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Multiplex PCR Assay for Typing of Staphylococcal Cassette Chromosome Mec Types I to V in Methicillin-resistant Staphylococcus aureus
Published on: September 5, 2013
A subset of Staphylococcus aureus strains harboring staphylococcal cassette chromosome mec (SCCmec) type IV is
Michael J Noto1, Gordon L Archer
1Department of Microbiology, Virginia Commonwealth University School of Medicine, Richmond, VA 23298-0565, USA.
Abstract:
The gene encoding resistance to beta-lactam antibiotics in the staphylococci is found on the chromosome in a genomic island designated staphylococcal cassette chromosome mec, or SCCmec. In addition to the resistance gene mecA, SCCmec also contains site-specific recombinase genes that are capable of catalyzing the chromosomal excision and reintegration of SCCmec. SCCmec is found in five major isotypes partially defined by the recombinase genes present, either ccrAB or ccrC. Of these, SCCmec type IV is presumed to be mobile in the environment, and this mobility may be partially responsible for the rise in community-associated methicillin-resistant staphylococcal infections. In this study, we investigate the presumptive first step in type IV SCCmec mobility: chromosomal excision of the element. CcrAB from a panel of six Staphylococcus aureus and four Staphylococcus epidermidis strains were able to catalyze chromosomal excision of SCCmec types I and II, indicating that these proteins maintain recombinase activity despite varying by up to 3.7% at the amino acid level. Excision of type IV SCCmec was not universally seen, as a subset of S. aureus strains with type IV SCCmec did not excise their element. These strains are all highly related and represent a lineage of successful community-associated pathogens. In addition, the inability to excise SCCmec in these strains is associated with the insertion of a presumptive mobile element containing the gene for staphylococcal enterotoxin H (seh) immediately downstream of SCCmec on the chromosome. Acquisition of this mobile element, containing a known virulence gene, appears to have stabilized the chromosomal integration of the methicillin resistance gene in these strains.
Insights
The staphylococcal cassette chromosome mec (SCCmec) type IV element
Area of Science:
- Microbiology
- Genetics
- Molecular Biology
Background:
- The staphylococcal cassette chromosome mec (SCCmec) is a mobile genetic element carrying the mecA gene, responsible for methicillin resistance in staphylococci.
- SCCmec is classified into five major isotypes based on the presence of recombinase genes (ccrAB or ccrC).
- SCCmec type IV is hypothesized to be mobile, contributing to the spread of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) infections.
Purpose of the Study:
- To investigate the chromosomal excision of SCCmec type IV, the initial step in its mobility.
- To determine if recombinase activity is conserved across different SCCmec types and strains.
Main Methods:
- Analysis of recombinase genes (ccrAB) in Staphylococcus aureus and Staphylococcus epidermidis strains.
- Assessment of the ability of CcrAB recombinases to catalyze the excision of SCCmec types I, II, and IV from the chromosome.
- Investigation of genetic elements associated with SCCmec integration stability.
Main Results:
- CcrAB recombinases successfully catalyzed the excision of SCCmec types I and II in tested strains, demonstrating conserved activity despite amino acid variations.
- Excision of SCCmec type IV was not observed in all strains, particularly in a subset of highly related S. aureus strains.
- The inability to excise SCCmec type IV in these strains correlated with the insertion of a mobile element carrying the staphylococcal enterotoxin H (seh) gene downstream of SCCmec.
Conclusions:
- The mobility of SCCmec type IV is not universal and can be hindered by specific chromosomal integrations.
- The insertion of mobile elements, such as the one carrying seh, can stabilize SCCmec integration, potentially impacting the dissemination of methicillin resistance.
- Understanding SCCmec excision mechanisms is crucial for controlling the spread of antibiotic resistance in staphylococci.
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