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Decoding DNA Methylation in Staphylococcus aureus Mastitis: Implications for Immune Regulation and Disease Resistance | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL Animal Genetics This is a preprint and has not been peer reviewed. Data may be preliminary. 22 March 2025 V1 Latest version Share on Decoding DNA Methylation in Staphylococcus aureus Mastitis: Implications for Immune Regulation and Disease Resistance Authors : Apeksha , Abhishek Mahendra Todkari 0009-0001-8075-1669 , Ashok Chaudhary , Mir Mehroz Hassan , Diksha Upreti , Shri Ram Saini , Sheikh Firdous Ahmad 0000-0002-7114-0882 , and A. K. Pandey 0009-0000-1390-9983 [email protected] Authors Info & Affiliations https://doi.org/10.22541/au.174263595.58990203/v1 Published Animal Genetics Version of record Peer review timeline 460 views 224 downloads Contents Abstract Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Mastitis is a major health and economic threat to the dairy industry, causing massive losses every year worldwide. Staphylococcus aureus is the chief pathogen responsible for most of the subclinical as well as a considerable portion of the clinical cases. Conventional control strategies, including antibiotic treatment and genetic selection for resistance, have limited success due to antimicrobial resistance (AMR) and low heritability of mastitis susceptibility. This calls for the exploration of novel approaches like epigenetics, which offers insights into host-pathogen interactions beyond the genetic variations. This review focuses on DNA methylation changes in the mammary gland that occur during S. aureus mastitis. Recent research works have identified immune suppression and pathogen persistence in relation with DNA methylation during the disease. The microbe has been reported to alter the methylation status of regulatory regions for many immune genes like CXCR1, TNF-α, IL6R, IL10, and C3 , resulting in dysregulation of immune responses in the host, and thereby facilitating pathogen persistence and chronic infection. Along with its own virulence factors, differential DNA methylation status of such genes during infection helps the pathogen to escape host defence, and decreases the intensity of inflammation. Thus, understanding these mechanisms can open new avenues in the field of disease detection, animal selection, and immunotherapy among others. Such an integrative approach offers a revolutionization of mastitis control strategies, ensuring better health and productivity in dairy animals. Introduction The global demand for milk and dairy products has increased significantly over the past few decades, fuelled by factors such as population growth, urbanization, rising incomes, and evolving dietary preferences (Cheng et al ., 2022; Yousefian et al ., 2024). In response, the dairy industry implemented advanced strategies for enhancing per animal milk yield, like nutrition and management, and genetic selection (Cobirka et al ., 2020). The efforts have converged into significant improvements; however, persistent challenges, particularly mastitis, continue to cause substantial losses to the sector. Mastitis is a disease of high concern due to its profound economic, animal welfare, productivity, and public health implications (Detilleux et al ., 2015; Asfaw and Negash, 2017; Dalanezi et al ., 2020; Narayana et al ., 2021). Being a multifactorial condition, it arises from a complex interplay of pathogenic organisms as well as environmental factors, and managemental practices (Jones and Bailey, 2009). A variety of pathogens cause the infection, among which, Staphylococcus aureus has emerged as a major causative agent of both clinical and subclinical mastitis cases, particularly the latter (Reyher et al ., 2011). It is widely accepted as a major threat worldwide owing to its ability to evade host immune responses, produce persistent infections, and develop antimicrobial resistance (AMR). The traditional mastitis control strategies have not completely been effective for eradication of the disease, especially due to increasing cases of AMR, and the low heritability of mastitis susceptibility/ resistance (De Vliegher et al ., 2012; Chandrasekaran et al ., 2014). This has necessitated the exploration of novel mechanisms regulating disease susceptibility and immune responses. Over the past few years, epigenetic mechanisms, specifically DNA methylation, have drawn attention of the scientific community as a contributor to shaping the host-pathogen interactions and associated immune functions. DNA methylation is a heritable modification in the cytosine-phosphate-guanine (CpG) regions of the genome by addition of a methyl group, that influences expression of genes without altering the genetic code itself. There are emerging evidences on the manipulation of host’s DNA methylation levels upon infection by S. aureus within the mammary tissues. Specific changes have been reported in immune-related genes and linked to alterations in the immune responses during course of the disease. Understanding such modifications offers new insights into mechanisms of mastitis susceptibility and resistance, that can be used as novel strategies in control of the disease. This review aims to inspect the various aspects of DNA methylation associated changes in the immune responses to S. aureus induced mastitis. We discuss the mechanisms of DNA methylation, the interaction of S. aureus with the mammary gland methylome, and its impact on the host immune mechanisms. We have highlighted important modifications and the accompanying effects on products of different genes related to the host defence. Finally, possible areas to be explored and probable applications from the understanding of these epigenetic markers have been presented. The integration of epigenetics into mastitis research offers significant potential to uncover novel avenues