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10.1126/scitranslmed.aam7964

http://scihub22266oqcxt.onion/10.1126/scitranslmed.aam7964
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C5953194!5953194!29343625
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suck abstract from ncbi


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pmid29343625      Sci+Transl+Med 2018 ; 10 (424): ä
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  • Methicillin-resistant Staphylococcus aureus causes sustained collecting lymphatic vessel dysfunction #MMPMID29343625
  • Jones D; Meijer EF; Blatter C; Liao S; Pereira ER; Bouta EM; Jung K; Chin SM; Huang P; Munn LL; Vakoc BJ; Otto M; Padera TP
  • Sci Transl Med 2018[Jan]; 10 (424): ä PMID29343625show ga
  • Methicillin-resistant Staphylococcus aureus (MRSA) is a major cause of morbidity and mortality worldwide and is a frequent cause of skin and soft tissue infections (SSTIs). Lymphedema?fluid accumulation in tissue caused by impaired lymphatic vessel function?is a strong risk factor for SSTIs. SSTIs also frequently recur in patients and sometimes lead to acquired lymphedema. However, the mechanism of how SSTIs can be both the consequence and cause of lymphatic vessel dysfunction is not known. Intravital imaging in mice revealed both an acute reduction in lymphatic vessel contractility and lymph flow after localized MRSA infection. Moreover, chronic lymphatic impairment is observed long after MRSA is cleared and inflammation is resolved. Associated with decreased collecting lymphatic vessel function was the loss and disorganization of lymphatic muscle cells (LMCs), which are critical for lymphatic contraction. In vitro, incubation of MRSA-conditioned supernatant led to LMC death. Proteomic analysis identified several accessory gene regulator (agr)-controlled MRSA exotoxins that contribute to LMC death. Infection with agr mutant MRSA resulted in sustained lymphatic function compared to animals infected with wild type MRSA. Our findings suggest that agr is a promising target to preserve lymphatic vessel function and promote immunity during SSTIs.
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