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Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus MRSA
Published on: February 9, 2011
Small Antimicrobial Resistance Plasmids in Livestock-Associated Methicillin-Resistant Staphylococcus aureus CC398
Andrea Feßler1, Kristina Kadlec2, Yang Wang3
1Institute of Microbiology and Epizootics, Centre for Infection Medicine, Department of Veterinary Medicine, Freie Universität Berlin, Berlin, Germany.
Abstract:
Livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA) isolates of the clonal complex 398 are often resistant to a number of antimicrobial agents. Studies on the genetic basis of antimicrobial resistance in these bacteria identified SCCmec cassettes, various transposons and plasmids of different sizes that harbor antimicrobial resistance genes. While large plasmids that carry multiple antimicrobial resistance genes - occasionally together with heavy metal resistance genes and/or virulence genes - are frequently seen in LA-MRSA ST398, certain resistance genes are also associated with small plasmids of up to 15 kb in size. These small resistance plasmids usually carry only one, but in rare cases also two or three antimicrobial resistance genes. In the current review, we focus on small plasmids that carry the macrolide-lincosamide-streptogramin B resistance genes erm(C) or erm(T), the lincosamide resistance gene lnu(A), the pleuromutilin-lincosamide-streptogramin A resistance genes vga(A) or vga(C), the spectinomycin resistance gene spd, the apramycin resistance gene apmA, or the trimethoprim resistance gene dfrK. The detailed analysis of the structure of these plasmids allows comparisons with similar plasmids found in other staphylococci and underlines in many cases an exchange of such plasmids between LA-MRSA ST398 and other staphylococci including also coagulase-negative staphylococci.
Insights
Small plasmids in livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA) ST398 carry key antimicrobial resistance genes. These small plasmids are frequently exchanged between LA-MRSA and other staphylococci, impacting resistance patterns.
Area of Science:
- Microbiology
- Genetics
- Antimicrobial Resistance
Background:
- Livestock-associated methicillin-resistant Staphylococcus aureus (LA-MRSA) clonal complex 398 exhibits resistance to multiple antimicrobial agents.
- Genetic elements like SCCmec cassettes, transposons, and plasmids contribute to antimicrobial resistance in LA-MRSA.
- While large plasmids are common, small plasmids (<15 kb) also harbor specific resistance genes in LA-MRSA ST398.
Purpose of the Study:
- To review and analyze small plasmids (<15 kb) in LA-MRSA ST398.
- To focus on plasmids carrying specific antimicrobial resistance genes, including erm(C), erm(T), lnu(A), vga(A), vga(C), spd, apmA, and dfrK.
- To compare these small plasmids with similar ones in other staphylococci.
Main Methods:
- Review of existing literature on LA-MRSA ST398 and associated plasmids.
- Detailed analysis of the genetic structure of small resistance plasmids.
- Comparative analysis of plasmid structures across different staphylococcal species.
Main Results:
- Small plasmids in LA-MRSA ST398 frequently carry single, and occasionally multiple, antimicrobial resistance genes.
- Specific genes identified include those conferring resistance to macrolides, lincosamides, streptogramins, spectinomycin, apramycin, and trimethoprim.
- Structural analysis revealed similarities between these small plasmids and those found in other staphylococci, including coagulase-negative staphylococci.
Conclusions:
- Small plasmids play a significant role in carrying antimicrobial resistance genes in LA-MRSA ST398.
- The structural similarity and observed exchange of these plasmids between LA-MRSA ST398 and other staphylococci highlight potential mechanisms for resistance dissemination.
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