title: Staphylococcus aureus induces tissue factor expression in cultured human cardiac valve endothelium.
abstract: In vitro infection of cultured human cardiac valve endothelium (HCVE) with Staphylococcus aureus was used as a model to study potential mechanisms of vegetation formation in infective endocarditis. S. aureus was observed to adhere to and be ingested by HCVE. Infection for 8 h resulted in increased levels of procoagulant activity in HCVE, shown to be tissue factor by a specific assay. Mean activity in infected HCVE was 662 +/- 149 (mU/10(5) HCVE +/- 1 SD) versus 221 +/- 78 in control HCVE; surface-expressed activity was 57 +/- 25 in infected monolayers and undetectable (less than or equal to 10) in controls. Bacteria alone had no activity. These results suggest that endothelium may have a functional role in the pathogenesis of S. aureus endocarditis and may provide one potential mechanism for activating coagulation to initiate vegetation formation on a colonized cardiac valve.
authors.affiliation: Department of Pathology, UCLA School of Medicine 90024-1732.
authors.forename: T A
authors.initials: TA
authors.lastname: Drake
authors.forename: M
authors.initials: M
authors.lastname: Pang
mesh_terms: D002470:Cell Survival; D046508:Culture Techniques; D004696:Endocarditis / Q000382:microbiology / Q000473:pathology / Q000503:physiopathology; D004727:Endothelium / Q000382:microbiology; D006351:Heart Valves / Q000382:microbiology*; D006801:Humans; D008854:Microscopy, Electron; D013203:Staphylococcal Infections / Q000473:pathology / Q000503:physiopathology*; D013925:Thromboplastin / Q000096:biosynthesis*; D013997:Time Factors
chemical_list: D013925:Thromboplastin