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Table 1 Major virulent mechanisms of Agr-related toxins

From: The role of Staphylococcus aureus quorum sensing in cutaneous and systemic infections

Toxin (gene)

Contribution of Agr expression on genes

Molecular character

Major virulent mechanism

References

PSMα (PSMα)

Activation (AgrA enhances PSMα promoter)

Amyloid protofilaments assembled by stacking of amphipathic helices

-Low concentration: stimulate leukocytes FPR2, leading to inflammatory response

[34]

 

-High concentration:Cytolytic against leuckocytes, keratinocytes, and erythrocytes

[31, 35]

PSMβ (PSMβ)

Activation (AgrA enhances PSMβ promoter)

Unknown

 

δ-toxin (hld)

Activation (hld encoded in RNAIII)

Mast cell degranulation

[36]

α-toxin (hla)

Activation (RNAIII initiate hla translation)

Pore-forming

-Pore forming cytotoxicity via ADAM10 binding in epithelial, endothelial, and immune cells

[37, 38]

  

-Platelets aggregation

[39]

  

-Inflammasome response in macrophages

[40]

protein A (spa)

Downregulation (RNAIII inhibit spa mRNA, RNAIII-spa mRNA degraded by RNAse III)

Five homologous Ig-binding domains

-Resist opsonization by Fc binding

[41, 42]

-Activate TNFR1

[43]