Comparative genomics reveals polyphyletic emergence of methicillin-resistant Staphylococcus aureus ST152 from a

Brown Beckley1,2, Vincent Amarh3, Adesola Olalekan4

  • 1Department of Medical Biochemistry, University of Ghana Medical School, Accra, Ghana. brownbeckley94@gmail.com.

BMC Microbiology
|May 13, 2026
PubMed
Abstract

Insights

Methicillin-resistant Staphylococcus aureus (MRSA) ST152 in Ghana emerged from multiple origins. A dominant sublineage with enhanced resistance and virulence factors drives its spread, necessitating genomic surveillance.

Area of Science:

  • Microbiology
  • Genomics
  • Evolutionary Biology

Background:

  • Staphylococcus aureus is a significant public health concern in Ghana.
  • The Panton-Valentine leukocidin (PVL)-positive Sequence Type 152 (ST152) lineage is a dominant strain.
  • Understanding methicillin resistance emergence in ST152 is crucial.

Purpose of the Study:

  • Investigate the evolutionary dynamics of Staphylococcus aureus ST152 in Ghana.
  • Determine the origins and emergence patterns of methicillin resistance within this lineage.
  • Identify factors contributing to the success of methicillin-resistant S. aureus (MRSA) ST152.

Main Methods:

  • Analyzed 285 publicly available S. aureus whole-genome sequences (WGS) from Ghana.
  • Utilized the StaphScope pipeline for genomic characterization.
  • Conducted pangenome and phylogenetic analyses on 80 ST152 isolates.

Main Results:

  • ST152 was the most prevalent lineage (28.1%).
  • Methicillin-resistant S. aureus (MRSA) ST152 emerged polyphyletically through multiple staphylococcal cassette chromosome mec (SCCmec) acquisitions.
  • A dominant MRSA-enriched sublineage possesses enhanced resistance genes (catA, tet(K)), a specific plasmid replicon, and the collagen adhesin gene (cna).
  • Methicillin-susceptible S. aureus (MSSA) isolates were found within MRSA clusters, indicating a dynamic resistance landscape.

Conclusions:

  • MRSA ST152 emergence in Ghana is a complex, multi-origin process.
  • A specialized, adapted sublineage drives the epidemiological success of MRSA ST152.
  • Sustained genomic surveillance is essential for monitoring high-risk MRSA evolution in West Africa.

Related Concept Videos

Clinical Significance of Antibiotic Resistance01:25

Clinical Significance of Antibiotic Resistance

Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within the One...
Mechanism of Antibiotic Resistance in MRSA01:25

Mechanism of Antibiotic Resistance in MRSA

Antibiotic resistance in bacteria arises when microorganisms evolve the ability to withstand drugs designed to kill them or inhibit their growth, rendering once-effective treatments useless. This phenomenon, driven by genetic change and selection under antibiotic exposure, poses a profound threat to modern medicine. Mechanisms include drug-inactivating enzymes (e.g., β-lactamases), efflux pumps that eject antibiotics, mutations altering antibiotic targets, decreased drug uptake, and acquisition...
Modern Molecular Taxonomy01:29

Modern Molecular Taxonomy

Advancements in molecular biology have revolutionized the identification and characterization of bacteria, with multiple methods leveraging DNA sequencing for enhanced precision. As sequencing technologies improve and costs decline, these approaches are increasingly used in clinical, environmental, and evolutionary studies.Multilocus Sequence Typing (MLST) examines several housekeeping genes, essential chromosomal genes encoding cellular functions, to distinguish strains. Approximately...
Evolution of Microbial Genome01:08

Evolution of Microbial Genome

Microbial genome evolution is a highly dynamic process shaped by continual gene gain and loss across species and strains. This genomic flexibility allows microorganisms to adapt rapidly to environmental pressures and interactions with other organisms. Central to understanding this diversity is the distinction between the core and pan genomes.The core genome comprises the genes shared by all sampled strains of a species, representing essential functions needed for fundamental cellular processes.
Staphylococcal Skin Infections01:29

Staphylococcal Skin Infections

Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...