for a sustainable management of the disease and improving dairy productivity. Mastitis in dairy animals Mastitis is a complex, production-related disease defined as the inflammation of mammary glands. The disease is one of the chief factors that negatively affect quality and quantity of milk in dairy animals, accounting for majority of culling in cattle and buffalo. It is considered as the most critical economic and health challenge in dairy herds (Cobirka et al ., 2020), and is among the most widespread and most costly diseases of dairy animals (Bogni et al ., 2011; Benić et al ., 2018; Jamali et al ., 2018; Narayana et al ., 2021). Reduced milk quantity and discarding of poor-quality milk, increased culling from herd, and additional expenditure on treatment of mastitis lead to huge economic losses for producers (Holmberg et al ., 2012; Detilleux et al ., 2015). Mastitis poses a significant risk to both food safety and environmental health. Apart from this, individual animal’s reproductive performance (Kumar et al ., 2017; Dalanezi et al ., 2020) and overall health may deteriorate due to an increased susceptibility to other diseases (Cha et al ., 2013). Due to the severe pain caused and impact on animal’s health, mastitis poses a challenge for animal welfare as well (Logue and Nolan, 1998; Asfaw and Negash, 2017). Therefore, it has drawn attention of researchers worldwide over decades, and continues to offer newer avenues in animal production yet to be explored. The disease can be triggered by physical injury and/or pathological microorganisms, along with contributors like poor milking practices and environmental factors (Jones and Bailey, 2009). It is classified on the basis of causative agent as environmental or contagious, and as clinical or subclinical based on symptoms manifested in host. Subclinical cases amount for a significantly higher proportion than that of clinical mastitis, respectively being around 25-65% and 5% (Dufour et al ., 2012; Bathla et al ., 2020). Subclinical mastitis is attributed to higher financial losses than clinical mastitis (Azooz et al ., 2020; Morales-Ubaldo et al ., 2023). The severity of mastitis depends on invasive microbes involved and the subsequent immune responses produced (Pighetti and Elliott, 2011; Gogoi-Tiwari et al ., 2017). There is variability in susceptibility to the same pathogen among cows, and lactation stage also influences the incidence of the infection (Burvenich et al ., 2000). The pace, strength, and duration of the immune reaction as well as susceptibility to mastitis are decisively linked to the animal’s genetics (Pighetti and Elliott, 2011; Bobbo et al., 2019). Mastitis agents in bovines and hegemony of Staphylococcus aureus Mastitis is a multi-etiological disease involving bacteria, fungi, mycoplasma, viruses, algae, and yeasts, which may have primary or secondary roles in its occurrence, and may either be environmental or contagious. Bacteria are the most important causal agents among these (Krishnamoorthy et al ., 2021), involving both Gram positive and negative types. In bovine mastitis, S. aureus, Streptococcus uberis, and Escherichia coli are considered as the major pathogens (Wellnitz and Bruckmaier, 2012; Heikkilä et al ., 2018; Saidani et al ., 2018; Krishnamoorthy et al ., 2021). S. aureus and E. coli are zoonotic, with the latter being environmental (Zi et al ., 2018). Gram-negative pathogens, such as E. coli, Klebsiella species, and Pseudomonas species, cause clinical mastitis more often in herds with a low bulk milk SCC; and on the contrary, gram-positive pathogens such as S. aureus, Streptococcus dysgalactiae , and Streptococcus agalactiae cause clinical mastitis more often in herds with a high bulk milk somatic cell count (SCC) (Barkema et al., 1998). S. aureus is the most prevalent contagious mastitis pathogen which causes both clinical and subclinical conditions (Nigam, 2015; Levison et al ., 2016; Singha et al ., 2021; Maddela et al ., 2024) . The microbe colonizes skin of mammary gland and multiplies within the organ, while evading the host’s defence system to mostly cause subclinical or chronic mastitis characterized by a reduced milk yield and an increased SCC in milk (Sutra and Poutrel, 1994; Kibebew, 2017; Cheng and Han, 2020). No other signs of disease appear in such cases apart from this; however, the udder tissue is damaged irreversibly, which may ultimately lead to AMR in addition to decreased milk production (Cheng and Han, 2020). Economic losses related with S. aureus clinical and subclinical mastitis result from the decrease in milk production and quality, the expenses on antibiotics and veterinary fees, and the withdrawal period of cows treated with antibiotics (Halasa et al ., 2007; Aghamohammadi et al ., 2018). Horizontal transfer of antibiotic resistance genes (Lerminiaux and Cameron, 2019), the emergence of livestock-associated methicillin-resistant S. aureus (MRSA) strains (García-Álvarez et al ., 2011; Holmes and Zadoks, 2011), and the public pressure to reduce antibiotic use in animal production are the few important reasons to find efficient non-antibiotic control measures for this disease. Therefore, breeding for mastitis resistant cattle becomes even more important. Immunity to S. aureus in mastitis Mastitis resistance depends on the mammary gland immune system. Physical barriers constitute the first line of defence in the gland against infection. It comprises of udder and teat morphology, milking speed, innate immunity, and the mechanical and antimicrobial teat canal barrier, through which bacteria must penetrate to cause intramammary infection (Burvenich et al ., 2000; Rainard and Riolett, 2006; Günther and Seyfert, 2018). After establishment of infection, innate and adaptive immunities play their role. Strain specific immune response has also been reported for S. aureus. Some strains cause rapid and intense immune