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<title xml:lang="en">Clinical MRSA isolates from skin and soft tissue infections show increased
<italic>in vitro</italic>
production of phenol soluble modulins</title>
<author>
<name sortKey="Berlon, Nicholas R" sort="Berlon, Nicholas R" uniqKey="Berlon N" first="Nicholas R." last="Berlon">Nicholas R. Berlon</name>
<affiliation>
<nlm:aff id="A1">Duke U Med Center, NC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Qi, Robert" sort="Qi, Robert" uniqKey="Qi R" first="Robert" last="Qi">Robert Qi</name>
<affiliation>
<nlm:aff id="A1">Duke U Med Center, NC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Sharma Kuinkel, Batu K" sort="Sharma Kuinkel, Batu K" uniqKey="Sharma Kuinkel B" first="Batu K." last="Sharma-Kuinkel">Batu K. Sharma-Kuinkel</name>
<affiliation>
<nlm:aff id="A1">Duke U Med Center, NC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Joo, Hwang Soo" sort="Joo, Hwang Soo" uniqKey="Joo H" first="Hwang-Soo" last="Joo">Hwang-Soo Joo</name>
<affiliation>
<nlm:aff id="A2">National Institutes of Health, MD, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Park, Lawrence P" sort="Park, Lawrence P" uniqKey="Park L" first="Lawrence P." last="Park">Lawrence P. Park</name>
<affiliation>
<nlm:aff id="A1">Duke U Med Center, NC, USA</nlm:aff>
</affiliation>
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<author>
<name sortKey="George, Dennis" sort="George, Dennis" uniqKey="George D" first="Dennis" last="George">Dennis George</name>
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<nlm:aff id="A1">Duke U Med Center, NC, USA</nlm:aff>
</affiliation>
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<author>
<name sortKey="Thaden, Joshua T" sort="Thaden, Joshua T" uniqKey="Thaden J" first="Joshua T." last="Thaden">Joshua T. Thaden</name>
<affiliation>
<nlm:aff id="A1">Duke U Med Center, NC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Messina, Julia A" sort="Messina, Julia A" uniqKey="Messina J" first="Julia A." last="Messina">Julia A. Messina</name>
<affiliation>
<nlm:aff id="A1">Duke U Med Center, NC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Maskarinec, Stacey A" sort="Maskarinec, Stacey A" uniqKey="Maskarinec S" first="Stacey A." last="Maskarinec">Stacey A. Maskarinec</name>
<affiliation>
<nlm:aff id="A1">Duke U Med Center, NC, USA</nlm:aff>
</affiliation>
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<author>
<name sortKey="Mueller Premru, Manica" sort="Mueller Premru, Manica" uniqKey="Mueller Premru M" first="Manica" last="Mueller-Premru">Manica Mueller-Premru</name>
<affiliation>
<nlm:aff id="A3">University of Ljubljana, Ljubljana, Slovenia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Athan, Eugene" sort="Athan, Eugene" uniqKey="Athan E" first="Eugene" last="Athan">Eugene Athan</name>
<affiliation>
<nlm:aff id="A4">Barwon Health, Deakin University, VIC, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Tattevin, Pierre" sort="Tattevin, Pierre" uniqKey="Tattevin P" first="Pierre" last="Tattevin">Pierre Tattevin</name>
<affiliation>
<nlm:aff id="A5">Pontchaillou University, Pontchaillou, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pericas, Juan M" sort="Pericas, Juan M" uniqKey="Pericas J" first="Juan M." last="Pericas">Juan M. Pericas</name>
<affiliation>
<nlm:aff id="A6">Hospital Clinic – IDIBAPS. Univ. Barcelona, Spain</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Woods, Christopher W" sort="Woods, Christopher W" uniqKey="Woods C" first="Christopher W." last="Woods">Christopher W. Woods</name>
<affiliation>
<nlm:aff id="A1">Duke U Med Center, NC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Otto, Michael" sort="Otto, Michael" uniqKey="Otto M" first="Michael" last="Otto">Michael Otto</name>
<affiliation>
<nlm:aff id="A2">National Institutes of Health, MD, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Fowler, Vance G" sort="Fowler, Vance G" uniqKey="Fowler V" first="Vance G." last="Fowler">Vance G. Fowler</name>
