PMID- 15056227 OWN - NLM STAT- MEDLINE DCOM- 20040420 LR - 20111117 IS - 0903-4641 (Print) IS - 0903-4641 (Linking) VI - 112 IP - 2 DP - 2004 Feb TI - Staphylococcus aureus, but not Staphylococcus epidermidis, modulates the oxidative response and induces apoptosis in human neutrophils. PG - 109-18 AB - S. epidermidis is the most common isolate in foreign body infections. The aim of this study was to understand why S. epidermidis causes silent biomaterial infections. In view of the divergent inflammatory responses S. epidermidis and S. aureus cause in patients, we analyzed how they differ when interacting with human neutrophils. Neutrophils interacting with S. epidermidis strains isolated either from granulation tissue covering infected hip prostheses or from normal skin flora were tested by measuring the oxidative response as chemiluminescence and apoptosis as annexin V binding. Different S. aureus strains were tested in parallel. All S. epidermidis tested were unable to modulate the oxidative reaction in response to formyl-methionyl-leucyl-phenylalanine (fMLP) and did not provoke, but rather inhibited, apoptosis. In contrast, some S. aureus strains enhanced the oxidative reaction, and this priming capacity was linked to p38-mitogen-activated-protein-kinase (p38-MAPK) activation and induction of apoptosis. Our results may explain why S. epidermidis is a weak inducer of inflammation compared to S. aureus, and therefore responsible for the indolent and chronic course of S. epidermidis biomaterial infections. FAU - Nilsdotter-Augustinsson, Asa AU - Nilsdotter-Augustinsson A AD - Division of Infectious Diseases, Department of Molecular and Clinical Medicine, Linkoping University, Linkoping, Sweden. asa.nilsdotter@lio.se FAU - Wilsson, Asa AU - Wilsson A FAU - Larsson, Jenny AU - Larsson J FAU - Stendahl, Olle AU - Stendahl O FAU - Ohman, Lena AU - Ohman L FAU - Lundqvist-Gustafsson, Helen AU - Lundqvist-Gustafsson H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Denmark TA - APMIS JT - APMIS : acta pathologica, microbiologica, et immunologica Scandinavica JID - 8803400 RN - 0 (Annexin A5) RN - 0 (Biocompatible Materials) RN - EC 2.7.11.24 (Mitogen-Activated Protein Kinases) RN - EC 2.7.11.24 (p38 Mitogen-Activated Protein Kinases) SB - IM MH - Annexin A5/metabolism MH - Apoptosis/*immunology MH - Biocompatible Materials MH - Blotting, Western MH - Humans MH - Luminescent Measurements MH - Mitogen-Activated Protein Kinases/immunology MH - Neutrophils/immunology/metabolism/*microbiology MH - Phagocytosis/immunology MH - Prosthesis-Related Infections/microbiology MH - Respiratory Burst/*immunology MH - Staphylococcal Infections/immunology/*microbiology MH - Staphylococcus aureus/immunology/*pathogenicity MH - Staphylococcus epidermidis/immunology/*pathogenicity MH - Statistics, Nonparametric MH - p38 Mitogen-Activated Protein Kinases EDAT- 2004/04/02 05:00 MHDA- 2004/04/21 05:00 CRDT- 2004/04/02 05:00 PHST- 2004/04/02 05:00 [pubmed] PHST- 2004/04/21 05:00 [medline] PHST- 2004/04/02 05:00 [entrez] AID - APMapm1120205 [pii] AID - 10.1111/j.1600-0463.2004.apm1120205.x [doi] PST - ppublish SO - APMIS. 2004 Feb;112(2):109-18. doi: 10.1111/j.1600-0463.2004.apm1120205.x.