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Updated: May 3, 2026

Biosensor for Detection of Antibiotic Resistant Staphylococcus Bacteria
Published on: May 8, 2013
Mobile genetic element-encoded cytolysin connects virulence to methicillin resistance in MRSA
Shu Y Queck1, Burhan A Khan, Rong Wang
1Laboratory of Human Bacterial Pathogenesis, National Institute of Allergy and Infectious Diseases, NIH, Bethesda, MD, USA.
Abstract:
Bacterial virulence and antibiotic resistance have a significant influence on disease severity and treatment options during bacterial infections. Frequently, the underlying genetic determinants are encoded on mobile genetic elements (MGEs). In the leading human pathogen Staphylococcus aureus, MGEs that contain antibiotic resistance genes commonly do not contain genes for virulence determinants. The phenol-soluble modulins (PSMs) are staphylococcal cytolytic toxins with a crucial role in immune evasion. While all known PSMs are core genome-encoded, we here describe a previously unidentified psm gene, psm-mec, within the staphylococcal methicillin resistance-encoding MGE SCCmec. PSM-mec was strongly expressed in many strains and showed the physico-chemical, pro-inflammatory, and cytolytic characteristics typical of PSMs. Notably, in an S. aureus strain with low production of core genome-encoded PSMs, expression of PSM-mec had a significant impact on immune evasion and disease. In addition to providing high-level resistance to methicillin, acquisition of SCCmec elements encoding PSM-mec by horizontal gene transfer may therefore contribute to staphylococcal virulence by substituting for the lack of expression of core genome-encoded PSMs. Thus, our study reveals a previously unknown role of methicillin resistance clusters in staphylococcal pathogenesis and shows that important virulence and antibiotic resistance determinants may be combined in staphylococcal MGEs.
Insights
A newly discovered gene, psm-mec, on the SCCmec mobile genetic element enhances Staphylococcus aureus virulence. This finding reveals how antibiotic resistance elements can also contribute to bacterial pathogenesis.
Area of Science:
- Microbiology
- Bacterial Pathogenesis
- Molecular Biology
Background:
- Bacterial virulence and antibiotic resistance significantly impact disease severity and treatment.
- Mobile genetic elements (MGEs) often carry genes for virulence and antibiotic resistance.
- In Staphylococcus aureus, MGEs with resistance genes typically lack virulence genes.
Purpose of the Study:
- To identify and characterize novel virulence factors in Staphylococcus aureus.
- To investigate the role of MGEs in the co-acquisition of virulence and antibiotic resistance traits.
- To explore the function of a newly identified psm gene, psm-mec, located on the SCCmec element.
Main Methods:
- Gene identification and sequencing of the psm-mec gene within the SCCmec element.
- Analysis of psm-mec expression in various Staphylococcus aureus strains.
- Assessment of PSM-mec's physico-chemical, pro-inflammatory, and cytolytic properties.
- In vivo studies to evaluate the impact of psm-mec expression on immune evasion and disease severity.
Main Results:
- A novel psm gene, psm-mec, was identified within the SCCmec element, a key MGE in Staphylococcus aureus.
- PSM-mec exhibited strong expression and possessed characteristic PSM properties, including pro-inflammatory and cytolytic activity.
- Expression of psm-mec significantly influenced immune evasion and disease progression in strains with low endogenous PSM production.
- Horizontal gene transfer of SCCmec elements carrying psm-mec can contribute to staphylococcal virulence.
Conclusions:
- The study identifies a previously unknown role for methicillin resistance clusters (SCCmec) in staphylococcal pathogenesis.
- The psm-mec gene represents a novel virulence factor that can be combined with antibiotic resistance genes on MGEs.
- Co-localization of virulence and antibiotic resistance determinants on MGEs like SCCmec has significant implications for bacterial evolution and treatment strategies.
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