2005
DOI: 10.1172/jci200523523
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Key role of poly-γ-dl-glutamic acid in immune evasion and virulence of Staphylococcus epidermidis

Abstract: Coagulase-negative staphylococci, with the leading species Staphylococcus epidermidis, are the predominant cause of hospital-acquired infections. Treatment is especially difficult owing to biofilm formation and frequent antibiotic resistance. However, virulence mechanisms of these important opportunistic pathogens have remained poorly characterized. Here we demonstrate that S. epidermidis secretes poly-γ-DL-glutamic acid (PGA) to facilitate growth and survival in the human host. Importantly, PGA efficiently sh… Show more

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Cited by 190 publications
(165 citation statements)
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“…This may be related to the presence of various amounts of cross-reacting anticapsule antibodies in some individuals due to prior exposure to other bacteria, as polyglutamic acid capsules are known to be made by Staphylococcus epidermidis (25) and other Bacillus species and organisms (5). Future studies will be necessary to address this point.…”
Section: Discussionmentioning
confidence: 99%
“…This may be related to the presence of various amounts of cross-reacting anticapsule antibodies in some individuals due to prior exposure to other bacteria, as polyglutamic acid capsules are known to be made by Staphylococcus epidermidis (25) and other Bacillus species and organisms (5). Future studies will be necessary to address this point.…”
Section: Discussionmentioning
confidence: 99%
“…The function also depends on whether the c-PGA is peptidoglycan bound or released. If the c-PGA is peptidoglycan bound, it may help confer virulence or it can act as a source of glutamate under conditions of starvation (Kimura et al, 2004;Kocianova et al, 2005). If it is released into the environment, c-PGA can help the organism survive under adverse conditions (McLean et al, 1990).…”
Section: Function Of C-pgamentioning
confidence: 99%
“…The c-PGA protects the bacterial cells against phage infections and also prevents antibodies from gaining access to the bacterium (Mesnage et al, 1998). Likewise, Staphylococcus epidermidis also synthesizes surface-associated c-PGA (Kocianova et al, 2005), which protects it against antimicrobial peptides. In both cases, c-PGA helps the pathogenic bacteria to escape phagocytosis, hence contributing to virulence.…”
Section: Function Of C-pgamentioning
confidence: 99%
“…After cessation of antibiotic therapy, a sinus tract developed and again the same microbe (Staphylococcus epidermidis) was cultured. 20,21 The decision was made to remove the device but leave the electrode array in the cochlea to preserve a lumen for reimplantation at another time. Three months later, a new device was implanted on the same side.…”
Section: Surgerymentioning
confidence: 99%