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Updated: Jul 9, 2026

Multiplex PCR Assay for Typing of Staphylococcal Cassette Chromosome Mec Types I to V in Methicillin-resistant Staphylococcus aureus
Published on: September 5, 2013
[Molecular epidemiology of methicillin-resistant Staphylococcus aureus isolates with toxic shock syndrome toxin and
Jae Seok Kim1, Han Sung Kim, Wonkeun Song
1Department of Laboratory Medicine, Hallym University College of Medicine, Korea.
Background:
Many methicillin-resistant Staphylococcus aureus (MRSA) isolates in Korea possess a specific profile of staphylococcal enterotoxins in that the toxic shock syndrome toxin gene (tst) coexists with the staphylococcal enterotoxin C gene (sec). Because the analysis of staphylococcal cassette chromosome mec (SCCmec), a mobile genetic element mecA gene encoding methicillin resistance, showed that majority of these are SCCmec type II, these MRSA isolates with tst and sec may be genetically related with each other. This study was performed to investigate the genetic relatedness of tstand sec-harboring MRSA strains isolated in Korea by using pulsed-field gel electrophoresis (PFGE).
Methods:
A total of 59 strains of MRSA isolates of SCCmec type II possessing tst and sec were selected for PFGE and phylogenetic analyses. These isolates were collected from 13 health care facilities during nationwide surveillance of antimicrobial resistance in 2002.
Results:
The 59 MRSA isolates were clustered into 11 PFGE types, including one major group of 26 strains (44.1%) isolated from 7 healthcare facilities. Seven PFGE types contained 2 or more isolates each, comprising 55 isolates in total.
Conclusions:
Most of SCCmec type II MRSA isolates containing tst and sec showed closely related PFGE patterns. Moreover, MRSA isolates collected from different healthcare facilities showed identical PFGE patterns. These findings suggested a clonal spread of MRSA strains possessing tst and sec in Korean hospitals.
Insights
Methicillin-resistant Staphylococcus aureus (MRSA) strains in Korea carrying toxic shock syndrome toxin (tst) and staphylococcal enterotoxin C (sec) genes are genetically related. Pulsed-field gel electrophoresis (PFGE) suggests clonal spread of these specific MRSA strains across hospitals.
Area of Science:
- Microbiology
- Genetics
- Epidemiology
Context:
- Methicillin-resistant Staphylococcus aureus (MRSA) isolates in Korea frequently harbor both the toxic shock syndrome toxin gene (tst) and the staphylococcal enterotoxin C gene (sec).
- The majority of these MRSA isolates belong to staphylococcal cassette chromosome mec (SCCmec) type II, indicating a potential shared genetic origin.
- Investigating the genetic relatedness of these co-harboring strains is crucial for understanding their epidemiology and spread.
Purpose:
- To determine the genetic relatedness of MRSA isolates in Korea that possess both tst and sec genes.
- To analyze the genetic profiles of SCCmec type II MRSA strains carrying tst and sec using pulsed-field gel electrophoresis (PFGE).
Summary:
- Fifty-nine MRSA isolates of SCCmec type II, positive for tst and sec, were analyzed using PFGE.
- The isolates clustered into 11 distinct PFGE types, with a major group comprising 26 strains from multiple healthcare facilities.
- Over half of the isolates (55 out of 59) belonged to seven PFGE types, indicating significant genetic similarity.
Impact:
- The findings suggest a clonal spread of MRSA strains carrying tst and sec within Korean hospitals.
- Identical PFGE patterns observed across different healthcare facilities highlight the interconnectedness of MRSA transmission.
- This study provides insights into the molecular epidemiology of specific MRSA strains in healthcare settings.
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