2016
DOI: 10.1093/infdis/jiv773
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Shear-Resistant Binding to von Willebrand Factor AllowsStaphylococcus lugdunensisto Adhere to the Cardiac Valves and Initiate Endocarditis

Abstract: S. lugdunensis binds directly to VWF, which proved to be vital for withstanding shear forces and for its adhesion to the vessel wall and cardiac valves. This mechanism explains why S. lugdunensis causes more-aggressive infections, including endocarditis, compared with other coagulase-negative staphylococci.

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Cited by 44 publications
(38 citation statements)
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“…VWF circulates in a compact globular form, but is progressively unfolded in a flow field or when bound to collagen, thereby exposing VWF A1, A2 and A3‐domain . It has been described that bacteria can bind to endothelial cells via VWF . Similar to our findings, Pappelbaum et al .…”
Section: Discussionsupporting
confidence: 90%
“…VWF circulates in a compact globular form, but is progressively unfolded in a flow field or when bound to collagen, thereby exposing VWF A1, A2 and A3‐domain . It has been described that bacteria can bind to endothelial cells via VWF . Similar to our findings, Pappelbaum et al .…”
Section: Discussionsupporting
confidence: 90%
“…Platelets play a pivotal role in the progression and development of IE, but their role can be likened to a double-edged sword (185)(186)(187)(188). Platelets display both haemostatic and host defence properties.…”
Section: Innate Host Responsementioning
confidence: 99%
“…Staphylococcus lugdunensis expresses various adhesion factors that are possibly involved in endocarditis, including von Willebrand and fibrinogen adhesion proteins as well as cytotoxic factors, i.e. a d-like haemolysin, b-haemolysin and haemolysin III [6]. It is also able to produce a biofilm that is mainly proteinaceous and is the only CoNS carrying an ESAT-6 system [7].…”
Section: Introductionmentioning
confidence: 99%