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Distribution of plasmid-borne resistance to nucleic acid binding compounds in methicillin-resistant Staphylococcus

Insights

New Methicillin-resistant Staphylococcus aureus (MRSA) strains in Australian hospitals carry plasmids conferring resistance to nucleic acid binding compounds (NAB). These NAB-resistance plasmids are widespread globally in MRSA, not unique to Australia.

Area of Science:

  • Microbiology
  • Molecular Biology
  • Genetics

Background:

  • Methicillin-resistant Staphylococcus aureus (MRSA) poses a significant threat in hospital settings worldwide.
  • Recent MRSA isolates in Australian hospitals exhibit genetic differences compared to historical and European strains.
  • A key distinguishing feature of these Australian strains is the presence of plasmids encoding resistance to nucleic acid binding compounds (NAB).

Purpose of the Study:

  • To investigate the prevalence and characteristics of NAB resistance plasmids in global MRSA isolates.
  • To determine if NAB resistance plasmids found in Australian MRSA are unique or widespread.
  • To analyze the genetic features and transferability of these resistance determinants.

Main Methods:

  • Analysis of 753 MRSA strains isolated globally between 1980-1983.
  • Plasmid DNA analysis and characterization.
  • Bacterial conjugation experiments to assess plasmid transferability.
  • Investigation of plasmid deletion mutants and their effect on antibiotic resistance expression.

Main Results:

  • Approximately 60% of the global MRSA strains analyzed were resistant to NAB compounds.
  • The NAB resistance determinant was transferable via mixed culture in 90% of resistant strains.
  • The largest plasmid in MRSA isolates generally conferred NAB resistance and potentially other resistance traits (e.g., gentamicin, tetracycline).
  • Plasmid transfer sometimes resulted in deletion mutants, including alterations in gentamicin resistance expression linked to DNA deletions.

Conclusions:

  • NAB resistance plasmids are not unique to Australian MRSA strains but are widely distributed internationally.
  • These plasmids are mobile genetic elements that can carry multiple resistance genes.
  • Plasmid instability, including deletions, can influence the expression of antibiotic resistance phenotypes.

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