The effects of sub-minimum inhibitory concentrations (sub-MICs) of thr
ee antibiotics affecting the biosynthesis of peptidoglycan on the inte
ractions of Staphylococcus aureus strains with collagenous substrata w
ere evaluated. In a system measuring binding of I-125-labeled collagen
, growth of bacteria in the presence of one-quarter MIC of cloxacillin
and vancomycin reduced the number of collagen binding sites on the su
rface of bacteria. Growth in the presence of cefpodoxime reduced the n
umber of collagen binding sites in one strain and increased it in anot
her. Cefpodoxime also increased the dissociation constant of collagen
binding to bacteria, 2- to 3-fold, while the other two antibiotics did
not affect the affinity of the interaction. In a system measuring adh
esion of I-125-labeled bacteria to collagen-coated surfaces or cartila
ge, bacteria grown in the presence of cloxacillin and vancomycin attac
hed to varying degrees depending on the strain. In contrast, compared
to untreated controls as well as to bacteria treated with the other tw
o antibiotics, growth in the presence of cefpodoxime significantly red
uced adhesion of the majority of strains tested. Sub-MICs of antibioti
cs appear to affect staphylococcal adhesion to collagenous substrata w
ith cefpodoxime exhibiting the strongest effect. The critical factor i
n reducing bacterial adhesion seems not to be the number of bacterial
binding sites for collagen, but the affinity of the interaction.