Improved Subtyping of <named-content content-type="genus-species">Staphylococcus aureus</named-content> Clonal Complex 8 Strains Based on Whole-Genome Phylogenetic Analysis

ABSTRACT Strains of Staphylococcus aureus in clonal complex 8 (CC8), including USA300, USA500, and the Iberian clone, are prevalent pathogens in the United States, both inside and outside health care settings. Methods for typing CC8 strains are becoming obsolete as the strains evolve and diversify,...

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Autores principales: Jolene R. Bowers, Elizabeth M. Driebe, Valerie Albrecht, Linda K. McDougal, Mitchell Granade, Chandler C. Roe, Darrin Lemmer, J. Kamile Rasheed, David M. Engelthaler, Paul Keim, Brandi M. Limbago
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Publicado: American Society for Microbiology 2018
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Acceso en línea:https://doaj.org/article/8838d2d457554ee1941466c409a2277f
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spelling oai:doaj.org-article:8838d2d457554ee1941466c409a2277f2021-11-15T15:24:23ZImproved Subtyping of <named-content content-type="genus-species">Staphylococcus aureus</named-content> Clonal Complex 8 Strains Based on Whole-Genome Phylogenetic Analysis10.1128/mSphere.00464-172379-5042https://doaj.org/article/8838d2d457554ee1941466c409a2277f2018-06-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mSphere.00464-17https://doaj.org/toc/2379-5042ABSTRACT Strains of Staphylococcus aureus in clonal complex 8 (CC8), including USA300, USA500, and the Iberian clone, are prevalent pathogens in the United States, both inside and outside health care settings. Methods for typing CC8 strains are becoming obsolete as the strains evolve and diversify, and whole-genome sequencing has shown that some strain types fall into multiple sublineages within CC8. In this study, we attempt to clarify the strain nomenclature of CC8, classifying the major strain types based on whole-genome sequence phylogenetics using both methicillin-resistant S. aureus (MRSA) and methicillin-susceptible S. aureus (MSSA) genomes. We show that isolates of the Archaic and Iberian clones from decades ago make up the most basal clade of the main CC8 lineages and that at least one successful lineage of CC8, made up mostly of MSSA, diverged before the other well-known strain types USA500 and USA300. We also show that the USA500 type includes two clades separated by the previously described “Canadian epidemic MRSA” strain CMRSA9, that one clade containing USA500 also contains the USA300 clade, and that the USA300-0114 strain type is not a monophyletic group. Additionally, we present a rapid, simple CC8 strain-typing scheme using real-time PCR assays that target single nucleotide polymorphisms (SNPs) derived from our CC8 phylogeny and show the significant benefit of using more stable genomic markers based on evolutionary lineages over traditional S. aureus typing techniques. This more accurate and accessible S. aureus typing system may improve surveillance and better inform the epidemiology of this very important pathogen. IMPORTANCE Staphylococcus aureus is a major human pathogen worldwide in both community and health care settings. Surveillance for S. aureus strains is important to our understanding of their spread and to informing infection prevention and control. Confusion surrounding the strain nomenclature of one of the most prevalent lineages of S. aureus, clonal complex 8 (CC8), and the imprecision of current tools for typing S. aureus make surveillance and source tracing difficult and sometimes misleading. In this study, we clarify the CC8 strain designations and propose a new typing scheme for CC8 isolates that is rapid and easy to use. This typing scheme is based on relatively stable genomic markers, and we demonstrate its superiority over traditional typing techniques. This scheme has the potential to greatly improve epidemiological investigations of S. aureus.Jolene R. BowersElizabeth M. DriebeValerie AlbrechtLinda K. McDougalMitchell GranadeChandler C. RoeDarrin LemmerJ. Kamile RasheedDavid M. EngelthalerPaul KeimBrandi M. LimbagoAmerican Society for MicrobiologyarticleCC8MRSAMSSAphylogenyStaphylococcus aureusstrain typingMicrobiologyQR1-502ENmSphere, Vol 3, Iss 3 (2018)
institution DOAJ
collection DOAJ
language EN
topic CC8
MRSA
MSSA
phylogeny
Staphylococcus aureus
strain typing
Microbiology
QR1-502
spellingShingle CC8
MRSA
MSSA
phylogeny
Staphylococcus aureus
strain typing
Microbiology
QR1-502
Jolene R. Bowers
Elizabeth M. Driebe
