Absence of the mecC gene in methicillin-resistant Staphylococcus aureus isolated from various clinical samples: The

Aytekin Cikman1, Merve Aydin2, Baris Gulhan1

  • 1Erzincan Binali Yildirim University, Faculty of Medicine, Department of Medical Microbiology, Erzincan, Turkey.

Abstract

Insights

The mecC gene was not detected in any Turkish methicillin-resistant Staphylococcus aureus (MRSA) strains. This study confirms mecA gene prevalence in MRSA, providing a baseline for future surveillance of antibiotic resistance.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Genetics

Background:

  • Methicillin resistance in Staphylococcus aureus (MRSA) is primarily mediated by the mecA gene.
  • A recently identified homolog, the mecC gene, has been reported in some mecA-negative MRSA strains.
  • The prevalence of mecC in MRSA strains across different regions of Turkey remains largely uncharacterized.

Purpose of the Study:

  • To investigate the presence and prevalence of both mecC and mecA genes in MRSA strains isolated from diverse geographical regions in Turkey.
  • To establish a baseline for understanding the genetic basis of methicillin resistance in Turkish MRSA isolates.

Main Methods:

  • Analysis of 494 MRSA strains collected from 17 centers across seven Turkish regions between 2013 and 2016.
  • Determination of methicillin resistance using cefoxitin disk diffusion and oxacillin agar dilution methods.
  • Detection of mecC and mecA genes via Polymerase Chain Reaction (PCR).

Main Results:

  • The mecC gene was not detected in any of the analyzed MRSA strains.
  • The mecA gene was present in 63.8% of the MRSA strains.
  • Staphylococcal Cassette Chromosome mec (SCCmec) typing revealed a predominance of type II (58.7%) and type IV (32.4%) among the characterized strains.

Conclusions:

  • This multi-centered study is the first to comprehensively screen Turkish MRSA strains for the mecC gene.
  • The absence of mecC suggests it is not a significant contributor to methicillin resistance in the studied Turkish MRSA population.
  • The findings underscore the continued importance of the mecA gene in MRSA and provide crucial data for ongoing surveillance of antibiotic resistance in Turkey.

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