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Updated: Oct 8, 2026

Biosensor for Detection of Antibiotic Resistant Staphylococcus Bacteria
Published on: May 8, 2013
Identification and characterization of phage variants of a strain of epidemic methicillin-resistant Staphylococcus
G L O'Neill1, S Murchan, A Gil-Setas
1Laboratory of Hospital Infection, Central Public Health Laboratory, London, NW9 5HT, United Kingdom.
Abstract:
EMRSA-15 is one of the most important strains of epidemic methicillin-resistant Staphylococcus aureus (EMRSA) found in the United Kingdom. It was originally characterized by weak lysis with phage 75 and production of enterotoxin C but not urease. Two variant strains of EMRSA-15 which show a broader phage pattern than the progenitor strain have emerged. A total of 153 recent clinical isolates representing classical EMRSA-15 (55 isolates) or these phage variants (98 isolates) were compared by SmaI macrorestriction profiles in pulsed-field gel electrophoresis (PFGE) as well as by urease and enterotoxin C production. Eight of the 98 isolates were shown to be other unrelated strains by both PFGE and their production of urease, a misidentification rate of 8% by phage typing. Seventy-one EMRSA-15 isolates were enterotoxin C negative, and the majority of these were sensitive to phage 81. Examination of PFGE profiles and Southern blotting studies suggest that the enterotoxin C gene locus is encoded on a potentially mobile DNA segment of ca. 15 kb. After elimination of the eight non-EMRSA-15 isolates, the remaining 145 were characterized by PFGE, yielding 22 profiles. All profiles were within five band differences of at least one other profile. Classical EMRSA-15 isolates showed nine PFGE profiles, with the majority of isolates (68%) in profile B1. Six of these nine PFGE profiles were unique to the classical EMRSA-15 isolates. Among the phage variants of EMRSA-15, 16 profiles were seen, but the majority of isolates (83%) fell into 1 of 4 profiles (B2, B3, B4, and B7) which correlated well with phage patterns. The most divergent PFGE profiles among the EMRSA-15 isolates had as many as 12 band differences from one another, suggesting that in examining isolates belonging to such a temporally and geographically disseminated epidemic strain, the range of PFGE profiles must be regarded as a continuum and analyzed by relating the profiles back to the most common or progenitor profile.
Insights
Epidemic methicillin-resistant Staphylococcus aureus (EMRSA)-15 strains in the UK show genetic diversity. Pulsed-field gel electrophoresis (PFGE) revealed variations, highlighting the need to analyze profiles as a continuum.
Area of Science:
- Microbiology
- Genetics
- Epidemiology
Background:
- EMRSA-15 is a significant epidemic strain of methicillin-resistant Staphylococcus aureus in the UK.
- Original EMRSA-15 strains had specific phage lysis and toxin profiles (enterotoxin C positive, urease negative).
- Emergence of EMRSA-15 variants with broader phage patterns necessitates further characterization.
Purpose of the Study:
- To compare classical EMRSA-15 and its phage variants using PFGE and molecular typing.
- To assess the accuracy of phage typing for EMRSA-15 identification.
- To investigate the genetic basis of enterotoxin C production in EMRSA-15.
Main Methods:
- Pulsed-field gel electrophoresis (PFGE) with SmaI macrorestriction profiling.
- Urease and enterotoxin C production assays.
- Southern blotting to examine the enterotoxin C gene locus.
Main Results:
- PFGE identified 22 distinct profiles among 145 EMRSA-15 isolates, with significant overlap and variation.
- Phage typing misidentified 8% of isolates, misclassifying them as non-EMRSA-15.
- The enterotoxin C gene appears located on a mobile DNA segment; enterotoxin C-negative strains often reacted with phage 81.
Conclusions:
- PFGE is a robust method for characterizing EMRSA-15, revealing a continuum of genetic profiles.
- Phage typing alone has limitations in accurately identifying EMRSA-15 strains.
- Understanding the genetic diversity and mobile elements within EMRSA-15 is crucial for tracking its spread.
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