specific behavior of Staphylococcus lugdunensis

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Homogeneous behavior for the internalization ability in osteoblasts. - Biofilm formation capacities of S. lugdunensis species show a high intra-species variability.
Pathophysiological mechanisms of bone and joint infections of coagulase negative staphylococci: specific behavior of Staphylococcus lugdunensis Y. MAALI, L. D'ANTHOUARD, P. MARTINS-SIMÔES, A. MONTEIX, F. VALOUR, F. VANDENESCH, T. FERRY, F. LAURENT, S. TROUILLET-ASSANT

Results

Introduction

0.8

Intracellular bacteria (% of inoculum)

*** Optical density (620 nm)

0.4

0.2

=5 )

7)

Non-producer Weak-producer Moderate-producer High-producer

Origin

ST

BJI

41

BJI

41

Carriage

41

Carriage

44

BJI

44

BJI

44

BJI

25

Carriage

27

Carriage

27

Carriage

27

Carriage

27

Carriage

27

Carriage

29

BJI

29

Carriage

46

Carriage

38

Carriage

38

BJI

38

0.5

(n

0.0

0.6

0.4

0.2

7) (n = JI

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B

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S.

S.

Biofilm

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Figure 1 : The invasion of MG-63 cells was assessed by quantifying the viable intracellular bacterial loads at 3h postinfection after gentamicin treatment.

Optical density (620 nm)

Figure 3 : Biofilm formation by S. lugdunensis. A. Comparison of biofilm formation capacities between carriages and BJI strains. B. Multilocus sequence typing of S. lugdunensis isolates associated with their biofilm formation profiles. The strains are classified from non-producer to strong producer using the classification of Christensen et al., J Clin Microbiol, 1985.

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• Internalization capacity of each strain evaluated in MG63 osteoblasts using an in-vitro "Gentamicin protection assay" infection model. • Mature biofilm formation capacity measured in vitro using crystal violet staining after 24h of incubation. • Original data concerning the biofilm formation capacity of S. lugdunensis collected from BJI led us to integrate 10 S. lugdunensis strains isolated from nasal carriage as comparators. • Finally, the genetic diversity of S. lugdunensis isolates was analyzed using MLST (Multilocus sequence typing).

B

0.6

Procedures overview • Clinical strains collected from monomicrobial BJI were studied: S. epidermidis (n = 5), S. haemolyticus (n = 3), S. lugdunensis (n = 7), S. capitis (n = 5), S. caprae (n = 5), S. warneri (n = 5).

A

Bacterial Invasion

pi tis

Associated to significant morbidity and mortality rates, bone and joint infections (BJI) are mainly due to staphylococci representing more than 60% of cases. Concerning S. aureus, two mechanisms of virulence have been associated with therapeutic failures: (i) internalization in non-professional phagocytic cells (NPPc), and (ii) biofilm formation. Conversely, little is known about the pathophysiological mechanisms of Coagulase-Negative Staphylococci (CoNS) involved in BJI despite their high prevalence. In this context, we decided to explore them.

- Homogeneous behavior for the internalization ability in osteoblasts. - Biofilm formation capacities of S. lugdunensis species show a high intra-species variability. - S. lugdunensis isolates collected from carriage have a significantly higher biofilm formation capacity than the clinical strains responsible for BJI (p