signal transduction pathway. Mol Microbiol. 2008;70:1307–22.CrossRef
13.
go back to reference Dubrac S, Msadek T. Tearing down the wall: peptidoglycan metabolism and the WalK/WalR (YycG/ YycF) essential two-component system. Adv Exp Med Biol. 2008;631:214–28.CrossRef Dubrac S, Msadek T. Tearing down the wall: peptidoglycan metabolism and the WalK/WalR (YycG/ YycF) essential two-component system. Adv Exp Med Biol. 2008;631:214–28.CrossRef
14.
go back to reference Flemming HC, Wingender J, Szewzyk U, Steinberg P, Rice SA, Kjelleberg S. Biofilms: an emergent form of bacterial life. Nat Rev Microbiol. 2016;14:563–75.CrossRef Flemming HC, Wingender J, Szewzyk U, Steinberg P, Rice SA, Kjelleberg S. Biofilms: an emergent form of bacterial life. Nat Rev Microbiol. 2016;14:563–75.CrossRef
15.
go back to reference O'Gara JP. Ica and beyond: biofilm mechanisms and regulation in Staphylococcus epidermidis and Staphylococcus aureus. FEMS Microbiol Lett. 2007;27:179–88.CrossRef O'Gara JP. Ica and beyond: biofilm mechanisms and regulation in Staphylococcus epidermidis and Staphylococcus aureus. FEMS Microbiol Lett. 2007;27:179–88.CrossRef
16.
go back to reference Wu S, Huang F, Zhang H, Lei L. Staphylococcus aureus biofilm organization modulated by YycFG two-component regulatory pathway. J Orthop Surg Res. 2019;14:10.CrossRef Wu S, Huang F, Zhang H, Lei L. Staphylococcus aureus biofilm organization modulated by YycFG two-component regulatory pathway. J Orthop Surg Res. 2019;14:10.CrossRef
17.
go back to reference Bai H, Sang G, You Y, Xue X, Zhou Y, Hou Z, Meng J, Luo X. Targeting RNA polymerase primary sigma as a therapeutic strategy against methicillin-resistant Staphylococcus aureus by antisense peptide nucleic acid. PLoS One. 2012;7:e29886.CrossRef Bai H, Sang G, You Y, Xue X, Zhou Y, Hou Z, Meng J, Luo X. Targeting RNA polymerase primary sigma as a therapeutic strategy against methicillin-resistant Staphylococcus aureus by antisense peptide nucleic acid. PLoS One. 2012;7:e29886.CrossRef
18.
go back to reference Lei L, Stipp RN, Chen T, Wu SZ, Hu T, Duncan MJ. Activity of Streptococcus mutans VicR is modulated by antisense RNA. J Dent Res. 2018;97:1477–84.CrossRef Lei L, Stipp RN, Chen T, Wu SZ, Hu T, Duncan MJ. Activity of Streptococcus mutans VicR is modulated by antisense RNA. J Dent Res. 2018;97:1477–84.CrossRef
19.
go back to reference Hassani Besheli N, Mottaghitalab F, Eslami M, Gholami M, Kundu SC, Kaplan DL, Farokhi M. Sustainable release of vancomycin from silk fibroin nanoparticles for treating severe bone infections in a rat tibia osteomyelitis model. ACS Appl Mater Interfaces. 2017;9:5128–38.CrossRef Hassani Besheli N, Mottaghitalab F, Eslami M, Gholami M, Kundu SC, Kaplan DL, Farokhi M. Sustainable release of vancomycin from silk fibroin nanoparticles for treating severe bone infections in a rat tibia osteomyelitis model. ACS Appl Mater Interfaces. 2017;9:5128–38.CrossRef
20.
go back to reference Lovati AB, Bottagisio M, Maraldi S, Violatto MB, Bortolin M, De Vecchi E, Bigini P, Drago L, Romanò CL. Vitamin E phosphate coating stimulates bone deposition in implant-related infections in a rat model. Clin Orthop Relat Res. 2018;476:1324–38.CrossRef Lovati AB, Bottagisio M, Maraldi S, Violatto MB, Bortolin M, De Vecchi E, Bigini P, Drago L, Romanò CL. Vitamin E phosphate coating stimulates bone deposition in implant-related infections in a rat model. Clin Orthop Relat Res. 2018;476:1324–38.CrossRef
21.
go back to reference Inzana JA, Schwarz EM, Kates SL, Awad HA. A novel murine model of established staphylococcal bone infection in the presence of a fracture fixation plate to study therapies utilizing antibiotic-laden spacers after revision surgery. Bone. 2015;72:128–36.CrossRef Inzana JA, Schwarz EM, Kates SL, Awad HA. A novel murine model of established staphylococcal bone infection in the presence of a fracture fixation plate to study therapies utilizing antibiotic-laden spacers after revision surgery. Bone. 2015;72:128–36.CrossRef
22.
