All Staphylococcus aureus bacteraemia-inducing strains can cause infective endocarditis: Results of GWAS and experimental animal studies

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  • Sylvère Bastien
  • Severien Meyers
  • Wilmara Salgado-Pabón
  • Stefano G. Giulieri
  • Jean-Phillipe Rasigade
  • Laurens Liesenborghs
  • Kyle J. Kinney
  • Florence Couzon
  • Patricia Martins-Simoes
  • Vincent Le Moing
  • Xavier Duval
  • Natasha E. Holmes
  • Robert Skov
  • Benjamin P. Howden
  • Vance G. Fowler
  • Peter Verhamme
  • Paal Skytt Andersen
  • Coralie Bouchiat
  • Karen Moreau
  • François Vandenesch

Objectives: We aimed at determining whether specific S. aureus strains cause infective endocarditis (IE) in the course of Staphylococcus aureus bacteraemia (SAB). Methods: A genome-wide association study (GWAS) including 924 S. aureus genomes from IE (274) and non-IE (650) SAB patients from international cohorts was conducted, and a subset of strains was tested with two experimental animal models of IE, one investigating the early step of bacterial adhesion to inflamed mice valves, the second evaluating the local and systemic developmental process of IE on mechanically-damaged rabbit valves. Results: The genetic profile of S. aureus IE and non-IE SAB strains did not differ when considering single nucleotide polymorphisms, coding sequences, and k-mers analysed in GWAS. In the murine inflammation-induced IE model, no difference was observed between IE and non-IE SAB strains both in terms of adhesion to the cardiac valves and in the propensity to cause IE; in the mechanical IE-induced rabbit model, there was no difference between IE and non-IE SAB strains regarding the vegetation size and CFU. Conclusion: All strains of S. aureus isolated from SAB patients must be considered as capable of causing this common and lethal infection once they have accessed the bloodstream.

OriginalsprogEngelsk
TidsskriftJournal of Infection
Vol/bind86
Udgave nummer2
Sider (fra-til)123-133
Antal sider11
ISSN0163-4453
DOI
StatusUdgivet - 2023

Bibliografisk note

Funding Information:
SB was supported in part by the French Agence nationale de la recherche (ANR IDAREV). WSP was supported by grant R01AI34692-01 from the National Institutes of Health. VGF was supported in part by grant 1R01AI165671 from the National Institutes of Health.

Funding Information:
We thank Hélène Boyer from the Hospices Civils de Lyon (France) for help in manuscript preparation. SB was supported in part by the French Agence nationale de la recherche (ANR IDAREV). WSP was supported by grant R01AI34692-01 from the National Institutes of Health. VGF was supported in part by grant 1R01AI165671 from the National Institutes of Health. The data of this article are available in several different repositories detailed in the Data availability summary supplementary text.

Publisher Copyright:
© 2023 The Authors

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