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Published on: December 7, 2021
Clonal Diversity and Genetic Landscape of mecC-Positive S. aureus in Human Samples from Iran: First Report of
Mehdi Goudarzi1, Sima Sadat Seyedjavadi2, Mozhgan Raigani3
1Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Background:
The emergence of mecC-carrying Staphylococcus aureus strains is a serious concern in public health. Our study investigated the clonal diversity, genetic characteristics, antimicrobial resistance, virulence determinants, biofilm-forming ability, and molecular epidemiology of mecC-positive Staphylococcus aureus isolates obtained from hospitalized patients in Iran.
Methods:
We analyzed 45 mecC-carrying S. aureus strains isolated from 1,590 S. aureus samples collected from different clinical sources. The characterization included antimicrobial susceptibility tests, assessment of biofilm formation, spa typing, multilocus sequence typing (MLST), and PCR analysis to detect resistance, biofilm-related, and virulence genes.
Results:
Our results showed that 17.8%, 17.8%, and 64.4% of the isolates were classified as weak, intermediate, and strong biofilm producers, respectively. The prevalence of the ant(4΄)-Ia and tet(M) was found in 80% and 73.3% of the isolates, respectively. MLST revealed that the 45 isolates belonged to four clonal complexes: CC8 (44.4%), CC130 (24.5%), CC121 (17.8%), and CC425 (13.3%). The majority of S. aureus isolates belonged to the CC8/ST239 lineage (44.4%). Also, tst-positive strains belonged to CC121/ST599/t5930 (17.8%) and CC8/ST239/t037 (11.1%), while eta-positive isolates belonged to CC/ST130/t843 (15.6%). Fusidic acid-resistant S. aureus isolates primarily belonged to CC8/ST239/t037 lineage (11.1%), followed by CC8/ST239/t7688 (6.7%), both carrying the fusB gene. Vancomycin-intermediate S. aureus strains were classified into CC/ST599/t5930 (6.7%) and CC/ST130/t843 (4.4%) clones.
Conclusion:
This study highlights the need for close and continuous monitoring of the genetic diversity and characteristics of the mecC-carrying S. aureus strains. Besides, urgent measures are required to prevent the transmission of these strains and to effectively treat associated infections.
Insights
MecC-positive Staphylococcus aureus strains show significant biofilm production and antimicrobial resistance, with specific clonal complexes dominating. Continuous monitoring is crucial to prevent transmission and treat infections effectively.
Area of Science:
- Microbiology
- Infectious Diseases
- Genetics
Background:
- Emergence of mecC-carrying Staphylococcus aureus strains poses a significant public health threat.
- mecC-positive S. aureus isolates are increasingly detected in hospital settings.
Purpose of the Study:
- To investigate the clonal diversity, genetic traits, antimicrobial resistance, virulence factors, and biofilm formation of mecC-positive S. aureus.
- To understand the molecular epidemiology of these strains in hospitalized patients in Iran.
Main Methods:
- Analysis of 45 mecC-positive S. aureus strains from clinical samples.
- Antimicrobial susceptibility testing, biofilm formation assays, spa typing, and multilocus sequence typing (MLST).
- PCR detection of resistance, biofilm-related, and virulence genes.
Main Results:
- A high percentage of isolates (64.4%) exhibited strong biofilm-producing ability.
- Prevalence of ant(4΄)-Ia and tet(M) genes was high (80% and 73.3%, respectively).
- MLST identified four main clonal complexes: CC8 (44.4%), CC130 (24.5%), CC121 (17.8%), and CC425 (13.3%), with CC8/ST239 being the most common lineage.
Conclusions:
- Continuous monitoring of mecC-positive S. aureus genetic diversity and characteristics is essential.
- Urgent measures are needed to curb the transmission of these resistant strains and manage infections.
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