<affiliation>
<nlm:aff id="A1">Duke U Med Center, NC, USA</nlm:aff>
</affiliation>
</author>
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<idno type="wicri:source">PMC</idno>
<idno type="pmid">26079275</idno>
<idno type="pmc">4816458</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4816458</idno>
<idno type="RBID">PMC:4816458</idno>
<idno type="doi">10.1016/j.jinf.2015.06.005</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">001F86</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001F86</idno>
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<analytic>
<title xml:lang="en" level="a" type="main">Clinical MRSA isolates from skin and soft tissue infections show increased
<italic>in vitro</italic>
production of phenol soluble modulins</title>
<author>
<name sortKey="Berlon, Nicholas R" sort="Berlon, Nicholas R" uniqKey="Berlon N" first="Nicholas R." last="Berlon">Nicholas R. Berlon</name>
<affiliation>
<nlm:aff id="A1">Duke U Med Center, NC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Qi, Robert" sort="Qi, Robert" uniqKey="Qi R" first="Robert" last="Qi">Robert Qi</name>
<affiliation>
<nlm:aff id="A1">Duke U Med Center, NC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Sharma Kuinkel, Batu K" sort="Sharma Kuinkel, Batu K" uniqKey="Sharma Kuinkel B" first="Batu K." last="Sharma-Kuinkel">Batu K. Sharma-Kuinkel</name>
<affiliation>
<nlm:aff id="A1">Duke U Med Center, NC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Joo, Hwang Soo" sort="Joo, Hwang Soo" uniqKey="Joo H" first="Hwang-Soo" last="Joo">Hwang-Soo Joo</name>
<affiliation>
<nlm:aff id="A2">National Institutes of Health, MD, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Park, Lawrence P" sort="Park, Lawrence P" uniqKey="Park L" first="Lawrence P." last="Park">Lawrence P. Park</name>
<affiliation>
<nlm:aff id="A1">Duke U Med Center, NC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="George, Dennis" sort="George, Dennis" uniqKey="George D" first="Dennis" last="George">Dennis George</name>
<affiliation>
<nlm:aff id="A1">Duke U Med Center, NC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Thaden, Joshua T" sort="Thaden, Joshua T" uniqKey="Thaden J" first="Joshua T." last="Thaden">Joshua T. Thaden</name>
<affiliation>
<nlm:aff id="A1">Duke U Med Center, NC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Messina, Julia A" sort="Messina, Julia A" uniqKey="Messina J" first="Julia A." last="Messina">Julia A. Messina</name>
<affiliation>
<nlm:aff id="A1">Duke U Med Center, NC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Maskarinec, Stacey A" sort="Maskarinec, Stacey A" uniqKey="Maskarinec S" first="Stacey A." last="Maskarinec">Stacey A. Maskarinec</name>
<affiliation>
<nlm:aff id="A1">Duke U Med Center, NC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mueller Premru, Manica" sort="Mueller Premru, Manica" uniqKey="Mueller Premru M" first="Manica" last="Mueller-Premru">Manica Mueller-Premru</name>
<affiliation>
<nlm:aff id="A3">University of Ljubljana, Ljubljana, Slovenia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Athan, Eugene" sort="Athan, Eugene" uniqKey="Athan E" first="Eugene" last="Athan">Eugene Athan</name>
<affiliation>
<nlm:aff id="A4">Barwon Health, Deakin University, VIC, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Tattevin, Pierre" sort="Tattevin, Pierre" uniqKey="Tattevin P" first="Pierre" last="Tattevin">Pierre Tattevin</name>
<affiliation>
<nlm:aff id="A5">Pontchaillou University, Pontchaillou, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pericas, Juan M" sort="Pericas, Juan M" uniqKey="Pericas J" first="Juan M." last="Pericas">Juan M. Pericas</name>
<affiliation>
<nlm:aff id="A6">Hospital Clinic – IDIBAPS. Univ. Barcelona, Spain</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Woods, Christopher W" sort="Woods, Christopher W" uniqKey="Woods C" first="Christopher W." last="Woods">Christopher W. Woods</name>
<affiliation>
