title: Interactions of methicillin resistant Staphylococcus aureus USA300 and Pseudomonas aeruginosa in polymicrobial wound infection.
abstract: Understanding the pathology resulting from Staphylococcus aureus and Pseudomonas aeruginosa polymicrobial wound infections is of great importance due to their ubiquitous nature, increasing prevalence, growing resistance to antimicrobial agents, and ability to delay healing. Methicillin-resistant S. aureus USA300 is the leading cause of community-associated bacterial infections resulting in increased morbidity and mortality. We utilized a well-established porcine partial thickness wound healing model to study the synergistic effects of USA300 and P. aeruginosa on wound healing. Wound re-epithelialization was significantly delayed by mixed-species biofilms through suppression of keratinocyte growth factor 1. Pseudomonas showed an inhibitory effect on USA300 growth in vitro while both species co-existed in cutaneous wounds in vivo. Polymicrobial wound infection in the presence of P. aeruginosa resulted in induced expression of USA300 virulence factors Panton-Valentine leukocidin and α-hemolysin. These results provide evidence for the interaction of bacterial species within mixed-species biofilms in vivo and for the first time, the contribution of virulence factors to the severity of polymicrobial wound infections.
authors: Department of Dermatology and Cutaneous Surgery, Wound Healing and Regenerative Medicine Research Program, University of Miami Miller School of Medicine, Miami, Florida, United States of America.
authors: Irena
authors: I
authors: Pastar
authors: Aron G
authors: AG
authors: Nusbaum
authors: Joel
authors: J
authors: Gil
authors: Shailee B
authors: SB
authors: Patel
authors: Juan
authors: J
authors: Chen
authors: Jose
authors: J
authors: Valdes
authors: Olivera
authors: O
authors: Stojadinovic
authors: Lisa R
authors: LR
authors: Plano
authors: Marjana
authors: M
authors: Tomic-Canic
authors: Stephen C
authors: SC
authors: Davis
mesh_terms: D000818:Animals; D018441:Biofilms / Q000254:growth & development; D005260:Female; D007150:Immunohistochemistry; D055624:Methicillin-Resistant Staphylococcus aureus / Q000472:pathogenicity*; D011550:Pseudomonas aeruginosa / Q000472:pathogenicity*; D060888:Real-Time Polymerase Chain Reaction; D013203:Staphylococcal Infections / Q000378:metabolism; D013552:Swine; D037521:Virulence Factors / Q000235:genetics / Q000378:metabolism; D014946:Wound Infection / Q000378:metabolism / Q000382:microbiology*
chemical_list: D037521:Virulence Factors