Evidence map›Paper›PMID 40323347›Full record

ReviewEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2025

The virulence toolkit of Staphylococcus aureus: a comprehensive review of toxin diversity, molecular mechanisms, and clinical implications.

Stefano Di Bella, Bruna Marini, Giacomo Stroffolini, Nicholas Geremia, Daniele Roberto Giacobbe, Floriana Campanile, Michele Bartoletti, Giulia Alloisio, Ludovica Di Risio, Giulia Viglietti and 9 more

Abstract readReview
In one paragraph

Review in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
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

32 citing papers in PubMed.

  1. Article
  2. Article
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  5. Article
  6. Staphylococcus aureus-vascular endothelium interactions: Mechanisms and therapeutic opportunities.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Review
  7. Methicillin-resistant Staphylococcus aureus.Nature reviews. Disease primers · 2026
    Review
  8. Review
  9. Article
  10. Article
  11. CutaneousInternational journal of molecular sciences · 2026
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Antimicrobial resistance and virulence gene patterns ofEuropean journal of translational myology · 2026
    Article
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

19 authors.

Stefano Di BellaClinical Department of Medical, Surgical, and Health Sciences, Trieste University, Strada di Fiume, 477, Trieste, 34129, Italy. stefano932@gmail.com.ORCID http://orcid.org/0000-0001-6121-7009
Bruna MariniUlisse BioMed, Area Science Park, Trieste, Italy.
Giacomo StroffoliniDepartment of Infectious-Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Negrar, Verona, Italy.ORCID http://orcid.org/0000-0001-8012-0237
Nicholas GeremiaUnit of Infectious Diseases, Department of Clinical Medicine, Ospedale "dell'Angelo", Venice, Italy.ORCID http://orcid.org/0000-0001-7988-5419
Daniele Roberto GiacobbeUO Clinica Malattie Infettive, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.ORCID http://orcid.org/0000-0003-2385-1759
Floriana CampanileDepartment of Biomedical and Biotechnological Sciences, Section of Microbiology, University of Catania, Catania, Italy.ORCID http://orcid.org/0000-0002-8405-5425
Michele BartolettiDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.ORCID http://orcid.org/0000-0002-1099-3283
Giulia AlloisioDepartment of Sciences, Roma Tre University, Roma, Italy.ORCID http://orcid.org/0009-0008-3939-4752
Ludovica Di RisioDepartment of Sciences, Roma Tre University, Roma, Italy.
Giulia VigliettiUO Clinica Malattie Infettive, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Luigi PrincipeMicrobiology and Virology Unit, Great Metropolitan Hospital "Bianchi-Melacrino-Morelli", Reggio Calabria, Italy.
Venera CostantinoMicrobiology Unit, Trieste University Hospital (ASUGI), Trieste, Italy.ORCID http://orcid.org/0009-0000-6529-5653
Marina BusettiMicrobiology Unit, Trieste University Hospital (ASUGI), Trieste, Italy.ORCID http://orcid.org/0000-0002-8206-6841
Verena ZerbatoInfectious Diseases Unit, Trieste University Hospital (ASUGI), Trieste, Italy.ORCID http://orcid.org/0000-0002-9204-032X
Filippo MearelliClinica Medica, Trieste University Hospital (ASUGI), Trieste, Italy.ORCID http://orcid.org/0000-0002-5862-9077
Gianni BioloClinical Department of Medical, Surgical, and Health Sciences, Trieste University, Strada di Fiume, 477, Trieste, 34129, Italy.ORCID http://orcid.org/0000-0002-6397-1598
Alessio NunnariClinica Medica, Trieste University Hospital (ASUGI), Trieste, Italy.
Claudia Maria CafieroClinical Department of Medical, Surgical, and Health Sciences, Trieste University, Strada di Fiume, 477, Trieste, 34129, Italy.
Alessandra di MasiDepartment of Sciences, Roma Tre University, Roma, Italy.ORCID http://orcid.org/0000-0002-1122-8663

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis review examines the pathogenic mechanisms of Staphylococcus aureus, emphasizing its toxin-driven virulence factors, including pore-forming toxins, exfoliative toxins, and superantigens.

methodsThis paper was conducted using the available literature (PubMed/MEDLINE/Google Scholar and books written by experts in pharmacology and infectious diseases).

resultsToxins are crucial in promoting tissue invasion, immune system evasion, and the development of systemic diseases. Notably, the qualitative and quantitative expression of these toxins influences the clinical presentation and severity of S. aureus infections. The paper explores toxins' role in S. aureus pathogenesis and clinical manifestations as well as current and emerging therapeutic strategies aimed at targeting these toxins, including antibiotics, monoclonal antibodies, and anti-inflammatory treatments. Additionally, it highlights the potential of novel inhibitors and vaccines to neutralize specific toxins and prevent toxin-mediated diseases.

conclusionBy combining antimicrobial therapies with approaches that neutralize toxins and modulate the immune response, clinicians can improve outcomes in patients affected by S. aureus infections.

Indexed as

Bacterial ToxinsStaphylococcal InfectionsStaphylococcus aureusVirulence FactorsAnimalsAnti-Bacterial AgentsHumansSuperantigensVirulenceAnti-Bacterial AgentsBacterial ToxinsSuperantigensVirulence FactorsAntibiotic therapyAnti-inflammatory treatmentsMonoclonal antibodiesStaphylococcus aureusToxins

Identifiers

PMID40323347
PMCPMC12321932

What OpenQuestion holds

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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.