Статья

Molecular typing of ST239-MRSA-III from diverse geographic locations and the evolution of the SCCmec III element during its intercontinental spread

S. Monecke, P. Slickers, D. Gawlik, E. Müller, A. Reissig, A. Ruppelt-Lorz, P. Akpaka, D. Bandt, M. Bes, S. Boswihi, D. Coleman, G. Coombs, O. Dorneanu, V. Gostev, M. Ip, B. Jamil, L. Jatzwauk, M. Narvaez, R. Roberts, A. Senok, A. Shore, S. Sidorenko, L. Skakni, A. Somily, M. Syed, A. Thürmer, E. Udo, T. Vremera, J. Zurita, R. Ehricht,
2021

ST239-MRSA-III is probably the oldest truly pandemic MRSA strain, circulating in many countries since the 1970s. It is still frequently isolated in some parts of the world although it has been replaced by other MRSA strains in, e.g., most of Europe. Previous genotyping work (Harris et al., 2010; Castillo-Ramírez et al., 2012) suggested a split in geographically defined clades. In the present study, a collection of 184 ST239-MRSA-III isolates, mainly from countries not covered by the previous studies were characterized using two DNA microarrays (i) targeting an extensive range of typing markers, virulence and resistance genes and (ii) a SCCmec subtyping array. Thirty additional isolates underwent whole-genome sequencing (WGS) and, together with published WGS data for 215 ST239-MRSA-III isolates, were analyzed using in-silico analysis for comparison with the microarray data and with special regard to variation within SCCmec elements. This permitted the assignment of isolates and sequences to 39 different SCCmec III subtypes, and to three major and several minor clades. One clade, characterized by the integration of a transposon into nsaB and by the loss of fnbB and splE was detected among isolates from Turkey, Romania and other Eastern European countries, Russia, Pakistan, and (mainly Northern) China. Another clade, harboring sasX/sesI is widespread in South-East Asia including China/Hong Kong, and surprisingly also in Trinidad & Tobago. A third, related, but sasX/sesI-negative clade occurs not only in Latin America but also in Russia and in the Middle East from where it apparently originated and from where it also was transferred to Ireland. Minor clades exist or existed in Western Europe and Greece, in Portugal, in Australia and New Zealand as well as in the Middle East. Isolates from countries where this strain is not epidemic (such as Germany) frequently are associated with foreign travel and/or hospitalization abroad. The wide dissemination of this strain and the fact that it was able to cause a hospital-borne pandemic that lasted nearly 50 years emphasizes the need for stringent infection prevention and control and admission screening. © 2018 Monecke, Slickers, Gawlik, Müller, Reissig, Ruppelt-Lorz, Akpaka, Bandt, Bes, Boswihi, Coleman, Coombs, Dorneanu, Gostev, Ip, Jamil, Jatzwauk, Narvaez, Roberts, Senok, Shore, Sidorenko, Skakni, Somily, Syed, Thürmer, Udo, Vremera, Zurita and Ehricht.

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  • 1. Version of Record от 2021-04-27

Метаданные

Об авторах
  • S. Monecke
    Abbott (Alere Technologies GmbH), Jena, Germany
  • P. Slickers
    InfectoGnostics Research Campus Jena, Jena, Germany
  • D. Gawlik
    Medical Faculty 'Carl Gustav Carus', Institute for Medical Microbiology and Hygiene, Technische Universität Dresden, Dresden, Germany
  • E. Müller
    Department of Paraclinical Sciences, The University of the West Indies, St. Augustine, Trinidad and Tobago
  • A. Reissig
    Instituts für Labordiagnostik, Mikrobiologie und Krankenhaushygiene, Oberlausitz-Kliniken, Bautzen, Germany
  • A. Ruppelt-Lorz
    Centre National de Référence des Staphylocoques, Institut des Agents Infectieux, Hospices Civils de Lyon, Lyon, France
  • P. Akpaka
    Microbiology Department, Faculty of Medicine, Kuwait University, Kuwait City, Kuwait
  • D. Bandt
    Microbiology Research Unit, Dublin Dental University Hospital, University of Dublin, Trinity College Dublin, Dublin, Ireland
  • M. Bes
    School of Veterinary and Life Sciences, Murdoch University, Murdoch, WA, Australia
  • S. Boswihi
    Microbiology Unit, Department of Preventive and Interdisciplinary Medicine, University of Medicine and Pharmacy 'Grigore T Popa', Iasi, Romania
  • D. Coleman
    Pediatric Research and Clinical Center for Infectious Diseases, Saint Petersburg, Russian Federation
  • G. Coombs
    Department of Microbiology, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong
  • O. Dorneanu
    Department of Biosciences, COMSATS Institute of Information Technology, Islamabad, Pakistan
  • V. Gostev
    Department of Biogenetics, National University of Medical Sciences, Rawalpindi, Pakistan
  • M. Ip
    Department of Hospital Infection Control, Dresden University Hospital, Dresden, Germany
  • B. Jamil
    Department of Basic Medical Sciences, College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates
  • L. Jatzwauk
    Molecular Pathology Laboratory, King Fahad Medical City, Riyadh, Saudi Arabia
  • M. Narvaez
    Department of Pathology and Laboratory Medicine, College of Medicine, King Saud University and King Saud University Medical City, Riyadh, Saudi Arabia
  • R. Roberts
    Department of Microbiology, University of Haripur, Haripur, Pakistan
  • A. Senok
    Facultad de Medicina, Pontificia Universidad Catolica del Ecuador, Quito, Ecuador
  • A. Shore
    Zurita and Zurita Laboratorios, Unidad de Investigaciones en Biomedicina, Quito, Ecuador
  • S. Sidorenko
  • L. Skakni
  • A. Somily
  • M. Syed
  • A. Thürmer
  • E. Udo
  • T. Vremera
  • J. Zurita
  • R. Ehricht
Название журнала
  • Frontiers in Microbiology
Том
  • 9
Выпуск
  • JUL
Страницы
  • -
Ключевые слова
  • Article; Australia; bacterial gene; bacterial strain; bacterial virulence; bacterium isolate; China; cladistics; comparative study; computer model; DNA microarray; fnbB gene; geographic distribution; Greece; Hong Kong; hospitalization; infection control; infection prevention; marker gene; methicillin resistant Staphylococcus aureus; molecular evolution; molecular typing; New Zealand; nonhuman; nsaB gene; Pakistan; pandemic; Portugal; Romania; Russian Federation; SCCmec III element; splE gene; transposon; travel; Trinidad and Tobago; Turkey (republic); Western Europe; whole genome sequencing
Издатель
  • Frontiers Media S.A.
Тип документа
  • journal article
Тип лицензии Creative Commons
  • CC
Правовой статус документа
  • Свободная лицензия
Источник
  • scopus