Skip to main content

Part of the book series: Methods in Molecular Biology ((MIMB,volume 391))

Abstract

Staphylococcal superantigens (SAgs) comprise a large family of exotoxins produced by Staphylococcus aureus strains. These exotoxins are important in a variety of serious human diseases, including menstrual and nonmenstrual toxic shock syndrome (TSS), staphylococcal pneumonias, and a recently described staphylococcal purpura fulminans. In addition, these SAg exotoxins are being increasingly recognized for their possible roles in many other human diseases, such as atopic dermatitis, Kawasaki syndrome, nasal polyposis, and certain autoimmune disorders. To clarify the full spectrum of human diseases caused by staphylococcal SAgs, it is necessary to have assays for them. At present there are 17 well-characterized, serologically distinct SAgs made by S. aureus: TSS toxin-1; staphylococcal enterotoxins (SEs) A, B, C (multiple minor variant forms exist), D, E, and I; and SE-like G, H, J, K, L, M, N, O, P, and Q. In addition, SE-like proteins R, S, T, and U have been identified but remain poorly characterized. The most straightforward way to analyze S. aureus strains for the well-characterized SAgs is through polymerase chain reaction for their genes; we provide here our method for this analysis. Although it would be ideal to confirm that all of the same SAgs are produced by S. aureus strains that have the genes, antibody reagents for SAg detection are only available for TSS toxin-1; SEs A-E; and enterotoxin-like proteins G, H, and Q. We provide a Western immunoblot procedure that allows in vitro quantification of these SAgs.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Protocol
USD 49.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. (1999) From the Centers for Disease Control and Prevention. Four pediatric deaths from community-acquired methicillin-resistant Staphylococcus aureus—Minnesota and North Dakota, 1997–1999. JAMA 282, 1123–1125.

    Google Scholar 

  2. Bergdoll, M. S., Crass, B. A., Reiser, R. F., Robbins, R. N., and Davis, J. P. (1981) A new staphylococcal enterotoxin, enterotoxin F, associated with toxic-shock-syndrome Staphylococcus aureus isolates. Lancet 1, 1017–1021.

    Article  CAS  PubMed  Google Scholar 

  3. Bernstein, J. M., Ballow, M., Schlievert, P. M., Rich, G., Allen, C., and Dryja, D. (2003) A superantigen hypothesis for the pathogenesis of chronic hyperplastic sinusitis with massive nasal polyposis. Am. J. Rhinol. 17, 321–326.

    PubMed  Google Scholar 

  4. Blomster-Hautamaa, D. A. and Schlievert, P. M. (1988) Preparation of toxic shock syndrome toxin-1. Methods Enzymol. 165, 37–43.

    Article  CAS  PubMed  Google Scholar 

  5. Kravitz, G., Dries, D. J., Peterson, M. L., and Schlievert, P. M. (2005) Purpura fulminans due to Staphylococcus aureus. Clin. Infect. Dis. 40, 941–947.

    Article  PubMed  Google Scholar 

  6. Lowy, F. D. (1998) Staphylococcus aureus infections. N. Engl. J. Med. 339, 520–532.

    Article  CAS  PubMed  Google Scholar 

  7. McCormick, J. K., Yarwood, J. M., and Schlievert, P. M. (2001) Toxic shock syndrome and bacterial superantigens: an update. Annu. Rev. Microbiol. 55, 77–104.

    Article  CAS  PubMed  Google Scholar 

  8. Dinges, M. M., Orwin, P. M., and Schlievert, P. M. (2000) Exotoxins of Staphylococcus aureus. Clin. Microbiol. Rev. 13, 16–34.

    Article  CAS  PubMed  Google Scholar 

  9. Schlievert, P. M. (1986) Staphylococcal enterotoxin B and toxic-shock syndrome toxin-1 are significantly associated with non-menstrual TSS. Lancet 1, 1149, 1150.

    Article  CAS  PubMed  Google Scholar 

  10. Schlievert, P. M., Shands, K. N., Dan, B. B., Schmid, G. P., and Nishimura, R. D. (1981) Identification and characterization of an exotoxin from Staphylococcus aureus associated with toxic-shock syndrome. J. Infect. Dis. 143, 509–516.

    CAS  PubMed  Google Scholar 

  11. Schlievert, P. M., Tripp, T. J., and Peterson, M. L. (2004) Reemergence of staphylococcal toxic shock syndrome in Minneapolis-St. Paul, Minnesota, during the 2000–2003 surveillance period. J. Clin. Microbiol. 42, 2875–2886.

    Article  PubMed  Google Scholar 

  12. Lina, G., Bohach, G. A., Nair, S. P., Hiramatsu, K., Jouvin-Marche, E., and Mariuzza, R. (2004) Standard nomenclature for the superantigens expressed by Staphylococcus. J. Infect. Dis. 189, 2334–2336.

    Article  PubMed  Google Scholar 

  13. Jarraud, S., Cozon, G., Vandenesch, F., Bes, M., Etienne, J., and Lina, G. (1999) Involvement of enterotoxins G and I in staphylococcal toxic shock syndrome and staphylococcal scarlet fever. J. Clin. Microbiol. 37, 2446–2449.

