Abstract

Although herpes simplex virus type-1 (HSV-1), and type-2 (HSV-2), Staphylococcus aureus and Candida albicans co-habit the oral and genital mucosa, their interaction is poorly understood. We determined the effect HSV has on bacterial and/or fungal adherence, the initial step in biofilm formation. HeLa229 cells were infected with HSV-1 (KOS) gL86 or HSV-2 (KOS) 333gJ− at a multiplicity of infection (MOI) of 50 and 10. S. aureus (ATCC 25923) and/or C. albicans (yeast forms or germ tube forms) were co-incubated for 30 min (37 °C; 5 % CO2; 5:1 organism: HeLa cell ratio; n = 16) with virus-infected HeLa cells or uninfected HeLa cell controls. Post-incubation, the monolayers were washed (3x; PBS), lysed (RIPA), and the lysate plated onto Fungisel and/or mannitol salts agar for standard colony count. The level of HeLa-associated S. aureus was significantly decreased (P < 0.05) for both HSV-1- and HSV-2-infected cells, as compared to virus-free HeLa cell controls (38 and 59 % of control, respectively). In contrast, HSV-1 and HSV-2 significantly (P < 0.05) enhanced HeLa cell association of C. albicans yeast forms and germ tube approximately two-fold, respectively. The effect of S. aureus on germ tube and yeast form adherence to HSV-1- and HSV-2-infected cells was specific for the Candida phenotype tested. Our study suggests that HSV, while antagonist towards S. aureus adherence enhances Candida adherence. Furthermore, the combination of the three pathogens results in S. aureus adherence that is either unaffected, or partially restored depending on both the herpes viral species and the fungal phenotype present.

Highlights

  • Adherence to cell surfaces is an essential initial stage in microbial colonization and subsequent biofilm formation [58, 77]

  • At the highest virus concentration (MOI 50) the level of S. aureus adhered to uninfected HeLa cells (24.2 CFU/well ± 3.19; n = 16) was significantly higher (2.7-fold; P \ 0.05) than that measured for S. aureus adherence to herpes simplex virus type-1 (HSV-1)-infected HeLa cells (9.1 ± 1.1 CFU/well)

  • Co-incubation of S. aureus with C. albicans germ tube (GT) forms restored the level of S. aureus adherence to Herpes Simplex Virus (HSV)-1 and HSV-2-infected HeLa cells to that measured for uninfected HeLa cell controls

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Summary

Introduction

Adherence to cell surfaces is an essential initial stage in microbial colonization and subsequent biofilm formation [58, 77]. Shared sites of persistent colonization and chronic infection for Staphylococcus aureus, Candida albicans, and HSV are the oronasopharynx and genital tract. Of the various sites of S. aureus and C. albicans co-colonization, the oronasopharynx serves as the reservoir for systemic infections [44]. S. aureus, C. albicans, and HSV occupy two distinct geographic niches. The oral mucosa is shared by HSV and C. albicans, while the anterior nasal nares are occupied by S. aureus [21]. Little is known concerning genital tract co-colonization niches beyond the clinical findings that S. aureus infection is associated with genital inflammation, discharge, and dyspareunia, while C. albicans and HSV produce mucosal lesions similar to those observed in the oral cavity [25, 39, B. Plotkin et al.: Herpes Simplex Virus (HSV) Modulation of Staphylococcus aureus

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