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Background  The skin commensal  Staphylococcus haemolyticus  is an emerging nosocomial pathogen. Despite its clinical relevance, published information about  S. haemolyticus  virulence factors is scarce. In this study, the adhesive and biofilm forming properties of ten clinical and ten commensal  S. haemolyticus  strains were examined using standard adhesion and biofilm assays. One of the clinical strains was used to identify expressed surface proteins using bacterial surface shaving. Protein abundance was examined by a comparative analysis between bacterial protein expression after human keratinocyte (HaCaT) colonization and growth in cell culture media supplemented with serum. Relative protein quantification was performed by labeling peptides with tandem mass tags (TMT) prior to Mass Spectrometry analysis. Surface proteins can be used as novel targets for antimicrobial treatment and in diagnostics.    Results  Adherence to fibronectin, collagen and plastic was low in all tested strains, but with significantly higher adhesion to fibronectin ( p  = 0.041) and collagen ( p  = 0.001) in the commensal strains. There was a trend towards higher degree of biofilm formation in the clinical strains ( p  = 0.059).  By using surface shaving, 325 proteins were detected, of which 65 were classified as surface proteins. Analyses showed that the abundance of nineteen (5.8%) proteins were significantly changed following HaCaT colonization. The bacterial Toll/interleukin-1 like (TIRs) domain containing protein ( p  = 0.04), the transglycosylase SceD ( p  = 0.01), and the bifunctional autolysin Atl ( p  = 0.04) showed a 1.4, 1.6- and 1.5-fold increased abundance. The staphylococcal secretory antigen (SsaA) ( p  = 0.04) was significantly downregulated (− 1.5 fold change) following HaCaT colonization.  Among the 65 surface proteins the elastin binding protein (Ebps), LPXAG and LPXSG domain containing proteins and five LPXTG domain containing proteins were identified; three Sdr-like proteins, the extracellular matrix binding protein Embp and a SasH-like protein.    Conclusions  This study has provided novel knowledge about expression of  S. haemolyticus  surface proteins after direct contact with eukaryotic cells and in media supplemented with serum. We have identified surface proteins and immune evasive proteins previously only functionally described in other staphylococcal species. The identification of expressed proteins after host-microbe interaction offers a tool for the discovery and design of novel targets for antimicrobial treatment.

Identification of surface proteins in a clinical Staphylococcus haemolyticus isolate by bacterial surface shaving