Understanding Staphylococcus aureus in hyperglycaemia: A review of virulence factor and metabolic adaptations

Wound Repair Regen. 2024 Sep-Oct;32(5):661-670. doi: 10.1111/wrr.13192. Epub 2024 Jun 9.

Abstract

Staphylococcus aureus is one of the most commonly detected bacteria in diabetic skin and soft tissue infections. The incidence and severity of skin and soft tissue infections are higher in patients with diabetes, indicating a potentiating mechanism of hyperglycaemia and infection. The goal of this review is to explore the metabolic and virulence factor adaptations of S. aureus under hyperglycaemic conditions. Primary data from identified studies were included and summarised in this paper. Understanding the nexus of hyperglycaemia, metabolism, and virulence factors provides insights into the complexity of diabetic skin and soft tissue infections attributed to S. aureus.

Keywords: diabetes; metabolic adaptations; soft tissue infection; virulence factors.

Publication types

  • Review

MeSH terms

  • Adaptation, Physiological
  • Humans
  • Hyperglycemia* / complications
  • Hyperglycemia* / metabolism
  • Hyperglycemia* / microbiology
  • Soft Tissue Infections / metabolism
  • Soft Tissue Infections / microbiology
  • Staphylococcal Infections* / metabolism
  • Staphylococcal Infections* / microbiology
  • Staphylococcal Skin Infections / metabolism
  • Staphylococcal Skin Infections / microbiology
  • Staphylococcus aureus* / metabolism
  • Staphylococcus aureus* / pathogenicity
  • Virulence Factors* / metabolism

Substances

  • Virulence Factors