response leading to clearance of organism from milk, and hence associated with mild clinical mastitis, while others cause persistent mastitis due to milder immune responses (Engler et al ., 2022). Strain diversity (Sivakumar et al., 2023), multiple virulence factors (Soares et al., 2017), persistent infection (Campos et al., 2022), immune evasion (De Jong et al., 2019), and low cure rates of anti-biotherapies (Erskine et al., 2002) are the critical factors making S. aureus an important pathogen in context of mastitis. Chronic and subclinical mastitis caused by S. aureus has low response to antibiotics due to colonization in intracellular epithelium (Erskine et al., 2002). Role of epigenetics in breeding for mastitis resistance Mastitis can be controlled by management practices and antibiotic treatment of affected animals, though these approaches alone have not been able to eradicate this rampant disease (Wang et al ., 2020). Further, antimicrobial resistance (AMR) has been reported time and again, causing low cure rates, along with posing a public health hazard (Barkema et al ., 2006; Chandrasekaran et al ., 2014). Mastitis control in dairy animals consumes a massive 80% of the total antibiotics used in this industry (Ashraf et al ., 2020), indicating predicament of the issue. Underscoring the effective, but short-term and limited gains from the above approaches, another important strategy, involving the use of genetic selection of animals, offers a parallel and permanent solution. Identification of animals’ susceptibility or resilience for the disease can help in early intervention through preventive measures and also aid in efficient selection (Bouzeraa et al ., 2024). Thousands of genes are involved in the immune response against different pathogens, but animals with better responses can be identified using conventional quantitative genetic principles based on phenotype (Mallard et al ., 2015). Heritability of immune responses, both cell-mediated (CMIR) and antibody-mediated (AMIR), is satisfactorily high to enable selection of animals for disease resistance (Hernandez et al ., 2006; Thompson-Crispi et al ., 2012). However, susceptibility to mastitis has been established as a trait with low heritability (Lush, 1950; Walawski, 1999; de Haas et al ., 2002; De Vliegher et al ., 2012), which necessitates the use of modern breeding strategies involving genomic selection aided by genome wide association studies (GWAS), transcriptomic, post-transcriptomic and epigenetic studies (Wang et al ., 2020). Gene transcription is regulated by both genetic mutations and epigenetic modifications (Zhang et al ., 2018). Genetic markers like singly nucleotide polymorphisms (SNPs) are frequently being used to assist genomic selection for livestock species like cattle (Bouquet and Juga, 2013; Obšteter and Gorjanc, 2021). Epigenetics, defined as the study of heritable changes in gene expression that do not involve alterations to the underlying DNA sequence (Ho et al ., 2010), has emerged as a powerful tool in recent years for understanding complex traits like mastitis in livestock. The epigenome encompassing the entire range of these potentially inheritable modifications across the genome, is contingent on the genetic, environmental, and other non-genetic factors (Bernstein et al., 2007; Ibeagha-Awemu and Khatib, 2017). Therefore, unlike genome, the epigenome is inordinately dynamic through lifetime of an individual, and also, within an individual, different cells/tissues express unique epigenetic profiles despite harbouring the same genetic instruction. Mastitis involves a triadic interaction between the host, pathogen, and environment, wherein the host factors include both its genetics and epigenetics components (Dego, 2020). The epigenetic component is affected by environmental cues which may be external, like temperature, chemicals, and pathogens, or internal, like nutrition status, hormones, and oxidative stress (James et al., 2004; Petronis, 2010; Tando and Matsui, 2023). The epigenetic alterations can result through several mechanisms, all of which work in concert to regulate gene expression without changing the genetic code itself. These mechanisms or epigenetic marks include DNA methylation, histone modifications, non-coding RNAs (ncRNAs), and chromatin remodelling. Among these, DNA methylation is the most studied and characterized epigenetic mechanism that plays a significant role in regulating mammary gland health and function in livestock (Ibeagha-Awemu and Zhao, 2015; Ivanova et al ., 2021). Pathogenic microbes including S. aureus have well been reported to alter the expression of various genes through the host’s epigenetic machinery (Van Nhieu and Arbibe, 2009; Heimer et al ., 2010; Gómez-Díaz et al ., 2012; Niller et al ., 2012). DNA methylation DNA methylation involves the covalent addition of methyl groups to the 5’ position of cytosine nucleotides in the DNA, usually at cytosine-phosphate-guanine (CpG) sites (Ibeagha-Awemu and Zhao, 2015; Triantaphyllopoulos et al., 2016). CpG sites or islands (CGIs) are genomic regions with an unusually high frequency of cytosine and guanine residues, present in most of the gene promoters, and are typically devoid of methylation (Illingworth and Bird, 2009). Many CpG islands (CGIs) are present in the bovine genome. DNA methylation at a single nucleotide position is considered equivalent to a polymorphism, and is termed as methylation variable position (MVP) (González-Recio, 2012). DNA methyltransferase enzymes like DNMT1, DNMT3a, and DNMT3b catalyse DNA methylation, using S-adenosyl-methionine (SAM) as methyl donor (Miranda and Jones, 2007). Here, DNMT1 functions as a ”maintenance” methyltransferase, copying existing methylation patterns after DNA replication, while DNMT3A and DNMT3B act as ”de novo” methyltransferases, establishing new methylation patterns during development and differentiation, essentially