Transcriptome of macrolide-resistant emm92 invasive group A Streptococcus in response to erythromycin exposure

Lillie M Powell1, Soo Jeon Choi1, Lei Wang1

  • 1Department of Microbiology, Immunology, and Cell Biology, West Virginia University School of Medicine, Morgantown, West Virginia, USA.

PubMed

Insights

Macrolide-resistant Streptococcus pyogenes strains are increasing. This study analyzed the gene expression of emm92-type isolates exposed to erythromycin to understand resistance mechanisms.

Area of Science:

  • Microbiology
  • Genomics
  • Molecular Biology

Background:

  • Invasive Streptococcus pyogenes infections caused by emm92 strains have increased in the US since 2010.
  • The erm(T) gene is a potential mechanism for macrolide resistance in Streptococcus pyogenes.

Purpose of the Study:

  • To investigate the transcriptomic response of emm92-type Streptococcus pyogenes to erythromycin exposure.
  • To explore the role of acquired erm(T) resistance in the rise of macrolide-resistant emm92 infections.

Main Methods:

  • Whole-genome sequencing and transcriptomic analysis (RNA-Seq) were performed on two emm92-type Streptococcus pyogenes isolates.
  • Isolates were cultured with and without erythromycin to assess gene expression changes.

Main Results:

  • Erythromycin exposure induced significant changes in the transcriptome of both emm92 isolates.
  • Specific genes related to macrolide resistance and stress response were upregulated.

Conclusions:

  • The findings suggest that acquired erm(T) resistance may contribute to the emergence of macrolide-resistant emm92-type Streptococcus pyogenes.
  • Transcriptomic analysis provides insights into the molecular mechanisms underlying resistance in these invasive strains.