Evidence map›Paper›PMID 24297496›Full record

ArticleJournal of molecular medicine (Berlin, Germany)2014

Nafcillin enhances innate immune-mediated killing of methicillin-resistant Staphylococcus aureus.

George Sakoulas, Cheryl Y Okumura, Wdee Thienphrapa, Joshua Olson, Poochit Nonejuie, Quang Dam, Abhay Dhand, Joseph Pogliano, Michael R Yeaman, Mary E Hensler and 2 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in Journal of molecular medicine (Berlin, Germany), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed
7.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

88 citing papers in PubMed, 142 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. An Achilles' heel for methicillin-resistantAntimicrobial agents and chemotherapy · 2026
    Review
  5. Review
  6. Article
  7. Review
  8. Extended-Spectrum β-Lactamase-ProducingAntibiotics (Basel, Switzerland) · 2025
    Review
  9. Article
  10. Ability of Linezolid to CombatAntibiotics (Basel, Switzerland) · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Measuring beta-lactam minimum inhibitory concentrations inJournal of clinical microbiology · 2024
    Review
  19. Article
  20. Review

28 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

George SakoulasDepartment of Pediatrics, University of California, San Diego, La Jolla, CA, 92093, USA, gsakoulas@ucsd.edu.
Cheryl Y Okumura
Wdee Thienphrapa
Joshua Olson
Poochit Nonejuie
Quang Dam
Abhay Dhand
Joseph Pogliano
Michael R Yeaman
Mary E Hensler
Arnold S Bayer
Victor Nizet
University of California, San Diego · USHarbor–UCLA Medical Center · USNew York Medical College · USOccidental College · US

Funding

Vaccines and Therapies Against BotulismU54AI057153 · NIAID · UNIVERSITY OF CHICAGO · PI MISSIAKAS, DOMINIQUE M. · 2003 to 2013
$87.6M
Cathelicidins in Skin ImmunityR01AI052453 · NIAID · VETERANS MEDICAL RESEARCH FDN/SAN DIEGO · PI GALLO, RICHARD L, NIZET, VICTOR · 2002 to 2017
$5.3M
Staphylococcal Adaptations to Platelet Microbicidal ProteinR01AI039108 · NIAID · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI BAYER, ARNOLD S · 1997 to 2016
$5.1M
Cathelicidin in Skin ImmunityR37AI052453 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Richard L Gallo, Victor Nizet · 2019 to 2026
$4.6M
TRAINING & OUTREACH COREU54HD071600 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BEST, BROOKIE MANNING · 2011 to 2015
$3.6M
DNA segregation during Bacillus growth and developmentR01GM073898 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI POGLIANO, JOSEPH A · 2006 to 2013
$2.4M
Microbicidal Proteins from PlateletsR01AI039001 · NIAID · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI YEAMAN, MICHAEL R · 2006 to 2010
$1.7M
DETERMINANTS IN PLATELET MICROBICIDAL PROTEINSR01AI048031 · NIAID · LA BIOMED RES INST/ HARBOR UCLA MED CTR · PI YEAMAN, MICHAEL R · 2000 to 2004
$1.6M
MICROBICIDAL PROTEINS FROM PLATELETSR29AI039001 · NIAID · LA BIOMED RES INST/ HARBOR UCLA MED CTR · PI YEAMAN, MICHAEL R · 1996 to 2000
$99k
NIAID NIH HHS AI052453NIAID NIH HHS AI057153NIAID NIH HHS AI39001NIAID NIH HHS AI39108NIAID NIH HHS AI48031NIAID NIH HHS R01 AI039001NIAID NIH HHS R01 AI039108NIAID NIH HHS R01 AI048031NIAID NIH HHS R01 AI052453NIAID NIH HHS R29 AI039001NIAID NIH HHS R37 AI052453NIAID NIH HHS U54 AI057153NICHD NIH HHS HD071600NICHD NIH HHS U54 HD071600NIGMS NIH HHS GM06852NIGMS NIH HHS R01 GM073898NIGMS NIH HHS R01GM073898
6 · The paper itself

Abstract

unlabelledBased on in vitro synergy studies, the addition of nafcillin to daptomycin was used to treat refractory methicillin-resistant Staphylococcus aureus (MRSA) bacteremia. Daptomycin is a de facto cationic antimicrobial peptide in vivo, with antistaphylococcal mechanisms reminiscent of innate host defense peptides (HDPs). In this study, the effects of nafcillin on HDP activity against MRSA were examined in vitro and in vivo. Exposures to β-lactam antimicrobials in general, and nafcillin in particular, significantly increased killing of S. aureus by selected HDPs from keratinocytes, neutrophils, and platelets. This finding correlated with enhanced killing of MRSA by whole blood, neutrophils, and keratinocytes after growth in nafcillin. Finally, nafcillin pretreatment ex vivo reduced MRSA virulence in a murine subcutaneous infection model. Despite the lack of direct activity against MRSA, these studies show potent, consistent, and generalized nafcillin-mediated "sensitization" to increased killing of MRSA by various components of the innate host response. The use of nafcillin as adjunctive therapy in MRSA bacteremia merits further study and should be considered in cases refractory to standard therapy. KEY MESSAGES: Nafcillin has been used as adjunctive therapy to clear persistent MRSA bacteremia. Nafcillin enhances killing of MRSA by a cadre of innate host defense peptides. Nafcillin increases binding of human cathelicidin LL-37 to the MRSA membrane. Nafcillin enhances killing of MRSA by neutrophils. Nafcillin reduces virulence of MRSA in a murine subcutaneous infection model.

Indexed as

AnimalsAnti-Bacterial AgentsAntimicrobial Cationic PeptidesBacteremiaCathelicidinsCell LineCells, CulturedDaptomycinDose-Response Relationship, DrugDrug SynergismDrug Therapy, CombinationFemaleHumansImmunity, InnateKeratinocytesMaleAnti-Bacterial AgentsAntimicrobial Cationic PeptidesCathelicidinsDaptomycinNafcillin

Identifiers

PMID24297496
PMCPMC3926703
OpenAlexW2109352698

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.