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fbl-Typing of Staphylococcus lugdunensis: A Frontline Tool for Epidemiological Studies, but Not Predictive of
Sandrine Dahyot1, Jérémie Lebeurre2, Floriane Laumay3
1UNIROUEN, GRAM EA2656, Rouen University Hospital, Normandie Université, Rouen, France.
Abstract:
Staphylococcus lugdunensis is increasingly recognized as a potent pathogen, responsible for severe infections with an outcome resembling that of Staphylococcus aureus. Here, we developed and evaluated a tool for S. lugdunensis typing, using DNA sequence analysis of the repeat-encoding region (R-domain) in the gene encoding the fibrinogen (Fg)-binding protein Fbl (fbl-typing). We typed 240 S. lugdunensis isolates from various clinical and geographical origins. The length of the R-domain ranged from 9 to 52 repeats. fbl-typing identified 54 unique 18-bp repeat sequences and 92 distinct fbl-types. The discriminatory power of fbl-typing was higher than that of multilocus sequence typing (MLST) and equivalent to that of tandem repeat sequence typing. fbl-types could assign isolates to MLST clonal complexes with excellent predictive power. The ability to promote adherence to immobilized human Fg was evaluated for 55 isolates chosen to reflect the genetic diversity of the fbl gene. We observed no direct correlation between Fg binding ability and fbl-types. However, the lowest percentage of Fg binding was observed for isolates carrying a 5'-end frameshift mutation of the fbl gene and for those harboring fewer than 43 repeats in the R-domain. qRT-PCR assays for some isolates revealed no correlation between fbl gene expression and Fg binding capacity. In conclusion, this study shows that fbl-typing is a useful tool in S. lugdunensis epidemiology, especially because it is an easy, cost-effective, rapid and portable method (http://fbl-typing.univ-rouen.fr/). The impact of fbl polymorphism on the structure of the protein, its expression on the cell surface and in virulence remains to be determined.
Insights
A new DNA-based method, fbl-typing, effectively tracks Staphylococcus lugdunensis infections. This rapid and cost-effective tool aids in understanding the epidemiology of this potent pathogen.
Area of Science:
- Microbiology
- Genetics
- Infectious Diseases
Background:
- Staphylococcus lugdunensis is an emerging pathogen causing severe infections similar to Staphylococcus aureus.
- Accurate typing methods are crucial for understanding S. lugdunensis epidemiology and infection control.
Purpose of the Study:
- To develop and evaluate a novel DNA-based typing tool for S. lugdunensis using the fibrinogen-binding protein Fbl gene.
- To assess the discriminatory power of this new method compared to existing techniques like MLST.
Main Methods:
- DNA sequence analysis of the repeat-encoding region (R-domain) of the fbl gene (fbl-typing).
- Typing of 240 S. lugdunensis isolates from diverse origins.
- Comparison of fbl-typing with MLST and tandem repeat sequence typing.
- Evaluation of fibrinogen (Fg) binding ability for selected isolates.
Main Results:
- fbl-typing identified 92 distinct fbl-types among 240 isolates.
- The method demonstrated higher discriminatory power than MLST and was equivalent to tandem repeat sequence typing.
- fbl-types correlated well with MLST clonal complexes.
- No direct correlation was found between Fg binding and fbl-types, although reduced binding was linked to frameshift mutations or fewer repeats.
Conclusions:
- fbl-typing is a valuable, easy, cost-effective, rapid, and portable tool for S. lugdunensis epidemiology.
- The method aids in classifying isolates and understanding population structures.
- Further research is needed to determine the impact of fbl polymorphism on protein structure, expression, and virulence.
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