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As a facultative intracellular pathogen,  Staphylococcus aureus  invades macrophages and then promotes the cytoprotection of infected cells thus stabilizing safe niche for silent persistence. This process occurs through the upregulation of crucial antiapoptotic genes, in particular,  myeloid cell leukemia-1 (MCL-1) . Here, we investigated the underlying mechanism and signal transduction pathways leading to increased  MCL-1  expression in infected macrophages. Live  S. aureus  not only stimulated  de novo  synthesis of Mcl-1, but also prolonged the stability of this antiapoptotic protein. Consistent with this, we proved a crucial role of Mcl-1 in  S. aureus -induced cytoprotection, since silencing of  MCL1  by siRNA profoundly reversed the cytoprotection of infected cells leading to apoptosis. Increased  MCL1  expression in infected cells was associated with enhanced NF κ B activation and subsequent IL-6 secretion, since the inhibition of both NF κ B and IL-6 signalling pathways abrogated Mcl-1 induction and cytoprotection. Finally, we confirmed our observation  in vivo  in murine model of septic arthritis showing the association between the severity of arthritis and Mcl-1 expression. Therefore, we propose that  S. aureus  is hijacking the Mcl-1-dependent inhibition of apoptosis to prevent the elimination of infected host cells, thus allowing the intracellular persistence of the pathogen, its dissemination by infected macrophages, and the progression of staphylococci diseases.

The Role of Mcl-1 inS. aureus-Induced Cytoprotection of Infected Macrophages