Staphylococcus aureus invades osteoblasts and can persist in the intracellular environment. The present study examined the role of osteoblast mitogen-activated protein kinase (MAPK) pathways in bacterial invasion. S. aureus infection of normal human and mouse osteoblasts resulted in an increase in the phosphorylation of the extracellular signal-regulated protein kinases (ERK 1 and 2). This stimulation of ERK 1 and 2 correlated with the time course of S. aureus invasion, and bacterial adherence induced the MAPK pathway. ERK 1 and 2 phosphorylation was time and dose dependent and required active S. aureus gene expression for maximal induction. The nonpathogenic Staphylococcus carnosus was also able to induce ERK 1 and 2 phosphorylation, albeit at lower levels than S. aureus. Phosphorylation of the stress-activated protein kinases was increased in both infected human and mouse osteoblasts; however, the p38 MAPK pathway was not activated in response to S. aureus. Finally, the transcription factor c-Jun, but not Elk-1 or ATF-2, was phosphorylated in response to S. aureus infection.Osteomyelitis (OM) is an infection of bone that results from hematogenous seeding, spread of infection from a contiguous area such as the skin adjacent to a wound, surgical inoculation of bacteria into bone, or trauma coincident with staphylococcal infection (57). The presence of an inert, prosthetic orthopedic device increases the likelihood of disease, and removal of the implant may be required (16). Chronic or recurring OM can be a persistent clinical problem that is difficult to treat effectively and results in abnormal bone remodeling, leading to a vascular compromise in the infected area. Long periods of antibiotic treatment are utilized in an attempt to control OM recurrences; however, methicillin-resistant staphylococci are now commonplace, and therapeutic levels of antibiotics in necrotic bone are difficult to achieve unless antibiotic-impregnated beads or implants are used (9).Staphylococcus aureus is a capable bone pathogen because it possesses several cell surface adhesion molecules that facilitate its binding to the bone matrix. These include fibronectin-binding proteins (18, 30), fibrinogen-binding proteins (6, 10, 36), elastin-binding adhesin (42), collagen-binding adhesin (43), and a broad-specificity adhesin (MAP) which facilitates lowaffinity binding of S. aureus to several proteins, including osteopontin, collagen, bone sialoprotein, fibronectin, fibrinogen, and vitronectin (37). In addition, S. aureus contains surface proteins that are able to stimulate bone resorption (39) via increasing osteoclast activity (4). The resultant bone destruction facilitates bacterial invasiveness. S. aureus not only colonizes bone matrix but is internalized in vitro (17,28,29) and in vivo (49) by osteoblasts (bone-forming cells). With the notable exception of Listeria monocytogenes, very little work has been done to examine mechanisms of invasion and intracellular survival by gram-positive bacteria. The ability of S. aureus to invade osteo...