Staphylococcus aureus small-colony variants (SCVs) are believed to account in part for the persistence of S. aureus during chronic infections. Little is understood about the gene expression profile that may explain the phenotype and distinguish SCVs from prototype S. aureus strains. In this study, DNA array transcriptional profiles of clinical SCVs isolated from the airways of cystic fibrosis patients were obtained and compared to those obtained from a laboratory-derived SCV strain (i.e., a respiratory-deficient hemB mutant) and prototype S. aureus strains. The genes commonly up-regulated in both hemB and clinical SCVs were found to be implicated in fermentation and glycolysis pathways. The well-known virulence regulator agr was not activated in SCVs, and such strains had low levels of alpha-toxin (hla) gene expression. Clinical SCVs also had a transcriptional signature of their own. Of striking interest is that many genes, most of them under the positive control of the alternate sigma factor SigB, were specifically up-regulated and differed in that way from that seen in prototype S. aureus and the hemB mutant. Since SigB influences up-regulation of adhesin type genes while indirectly down-regulating exoproteins and toxins, we evaluated the internalization and persistence of SCVs in mammalian cells. Results showed that clinical SCVs persisted much more efficiently in cells than the hemB and prototype strains and that a sigB mutant was a poor persister. Thus, it appears that the agr locus plays a minor role in the regulation of the virulon of SCVs, unlike SigB, which may have a key role in intracellular persistence.

The high affinities of ceftaroline for MRSA PBP2a, MSSA PBPs 1-3 and S. pneumoniae PBP2x/2a/2b support the potential efficacy of ceftaroline in the treatment of infections caused by MRSA and S. pneumoniae.

Staphylococcus aureus is a common cause of bovine mastitis and foodborne and other diseases in humans. This study tested the hypothesis that small colony variants (SCVs) of S. aureus are implicated in chronic bovine mastitis. Six S. aureus isolates from foremilk samples from 11 chronically infected cows were investigated. Five isolates had typical morphology and were hemolytic and coagulase positive; one was a heterogeneous population of typical and SCV phenotype (tiny nonhemolytic colonies). In the presence of gentamicin, three of the previously typical S. aureus developed SCVs that were confirmed as S. aureus by biochemical and genetic analyses; these SCVs reverted to the typical form on antibiotic-free medium. The SCV isolate (Heba3231) from the heterogeneous population had a slow growth rate and prolonged lag phase and did not revert during 10 h of incubation. Transcriptional analysis showed that SCV Heba3231 had reduced expression of agr, hla, and coa and increased expression of indicators of fermentation pathways compared to the parent strain. Invasion of and persistence in a primary culture of bovine aortic endothelial cells (BAEC) showed that SCV Heba3231 had minimal deleterious effects, whereas the parent strain or the Newbould 305 strain caused severe damage. Recovery of the parent strain from BAEC yielded a mixture of the parent and SCV phenotypes. This study reports for the first time the isolation of S. aureus SCV from persistent bovine mastitis and suggests that SCV may be an important contributor to the prolonged survival of S. aureus in some cases of mastitis.

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Food-producing animals can be reservoirs of pathogenic Escherichia coli strains that can induce diseases in animals or humans. Contamination of food by E. coli O157:H7 raises immediate concerns about public health, although it is not clear whether all E. coli O157 isolates of animal origin are equally harmful to humans. Inversely, the pathogenic potential of atypical E. coli O157 isolates and several non-O157 serotypes often is ignored. We used a DNA microarray capable of detecting a subset of 346 genes to compare the virulence-associated genes present in eight E. coli O157 isolates from human cases, 14 antibiotic-resistant and/or hypermutable E. coli O157 isolates from beef cattle, and four antibiotic-resistant, sorbitol-negative, non-O157 E. coli isolates from healthy broiler chickens. Hybridization on arrays (HOA) revealed that O157 isolates from beef cattle and humans were genetically distinct, although they possessed most of the same subset of virulence genes. HOA allowed discrimination between hypermutable and antibiotic-resistant O157 isolates from beef cattle based on hybridization results for the stx2 and ycgG genes (hypermutable) or ymfL, stx1, stx2, and hlyE(avian) genes (resistant). However, the absence of hybridization to gene yfdR characterized human isolates. HOA also revealed that an atypical sorbitol-fermenting bovine O157 isolate lacked some genes of the type 3 secretion system, plasmid pO157, and the stx1 and stx2 genes. This isolate had a particular pathotype (eaeA(beta) tir(alpha) espA(alpha) espB(alpha) espD(alpha)) not found in typical E. coli O157:H7. HOA revealed that some non-O157 E. coli isolates from healthy chickens carried genes responsible for salmochelin- and yersiniabactin-mediated iron uptake generally associated with pathogenic strains.