creating new methylation marks on previously unmethylated DNA (Tajima et al ., 2022). The process typically leads to gene silencing by blocking transcription factors from binding to the DNA. Hence, in general, hypermethylation in the regulatory regions of DNA is associated with inactivation of genes, whereas the reverse happens at lower levels of methylation. Conversely, gene expression is said to be increased if the hypermethylation occurs within the body of genes (Langevin and Kelsey, 2013). Insights into DNA methylation patterns can help explore the “black box” of phenotypic variation that has not possibly been explained by the genetic variations (Ibeagha-Awemu and Yu, 2021). Modern day assessment of DNA methylation can be carried out using techniques which are (1) bisulphite-based, like bisulphite sequencing (BS-Seq) (Stirzaker et al., 2014), methylation-specific PCR (MSP) (Herman et al., 1996), combined bisulphite restriction analysis (COBRA) (Xiong and Laird, 1997), and pyrosequencing (Tost and Gut, 2007), (2) enzyme-based, like methylation-sensitive restriction enzyme PCR (MSRE-PCR) (Zhang et al., 2009), HpaII tiny fragment enrichment by ligation-mediated PCR (HELP) (Khulan et al., 2006), (3) affinity-based, like methylated DNA immunoprecipitation (MeDIP) (Weber et al., 2005), and methyl-CpG binding domain capture (MBD-Seq) (Serre et al., 2010), and (4) sequencing-based, like whole-genome bisulfite sequencing (WGBS) (Lister et al ., 2009), reduced representation bisulfite sequencing (RRBS) (Meissner et al., 2005), oxidative bisulfite sequencing (oxBS-Seq) (De Borre and Branco, 2021), and single-molecule real-time sequencing (SMRT-Seq) (Flusberg et al., 2010). In dairy cattle, the role of DNA methylation in milk production has been well documented. Studies show that methylation differences between lactating and non-lactating stages influence the synthesis of milk components. DNA methylation at specific genomic loci has been associated with milk yield, composition, and mammary gland function (Wang and Ibeagha-Awemu, 2021). This understanding is crucial for addressing and utilizing the information on mastitis-related alterations in the DNA. In general, the global CpG methylation is higher in mastitis-positive animals, and more significant in the regulatory regions of DNA like promoters, first exons, and first introns (e.g. Wang et al., 2023; Wang et al., 2024). DNA methylation within the first intron during S. aureus -induced subclinical mastitis in dairy cows was found to influence immune-related pathways, potentially affecting the cow’s ability to respond to the infection (Wang et al ., 2022). However, some studies have reported lower overall methylation levels in infected animals compared to healthy ones (e.g. Ju et al ., 2020; Nayan et al., 2022). Staphylococcus aureus Mastitis: Pathogenesis and DNA Methylation S. aureus infection is established in three phases. The first phase involves adhesion of the organism to host cell and extracellular matrix. This is mediated by adhesion molecules like ClfA and ClfB. In the second phase, invasion of tissues occurs with the help of fibronectin and fibronectin-binding protein (FnBP), wherein an overexpression of FnBP leads to higher invasion. Finally in the third phase, evasion of host immune response occurs (Campos et al., 2022; Middleton, 2008; Almeida et al., 1996). A differential expression of various virulence factors takes place in the different stages of infection. In S. aureus , expression of virulence factors is under the control of global regulators like the accessory gene regulator (Agr) which allows transition from colonisation phase to invasive phase, and the alternative transcriptional sigma factor (SigB) which promotes expression of adhesions and biofilm (Novick and Geisinger, 2008). Concomitantly, the pathogen manipulates host immune responses through epigenetic alterations including DNA methylation. Studies indicate that S. aureus infection induces hypermethylation in pro-inflammatory cytokine genes such as TNF-α and IL6R genes, potentially dampening the immune response and allowing persistent infections (Zhang et al., 2018; Wang 2020; Dong 2021; Wang et al., 2024). In buffalo, hypermethylation of promoters for PZP (pregnancy zone protein) and CPAMD8 (complement 3 and pregnancy zone protein-like, a2-macroglobulin domain-containing protein 8) genes has been observed (Nayan et al ., 2022). Both the genes are broad spectrum protease inhibitors and involved in opsonization and phagocytosis of pathogens. Thus, their downregulation during mastitis supports persistence of S. aureus for longer periods inside the host. Host Immune Response and DNA Methylation Alterations The mammary gland relies on both innate and adaptive immunity to combat infections. The innate immune system provides first line of defence through physical barriers, pattern recognition receptors (PRRs), inflammation, complement activation, phagocytosis, lactoferrins, cytokines etc. Bacterial penetration into the udder is physically blocked by the tight sphincters at teat ends in between milkings (Jones and Bailey, 2009). However, these sphincters are relaxed in early dry period and immediately after milking, increasing the susceptibility to mastitis during these periods (Rainard and Riolett, 2006). Secondly, keratin and calcium binding protein layer of the teat canal has bacteriostatic and bactericidal properties (Smolenski et al., 2015; Notcovich, 2021). Mammary epithelial cells have PRRs for the recognition of pathogen associated molecular patterns (PAMPs) (Aitken et al ., 2011). PRR-PAMP binding results in release of various cytokines and chemokines depending on the PPRs involved, and leads to recruitment of the cells of immune system. Cytokines are signalling chemicals which may either promote inflammation upon encounter of pathogen (proinflammatory cytokines), or restrict the activity