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Maren Depke<br />

Discussion and Conclusions<br />

in Lactococcus lactis, a bacterium with low <strong>pathogen</strong>ic potential, was performed (Que et al.<br />

2001). Possession <strong>of</strong> ClfA or FnbA rendered L. lactis as adherent to fibrinogen or fibronectin as<br />

the gene-donor S. aureus strain. Furthermore, overexpressing L. lactis strains were able to cause<br />

endocarditis in a rat model with a similar minimal infection dose as S. aureus. The authors stated<br />

that this overexpression experiment proved the involvement <strong>of</strong> clfA and fnbA in endocarditis with<br />

higher confidence than deletion experiments (Que et al. 2001).<br />

Thus, fnb genes have proven to be relevant for adhesion, invasion and in vivo infection<br />

situations. Surprisingly, the induction <strong>of</strong> adhesins was observed after internalization <strong>of</strong> S. aureus<br />

RN1HG into S9 cells (this study). It can be speculated that this induction took place in advance to<br />

react to a possible re-liberation from the <strong>host</strong> cell e. g. after <strong>host</strong> cell death.<br />

In internalized staphylococci, also soluble adhesins were induced (eap, coa, vwb, emp, efb).<br />

These are also associated with other functions like immune-evasion. Eap, whose expression is<br />

essentially mediated <strong>by</strong> sae (Harraghy et al. 2005), is one <strong>of</strong> the examples for a staphylococcal<br />

protein which is related to a variety <strong>of</strong> functions (Harraghy et al. 2003). Eap was reported for<br />

example to mediate adhesion to cultured fibroblasts (Hussain et al. 2002), to enhance<br />

internalization into human fetal lung fibroblasts and HACAT keratinocytes (Haggar et al. 2003), to<br />

impair wound healing via inhibition <strong>of</strong> angiogenesis (Athanasopoulos et al. 2006), to block Ras<br />

activation and signal transduction cascade which leads to anti-angiogenesis (Sobke et al. 2006),<br />

to induce pro-inflammatory IL-6 and TNF-α in human peripheral blood mononuclear cells (Scriba<br />

et al. 2008), but also to act anti-inflammatorily <strong>by</strong> inhibition <strong>of</strong> leukocyte recruitment via<br />

blockade <strong>of</strong> ICAM1 and hence lead to immune evasion (Chavakis et al. 2002, Haggar et al. 2004).<br />

Thus, it was not surprising to find induced expression also after internalization into S9 cells (this<br />

study). Further immune-evasion related genes were increased in S9-internalized S. aureus<br />

RN1HG, e. g. chp, whose gene product CHIPS, chemotaxis inhibitory protein <strong>of</strong> staphylococci, is<br />

known to block the receptor for the chemotactic complement fragment C5a and for bacterialderived<br />

formylated peptides (de Haas et al. 2004, Murdoch/Finn 2000). Also induced efb, coding<br />

for extracellular fibrinogen-binding protein Efb, interferes with complement action, i. e.<br />

opsonization, <strong>by</strong> inhibition <strong>of</strong> C3b-binding to bacterial surfaces (Lee et al. 2004a, 2004b). Thus,<br />

internalized staphylococci induce certain genes which would benefit their survival in an in vivo<br />

situation.<br />

In aerobically living cells, reactive oxygen intermediates like hydroxyl radicals (OH•), hydroxide<br />

(OH – ), superoxide anion (O – 2 ), or hydrogen peroxide (H 2 O 2 ) occur in normal metabolism and may<br />

damage cellular structures like DNA (Fridovich 1978, Imlay/Linn 1988). Phagocytes even produce<br />

high amounts <strong>of</strong> reactive oxygen intermediates during respiratory burst, e. g. superoxide anion <strong>by</strong><br />

their NADPH-oxidase, as part <strong>of</strong> their defense and killing strategy (Robinson 2009). S. aureus<br />

owns two genes coding for superoxide dismutases: sodA and sodM (Clements et al. 1999,<br />

Valderas/Hart 2001). The enzyme participates in the detoxification <strong>of</strong> reactive oxygen<br />

intermediates <strong>by</strong> catalyzing the reaction <strong>of</strong> two superoxide anion molecules to oxygen and<br />

hydrogen peroxide, <strong>of</strong> which two molecules are consequently decomposed to oxygen and water<br />

<strong>by</strong> catalase. The complete enzyme constitutes <strong>of</strong> 2 homo- or heterodimeric subunits. The gene<br />

sodM is characteristic for S. aureus since coagulase-negative staphylococci like S. epidermidis do<br />

not own this gene or a homologue (Valderas et al. 2002).<br />

In the presence <strong>of</strong> manganese, the internal (methyl viologen) and external (xanthine/xanthine<br />

oxidase) generation <strong>of</strong> O –<br />

2 in S. aureus led to increased expression <strong>of</strong> sodA and sodM,<br />

respectively, but not without the addition <strong>of</strong> manganese (Karavolos et al. 2003). The observation<br />

200

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