REDUCTION IN CYTOKINE RELEASE FROM HUMAN MONOCYTES BY MODIFICATIONS IN CELL-WALL STRUCTURE OF STAPHYLOCOCCUS-AUREUS INDUCED BY SUBINHIBITORY CONCENTRATIONS OF OXACILLIN

Whole bacterial cells of Staphylococcus aureus as well as purified sta phylococcal peptidoglycan (PG) have been demonstrated to stimulate hum an monocytes to release cytokines. Hypothesising that the phenomenon o f changes induced by beta-lactam antibiotics in cell-wall composition may alter the immunological properties of the intact cell wall as well as of purified cell-wall components, this study assessed whether cyto kine release by human monocytes is altered if cells from strains grown in the presence or absence of sub-minimal inhibitory concentrations o f oxacillin are used as stimuli. Whole bacterial cells and isolated PG from these strains, grown in the presence of oxacillin, showed a sign ificantly reduced stimulation of tumour necrosis factor-alpha, interle ukin (IL)-1 beta and IL-6 release by human monocytes in a concentratio n-dependent fashion. The serum-induced potentiation of cytokine produc tion by human monocytes in response to PG with modified cross-linking was also reduced. These observations may have particular relevance for staphylococcal infections, in which clinically achievable beta-lactam concentrations do not suppress staphylococcal growth yet may alter an d possibly enhance virulence.