title: In vitro ability of Staphylococcus aureus isolates from bacteraemic patients with and without metastatic complications to invade vascular endothelial cells.
abstract: Invasion of vascular endothelial cells is thought to be a critical step in the development of metastatic infections in patients with Staphylococcus aureus bacteraemia. This study was designed to evaluate the association between the ability to invade endothelial cells and metastatic infection by S. aureus. Patients with metastatic infection were identified among those with community-acquired S. aureus bacteraemia in a tertiary referral hospital. Patients with simple bacteraemia caused by S. aureus over the same period served as the control group. The ability of each clinical isolate to invade endothelial cells was evaluated by counting the number of intracellular organisms 1 h after inoculation onto human umbilical vein endothelial cells in vitro. The cytotoxic activity of intracellular S. aureus was determined 24 h after internalization, and expressed as the percentage of cells killed. The clinical isolates varied in invasiveness and cytotoxicity. The median invasiveness, relative to S. aureus reference strain ATCC 29213, was 145 % in the cases (n=10) [interquartile range (IQR) 103-160] and 153 % (IQR 111-173) in the controls (n=11; P=0.44). The median cytotoxicity was 59.4 % (IQR 47-68) in the cases and 65.2 % (IQR 50-74) in the controls (P=0.44). Differences in the ability of S. aureus to invade and destroy vascular endothelial cells in vitro were not associated with the development of metastatic complications in patients with S. aureus bacteraemia. This implies that the invasiveness and toxicity of S. aureus for endothelial cells may not be major determinants of metastatic infection.
authors: Department of Internal Medicine, Seoul National University College of Medicine, Seoul 110-744, Republic of Korea.
authors: Wan Beom
authors: WB
authors: Park
authors: Department of Internal Medicine, Seoul National University College of Medicine, Seoul 110-744, Republic of Korea.
authors: Sung Han
authors: SH
authors: Kim
authors: Department of Internal Medicine, Seoul National University College of Medicine, Seoul 110-744, Republic of Korea.
authors: Cheol-In
authors: CI
authors: Kang
authors: Department of Internal Medicine, Seoul National University College of Medicine, Seoul 110-744, Republic of Korea.
authors: Jae Hyun
authors: JH
authors: Cho
authors: Department of Internal Medicine, Seoul National University College of Medicine, Seoul 110-744, Republic of Korea.
authors: Ji Whan
authors: JW
authors: Bang
authors: Department of Internal Medicine, Seoul National University College of Medicine, Seoul 110-744, Republic of Korea.
authors: Kyoung Wha
authors: KW
authors: Park
authors: National Institute of Health, Korea Center for Diseases Control and Prevention, Seoul 122-701, Republic of Korea.
authors: Yeong Seon
authors: YS
authors: Lee
authors: Department of Internal Medicine, Seoul National University College of Medicine, Seoul 110-744, Republic of Korea.
authors: Nam Joong
authors: NJ
authors: Kim
authors: Department of Internal Medicine, Seoul National University College of Medicine, Seoul 110-744, Republic of Korea.
authors: Myoung-Don
authors: MD
authors: Oh
authors: Department of Internal Medicine, Seoul National University College of Medicine, Seoul 110-744, Republic of Korea.
authors: Hong Bin
authors: HB
authors: Kim
authors: Department of Internal Medicine, Seoul National University College of Medicine, Seoul 110-744, Republic of Korea.
authors: Kang
authors: K
authors: Won Choe
mesh_terms: D000328:Adult; D000368:Aged; D016470:Bacteremia / Q000382:microbiology*; D015169:Colony Count, Microbial; D017714:Community-Acquired Infections / Q000382:microbiology; D003593:Cytoplasm / Q000382:microbiology; D042783:Endothelial Cells / Q000382:microbiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013203:Staphylococcal Infections / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000302:isolation & purification / Q000472:pathogenicity*