Highlights

  • Staphylococcus aureus is an opportunistic bacterial pathogen responsible for a diverse spectrum of diseases including mastitis, osteomyelitis, and endocarditis[1]

  • There is a need for antimicrobials that are refractory to resistance development and can kill intracellular multi-drug resistant (MDR) bacteria

  • LysK and lysostaphin are known to be inactive against Gram negative bacteria, but show strong lytic activity against antibiotic-sensitive and antibiotic-resistant S. aureus and Coagulase negative strains (Supplementary Table 1), and in combination demonstrate synergy in killing S. aureus cells[13]

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Summary

Results

After 10 rounds of sub-lethal exposure in liquid culture, parental LysK (two lytic domains) and lysostaphin (one lytic domain) yielded cultures with 42-fold and 585-fold increases in MICs, respectively. Parental enzymes (lysostaphin, LysK) and triple-acting fusions K-L and L-K were each modified by addition of 11 different C-terminal PTD sequences (Table 1; schematic Fig. 1A) and were tested for their ability to reduce intracellular S. aureus in multiple cultured cells known to support S. aureus intracellular invasion (Fig. 2A,B and C). The ability of LysK or L-K fusion to eradicate intracellular S. aureus in MAC-T cells was inhibited by the addition of a PTD (Fig. 2A). Triple-acting fusion K-L reduced the intracellular bacteria recovered from either MAC-T cells or murine osteoblasts (mOB), and this effect was not significantly enhanced with the addition of a PTD (Fig. 2A,C)

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Discussion
Materials and Methods

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