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Updated: May 28, 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
Superantigenic toxin genes coexist with specific staphylococcal cassette chromosome mec genes in
Dong-Liang Hu1, Edward K Maina, Katsuhiko Omoe
1Department of Microbiology and Immunology, Hirosaki University Graduate School of Medicine, Japan. hudl@cc.hirosaki-u.ac.jp
Abstract:
Staphylococcus aureus is a leading cause of human disease in the hospital setting and the community. Superantigenic toxin-producing methicillin-resistant Staphylococcus aureus (MRSA) is currently important for nosocomial infections and food-borne diseases worldwide because of its global spreading and difficulty in therapy. Superantigenic toxins can bypass normal antigen presentation and have strong T cell mitogenic activity, leading to massive release of proinflammatory cytokines and contributing to the severity of S. aureus sepsis. In this study, a total of 131 MRSA isolates from patients in the University Hospital were searched for staphylococcal cassette chromosome mec (SCCmec) genes and the staphylococcal superantigenic toxin genes by multiplex polymerase chain reactions. The MRSA isolates were classified into SCCmec type II (74.8%), type I (13.0%), type IV (3.8%), type V (2.3%), and type I and type II (3.8%). MRSA isolates (102/131) also carried a number of superantigenic toxin genes including staphylococcal enterotoxin (se) and toxic shock syndrome toxin-1 (tst-1) genes. The most frequent superantigen gene profile (55/131, 42.0%) of the MRSA isolates includes staphylococcal enterotoxin C (sec), seg, sei, staphylococcal enterotoxin-like L (sell), selm, seln, selo, and tst-1. Furthermore, SCCmec type I or type II MRSA isolates more frequently harbor sec, seg, sei, sell, selm, seln, selo, and tst-1 genes, compared to other types of MRSA. These results indicate that the selected superantigenic toxin genes are linked to SCCmec type I and type II. The coexistence of these toxins and the SCCmec genes in S. aureus may contribute to the biological fitness and pathogenicity of MRSA.
Insights
Methicillin-resistant Staphylococcus aureus (MRSA) carrying specific toxin genes are linked to common SCCmec types I and II. This association may enhance MRSA
Area of Science:
- Microbiology
- Infectious Diseases
- Genetics
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) is a significant global pathogen causing both hospital and community infections.
- Superantigenic toxins produced by MRSA can lead to severe inflammatory responses and sepsis.
- The spread and treatment difficulty of MRSA highlight the need to understand its virulence factors.
Purpose of the Study:
- To investigate the prevalence of staphylococcal cassette chromosome mec (SCCmec) genes and superantigenic toxin genes in clinical MRSA isolates.
- To determine the association between specific SCCmec types and the carriage of superantigenic toxin genes.
Main Methods:
- Multiplex polymerase chain reactions were used to detect SCCmec and staphylococcal superantigenic toxin genes in 131 MRSA isolates.
- MRSA isolates were classified based on their SCCmec gene types.
Main Results:
- The majority of MRSA isolates were classified as SCCmec type II (74.8%) and type I (13.0%).
- A high proportion of MRSA isolates (102/131) carried superantigenic toxin genes, including staphylococcal enterotoxin (se) and toxic shock syndrome toxin-1 (tst-1).
- SCCmec types I and II MRSA isolates were more frequently associated with a specific profile of superantigenic toxin genes (sec, seg, sei, sell, selm, seln, selo, and tst-1).
Conclusions:
- A significant link exists between SCCmec types I and II and the presence of specific superantigenic toxin genes in MRSA.
- The co-occurrence of these toxin genes and SCCmec types may contribute to the enhanced pathogenicity and fitness of MRSA.
- Understanding these genetic associations is crucial for developing targeted therapeutic strategies against MRSA infections.
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