of proinflammatory cytokines (anti-inflammatory cytokines). The proinflammatory cytokines are released early in infection, as soon as the mammary epithelial cells identify the components of different mastitic bacteria (Lahouassa et al., 2007; Cheng et al., 2020; Vitenberga-Verza et al., 2022). The CXCR1 (C-X-C motif chemokine receptor 1) is a G-protein coupled receptor specifically involved in triggering of neutrophil chemotaxis and activation via its binding to ligands like IL-8 (CXCL8) and CXCL6 (Turner et al ., 2014). Neutrophils being the primary immune cells in udder infections, make this mechanism an essential part of immune responses to mastitis. However, S. aureus has evolved sophisticated mechanisms to modulate these immune mechanisms through DNA methylation changes. For example, increased CpG site methylation in the CXCR1 gene has been observed in S. aureus -infected mammary epithelial cells, impairing the host immune defence, and facilitating bacterial persistence (Dinarello, 2000; Mao et al., 2015; Wang et al., 2020). CSF2RB , which encodes for the common receptor β chain of cytokines like GM-CSF, IL3 and IL5, has been reported as downregulated under promoter hypermethylation after S. aureus mastitis in buffalo (Nayan et al ., 2022). This suggests that subclinical mastitis reduces immune function by downregulation of these cytokines. Similarly, altered DNA methylation profiles were reported for other genes involved in S. aureus induced inflammation, like IL6R, TNF, IL10, IL17 etc. (Zhang et al ., 2018; Wang et al ., 2020). However, a cell culture study revealed contrasting results, i.e. DNA hypomethylation-led increase in expression of cytokines TNF-α, IL-1β, IL-6, IL-8 , and chemokines CXCL1 and CXCL6 , in response to bacterial peptidoglycan (PGN) and lipoteichoic acid (LTA) (Wu et al., 2020). By complex interactions of such mechanisms, S. aureus cell wall components promote subclinical and chronic mastitis due to their weak but persistent inflammatory activity (Eckel and Ametaj, 2016). Methylation and gene expression changes are dependent on the type of pathogen as well as the duration of exposure to the pathogen. Pathogen-dependent gene expression mRNA expression of inflammatory cytokines and chemokines like TNF-α, IL1β , and IL8 is more pronounced after stimulation from lipopolysaccharide (LPS), the cell wall component of Gram-negative bacteria, as compared to that from lipoteichoic acid (LTA), the constituent of Gram-positive bacterial cell wall. Therefore, S. aureus is frequently isolated from subclinical and chronic cases, in contrast to gram negative bacteria like E. coli (Yang et al., 2008; Wellnitz et al., 2011). TNF-α , an important cytokine for inflammation and immunity, was reported as downregulated due to promoter hypermethylation in cases of LTA-bearing S. aureus mastitis (Zhang et al., 2018; Wang et al., 2020; Dong et al., 2021; Wang et al., 2024), whereas mammary epithelial cells showed its hypomethylation and resultant increased expression upon LPS stimulation (Dong et al ., 2021). The STAT5-binding lactational enhancer present upstream to the αS1-casein gene’s promoter is normally hypomethylated in lactating mammary glands. A pathogen-specific epigenetic response occurs in this region, where remethylation leads to suppression of αS1-casein synthesis in case of E. coli acute mastitis, contributing to a metabolic shift toward immune defence. In contrast, subclinical S. aureus infections do not induce any such changes, allowing continued αS1-casein synthesis, which may contribute to the pathogen’s long-term survival in the mammary gland (Vanselow et al., 2006). Exposure-dependent gene expression Different durations of mammary epithelium stimulation with LTA have shown variable mRNA concentrations of immune mediators like IL-1β, IL-8, TNF-α, CXCL6 and β-defensin. A rapid increase was observed within 2-4 hours of stimulation, followed by a return to baseline levels after 8-16 hours, and negligible concentrations by 24 hours (Strandberg et al., 2005). Acute mastitis, where exposure time to S. aureus is relatively short, is characterized by higher concentrations of IL-12 and IFN-γ for significantly longer time periods, reflecting its clinical nature (Bannerman et al., 2004). A dose dependent effect was demonstrated for LPS, wherein milk genes were supressed at its lower doses and immune genes were expressed at higher doses, owing to changes in methylation patterns at the corresponding promoter regions (Chen et al., 2019). Examples of the lactation-related genes reported were ACACA, ACSS2 and S6K1 (Chen et al., 2019). Leucocytes and DNA methylation Macrophages, neutrophils, and lymphocytes provide the next layer of protection after pathogen entry through physical barriers. They harbour PRRs on their surface and activate both innate and acquired immune responses (Sordillo et al., 1997; Soltys et al., 1999). Healthy mammary tissue mainly contains macrophages, and after recognition of pathogens, these macrophages release pro-inflammatory cytokines leading to recruitment of neutrophils (Alhussien et al., 2021; Rainard, 2003). Neutrophils are important for defence in acute as well as chronic mastitis (Rainard, and Riollet, 2003), as they act as the first line of defence and eliminate pathogens by phagocytosis (Paape et al., 2003). Level of neutrophils in the blood of cows in the puerperal period is highly heritable and is associated with susceptibility to clinical mastitis (Burvenich et al ., 2000; König and May, 2019). Therefore, a decrease in neutrophil count after parturition is associated with higher incidences of mastitis (Yamaguchi et al., 1999). Also, a major constituent of neutrophil secondary granules, lactoferrin (an iron binding protein), exhibits bacteriostatic activity against S . aureus (Bennett and Kokocinski, 1978; Diarra et al., 2002). DNA methylation has been associated with lactoferrin