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Updated: Aug 3, 2025

Methodology for the Study of Horizontal Gene Transfer in Staphylococcus aureus
Published on: March 10, 2017
Clonal Spreading of ST42 Staphylococcus haemolyticus Strains Occurs Possibly Due to fusB and tetK Resistant Genes and
Lee-Chung Lin1, Shih-Cheng Chang1,2, Yu-Hsiang Ou1
1Department of Laboratory Medicine, Chang Gung Memorial Hospital, Linkou, Taoyuan 333, Taiwan.
Abstract:
Multi-drug resistant Staphylococcus haemolyticus is a frequent nosocomial invasive bacteremia pathogen in hospitals. Our previous analysis showed one of the predominant strains, ST42 originated from ST3, had only one multilocus sequence typing (MLST) variation among seven loci in SH1431; yet no significant differences in biofilm formation observed between ST42 and ST3, suggesting that other factors influence clonal lineage change. Whole genome sequencing was conducted on two isolates from ST42 and ST3 to find phenotypic and genotypic variations, and these variations were further validated in 140 clinical isolates. The fusidic acid- and tetracycline-resistant genes (fusB and tetK) were found only in CGMH-SH51 (ST42). Further investigation revealed consistent resistant genotypes in all isolates, with 46% and 70% of ST42 containing fusB and tetK, respectively. In contrast, only 23% and 4.2% ST3 contained these two genes, respectively. The phenotypic analysis also showed that ST42 isolates were highly resistant to fusidic acid (47%) and tetracycline (70%), compared with ST3 (23% and 4%, respectively). Along with drug-resistant genes, three capsule-related genes were found in higher percentage distributions in ST42 than in ST3 isolates. Our findings indicate that ST42 could become endemic in Taiwan, further constitutive surveillance is required to prevent the spread of this bacterium.
Insights
Multi-drug resistant Staphylococcus haemolyticus (MRSA) strains, particularly ST42, show increased resistance to fusidic acid and tetracycline due to specific genes. Enhanced surveillance is crucial to prevent the spread of this hospital pathogen.
Area of Science:
- Microbiology
- Genomics
- Infectious Diseases
Background:
- Multi-drug resistant *Staphylococcus haemolyticus* is a significant cause of hospital-acquired infections.
- Previous studies noted clonal lineage changes in *S. haemolyticus* without clear explanations.
- The ST42 strain, derived from ST3, showed variations potentially linked to increased virulence or resistance.
Purpose of the Study:
- To investigate genotypic and phenotypic variations between *Staphylococcus haemolyticus* ST42 and ST3 strains.
- To identify genetic factors contributing to the potential endemicity of the ST42 lineage.
- To assess the prevalence of drug resistance genes and capsule-related genes in clinical isolates.
Main Methods:
- Whole genome sequencing of two *S. haemolyticus* isolates (ST42 and ST3).
- Validation of genotypic findings in 140 clinical isolates.
- Phenotypic analysis of antibiotic resistance and biofilm formation.
Main Results:
- The ST42 strain harbored fusidic acid (*fusB*) and tetracycline (*tetK*) resistance genes more frequently than ST3 (46% vs. 23% for *fusB*, 70% vs. 4.2% for *tetK*).
- ST42 isolates exhibited significantly higher resistance to fusidic acid (47% vs. 23%) and tetracycline (70% vs. 4%).
- Three capsule-related genes were more prevalent in ST42 isolates compared to ST3.
Conclusions:
- Genetic variations, particularly the presence of *fusB* and *tetK*, contribute to the distinct characteristics of the ST42 lineage.
- The ST42 strain of *Staphylococcus haemolyticus* shows potential for becoming endemic in Taiwan.
- Continuous surveillance is necessary to control the spread of this multi-drug resistant pathogen.
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