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Updated: May 22, 2026

Genotyping of Staphylococcus aureus by Ribosomal Spacer PCR (RS-PCR)
Published on: November 4, 2016
[Investigation of enterotoxin gene in clinical isolates of Staphylococcus aureus]
Hong Cao1, Min Wang, Rong Zheng
1Department of Clinical Laboratory, Central South University, Changsha, China. caohong02917@163.com
Objective:
To detect the enterotoxin genes of Staphylococcus aureus (SA) isolated from clinical specimens and analyze the correlation between enterotoxin genes and drug resistance of SA.
Methods:
The mecA gene and enterotoxin genes A-F of clinical SA isolates were identified by polymerase chain reaction (PCR), and the genes were sequenced to investigate the correlation of these genes to drug resistance.
Results:
The detection rate of enterotoxin genes was 100% in 67 methicillin- resistant SA (MRSA), showing no significant difference from the rate in 57 methicillin-sensitive SA (MSSA) (83.5%, χ(2)=0.203, P>0.05). Of the 116 strains carrying enterotoxin genes (93.5%), the detection rates of SEA, SEB, SEC, SED and SEF were 90.5%, 6.9%, 61.3%, 5.2%, 25.9% and 93.5%, respectively, and none of the strains were positive for SEE gene. In these strains, 78 (67.2%) carried 2 or more enterotoxin genes, and the main genotypes were SEA and SEC (33.6%), SEA and SEF (7.8%), and SEA and SEC and SEF (13.8%). Compared with the strains carrying a single enterotoxin gene, those with multiple enterotoxin genes showed a higher drug resistance rate, among which 75% of the SA strains carrying SEA+SEC+SEF were resistant to SXT, significantly higher than the rates of SA carrying SEA (28.6%) and SEA+SEC (38.7%) (P<0.05). The SA strains carrying SEA+SEC+SEF and SEA+SEF showed significantly higher amikacin resistance rates than SA strain carrying SEA (75.0%, 77.0%, 21.5%, respectively, P<0.05).
Conclusion:
Clinical isolates of SA carrying multiple enterotoxin genes have a higher drug resistance rate than those with a single enterotoxin gene, suggesting the the important role of enterotoxin in multidrug resistance.
Insights
Staphylococcus aureus (SA) strains with multiple enterotoxin genes exhibit increased drug resistance. This highlights the significant role of enterotoxins in the multidrug resistance of SA clinical isolates.
Area of Science:
- Microbiology
- Molecular Biology
- Genetics
Context:
- Staphylococcus aureus (SA) is a significant human pathogen.
- Enterotoxin genes are virulence factors in SA.
- Drug resistance in SA is a growing public health concern.
Purpose:
- To detect enterotoxin genes in clinical SA isolates.
- To analyze the correlation between enterotoxin gene profiles and antimicrobial resistance patterns.
Summary:
- Polymerase chain reaction (PCR) and gene sequencing were used to identify enterotoxin genes (SEA-F) and the mecA gene in SA isolates.
- A high prevalence of enterotoxin genes was observed in both methicillin-resistant SA (MRSA) and methicillin-sensitive SA (MSSA).
- Strains carrying multiple enterotoxin genes, particularly SEA, SEC, and SEF, demonstrated significantly higher resistance rates to antibiotics like trimethoprim-sulfamethoxazole (SXT) and amikacin compared to strains with single enterotoxin genes.
Impact:
- The study reveals a strong association between the presence of multiple enterotoxin genes and enhanced multidrug resistance in clinical SA isolates.
- Findings underscore the importance of enterotoxins as contributors to SA's resistance mechanisms.
- This research provides valuable insights for understanding SA pathogenesis and developing targeted therapeutic strategies.
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