expression (Grant et al., 1999), which further opens the perspectives of studying the possible immune context vis-à-vis mastitis. Unlike neutrophils, the lymphocytes are recruited later in infection, and their interaction with S. aureus becomes crucial in determining the severity and outcome of the disease (Ziegler et al ., 2011; Rainard et al., 2022 ). These include T cells, B cells, and natural killer (NK) cells. Differential DNA methylation has been observed in peripheral blood lymphocytes for associated genes involved in inflammation, namely NRG1 (hypomethylated), MST1 (hypomethylated) and NAT9 (hypermethylated) during S. aureus subclinical mastitis, making them suitable epigenetic candidate genes (Song et al., 2016). NRG1 (neuregulin 1) , an epidermal growth factor, interacts with ErbB receptors in mammary gland and promotes anti-inflammatory macrophage (M2) responses (Zhao et al ., 2011). In phagocytes, the MST1 (mammalian sterile 20-like kinase 1) enhances the production of bactericidal reactive oxygen species (ROS) (Geng et al ., 2015), whereas NAT9 (N-acetyltransferase 9) is known to exhibit antiviral effects. Complement and DNA methylation The complement system is a part of humoral innate immune system, which comprises of a group of proteins that destroy the membranes of invading microorganisms, and also enhance phagocytosis through opsonization (Janeway et al., 2001). S. aureus is susceptible to the opsonising activity of complement proteins, but resistant to their lytic action (Rooijakkers et al., 2007; Laarman et al., 2011). This resistance is achieved by the interaction of bacterial ClfA with host complement regulator factor 1, resulting into cleavage of C3b (Hair et al., 2010). C3b is a critical component in the complement cascade. In absence of a functional C3b, formation of membrane attack complex is therefore inhibited, leading to suppressed lytic action of the complement. This mechanism of immune evasion by S. aureus was reported coinciding with promoter hypermethylation in the C3 gene of Indian buffalo, revealing contributions from epigenetic regulation (Nayan et al., 2022). Immune Evasion and Epigenetic Modifications by S. aureus S. aureus employs multiple mechanisms to evade immune responses in host: (1) secretion of toxins and immune modulators that impair host white blood cells, (2) production of protein A, which interferes with opsonization and phagocytosis, and (3) biofilm formation, which protects the bacteria from phagocytosis and antibiotics. Toxins and immune modulators: The organism secretes toxins and immune modulators that impair host white blood cells (WBCs). Exotoxins such as TSST-1, staphylococcal enterotoxins (SE), and staphylococcal enterotoxin-like proteins (SEl) play an important role in pathogenesis within the mammary gland by acting as superantigens leading to a massive cytokine release (Fitzgerald et al., 2001; Tollersrud et al., 2006). Enterotoxins M and H cause inflammation, necrosis, and apoptosis of mammary epithelium (Liu et al., 2014; Zhao et al., 2020). Leucocidins help S. aureus escape the immune system by disrupting WBC function (Alonzo and Torres, 2014). Tissue necrosis is caused by the α and β hemolysins (von Hoven et al., 2016; Cifrian et al., 1996). All these chemicals also increase cell permeability, exert lymphotoxic effects and lyse RBCs for iron acquisition (Huseby et al., 2007). Research on S. aureus induced nasal polyps has shown enterotoxin B to influence DNA methylation patterns in the nasal tissue (Pérez-Novo et al., 2013), and its impact on methylation status in udder tissue warrants further investigation. The TERT (telomerase reverse transcriptase) gene, despite remaining hypermethylated during both coagulase-negative (CNS) and coagulase-positive (CPS) staphylococcal infections, showed downregulation in the latter case only (Ząbek et al., 2020). This suggests a direct role of bacterial exotoxins on the host signalling pathways, and that these bacterial factors can override methylation-based repression under certain conditions. Protein A: Staphylococcal protein A (SpA) is a surface protein found in the bacterial cell wall, and exhibits anti-opsonic properties by preventing FcR-mediated phagocytosis (Forsgren and Sjöquist, 1966; Becker et al., 2014). Biofilm formation: In a biofilm, many layers of bacterial cells are embedded in the extracellular matrix, which adheres to biological surfaces and is made up of polysaccharide intracellular adhesions (PIA) mainly (Arciola et al., 2015; Formosa-Dague et al., 2016). Attachment, microcolony formation, maturation and detachment are the stages involved in development of biofilm (Pereya et al., 2016). Extracellular matrix of this stratified structure acts as a barrier, providing resistance to antibiotics, and also helps in evasion of immune response, making it significant for pathogenicity of S. aureus . Presence of biofilm has been described in udder of cows suffering from intramammary infection (Schönborn et al., 2016). The microbe also uses several other immune evasion mechanisms in addition to the abovementioned. For example, hypomethylation of the anti-inflammatory cytokine IL10 contributes to immune suppression, leading to chronic and subclinical mastitis (Wang et al ., 2020). Although direct evidence linking various bacterial factors to DNA methylation changes in host is limited, studies on other bacterial components (Qin et al., 2021) point to the possibility of elucidating specific effects of these elements as well. Involvement of non-genic regions Interestingly, in a study, DNA hypermethylation was observed in repeat elements (REs) LINE-1 and tRNA-derived SINE, which correlated with positive gene expression changes in immune-related genes PADI4 and CCAR1 respectively (Wang et al., 2024). Transposon MTD , member of the long terminal repeat (LTR) retrotransposon family showed hypomethylation in S. aureus subclinical