2023
DOI: 10.1128/iai.00529-22
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Hyperglycemia Increases Severity of Staphylococcus aureus Osteomyelitis and Influences Bacterial Genes Required for Survival in Bone

Abstract: Hyperglycemia, or elevated blood glucose, renders individuals more prone to developing severe Staphylococcus aureus infections. S. aureus is the most common etiological agent of musculoskeletal infection, which is a common manifestation of disease in hyperglycemic patients. However, the mechanisms by which S. aureus causes severe musculoskeletal infection during hyperglycemia are incompletely characterized.

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Cited by 7 publications
(2 citation statements)
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References 70 publications
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“…In this study, high glucose greatly reduced the pigment formation and cytotoxicity of S. aureus when grown in LB medium, which was restored by the addition of sodium pyruvate, but this phenomenon was not observed in the CDM medium. High glucose has been shown to reduce the production of virulence factors by S. aureus in vitro ( Regassa et al, 1992 ; Seidl et al, 2008 ; Dufresne et al, 2022 ), but hyperglycemia makes individuals more susceptible to developing severe S. aureus infection ( Thurlow et al, 2020 ; Butrico et al, 2023 ). These data indicate that pyruvate may be involved in the pathogenic process of S. aureus induced diabetic foot infections.…”
Section: Discussionmentioning
confidence: 99%
“…In this study, high glucose greatly reduced the pigment formation and cytotoxicity of S. aureus when grown in LB medium, which was restored by the addition of sodium pyruvate, but this phenomenon was not observed in the CDM medium. High glucose has been shown to reduce the production of virulence factors by S. aureus in vitro ( Regassa et al, 1992 ; Seidl et al, 2008 ; Dufresne et al, 2022 ), but hyperglycemia makes individuals more susceptible to developing severe S. aureus infection ( Thurlow et al, 2020 ; Butrico et al, 2023 ). These data indicate that pyruvate may be involved in the pathogenic process of S. aureus induced diabetic foot infections.…”
Section: Discussionmentioning
confidence: 99%
“…This is also observed in mouse models, where S. aureus skin infection was more severe in diabetic mice and correlated with diminished ROS production, PMN activation, and impaired humoral responses compared to nondiabetic mice [ 181 , 182 ]. S. aureus burden and infection severity were also significantly increased in abscesses and osteomyelitis following streptozotocin-induced hyperglycemia [ 183 , 184 ]. Collectively, these findings support the fact that S. aureus thrives in a glucose-rich environment, which is known to induce a wide array of virulence factors that can augment host tissue damage and leukocyte dysfunction [ 183 , 185 , 186 ].…”
Section: Potential Metabolic Targets To Modulate S Aureus ...mentioning
confidence: 99%