Valerie Albrecht
Linda K. McDougal
Mitchell Granade
Chandler C. Roe
Darrin Lemmer
J. Kamile Rasheed
David M. Engelthaler
Paul Keim
Brandi M. Limbago
Improved Subtyping of <named-content content-type="genus-species">Staphylococcus aureus</named-content> Clonal Complex 8 Strains Based on Whole-Genome Phylogenetic Analysis
description ABSTRACT Strains of Staphylococcus aureus in clonal complex 8 (CC8), including USA300, USA500, and the Iberian clone, are prevalent pathogens in the United States, both inside and outside health care settings. Methods for typing CC8 strains are becoming obsolete as the strains evolve and diversify, and whole-genome sequencing has shown that some strain types fall into multiple sublineages within CC8. In this study, we attempt to clarify the strain nomenclature of CC8, classifying the major strain types based on whole-genome sequence phylogenetics using both methicillin-resistant S. aureus (MRSA) and methicillin-susceptible S. aureus (MSSA) genomes. We show that isolates of the Archaic and Iberian clones from decades ago make up the most basal clade of the main CC8 lineages and that at least one successful lineage of CC8, made up mostly of MSSA, diverged before the other well-known strain types USA500 and USA300. We also show that the USA500 type includes two clades separated by the previously described “Canadian epidemic MRSA” strain CMRSA9, that one clade containing USA500 also contains the USA300 clade, and that the USA300-0114 strain type is not a monophyletic group. Additionally, we present a rapid, simple CC8 strain-typing scheme using real-time PCR assays that target single nucleotide polymorphisms (SNPs) derived from our CC8 phylogeny and show the significant benefit of using more stable genomic markers based on evolutionary lineages over traditional S. aureus typing techniques. This more accurate and accessible S. aureus typing system may improve surveillance and better inform the epidemiology of this very important pathogen. IMPORTANCE Staphylococcus aureus is a major human pathogen worldwide in both community and health care settings. Surveillance for S. aureus strains is important to our understanding of their spread and to informing infection prevention and control. Confusion surrounding the strain nomenclature of one of the most prevalent lineages of S. aureus, clonal complex 8 (CC8), and the imprecision of current tools for typing S. aureus make surveillance and source tracing difficult and sometimes misleading. In this study, we clarify the CC8 strain designations and propose a new typing scheme for CC8 isolates that is rapid and easy to use. This typing scheme is based on relatively stable genomic markers, and we demonstrate its superiority over traditional typing techniques. This scheme has the potential to greatly improve epidemiological investigations of S. aureus.
format article
author Jolene R. Bowers
Elizabeth M. Driebe
Valerie Albrecht
Linda K. McDougal
Mitchell Granade
Chandler C. Roe
Darrin Lemmer
J. Kamile Rasheed
David M. Engelthaler
Paul Keim
Brandi M. Limbago
author_facet Jolene R. Bowers
Elizabeth M. Driebe
Valerie Albrecht
Linda K. McDougal
Mitchell Granade
Chandler C. Roe
Darrin Lemmer
J. Kamile Rasheed
David M. Engelthaler
Paul Keim
Brandi M. Limbago
author_sort Jolene R. Bowers
title Improved Subtyping of <named-content content-type="genus-species">Staphylococcus aureus</named-content> Clonal Complex 8 Strains Based on Whole-Genome Phylogenetic Analysis
title_short Improved Subtyping of <named-content content-type="genus-species">Staphylococcus aureus</named-content> Clonal Complex 8 Strains Based on Whole-Genome Phylogenetic Analysis
title_full Improved Subtyping of <named-content content-type="genus-species">Staphylococcus aureus</named-content> Clonal Complex 8 Strains Based on Whole-Genome Phylogenetic Analysis
title_fullStr Improved Subtyping of <named-content content-type="genus-species">Staphylococcus aureus</named-content> Clonal Complex 8 Strains Based on Whole-Genome Phylogenetic Analysis
title_full_unstemmed Improved Subtyping of <named-content content-type="genus-species">Staphylococcus aureus</named-content> Clonal Complex 8 Strains Based on Whole-Genome Phylogenetic Analysis
title_sort improved subtyping of <named-content content-type="genus-species">staphylococcus aureus</named-content> clonal complex 8 strains based on whole-genome phylogenetic analysis
publisher American Society for Microbiology
publishDate 2018
url https://doaj.org/article/8838d2d457554ee1941466c409a2277f
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