“…The transcription patterns of important virulence regulators and metabolic and stress-related genes of TD-SCVs are dramatically changed, and these strains have a less virulent but more persistent phenotype (12) with decreased expression of ␣-hemolysin and increased expression of cell wall-associated proteins, such as protein A. Moreover, SCVs are more resistant to antibiotics and defensins (21,22,24) and survive intracellularly in various cell types, such as keratinocytes and epithelial and endothelial cells (11,32,33). The intracellular locus provides protection against antibiotic treatment and host defense.…”