    CAS  PubMed  Google Scholar 

  14. Fey, P. D., Said-Salim, B., Rupp, M. E., et al. (2003) Comparative molecular analysis of community-or hospital-acquired methicillin-resistant Staphylococcus aureus. Antimicrob. Agents Chemother. 47, 196–203.

    Article  CAS  Google Scholar 

  15. Davis, J. P., Chesney, P. J., Wand, P. J., and LaVenture, M. (1980) Toxic-shock syndrome: epidemiologic features, recurrence, risk factors, and prevention. N. Engl. J. Med. 303, 1429–1435.

    Article  CAS  PubMed  Google Scholar 

  16. Shands, K. N., Schmid, G. P., Dan, B. B., et al. (1980) Toxic-shock syndrome in menstruating women: association with tampon use and Staphylococcus aureus and clinical features in 52 cases. N. Engl. J. Med. 303, 1436–1442.

    Article  CAS  PubMed  Google Scholar 

  17. Todd, J. K., Kapral, F. A., Fishaut, M., and Welch, T. R. (1978) Toxic shock syndrome associated with phage group 1 staphylococci. Lancet 2, 1116–1118.

    Article  CAS  PubMed  Google Scholar 

  18. Parsonnet, J. (1998) Case definition of staphylococcal TSS: a proposed revision incorporating laboratory findings. Int. Congress Symp. Ser. 229, 15.

    Google Scholar 

  19. Reingold, A. L., Hargrett, N. T., Dan, B. B., Shands, K. N., Strickland, B. Y., and Broome, C. V. (1982) Nonmenstrual toxic shock syndrome: a review of 130 cases. Ann. Intern. Med. 96, 871–874.

    CAS  PubMed  Google Scholar 

  20. MacDonald, K. L., Osterholm, M. T., Hedberg, C. W., et al. (1987) Toxic shock syndrome: a newly recognized complication of influenza and influenza like illness. JAMA 257, 1053–1058.

    Article  CAS  PubMed  Google Scholar 

  21. Cone, L. A., Woodard, D. R., Byrd, R. G., Schulz, K., Kopp, S. M., and Schlievert, P. M. (1992) A recalcitrant, erythematous, desquamating disorder associated with toxin-producing staphylococci in patients with AIDS. J. Infect. Dis. 165, 638–643.

    CAS  PubMed  Google Scholar 

  22. Hofer, M. F., Harbeck, R. J., Schlievert, P. M., and Leung, D. Y. (1999) Staphylococcal toxins augment specific IgE responses by atopic patients exposed to allergen. J. Invest. Dermatol. 112, 171–176.

    Article  CAS  PubMed  Google Scholar 

  23. Hofer, M. F., Lester, M. R., Schlievert, P. M., and Leung, D. Y. (1995) Upregulation of IgE synthesis by staphylococcal toxic shock syndrome toxin-1 in peripheral blood mononuclear cells from patients with atopic dermatitis. Clin. Exp. Allergy 25, 1218–1227.

    Article  CAS  PubMed  Google Scholar 

  24. Jackow, C. M., Cather, J. C., Hearne, V., Asano, A. T., Musser, J. M., and Duvic, M. (1997) Association of erythrodermic cutaneous T-cell lymphoma, superantigen-positive Staphylococcus aureus, and oligoclonal T-cell receptor V beta gene expansion [published erratum appears in Blood 1997 89:3496]. Blood 89, 32–40.

    CAS  PubMed  Google Scholar 

  25. Leung, D. Y., Meissner, H. C., Fulton, D. R., Murray, D. L., Kotzin, B. L., and Schlievert, P. M. (1993) Toxic shock syndrome toxin-secreting Staphylococcus aureus in Kawasaki syndrome. Lancet 342, 1385–1388.

    Article  CAS  PubMed  Google Scholar 

  26. Bohach, G. A., Fast, D. J., Nelson, R. D., and Schlievert, P. M. (1990) Staphylococcal and streptococcal pyrogenic toxins involved in toxic shock syndrome and related illnesses. Crit. Rev. Microbiol. 17, 251–272.

    Article  CAS  PubMed  Google Scholar 

  27. Marrack, P. and Kappler, J. (1990) The staphylococcal enterotoxins and their relatives. Science 248, 705–711.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Humana Press Inc., Totowa, NJ

About this protocol

Cite this protocol

Schlievert, P.M., Case, L.C. (2007). Molecular Analysis of Staphylococcal Superantigens. In: Ji, Y. (eds) Methicillin-Resistant Staphylococcus aureus (MRSA) Protocols. Methods in Molecular Biology, vol 391. Humana Press. https://doi.org/10.1007/978-1-59745-468-1_9

Download citation

  • DOI: https://doi.org/10.1007/978-1-59745-468-1_9

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-655-9

  • Online ISBN: 978-1-59745-468-1

  • eBook Packages: Springer Protocols

Publish with us

Policies and ethics