<nlm:aff id="A1">Duke U Med Center, NC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Otto, Michael" sort="Otto, Michael" uniqKey="Otto M" first="Michael" last="Otto">Michael Otto</name>
<affiliation>
<nlm:aff id="A2">National Institutes of Health, MD, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Fowler, Vance G" sort="Fowler, Vance G" uniqKey="Fowler V" first="Vance G." last="Fowler">Vance G. Fowler</name>
<affiliation>
<nlm:aff id="A1">Duke U Med Center, NC, USA</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">The Journal of infection</title>
<idno type="ISSN">0163-4453</idno>
<idno type="eISSN">1532-2742</idno>
<imprint>
<date when="2015">2015</date>
</imprint>
</series>
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<front>
<div type="abstract" xml:lang="en">
<title>Summary</title>
<sec id="S1">
<title>Background</title>
<p id="P1">Phenol-soluble modulins (PSMs) are amphipathic, pro-inflammatory proteins secreted by most
<italic>Staphylococcus aureus</italic>
isolates. This study tested the hypothesis that
<italic>in vitro</italic>
PSM production levels are associated with specific clinical phenotypes.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">177 methicillin-resistant
<italic>S. aureus</italic>
(MRSA) isolates from infective endocarditis (IE), skin and soft tissue infection (SSTI), and hospital-acquired/ventilator-associated pneumonia (HAP) were matched by geographic origin, then genotyped using
<italic>spa</italic>
-typing.
<italic>In vitro</italic>
PSM production was measured by high performance liquid chromatography/mass spectrometry. Statistical analysis was performed using Chi-squared or Kruskal–Wallis tests as appropriate.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">
<italic>Spa</italic>
type 1 was significantly more common in SSTI isolates (62.7% SSTI; 1.7% IE; 16.9% HAP; p < 0.0001) while HAP and IE isolates were more commonly
<italic>spa</italic>
type 2 (0% SSTI; 37.3% IE; 40.7% HAP; p < 0.0001). USA300 isolates produced the highest levels of PSMs
<italic>in vitro</italic>
. SSTI isolates produced significantly higher quantities of PSMα1-4, PSMβ1, and δ-toxin than other isolates (p < 0.001). These findings persisted when USA300 isolates were excluded from analysis.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-journal-id">7908424</journal-id>
<journal-id journal-id-type="pubmed-jr-id">4825</journal-id>
<journal-id journal-id-type="nlm-ta">J Infect</journal-id>
<journal-id journal-id-type="iso-abbrev">J. Infect.</journal-id>
<journal-title-group>
<journal-title>The Journal of infection</journal-title>
</journal-title-group>
<issn pub-type="ppub">0163-4453</issn>
<issn pub-type="epub">1532-2742</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">26079275</article-id>
<article-id pub-id-type="pmc">4816458</article-id>
<article-id pub-id-type="doi">10.1016/j.jinf.2015.06.005</article-id>
<article-id pub-id-type="manuscript">NIHMS767691</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Clinical MRSA isolates from skin and soft tissue infections show increased
<italic>in vitro</italic>
production of phenol soluble modulins</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Berlon</surname>
<given-names>Nicholas R.</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Qi</surname>
<given-names>Robert</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sharma-Kuinkel</surname>
<given-names>Batu K.</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Joo</surname>
<given-names>Hwang-Soo</given-names>
</name>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Park</surname>
<given-names>Lawrence P.</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>George</surname>
<given-names>Dennis</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Thaden</surname>
<given-names>Joshua T.</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Messina</surname>
<given-names>Julia A.</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Maskarinec</surname>
<given-names>Stacey A.</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mueller-Premru</surname>
