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Updated: May 11, 2026

Methodology for the Study of Horizontal Gene Transfer in Staphylococcus aureus
Published on: March 10, 2017
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.
Background:
One of the most successful and widely-distributed hospital-associated lineages of MRSA is CC5. These strains are known from widespread antibiotic resistance, but less severe disease than CA-MRSA counterparts. Recently, CC5 descendant lineages have appeared globally with hypervirulent properties.
Methods:
Herein we use genomic analyses to study the epidemiology of a rare CC5 MRSA sequence type, ST3390, circulating within Tampa General Hospital (TGH). We employ genetic tools alongside in vitro and in vivo models of virulence to study the pathogenic capabilities of strains.
Results:
To date, there have only been 50 recorded instances of infection caused by ST3390 globally, with 36 of those occurring at TGH. Genomic analysis of strains identified numerous spa-types, with a t010 cluster found only at TGH. Exploration of AMR genes detected the presence of unique hybrid SCCmec types, with ~90% of TGH strains possessing components of SCCmecIa, SCCmecIIa and/or SCCmecVIII. Phenotypically, all ST3390 strains lack the staphyloxanthin pigment, which is mediated by a conserved 6 aa in frame deletion within the staphyloxanthin biosynthesis protein CrtN. ST3390 strains display high levels of cytotoxicity towards human neutrophils compared to other CC5 lineages, with several isolates displaying hypervirulence in animal models of infection.
Conclusions:
This is the first study to characterize the pathogenicity and genomic architecture of the rare MRSA lineage ST3390. Our work provides a deeper understanding of the clonal expansion of CC5, and the wider diversification of S. aureus isolates within patient populations.
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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