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Biosensor for Detection of Antibiotic Resistant Staphylococcus Bacteria
Published on: May 8, 2013
Microarray-based characterisation of a Panton-Valentine leukocidin-positive community-acquired strain of
S Monecke1, P Slickers, H Hotzel
1Institute for Medical Microbiology and Hygiene, Faculty of Medicine, Carl Gustav Carus at the Technical University of Dresden, Dresden, Germany. monecke@rocketmail.com
Abstract:
Recent years have witnessed the emergence of novel methicillin-resistant Staphylococcus aureus (MRSA) strains that produce the potent toxin Panton-Valentine leukocidin (PVL). PVL-positive strains can cause complicated skin infections or necrotising pneumonia with high mortality, and these strains have the potential for epidemic spread in the community. In 2004-2005, two case clusters and two isolated cases were observed in eastern Saxony and southern Brandenburg. These were the first known infections with PVL-positive community-acquired MRSA (caMRSA) in this part of Germany. The isolates belonged to agr type III, spa type 44 or spa type 131, and showed a SmaI macrorestriction pattern that corresponded to caMRSA of clonal group ST80. The isolates were susceptible to levofloxacin, macrolides, clindamycin, gentamicin and vancomycin. Most isolates showed resistance to tetracycline and fusidic acid because of the presence of the tetK and far1 genes. A novel plasmid (designated pUB102) harbouring far1, tetK and blaZ was characterised and partially sequenced. Microarray analysis revealed that the caMRSA isolates harboured genes encoding several bi-component toxins (lukF/S-PVL, lukD/E, lukS/F plus hlgA, and another putative leukocidin homologue). Neither tst1 nor genes for enterotoxins A-Y were detected, but the isolates harboured several staphylococcal enterotoxin-like toxin genes (set genes), as well as genes encoding an epidermal cell differentiation inhibitor (edinB) and exfoliative toxin D (etD). Comparative analysis of other isolates from Australia, Germany, Switzerland and the UK showed that these isolates were representative of a widespread clone of caMRSA.
Insights
Novel methicillin-resistant Staphylococcus aureus (MRSA) strains producing Panton-Valentine leukocidin (PVL) were identified in Germany. These community-acquired MRSA (caMRSA) strains, belonging to clonal group ST80, are associated with severe infections and represent a widespread clone.
Area of Science:
- Microbiology
- Infectious Diseases
- Genetics
Background:
- Emergence of novel methicillin-resistant Staphylococcus aureus (MRSA) strains producing Panton-Valentine leukocidin (PVL).
- PVL-positive MRSA strains cause severe infections like necrotising pneumonia and skin infections with high mortality.
- Potential for epidemic spread of PVL-positive community-acquired MRSA (caMRSA) in the community.
Purpose of the Study:
- To characterize the first identified PVL-positive caMRSA infections in eastern Saxony and southern Brandenburg, Germany.
- To determine the genetic relatedness and antimicrobial resistance profiles of these novel MRSA strains.
- To investigate the toxin gene content and identify the molecular epidemiology of these caMRSA isolates.
Main Methods:
- MRSA isolates were characterized using agr typing, spa typing, and SmaI macrorestriction analysis.
- Antimicrobial susceptibility testing was performed for various antibiotics.
- Plasmid analysis, partial sequencing, and microarray analysis were employed to identify toxin and resistance genes.
Main Results:
- The caMRSA isolates belonged to agr type III, spa types 44 or 131, and clonal group ST80.
- Isolates were susceptible to vancomycin, levofloxacin, macrolides, clindamycin, and gentamicin but resistant to tetracycline and fusidic acid.
- A novel plasmid (pUB102) carrying resistance genes (far1, tetK, blaZ) was identified. Microarray analysis revealed genes for multiple toxins, including PVL, and staphylococcal enterotoxin-like (set) genes.
Conclusions:
- The identified PVL-positive caMRSA isolates represent a widespread clone of ST80, associated with severe infections.
- The presence of multiple leukocidin and enterotoxin-like genes contributes to the virulence of these strains.
- These findings highlight the need for surveillance and understanding of caMRSA epidemiology to control potential outbreaks.
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