Evidence map›Paper›PMID 26567511›Full record

ArticleCell host & microbe2015

Poorly Cross-Linked Peptidoglycan in MRSA Due to mecA Induction Activates the Inflammasome and Exacerbates Immunopathology.

Sabrina Müller, Andrea J Wolf, Iliyan D Iliev, Bethany L Berg, David M Underhill, George Y Liu

Open access · bronzeAbstract read
In one paragraph

Article in Cell host & microbe, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
7.3field-weighted citation impact, top 3% 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

48 citing papers in PubMed, 69 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Minocycline AmelioratesBrain sciences · 2025
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  8. Measuring beta-lactam minimum inhibitory concentrations inJournal of clinical microbiology · 2024
    Review
  9. Review
  10. Review
  11. Article
  12. Article
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  15. Review
  16. Article
  17. Article
  18. Article
  19. Exploring the Role ofToxins · 2022
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Sabrina MüllerDepartment of Pediatrics, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Andrea J WolfDivision of Biomedical Sciences and the F. Widjaja Inflammatory Bowel and Immunobiology Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Iliyan D IlievDivision of Biomedical Sciences and the F. Widjaja Inflammatory Bowel and Immunobiology Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Bethany L BergDepartment of Pediatrics, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
David M UnderhillDivision of Biomedical Sciences and the F. Widjaja Inflammatory Bowel and Immunobiology Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA. Electronic address: david.underhill@csmc.edu.
George Y LiuDepartment of Pediatrics, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA. Electronic address: george.liu@cshs.org.
Cedars-Sinai Medical Center · US

Funding

Phagosomal targeting of CARD proteinsR01GM085796 · NIGMS · CEDARS-SINAI MEDICAL CENTER · PI UNDERHILL, DAVID M. · 2008 to 2020
$4.1M
Mechanisms of Protection by Commensal Fungi in ColitisR00DK098310 · NIDDK · WEILL MEDICAL COLL OF CORNELL UNIV · PI ILIEV, ILIYAN DIMITROV · 2016 to 2018
$729k
Impact of Antibiotics and PBP2a on the Immunopathology of MRSA pneumoniaR21AI097741 · NIAID · CEDARS-SINAI MEDICAL CENTER · PI LIU, GEORGE Y, UNDERHILL, DAVID M. · 2012 to 2013
$439k
Mechanisms of Protection by Commensal Fungi in ColitisK99DK098310 · NIDDK · CEDARS-SINAI MEDICAL CENTER · PI ILIEV, ILIYAN DIMITROV · 2014 to 2015
$180k
NIAID NIH HHS R21 AI097741NIAID NIH HHS R21AI097741NIDDK NIH HHS DK098310NIDDK NIH HHS K99 DK098310NIDDK NIH HHS R00 DK098310NIGMS NIH HHS R01 GM085796NIGMS NIH HHS R01GM085796
6 · The paper itself

Abstract

Methicillin-resistant S. aureus (MRSA) is a leading health problem. Compared to methicillin-sensitive S. aureus, MRSA infections are associated with greater morbidity and mortality, but the mechanisms underlying MRSA pathogenicity are unclear. Here we show that the protein conferring β-lactam antibiotic resistance, penicillin-binding protein 2A (encoded by the mecA gene), directly contributes to pathogenicity during MRSA infection. MecA induction leads to a reduction in peptidoglycan cross-linking that allows for enhanced degradation and detection by phagocytes, resulting in robust IL-1β production. Peptidoglycan isolated from β-lactam-challenged MRSA strongly induces the NLRP3 inflammasome in macrophages, but these effects are lost upon peptidoglycan solubilization. Mutant MRSA bacteria with naturally occurring reduced peptidoglycan cross-links induce high IL-1β levels in vitro and cause increased pathology in vivo. β-lactam treatment of MRSA skin infection exacerbates immunopathology, which is IL-1 dependent. Thus, antibiotic-induced expression of mecA during MRSA skin infection contributes to immunopathology by altering peptidoglycan structure.

Indexed as

AnimalsBacterial ProteinsInflammasomesInterleukin-1betaLactamsMethicillin-Resistant Staphylococcus aureusMiceMice, Inbred C57BLPenicillin-Binding ProteinsPeptidoglycanStaphylococcal InfectionsVirulenceBacterial ProteinsInflammasomesInterleukin-1betaLactamsmecA protein, Staphylococcus aureusPenicillin-Binding ProteinsPeptidoglycan

Identifiers

PMID26567511
PMCPMC4648675
OpenAlexW2101192596

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.