PMID- 11553573 OWN - NLM STAT- MEDLINE DCOM- 20011025 LR - 20181113 IS - 0019-9567 (Print) IS - 1098-5522 (Electronic) IS - 0019-9567 (Linking) VI - 69 IP - 10 DP - 2001 Oct TI - Reassessing the role of Staphylococcus aureus clumping factor and fibronectin-binding protein by expression in Lactococcus lactis. PG - 6296-302 AB - Since Staphylococcus aureus expresses multiple pathogenic factors, studying their individual roles in single-gene-knockout mutants is difficult. To circumvent this problem, S. aureus clumping factor A (clfA) and fibronectin-binding protein A (fnbA) genes were constitutively expressed in poorly pathogenic Lactococcus lactis using the recently described pOri23 vector. The recombinant organisms were tested in vitro for their adherence to immobilized fibrinogen and fibronectin and in vivo for their ability to infect rats with catheter-induced aortic vegetations. In vitro, both clfA and fnbA increased the adherence of lactococci to their specific ligands to a similar extent as the S. aureus gene donor. In vivo, the minimum inoculum size producing endocarditis in > or =80% of the rats (80% infective dose [ID80]) with the parent lactococcus was > or =10(7) CFU. In contrast, clfA-expressing and fnbA-expressing lactococci required only 10(5) CFU to infect the majority of the animals (P < 0.00005). This was comparable to the infectivities of classical endocarditis pathogens such as S. aureus and streptococci (ID80 = 10(4) to 10(5) CFU) in this model. The results confirmed the role of clfA in endovascular infection, but with a much higher degree of confidence than with single-gene-inactivated staphylococci. Moreover, they identified fnbA as a critical virulence factor of equivalent importance. This was in contrast to previous studies that produced controversial results regarding this very determinant. Taken together, the present observations suggest that if antiadhesin therapy were to be developed, at least both of the clfA and fnbA products should be blocked for the therapy to be effective. FAU - Que, Y A AU - Que YA AD - Division of Infectious Diseases, Department of Internal Medicine, Centre Hospitalier Universitaire Vaudois, 1011 Lausanne, Switzerland. FAU - Francois, P AU - Francois P FAU - Haefliger, J A AU - Haefliger JA FAU - Entenza, J M AU - Entenza JM FAU - Vaudaux, P AU - Vaudaux P FAU - Moreillon, P AU - Moreillon P LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Infect Immun JT - Infection and immunity JID - 0246127 RN - 0 (Adhesins, Bacterial) RN - 0 (Bacterial Proteins) RN - 0 (Carrier Proteins) RN - 0 (Coagulase) RN - 0 (Fibronectins) RN - 0 (fibronectin-binding proteins, bacterial) RN - 9001-31-4 (Fibrin) RN - 9001-32-5 (Fibrinogen) SB - IM MH - Adhesins, Bacterial/genetics/*physiology MH - Amino Acid Sequence MH - Animals MH - Bacterial Adhesion MH - Bacterial Proteins/genetics/*physiology MH - Blood Platelets/metabolism MH - Carrier Proteins/genetics/*physiology MH - Coagulase/genetics/*physiology MH - Disease Models, Animal MH - Endocarditis, Bacterial/*microbiology MH - Female MH - Fibrin/metabolism MH - Fibrinogen/metabolism MH - Fibronectins/metabolism MH - Gene Expression MH - Humans MH - Lactococcus lactis/genetics/*pathogenicity MH - Molecular Sequence Data MH - Rats MH - Rats, Wistar MH - *Staphylococcus aureus/genetics PMC - PMC98764 EDAT- 2001/09/13 10:00 MHDA- 2001/10/26 10:01 PMCR- 2001/10/01 CRDT- 2001/09/13 10:00 PHST- 2001/09/13 10:00 [pubmed] PHST- 2001/10/26 10:01 [medline] PHST- 2001/09/13 10:00 [entrez] PHST- 2001/10/01 00:00 [pmc-release] AID - 0442 [pii] AID - 10.1128/IAI.69.10.6296-6302.2001 [doi] PST - ppublish SO - Infect Immun. 2001 Oct;69(10):6296-302. doi: 10.1128/IAI.69.10.6296-6302.2001.