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Updated: May 5, 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
A novel staphylococcal cassette chromosomal element, SCCfusC, carrying fusC and speG in fusidic acid-resistant
Yu-Tzu Lin1, Jui-Chang Tsai, Hsiao-Jan Chen
1Department of Clinical Laboratory Sciences and Medical Biotechnology, National Taiwan University College of Medicine, Taipei, Taiwan.
Abstract:
A high prevalence of fusC (16/46, 59%) was found in fusidic acid-resistant methicillin-resistant Staphylococcus aureus isolates collected from 2008 to 2010. Nucleotide sequencing of fusC and flanking regions revealed a novel staphylococcal cassette chromosome (SCC) structure, SCCfusC, which was integrated into rlmH and located upstream from SCCmec. The SCCfusC element contained speG, which may contribute to the polyamine resistance.
Insights
Fusidic acid resistance in Staphylococcus aureus is often linked to the fusC gene. Researchers discovered a new genetic structure, SCCfusC, carrying fusC and potentially contributing to polyamine resistance in these bacteria.
Area of Science:
- Microbiology
- Genetics
- Antimicrobial Resistance
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) poses a significant public health threat.
- Fusidic acid is a crucial antibiotic for treating S. aureus infections, but resistance is increasing.
- The genetic basis for fusidic acid resistance in MRSA requires further elucidation.
Purpose of the Study:
- To investigate the prevalence of the fusC gene in fusidic acid-resistant MRSA isolates.
- To characterize the genetic structure and location of the fusC gene within the S. aureus genome.
- To explore potential roles of associated genes, such as speG, in bacterial resistance mechanisms.
Main Methods:
- Analysis of 46 MRSA isolates collected between 2008 and 2010 for fusidic acid resistance.
- Nucleotide sequencing of the fusC gene and its flanking regions.
- Identification and characterization of novel staphylococcal cassette chromosome (SCC) structures.
Main Results:
- A high prevalence of the fusC gene (59%) was observed in fusidic acid-resistant MRSA isolates.
- A novel SCC element, designated SCCfusC, was identified, containing the fusC gene.
- SCCfusC was found integrated into rlmH and located upstream of the SCCmec region.
- The speG gene was present within the SCCfusC element, suggesting a potential role in polyamine resistance.
Conclusions:
- The fusC gene is highly prevalent in fusidic acid-resistant MRSA.
- A novel genetic element, SCCfusC, harbors the fusC gene and is integrated into the S. aureus chromosome.
- SCCfusC may play a role in the emergence and spread of fusidic acid resistance and potentially polyamine resistance in MRSA.
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