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Updated: Aug 18, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
Acquisition of methicillin resistance and progression of multiantibiotic resistance in methicillin-resistant
1Department of Bacteriology, School of Medicine, Juntendo University, Tokyo, Japan.
Abstract:
Methicillin-resistant Staphylococcus aureus (MRSA) produces specific penicillin-binding protein, PBP2', which shows remarkably low affinities to most beta-lactam antibiotics except those such as penicillin G and ampicillin. The region surrounding mecA has been called additional DNA or mec and is thought to be of extraspecies origin. From the study of mec, we found that mec is a novel mobile genetic element and designated as staphylococcal cassette chromosome mec (SCCmec). There are three types of SCCmec. In the past decades, MRSA has become resistant to many antibiotics, such as carbapenems, new quinolones, and minocycline etc. It seems to be a characteristic of MRSA to acquire multi-resistance by accumulating multiple resistance genes around the mecA gene inside SCCmec.
Insights
Methicillin-resistant Staphylococcus aureus (MRSA) utilizes a unique penicillin-binding protein (PBP2) conferring resistance. This resistance is linked to the novel mobile genetic element, staphylococcal cassette chromosome mec (SCCmec), which harbors multiple resistance genes.
Area of Science:
- Microbiology
- Genetics
- Infectious Diseases
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) possesses a unique penicillin-binding protein, PBP2', with low affinity for most beta-lactam antibiotics.
- The mecA gene, responsible for this resistance, is located within a region of DNA of presumed extraspecies origin.
Purpose of the Study:
- To characterize the novel mobile genetic element associated with the mecA gene.
- To understand the genetic basis of multi-drug resistance in MRSA.
Main Methods:
- Investigated the genetic region surrounding the mecA gene.
- Identified and classified the mobile genetic element as staphylococcal cassette chromosome mec (SCCmec).
Main Results:
- The region surrounding mecA was identified as a novel mobile genetic element, designated staphylococcal cassette chromosome mec (SCCmec).
- Three distinct types of SCCmec have been identified.
- MRSA exhibits multi-resistance by accumulating various resistance genes within the SCCmec element around the mecA gene.
Conclusions:
- SCCmec is a novel mobile genetic element central to MRSA's resistance mechanisms.
- The accumulation of multiple resistance genes within SCCmec contributes to the broad antibiotic resistance observed in MRSA strains.
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Antibiotic Selection
Development of Antibiotic Resistance
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Mechanism of Antibiotic Resistance in MRSA
Clinical Significance of Antibiotic Resistance