go back to reference Wu S, Liu Y, Zhang H, Lei L. The susceptibility to calcium hydroxide modulated by the essential walR gene reveals the role for Enterococcus faecalis biofilm aggregation. J Endod. 2019;45:295–301.CrossRef Wu S, Liu Y, Zhang H, Lei L. The susceptibility to calcium hydroxide modulated by the essential walR gene reveals the role for Enterococcus faecalis biofilm aggregation. J Endod. 2019;45:295–301.CrossRef
23.
go back to reference Scherr TD, Roux CM, Hanke ML. Global transcriptome analysis of Staphylococcus aureus biofilms in response to innate immune cells. Infect Immun. 2013;81:4363–76.CrossRef Scherr TD, Roux CM, Hanke ML. Global transcriptome analysis of Staphylococcus aureus biofilms in response to innate immune cells. Infect Immun. 2013;81:4363–76.CrossRef
24.
go back to reference Chait R, Craney A, Kishony R. Antibiotic interactions that select against resistance. Nature. 2007;446:668–71.CrossRef Chait R, Craney A, Kishony R. Antibiotic interactions that select against resistance. Nature. 2007;446:668–71.CrossRef
25.
go back to reference Ahmadrajabi R, Layegh-Khavidaki S, Kalantar-Neyestanaki D, Fasihi Y. Molecular analysis of immune evasion cluster (IEC) genes and intercellular adhesion gene cluster (ICA) among methicillin-resistant and methicillin-sensitive isolates of Staphylococcus aureus. J Prev Med Hyg. 2017;58:E308–14.PubMedPubMedCentral Ahmadrajabi R, Layegh-Khavidaki S, Kalantar-Neyestanaki D, Fasihi Y. Molecular analysis of immune evasion cluster (IEC) genes and intercellular adhesion gene cluster (ICA) among methicillin-resistant and methicillin-sensitive isolates of Staphylococcus aureus. J Prev Med Hyg. 2017;58:E308–14.PubMedPubMedCentral
26.
go back to reference Arciola CR, Campoccia D, Ravaioli S, Montanaro L. Polysaccharide intercellular adhesin in biofilm: structural and regulatory aspects. Front Cell Infect Microbiol. 2015;5:7.CrossRef Arciola CR, Campoccia D, Ravaioli S, Montanaro L. Polysaccharide intercellular adhesin in biofilm: structural and regulatory aspects. Front Cell Infect Microbiol. 2015;5:7.CrossRef
27.
go back to reference ter Boo GJ, Grijpma DW, Moriarty TF, Richards RG, Eglin D. Antimicrobial delivery systems for local infection prophylaxis in orthopedic- and trauma surgery. Biomaterials. 2015;52:113–25.CrossRef ter Boo GJ, Grijpma DW, Moriarty TF, Richards RG, Eglin D. Antimicrobial delivery systems for local infection prophylaxis in orthopedic- and trauma surgery. Biomaterials. 2015;52:113–25.CrossRef
28.
go back to reference Josse J, Velard F, Gangloff SC. Staphylococcus aureus vs. osteoblast: relationship and consequences in osteomyelitis. Front Cell Infect Microbiol. 2015;5:85.CrossRef Josse J, Velard F, Gangloff SC. Staphylococcus aureus vs. osteoblast: relationship and consequences in osteomyelitis. Front Cell Infect Microbiol. 2015;5:85.CrossRef
29.
go back to reference Suligoy CM, Lattar SM, Noto Llana M, González CD, Alvarez LP, Robinson DA, Gómez MI, Buzzola FR, Sordelli DO. Mutation of Agr is associated with the adaptation of Staphylococcus aureus to the host during chronic osteomyelitis. Front Cell Infect Microbiol. 2018;8:18.CrossRef Suligoy CM, Lattar SM, Noto Llana M, González CD, Alvarez LP, Robinson DA, Gómez MI, Buzzola FR, Sordelli DO. Mutation of Agr is associated with the adaptation of Staphylococcus aureus to the host during chronic osteomyelitis. Front Cell Infect Microbiol. 2018;8:18.CrossRef
Metadata
Title
Virulence of methicillin-resistant Staphylococcus aureus modulated by the YycFG two-component pathway in a rat model of osteomyelitis
Authors
Shizhou Wu
Yunjie Liu
Lei Lei
Hui Zhang
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Osteomyelitis
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2019
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/s13018-019-1508-z

Other articles of this Issue 1/2019

Journal of Orthopaedic Surgery and Research 1/2019 Go to the issue