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. 2012 Sep;61(Pt 9):1179–1193. doi: 10.1099/jmm.0.043513-0

Table 1. Studies demonstrating the pathogenic mechanisms and potential of Panton–Valentine leukocidin.

Study Major finding(s)
Genestier et al. (2005) PVL may inactivate mitochondria, leading to apoptosis
Voyich et al. (2006) In mouse model of SSTI and sepsis, PVL in an MRSA strain did not affect strain virulence
Bubeck Wardenburg et al. (2007) In mouse model of pneumonia, PVL in S. aureus did not affect mortality; use of isogenic PVL knockouts of USA300 and USA400 did not alter cytopathic effect in vitro in alveolar epithelial cells
Labandeira-Rey et al. (2007) In mouse model both purified PVL protein alone and an S. aureus strain overexpressing PVL caused necrotizing pneumonia
Wolter et al. (2007) Allelic variation exists in PVL genes from various S. aureus isolates; 7 nt substitutions were identified in 28 isolates collected over a long period of time at different geographical sites around the world
Bubeck Wardenburg et al. (2008) In rodent models of SSTI and pneumonia, no differences noted in USA300 and an isogenic PVL knockout
Montgomery et al. (2008) In rat model of pneumonia, wild-type and isogenic PVL knockout strains of USA300 and USA400 caused similar disease
Diep et al. (2008) (1) USA300 and isogenic PVL knockout did not differ in their proteomes or in their global gene expression profiles; (2) in rabbit sepsis model, competition assay showed that at 24 and 48 h, wild-type USA300 was present in a higher concentration in the kidney tissue than was its isogenic PVL knockout; PVL may provide survival benefit to USA300 early in infection
O’Hara et al. (2008) Two major allelic variants of PVL were identified in a large international collection of clinical S. aureus isolates; the R variant was found in USA300 and USA400 while the H variant was in other genetic backgrounds
Dumitrescu et al. (2008) In a large collection of clinical isolates, the R variant of PVL was identified in USA300, USA400 and in a CC93 isolate from Australia; the H variant was in many other lineages and dominated in MSSA and MRSA strain backgrounds from outside of North America
Tristan et al. (2009) PVL may be a factor in the adhesion of S. aureus to mucous membranes
Bae et al. (2009) Human SSTIs caused by a PVL+ MRSA strain were not associated with a worse outcome than those caused by PVL-negative MRSA strains
Tseng et al. (2009) In mouse model of myositis, wild-type USA300 caused greater tissue damage in young (and not older) mice than its isogenic PVL knockout
Hongo et al. (2009) PVL did not lyse neutrophils from mice but did lyse human neutrophils; this lysis was prevented in the presence of monoclonal anti-PVL antibodies
Montgomery et al. (2009) In a rat pneumonia model, USA300 and its isogenic PVL knockout did not differ in the initial, rapid massive inflammatory cytokine response as measured by RT-PCR
Hermos et al. (2010) Children with PVL+ MRSA infections have high serum titres of anti-PVL antibodies that strongly inhibit PVL-mediated lysis of human neutrophils; even in children with a high titre of these protective antibodies PVL+ MRSA strains can cause skin infections
Löffler et al. (2010) PVL lysed human and rabbit neutrophils, but did not lyse neutrophils from mice or monkeys
Varshney et al. (2010) PVL production by S. aureus strains varies; in a mouse SSTI model, MSSA and MRSA strains with greater PVL production caused larger lesions with a greater number of bacteria recovered from them than a strain with lower PVL production
Dumitrescu et al. (2011) In CA-MRSA isolates in vitro and in a mouse pneumonia model, PVL transcription was increased in the presence of imipenem and oxacillin (but not β-lactams that are PBP2, -3 or -4 selective); this was likely mediated by PBP1 binding and induction of the global virulence regulator sarA and reduction in the transcription of rot
Malachowa et al. (2011) PVL gene expression by microarray analysis increased in a USA300 strain in human blood compared with the strain in TSB, along with several other virulence factors
Zivkovic et al. (2011) In a mouse model, lung inflammatory response to PVL is mediated via NF-κB in alveolar macrophages by direct binding of PVL to CD14/TLR2
Kobayashi et al. (2011) In a rabbit SSTI model, the virulence of USA300 and its isogenic PVL knockout strain did not differ until >11 days into the infection, when the PVL knockout lesions were larger than those caused by wild-type USA300
Ma et al. (2012) In a rabbit pneumonia model, PVL protein led to NF-κB-mediated release of inflammatory cytokines derived from neutrophils; the injury resulting from this cytokine release was mild in neutropenic rabbits, suggesting the central role of neutrophils mediation in the pathogenic effect of PVL in the lung