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Chitosan malate inhibits growth and exotoxin production of toxic shock syndrome-inducing Staphylococcus aureus strains and group A streptococci
Journal article   Open access   Peer reviewed

Chitosan malate inhibits growth and exotoxin production of toxic shock syndrome-inducing Staphylococcus aureus strains and group A streptococci

Patrick M Schlievert
Antimicrobial agents and chemotherapy, Vol.51(9), pp.3056-3062
09/2007
DOI: 10.1128/AAC.01295-06
PMCID: PMC2043168
PMID: 17576832
url
https://doi.org/10.1128/AAC.01295-06View
Published (Version of record) Open Access

Abstract

Previously, it has been shown that the polysaccharide chitosan inhibits the growth of gram-positive bacteria. In this study, chitosan malate was evaluated in broth and thin-film cultures for its effect on the growth and exotoxin production of toxic shock syndrome (TSS)-inducing Staphylococcus aureus (five strains, three producing TSS toxin 1 and one each producing enterotoxin B or C) and group A streptococci (three strains producing streptococcal pyrogenic exotoxin A). Also, the compound was evaluated in a rabbit subcutaneous Wiffle ball model for its ability to prevent S. aureus and group A streptococcal induction of TSS. Finally, chitosan malate was evaluated for its ability to prevent TSS and necrotizing fasciitis in rabbits after subcutaneous inoculation with microbes. Chitosan malate inhibited both bacterial growth and, at sub-growth-inhibitory concentrations, the production of exotoxins, in both broth and thin-film cultures. Rabbits treated with chitosan malate in implanted Wiffle balls were protected from prior challenge with TSS-inducing S. aureus compared to animals not receiving chitosan malate (P < 0.001) and group A streptococci (P < 0.005). Chitosan malate protected rabbits from the development of streptococcal TSS with necrotizing fasciitis (P < 0.01). The data suggest that use of this growth- and toxin-inhibitory compound may be able to reduce the severity of S. aureus and group A streptococcal mucous membrane and trauma-associated skin infections.
Streptococcus pyogenes - growth & development Male Colony Count, Microbial Anti-Bacterial Agents Chitosan - therapeutic use Shock, Septic - drug therapy Chitosan - pharmacology Female Hemolysin Proteins - biosynthesis Chitosan - analogs & derivatives Malates - toxicity Staphylococcus aureus - metabolism Rabbits Streptococcus pyogenes - drug effects Enzyme-Linked Immunosorbent Assay Malates - pharmacology Streptococcus pyogenes - metabolism Chitosan - toxicity Shock, Septic - microbiology Exotoxins - biosynthesis Animals Fasciitis, Necrotizing - prevention & control Fasciitis, Necrotizing - microbiology Bacterial Proteins - biosynthesis Staphylococcus aureus - drug effects Staphylococcus aureus - growth & development Malates - therapeutic use

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