<given-names>Manica</given-names>
</name>
<xref ref-type="aff" rid="A3">c</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Athan</surname>
<given-names>Eugene</given-names>
</name>
<xref ref-type="aff" rid="A4">d</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tattevin</surname>
<given-names>Pierre</given-names>
</name>
<xref ref-type="aff" rid="A5">e</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pericas</surname>
<given-names>Juan M.</given-names>
</name>
<xref ref-type="aff" rid="A6">f</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Woods</surname>
<given-names>Christopher W.</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Otto</surname>
<given-names>Michael</given-names>
</name>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fowler</surname>
<given-names>Vance G.</given-names>
<suffix>Jr.</suffix>
</name>
<xref ref-type="aff" rid="A1">a</xref>
<xref rid="FN1" ref-type="author-notes">*</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>a</label>
Duke U Med Center, NC, USA</aff>
<aff id="A2">
<label>b</label>
National Institutes of Health, MD, USA</aff>
<aff id="A3">
<label>c</label>
University of Ljubljana, Ljubljana, Slovenia</aff>
<aff id="A4">
<label>d</label>
Barwon Health, Deakin University, VIC, Australia</aff>
<aff id="A5">
<label>e</label>
Pontchaillou University, Pontchaillou, France</aff>
<aff id="A6">
<label>f</label>
Hospital Clinic – IDIBAPS. Univ. Barcelona, Spain</aff>
<author-notes>
<corresp id="FN1">
<label>*</label>
Corresponding author. Department of Medicine, Division of Infectious Diseases, Duke University Medical Center, Box 102359, Durham, NC 27710, USA. Tel.: +1 (919) 613 5678; fax: +1 (919) 684 8902.
<email>fowle003@mc.duke.edu</email>
(V.G. Fowler)</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>15</day>
<month>3</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>14</day>
<month>6</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub">
<month>10</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>31</day>
<month>3</month>
<year>2016</year>
</pub-date>
<volume>71</volume>
<issue>4</issue>
<fpage>447</fpage>
<lpage>457</lpage>
<pmc-comment>elocation-id from pubmed: 10.1016/j.jinf.2015.06.005</pmc-comment>
<abstract>
<title>Summary</title>
<sec id="S1">
<title>Background</title>
<p id="P1">Phenol-soluble modulins (PSMs) are amphipathic, pro-inflammatory proteins secreted by most
<italic>Staphylococcus aureus</italic>
isolates. This study tested the hypothesis that
<italic>in vitro</italic>
PSM production levels are associated with specific clinical phenotypes.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">177 methicillin-resistant
<italic>S. aureus</italic>
(MRSA) isolates from infective endocarditis (IE), skin and soft tissue infection (SSTI), and hospital-acquired/ventilator-associated pneumonia (HAP) were matched by geographic origin, then genotyped using
<italic>spa</italic>
-typing.
<italic>In vitro</italic>
PSM production was measured by high performance liquid chromatography/mass spectrometry. Statistical analysis was performed using Chi-squared or Kruskal–Wallis tests as appropriate.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">
<italic>Spa</italic>
type 1 was significantly more common in SSTI isolates (62.7% SSTI; 1.7% IE; 16.9% HAP; p < 0.0001) while HAP and IE isolates were more commonly
<italic>spa</italic>
type 2 (0% SSTI; 37.3% IE; 40.7% HAP; p < 0.0001). USA300 isolates produced the highest levels of PSMs
<italic>in vitro</italic>
. SSTI isolates produced significantly higher quantities of PSMα1-4, PSMβ1, and δ-toxin than other isolates (p < 0.001). These findings persisted when USA300 isolates were excluded from analysis.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Phenol soluble modulin</kwd>
<kwd>MRSA</kwd>
<kwd>Skin and soft tissue infection</kwd>
<kwd>Pneumonia</kwd>
<kwd>Endocarditis</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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