Abstract

Temperature and pH are known to vary in a wound site due to the immune response and subsequent healing processes. This study used a multifactorial design to examine the cellular responses of Staphylococcus aureus to hydrogen peroxide (0–100 mM) when bacteria were grown in temperatures of 37 ± 2 °C and pH 7 ± 1, conditions potentially encountered in wound sites. A centroid sample was included in the design which represented the mid-point values of all three environmental parameters (37 °C, pH 7, 50 mM H2O2). Cytoplasmic extracts and corresponding medium supernatants were analysed for amino acid composition by gas chromatography. Exposures of S. aureus to H2O2 during the inoculation process resulted in extended lag phases lasting well after the peroxide had been neutralised by the bacterium's antioxidant systems, after which the bacteria eventually resumed growth at equivalent rates to the controls. Even though the subsequent growth rates appeared normal, the cells exhibited a variant metabolic regime at the mid-exponential phase of growth as a result of the initial exposure to peroxide. The alterations in metabolism were reflected by the differential amino acid profiles measured in the cytoplasmic extracts (P < 0.0001). The data indicated that the metabolic responses to H2O2 challenge were uniquely different depending on the variations of temperature and pH. The uptake patterns of amino acids from the media also altered depending on prevailing environmental conditions. From these results, it was proposed that a specific reproducible homeostasis could be induced under a specific set of defined environmental conditions. It was also evident that early toxic insults on the bacterial culture could have lasting impacts on cellular homeostasis after successive generations, even after the offending chemical had been removed and initial cell integrity restored. It was concluded that metabolic homeostasis would be continually adjusting and responding to changing environmental conditions to deploy defensive proteins as well as optimising processes for survival. The powerful ability to continually and rapidly adapt to the environment may represent the key feature supporting the virulence of S. aureus as an opportunistic pathogen invading the wound site.

Highlights

  • The genus Staphylococcus contains several species responsible for many nosocomial and community attained infections

  • An initial experiment performed to test the impact of H2O2 concentrations in the range reported for wound sites (10e100 mM) on bacterial growth at the high cell densities in 200 mL cultures in a 96 well plate found no measurable impact on bacterial growth

  • Peroxide was still present after five days in the control sample which consisted of defined medium loaded with 50 mM H2O2 inoculated with sterile phosphate buffered saline (PBS)

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Summary

Introduction

The genus Staphylococcus contains several species responsible for many nosocomial and community attained infections. The coagulase positive Staphylococcus aureus is renowned for causing significant infections in humans resulting in high morbidity and mortality. Between 25e35% of all cases of infective endocarditis are associated with S. aureus infection (Durack et al, 1994; Selton-Suty et al, 2012) as well as a high proportion of nosocomial infections from indwelling medical devices (Guerrero et al, 2009; Tong et al, 2015). S. aureus has evolved with a range of virulence factors to support invasion, substrate utilisation and evasion of host defence systems. This includes an ability to exist within the host as an ongoing chronic infection, resisting host defence mechanisms, developing antibiotic resistance and residing as an intracellular infection in multiple tissue types (Proctor et al, 2015; von Eiff et al, 2006). S. aureus can be present as a commensal on human skin, but in the case of wounding or medical device insertion through the skin, the bacterium can take advantage of the physical break in the surface to invade tissues at the wound site (Foster, 2004)

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