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World J Clin Infect Dis. Aug 25, 2012; 2(4): 63-76
Published online Aug 25, 2012. doi: 10.5495/wjcid.v2.i4.63
Transcribing virulence in Staphylococcus aureus
Jennifer M Junecko, Agnieszka K Zielinska, Lara N Mrak, Douglas C Ryan, Justin W Graham, Mark S Smeltzer, Chia Y Lee
Jennifer M Junecko, Agnieszka K Zielinska, Lara N Mrak, Douglas C Ryan, Justin W Graham, Mark S Smeltzer, Chia Y Lee, Department of Microbiology and Immunology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, United States
Author contributions: Junecko JM, Zielinska AK, Ryan DC and Graham JW prepared the initial draft of the paper; Junecko JM and Mrak LN contributed to critical review, editing and revision; Zielinska AK provided illustrations; Smeltzer MS and Lee CY edited the final draft.
Correspondence to: Chia Y Lee, PhD, Department of Microbiology and Immunology, University of Arkansas for Medical Sciences, 4301 W. Markham St. Mail Slot 511, Little Rock, AR 72205, United States. clee2@uams.edu
Telephone: +1-501-5267687 Fax: +1-501-8685359
Received: February 21, 2012
Revised: June 8, 2012
Accepted: July 4, 2012
Published online: August 25, 2012
Abstract

Staphylococcus aureus (S. aureus) is an important human pathogen capable of causing a diverse range of infections. Once regarded as an opportunistic pathogen causing primarily nosocomial infections, recent years have seen the emergence of S. aureus strains capable of causing serious infection even in otherwise healthy human hosts. There has been much debate about whether this transition is a function of unique genotypic characteristics or differences in the expression of conserved virulence factors, but irrespective of this debate it is clear that the ability of S. aureus to cause infection in all of its diverse forms is heavily influenced by its ability to modulate gene expression in response to changing conditions within the human host. Indeed, the S. aureus genome encodes more than 100 transcriptional regulators that modulate the production of virulence factors either directly via interactions with cis elements associated with genes encoding virulence factors or indirectly through their complex interactions with each other. The goal of this review is to summarize recent work describing these regulators and their contribution to defining S. aureus as a human pathogen.

Keywords: Staphylococcus aureus; Regulatory elements; DNA-binding proteins; Two-component systems; Virulence factors