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Published on: May 1, 2021
Genotypic characterization of Staphylococcus aureus isolates from cases of keratitis and healthy conjunctival sacs
Saeko Hayashi1, Takashi Suzuki, Satoshi Yamaguchi
1Department of Ophthalmology, Ehime University Graduate School of Medicine, Toon, Japan.
Purpose:
Staphylococcus aureus is the predominant pathogen that causes keratitis, and the rate of occurrence of drug-resistant S. aureus is increasing. However, little is known about its clinical epidemiology in Japan. This study was designed to characterize the genotypes of methicillin-susceptible S. aureus (MSSA) and methicillin-resistant S. aureus (MRSA) isolates from keratitis and healthy conjunctival sacs.
Methods:
Thirty keratitis isolates (19 MSSA and 11 MRSA) and 18 healthy conjunctival sac isolates (16 MSSA and 2 MRSA) obtained before cataract surgery were used. They were characterized by multilocus sequence typing. The prevalence of Panton-Valentine leukocidin was determined.
Results:
In multilocus sequence typing analysis, ST5 and ST764 (ST5 variant) were the most frequently identified sequence types in MRSA strains from both keratitis and healthy conjunctival sacs. ST188 was the most frequently identified sequence type in the 19 MSSA isolates from keratitis (4 isolates, 21.1%), but was only identified in 1 of the 16 commensal MSSA strains. ST8 was found to be predominant among the 16 commensal MSSA strains (5 isolates, 31.3%). None of the isolates had Panton-Valentine leukocidin genes.
Conclusions:
MRSA isolates from keratitis and healthy conjunctival sacs may have similar genotypic characteristics, but certain clones occur more often among MSSA isolates from keratitis than among commensal MSSA strains. These results suggest that specific MSSA lineages that possess genotypic characteristics can more effectively cause keratitis.
Insights
Specific methicillin-susceptible Staphylococcus aureus (MSSA) clones are more prevalent in keratitis cases than in healthy eyes. Methicillin-resistant S. aureus (MRSA) genotypes appear similar between keratitis and healthy eye isolates in Japan.
Area of Science:
- Ophthalmology
- Microbiology
- Genetics
Background:
- Staphylococcus aureus is a leading cause of bacterial keratitis.
- Increasing rates of drug-resistant S. aureus necessitate understanding its epidemiology.
- Limited data exists on S. aureus keratitis genotypes in Japan.
Purpose of the Study:
- To characterize the genotypes of methicillin-susceptible S. aureus (MSSA) and methicillin-resistant S. aureus (MRSA) from keratitis and healthy conjunctival sacs in Japan.
- To investigate potential genotypic differences between S. aureus causing keratitis and those found as commensals.
Main Methods:
- Multilocus sequence typing (MLST) was performed on 30 keratitis isolates (19 MSSA, 11 MRSA) and 18 healthy conjunctival sac isolates (16 MSSA, 2 MRSA).
- Prevalence of Panton-Valentine leukocidin genes was assessed.
Main Results:
- MLST revealed ST5 and ST764 as predominant MRSA sequence types in both keratitis and healthy isolates.
- ST188 was the most common MSSA type in keratitis isolates, while ST8 predominated in healthy commensal isolates.
- No isolates harbored Panton-Valentine leukocidin genes.
Conclusions:
- MRSA strains from keratitis and healthy eyes share similar genotypic profiles.
- Specific MSSA clones are disproportionately represented in keratitis cases compared to commensal strains.
- Certain MSSA lineages may possess distinct genotypic traits that enhance their ability to cause keratitis.
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