Emergence of ST3390: A non-pigmented HA-MRSA clone with enhanced virulence

Emily A Felton1,2, Mary-Elizabeth Jobson1,2, Ariana M Virgillio3

  • 1Department of Molecules Biosciences, University of South Florida, Tampa, FL, USA.

Abstract

Insights

This study investigates the rare MRSA ST3390 lineage, revealing its unique genomic traits and hypervirulent potential. The findings enhance understanding of MRSA (Methicillin-resistant Staphylococcus aureus) evolution and hospital-associated infections.

Area of Science:

  • Microbiology
  • Genomics
  • Epidemiology

Background:

  • CC5 is a successful hospital-associated lineage of Methicillin-resistant Staphylococcus aureus (MRSA).
  • CC5 strains exhibit widespread antibiotic resistance but cause less severe disease than community-associated MRSA.
  • Emerging CC5 descendant lineages globally display hypervirulent properties.

Purpose of the Study:

  • To genomically characterize the rare MRSA ST3390 lineage.
  • To investigate the epidemiology of ST3390 within Tampa General Hospital (TGH).
  • To assess the pathogenic capabilities of ST3390 using in vitro and in vivo models.

Main Methods:

  • Genomic analyses of ST3390 strains.
  • Epidemiological tracking of ST3390 at TGH.
  • In vitro and in vivo virulence assays.

Main Results:

  • ST3390 is rare globally but concentrated at TGH.
  • Unique SCCmec types and a TGH-specific spa-type cluster were identified.
  • ST3390 strains exhibit high cytotoxicity and hypervirulence in animal models, lacking staphyloxanthin pigment due to a CrtN deletion.

Conclusions:

  • This study provides the first characterization of ST3390 pathogenicity and genomics.
  • Findings deepen the understanding of CC5 clonal expansion.
  • The research illuminates MRSA diversification within patient populations.

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