Subinhibitory concentrations of tedizolid induce upregulation of virulence gene transcription in Staphylococcus aureus

Authors

  • Han Yang Department of Clinical Laboratory, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China https://orcid.org/0009-0009-7590-5692
  • Wen Lin Department of Clinical Laboratory, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China https://orcid.org/0009-0002-5291-4464
  • Chunyan He Department of Clinical Laboratory, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
  • Wen Shu Department of Clinical Laboratory, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
  • Wenjing Chen Department of Clinical Laboratory, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
  • Qingzhong Liu Department of Clinical Laboratory, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China

DOI:

https://doi.org/10.3855/jidc.20386

Keywords:

Staphylococcus aureus, subinhibitory concentration, tedizolid, linezolid, virulence gene, qRT-PCR

Abstract

Introduction: Sub-minimal inhibitory concentrations (sub-MICs) of antibiotics can modulate the expression of virulence factors in bacterial pathogens. This study aimed to assess the impacts of sub-MICs of tedizolid on virulence gene expression in Staphylococcus aureus (S. aureus) and compare them with those of linezolid.

Methodology: Two S. aureus strains (N315 and Newman) possessing the selected virulence genes were analyzed. The MICs of tedizolid and linezolid were determined, and sub-MICs for subsequent experiments were selected based on bacterial growth kinetics. Using qRT-PCR, we assessed the expression of 23 virulence genes, including 7 cell wall-anchored (CWA) protein genes, 4 exoenzyme genes, 6 toxin genes, and 6 regulatory genes, before and after exposure to tedizolid and linezolid.

Results: Growth kinetics indicated that 1/8 and 1/4 MICs were optimal for evaluating the influence of drugs on gene expression. The qRT-PCR results revealed that sub-MICs of tedizolid and linezolid primarily enhanced the expression of the studied virulence genes in both strains. In Newman, tedizolid upregulated the expression of more genes encoding CWA proteins, regulators, and toxins than linezolid. In N315, tedizolid stimulated the expression of more toxin-coding genes but fewer regulatory genes compared to linezolid.

Conclusions: Sub-MIC of tedizolid and linezolid could increase the mRNA levels of different types of virulence genes in S. aureus, with strain-dependent variations. These findings provide new insights into the potential role of oxazolidinones in bacterial virulence regulation.

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Published

2025-12-31

How to Cite

1.
Yang H, Lin W, He C, Shu W, Chen W, Liu Q (2025) Subinhibitory concentrations of tedizolid induce upregulation of virulence gene transcription in Staphylococcus aureus. J Infect Dev Ctries 19:1838–1846. doi: 10.3855/jidc.20386

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Original Articles