mastitis cases in the same study (Wang et al., 2024). These observations suggest that certain non-genic elements can also influence gene transcription in unexpected ways, possibly by acting as alternative regulatory elements, and can be explored in future studies. Table 1: Genes with differential expression associated with DNA methylation changes in S. aureus mastitis ACTN1 Controls the organization of the actin cytoskeleton Hypermethylation Downregulated Wang et al., 2024 BOLA-DOB Antigen presentation and heat resistance Hypomethylation Upregulated Wang et al., 2024 BTK B cell development and maturation Hypomethylation Upregulated Wang et al ., 2020 C3 * Complement component Hypermethylation Downregulated Nayan et al ., 2022 CD4 Co-receptor for TCR during antigen recognition Hypermethylation Downregulated Wang et al., 2024 CLDN3 Forms tight junctions between cells Hypermethylation Downregulated Wang et al., 2024 CLDN4 Increases the complexity of tight junctions Hypermethylation Downregulated Wang et al., 2024 CPAMD8* Protease Inhibitor Hypermethylation Downregulated Nayan et al ., 2022 CSF2RB * Common receptor β chain of cytokines and chemokines like GMCSF, IL3, IL5 Hypermethylation Downregulated Nayan et al ., 2022 CSN1S1 Encodes αS1-casein milk protein Hypermethylation Downregulated Wang et al., 2024 CXADR Cell adhesion, viral reception, and signaling Hypermethylation Downregulated Wang et al., 2024 CXCL1 Neutrophil chemotaxis, angiogenesis Hypomethylation Upregulated Wu et al., 2020 CXCL17 Angiogenesis, neutrophil traffiking, antimicrobial activity Hypermethylation Downregulated Wang et al., 2024 CXCL6 Neutrophil chemotaxis, wound healing, tissue repair Hypomethylation Upregulated Wu et al., 2020 CXCR1 Induces inflammation Hypermethylation Downregulated Wang et al ., 2020 ; Wang et al ., 2024 EGR1 Regulates cell proliferation and apoptosis Hypermethylation Downregulated Wang et al., 2024 FGF1 Wound healing and cell proliferation Hypermethylation Downregulated Wang et al., 2024 FGF2 Tissue repair, wound healing Hypermethylation Downregulated Wang et al., 2024 IL10 Anti-inflammatory cytokine Hypomethylation Upregulated Wang et al ., 2020 IL17 Neutrophil mobilization and activation Hypomethylation Upregulated Wang et al ., 2020 IL1R2 IL1 receptor, anti-inflammatory effect Hypermethylation Downregulated Wang et al ., 2020 IL-1β Inflammation, fever Hypomethylation Upregulated Wu et al., 2020 ; Wang et al., 2024 IL2RA Regulates T cell function Hypomethylation Upregulated Wang et al., 2024 IL-6 Inflammation, haematopoiesis Hypomethylation Upregulated Wu et al., 2020; IL6R IL6 receptor. Induces proinflammatory response Hypermethylation Downregulated Zhang et al ., 2018 ; Wang et al ., 2024 IL-8 Neutrophil chemotaxis, angiogenesis Hypomethylation Upregulated Wu et al., 2020 IRF2 Development and maturation of NK cells Hypermethylation Downregulated Wang et al., 2024 KLF4 Regulates cell proliferation, differentiation, and apoptosis Hypermethylation Downregulated Wang et al., 2024 LINE-1 # Retrotransposon Hypermethylation PADI4 upregulated Wang et al., 2024 MEF2A T-cell activation, muscle development, cardiovascular function, and neuronal activity Hypomethylation Upregulated Wang et al., 2024 MST1 Anti-inflammatory molecule (Reduces IL1β, IL6, TNFα) Hypomethylation Upregulated Song et al., 2016 NAT9 N-Acetyltransferase- Antiviral effect Hypermethylation Downregulated Song et al., 2016 NCF1 Promotes neutrophil activity and phagocytosis Hypomethylation Upregulated Wang et al., 2024 Nckap5 $ Immune cell apoptosis Hypomethylation Upregulated Wang et al., 2019 ; Wang et al., 2024 NFKBIA Negative regulator of inflammation Hypermethylation Downregulated Wang et al ., 2020 NRG1 Anti-inflammatory molecule Hypermethylation Downregulated Song et al., 2016 PZP * Protease inhibition; Th-1 immune response inhibition Hypermethylation Downregulated Nayan et al ., 2022 RAC2 Regulates secretion, phagocytosis, and cell polarization Hypomethylation Upregulated Wang et al., 2024 SLC9A3R1 Sodium/hydrogen exchanger regulatory cofactor (NHE-RF1 Hypermethylation Downregulated Wang et al., 2024 SP4 Enables transcription factor activity Hypermethylation Downregulated Wang et al., 2024 SPRY2 Regulates cell proliferation, differentiation, and survival Hypermethylation Downregulated Wang et al., 2024 SYK Encodes tyrosine kinase- B cell development, cellular adhesion, innate immune recognition Hypomethylation Upregulated Wang et al., 2024 TERT Maintains telomerase, promotes cell division Hypermethylation Upregulated/ Downregulated Ząbek et al., 2020 TGFB2 Regulates cell growth, differentiation, role in wound healing Hypermethylation Downregulated Wang et al., 2024 TNF-a Pro-inflammatory cytokine Hypermethylation Downregulated Wang et al ., 2020; TNFSF8 Activation and differentiation of T and B cells Hypomethylation Upregulated Wang et al ., 2020 transposon MTD $# Acts as LTR-retrotransposons; Hypomethylation Upregulated Wang et al., 2019 tRNA-derived SINE # Non coding Hypermethylation CCAR1 upregulated Wang et al., 2024 * Study on water buffalo $ Study in mouse model # Non-genic regions Gaps in research While most of the current research has focused on bulk tissue analysis, cell-specific studies on macrophages, neutrophils etc. in addition to mammary epithelial cells, can provide more precise insights into immune regulation through DNA methylation alterations. Since the variable nature of epigenetics through time is well known, longitudinal studies can be designed to assess the long-term effects. Differences in DNA methylation responses among dairy breeds remain unexplored till date, and an understanding of these differences can be crucial for selective breeding strategies in future. A multitude of staphylococcal metabolites interact with the host’s immune system to influence the outcome of infection, and more of these can be inspected in the epigenetic aspect. A