Salicylic acid attenuates virulence in endovascular infections by targeting global regulatory pathways in Staphylococcus aureus

LI Kupferwasser, MR Yeaman, CC Nast… - The Journal of …, 2003 - Am Soc Clin Investig
LI Kupferwasser, MR Yeaman, CC Nast, D Kupferwasser, YQ Xiong, M Palma, AL Cheung…
The Journal of clinical investigation, 2003Am Soc Clin Investig
Aspirin has been previously shown to reduce the in vivo virulence of Staphylococcus aureus
in experimental endocarditis, through antiplatelet and antimicrobial mechanisms. In the
present study, salicylic acid, the major in vivo metabolite of aspirin, mitigated two important
virulence phenotypes in both clinical and laboratory S. aureus strains: α-hemolysin secretion
and fibronectin binding in vitro. In addition, salicylic acid reduced the expression of the α-
hemolysin gene promoter, hla, and the fibronectin gene promoter, fnbA. Transcriptional …
Aspirin has been previously shown to reduce the in vivo virulence of Staphylococcus aureus in experimental endocarditis, through antiplatelet and antimicrobial mechanisms. In the present study, salicylic acid, the major in vivo metabolite of aspirin, mitigated two important virulence phenotypes in both clinical and laboratory S. aureus strains: α-hemolysin secretion and fibronectin binding in vitro. In addition, salicylic acid reduced the expression of the α-hemolysin gene promoter, hla, and the fibronectin gene promoter, fnbA. Transcriptional analysis, fluorometry, and flow cytometry revealed evidence of salicylic acid–mediated activation of the stress-response gene sigB. Expression of the sigB-repressible global regulon sarA and the global regulon agr were also mitigated by salicylic acid, corresponding to the reduced expression of the hla and fnbA genes in vitro. Studies in experimental endocarditis confirmed the key roles of both sarA and sigB in mediating the antistaphylococcal effects of salicylic acid in vivo. Therefore, aspirin has the potential to be an adjuvant therapeutic agent against endovascular infections that result from S. aureus, by downmodulating key staphylococcal global regulons and structural genes in vivo, thus abrogating relevant virulence phenotypes.
The Journal of Clinical Investigation