“…Adding to the results of studies by other investigators (5,25,32), we found that S. aureus, a pathogen with a high propensity to colonize endocardial tissue and to cause infections of intact heart valves, binds to and is actively internalized by cultured human EC (9,43,45). As a result, virulent S. aureus strains caused direct EC damage but less virulent strains induced EC activation that resulted in the production of a variety of proinflammatory mediators, including interleukin-1 (IL-1), IL-6, IL-8, monocyte chemotactic protein 1 (MCP-1), and RANTES (9,40,48,49), surface membrane expression of intercellular adhesion molecule 1 (ICAM-1; CD54) and vascular cell adhesion molecule 1 (VCAM-1; CD106), and monocyte adhesion. S. aureus-infected EC also expressed TFA, which was controlled at the level of TF gene transcription and TF protein synthesis and was synergistically enhanced by IL-1, a representative cytokine released during bacteremia (43).…”