comprehensive understanding of immune regulation can be developed through large-scale epigenome-wide association studies (EWAS) which link DNA methylation profiles with mastitis susceptibility in dairy animals. Applications and potential future research areas Based on findings from different studies, important DNA methylation markers can be selected and used as epigenetic biomarkers for early detection of S. aureus mastitis. Information on methylation patterns in immune-related genomic regions can assist in selection of animals with natural resistance to S. aureus infections. Targeted epigenetic immunotherapy to alter the immune system epigenome has been used successfully for diseases like cancer in humans, and it can be applied for mastitis management on similar lines. Site-specific epigenetic modifications in DNA methylation patterns can be carried out using systems like CRISPR to enhance mastitis resistance. Conclusion Over years, the dairy industry has continued to face persistent challenge to production in the form of mastitis, accounting for substantial financial losses, and compromised animal welfare, product quality and quantity, and public health concerns. Staphylococcus aureus -induced mastitis is particularly a menace for the farmer due to concerns of immune evasion, antimicrobial resistance (AMR), and persistent infections. Traditional control strategies of improving management and genetic selection have been met with limited success due to the aforementioned factors as well as the low heritability of mastitis susceptibility trait. Therefore, supplementing these with information from epigenetic marks like DNA methylation, becomes important in disease control. S. aureus modulates host immune responses function through DNA methylation of many immune genes complementing its virulence factors, leading to persistence of the infection. Hypomethylation of promoter regions in immunosuppressive genes like IL10 , leading to their upregulation and in contrast, hypermethylation in pro-inflammatory CXR1, TNF-α, IL6R, C3 etc. causing their downregulation explains the lowering of immune responses caused during S. aureus mastitis . Hence, these genes can potentially act as epigenetic biomarkers for the disease. These biomarkers can enable early disease detection as well as selection of mastitis resistant animals. Application of EWAS, and use of epigenetic immunotherapy and targeted interventions through CRISPR have prospective of developing novel mastitis control strategies. Integrating epigenetic insights in genomic selection programmes can assure enhancement of the resilience of dairy animals against S. aureus mastitis in the future . Author contributions Apeksha: Conceptualization; writing – original draft. Abhishek Mahendra Todkari: Conceptualization; writing – original draft. Mir Mehroz Hassan: Writing – review and editing. Ashok Chaudhary: Writing – review and editing. Diksha Upreti: Writing – review and editing. Shri Ram Saini: Writing – review and editing. Sheikh Firdous Ahmad: Writing – review and editing. A. K. Pandey: Conceptualization; writing – review and editing Acknowledgements The authors sincerely acknowledge the Director and Joint Director (Research), ICAR-Indian Veterinary Research Institute (IVRI), Izatnagar for providing their invaluable support and necessary infrastructural facilities for this review. Conflict of interest statement The authors declare that there are no conflicts of interest associated with this study. Data availability statement No new data were generated or analysed as part of this review. References Aghamohammadi, M., Haine, D., Kelton, D.F., Barkema, H.W., Hogeveen, H., Keefe, G.P. and Dufour, S., 2018. Herd-level mastitis-associated costs on Canadian dairy farms. Frontiers in veterinary science , 5 , p.355975. Aitken, S.L., Corl, C.M. and Sordillo, L.M., 2011. Immunopathology of mastitis: insights into disease recognition and resolution. Journal of mammary gland biology and neoplasia , 16 , pp.291-304. Alhussien, M.N., Panda, B.S. and Dang, A.K., 2021. 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The dynamics of T cells during persistent Staphylococcus aureus infection: from antigen‐reactivity to in vivo anergy. EMBO molecular medicine , 3 (11), pp.652-666. Information & Authors Information Version history V1 Version 1 22 March 2025 Peer review timeline Published Animal Genetics Version of Record 25 Sep 2025 Published Copyright This work is licensed under a Non Exclusive No Reuse License. Collection Animal Genetics Keywords staphylococcus aureus dna methylation epigenetics immune response mastitis Authors Affiliations Apeksha ICAR - Indian Veterinary Research Institute View all articles by this author Abhishek Mahendra Todkari 0009-0001-8075-1669 Government of Maharashtra View all articles by this author Ashok Chaudhary ICAR - Indian Veterinary Research Institute View all articles by this author Mir Mehroz Hassan ICAR - Indian Veterinary Research Institute View all articles by this author Diksha Upreti ICAR - Indian Veterinary Research Institute View all articles by this author Shri Ram Saini ICAR - Indian Veterinary Research Institute View all articles by this author Sheikh Firdous Ahmad 0000-0002-7114-0882 ICAR - Indian Veterinary Research Institute View all articles by this author A. K. Pandey 0009-0000-1390-9983 [email protected] ICAR - Indian Veterinary Research Institute View all articles by this author Metrics & Citations Metrics Article Usage 460 views 224 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Apeksha, Abhishek Mahendra Todkari, Ashok Chaudhary, et al. Decoding DNA Methylation in Staphylococcus aureus Mastitis: Implications for Immune Regulation and Disease Resistance. Authorea . 22 March 2025. DOI: https://doi.org/10.22541/au.174263595.58990203/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . 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