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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 novel type-III staphylococcal cassette chromosome mec (SCCmec) variant among Indian isolates of
Gayathri Arakere1, Savitha Nadig, Teruyo Ito
1Sir Dorabji Tata Centre for Research in Tropical Diseases, Innovation Centre, Indian Institute of Science Campus, Bangalore, India. gayathri.arakere@gmail.com
Abstract:
We identified a novel type-III staphylococcal cassette chromosome mec (SCCmec) element carried by eight methicillin-resistant Staphylococcus aureus (MRSA) strains from different wards and patients in an Indian hospital. Although the pulsed-field gel electrophoresis pattern and spa types of eight strains were identical and clonally related to other nosocomial Indian isolates that belonged to sequence type (ST) 239 and spa type t037, the minimum inhibitory concentration (MIC) of these eight variants was noticeably low compared with the typical type-III isolates from the same hospital, and we were unable to identify ccrC and hsdR by multiplex PCR, although mer operon and transposases A, B, and C of Tn554 were amplified. By amplifying the entire SCCmec region by long-range PCR and determining parts of the nucleotide sequences of one isolate (V14), we found that the strain carried a novel SCCmec element containing a 422 bp sequence, which is highly homologous to that identified in strain CCR1-9583, mer operon and plasmid pT181 integrated in tandem via IS431 in the J3 region. It also carried a cassette chromosome, previously reported to be an SCC-like element, downstream of type-III SCCmec. Because PCR amplification of representative genes showed that these eight strains carried the same genetic elements, they belong to a novel MRSA clone that differs from most nosocomial clones carrying type-III SCCmec and SCCmercury, despite belonging to the ST239 genotype.
Insights
A novel staphylococcal cassette chromosome mec (SCCmec) type-III element was found in Indian methicillin-resistant Staphylococcus aureus (MRSA) strains. This discovery reveals a new MRSA clone distinct from typical nosocomial strains.
Area of Science:
- Microbiology
- Genetics
- Infectious Diseases
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) poses a significant global health threat.
- Staphylococcal cassette chromosome mec (SCCmec) elements are key determinants of MRSA.
- Understanding SCCmec diversity is crucial for tracking MRSA evolution and spread.
Purpose of the Study:
- To characterize a novel SCCmec element identified in MRSA strains from an Indian hospital.
- To investigate the genetic makeup and clonal lineage of these MRSA isolates.
- To differentiate this novel MRSA clone from other nosocomial MRSA strains.
Main Methods:
- Pulsed-field gel electrophoresis (PFGE) and spa typing for clonal analysis.
- Multiplex PCR to identify specific genetic elements (e.g., mer operon, transposases).
- Long-range PCR and nucleotide sequencing to determine the SCCmec region structure.
Main Results:
- Eight MRSA strains from India carried a novel type-III SCCmec element.
- These strains, though ST239 and spa t037, exhibited lower MICs than typical type-III MRSA.
- The novel SCCmec contained a unique 422 bp sequence, mer operon, and pT181 plasmid, integrated via IS431.
- An SCC-like element was found downstream of the type-III SCCmec.
Conclusions:
- A novel MRSA clone carrying a unique SCCmec type-III element has been identified in India.
- This clone belongs to the ST239 genotype but possesses distinct genetic features and antibiotic susceptibility profiles.
- The findings highlight the ongoing evolution of MRSA and the emergence of new genetic variants.
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