Invasive Methicillin-Resistant <named-content content-type="genus-species">Staphylococcus aureus</named-content> USA500 Strains from the U.S. Emerging Infections Program Constitute Three Geographically Distinct Lineages

ABSTRACT USA500 isolates are clonal complex 8 (CC8) Staphylococcus aureus strains closely related to the prominent community- and hospital-associated USA300 group. Despite being relatively understudied, USA500 strains cause a significant burden of disease and are the third most common methicillin-re...

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Autores principales: M. B. Frisch, S. Castillo-Ramírez, R. A. Petit, M. M. Farley, S. M. Ray, V. S. Albrecht, B. M. Limbago, J. Hernandez, I. See, S. W. Satola, T. D. Read
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Publicado: American Society for Microbiology 2018
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spelling oai:doaj.org-article:bd7eee950bc64c1487d2b4aad54d7a622021-11-15T15:24:23ZInvasive Methicillin-Resistant <named-content content-type="genus-species">Staphylococcus aureus</named-content> USA500 Strains from the U.S. Emerging Infections Program Constitute Three Geographically Distinct Lineages10.1128/mSphere.00571-172379-5042https://doaj.org/article/bd7eee950bc64c1487d2b4aad54d7a622018-06-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mSphere.00571-17https://doaj.org/toc/2379-5042ABSTRACT USA500 isolates are clonal complex 8 (CC8) Staphylococcus aureus strains closely related to the prominent community- and hospital-associated USA300 group. Despite being relatively understudied, USA500 strains cause a significant burden of disease and are the third most common methicillin-resistant S. aureus (MRSA) strains identified in the U.S. Emerging Infections Program (EIP) invasive S. aureus surveillance. To better understand the genetic relationships of the strains, we sequenced the genomes of 539 USA500 MRSA isolates from sterile site infections collected through the EIP between 2005 and 2013 in the United States. USA500 isolates fell into three major clades principally separated by their distribution across different U.S. regions. Clade C1 strains, found principally in the Northeast, were associated with multiple IS256 insertion elements in their genomes and higher levels of antibiotic resistance. C2 was associated with Southern states, and E1 was associated with Western states. C1 and C2 strains all shared a frameshift in the gene encoding AdsA surface-attached surface protein. We propose that the term “USA500” should be used for CC8 strains sharing a recent common ancestor with the C1, C2, and E1 strains but not in the USA300 group. IMPORTANCE In this work, we have removed some of the confusion surrounding the use of the name “USA500,” placed USA500 strains in the context of the CC8 group, and developed a strategy for assignment to subclades based on genome sequence. Our new phylogeny of USA300/USA500 will be a reference point for understanding the genetic adaptations that have allowed multiple highly virulent clonal strains to emerge from within CC8 over the past 50 years.M. B. FrischS. Castillo-RamírezR. A. PetitM. M. FarleyS. M. RayV. S. AlbrechtB. M. LimbagoJ. HernandezI. SeeS. W. SatolaT. D. ReadAmerican Society for MicrobiologyarticleevolutionIS256MRSAUSA300adenosinedrug resistanceMicrobiologyQR1-502ENmSphere, Vol 3, Iss 3 (2018)
institution DOAJ
collection DOAJ
language EN
topic evolution
IS256
MRSA
USA300
adenosine
drug resistance
Microbiology
QR1-502
spellingShingle evolution
IS256
MRSA
USA300
adenosine
drug resistance
Microbiology
QR1-502
M. B. Frisch
S. Castillo-Ramírez
R. A. Petit
M. M. Farley
S. M. Ray
V. S. Albrecht
B. M. Limbago
J. Hernandez
I. See
S. W. Satola
T. D. Read
Invasive Methicillin-Resistant <named-content content-type="genus-species">Staphylococcus aureus</named-content> USA500 Strains from the U.S. Emerging Infections Program Constitute Three Geographically Distinct Lineages
description ABSTRACT USA500 isolates are clonal complex 8 (CC8) Staphylococcus aureus strains closely related to the prominent community- and hospital-associated USA300 group. Despite being relatively understudied, USA500 strains cause a significant burden of disease and are the third most common methicillin-resistant S. aureus (MRSA) strains identified in the U.S. Emerging Infections Program (EIP) invasive S. aureus surveillance. To better understand the genetic relationships of the strains, we sequenced the genomes of 539 USA500 MRSA isolates from sterile site infections collected through the EIP between 2005 and 2013 in the United States. USA500 isolates fell into three major clades principally separated by their distribution across different U.S. regions. Clade C1 strains, found principally in the Northeast, were associated with multiple IS256 insertion elements in their genomes and higher levels of antibiotic resistance. C2 was associated with Southern states, and E1 was associated with Western states. C1 and C2 strains all shared a frameshift in the gene encoding AdsA surface-attached surface protein. We propose that the term “USA500” should be used for CC8 strains sharing a recent common ancestor with the C1, C2, and E1 strains but not in the USA300 group. IMPORTANCE In this work, we have removed some of the confusion surrounding the use of the name “USA500,” placed USA500 strains in the context of the CC8 group, and developed a strategy for assignment to subclades based on genome sequence. Our new phylogeny of USA300/USA500 will be a reference point for understanding the genetic adaptations that have allowed multiple highly virulent clonal strains to emerge from within CC8 over the past 50 years.
format article
author M. B. Frisch
S. Castillo-Ramírez
R. A. Petit
M. M. Farley
S. M. Ray
V. S. Albrecht
B. M. Limbago
J. Hernandez
I. See
S. W. Satola
T. D. Read
author_facet M. B. Frisch
S. Castillo-Ramírez
R. A. Petit
M. M. Farley
S. M. Ray
V. S. Albrecht
B. M. Limbago
J. Hernandez
I. See
S. W. Satola
T. D. Read
author_sort M. B. Frisch
title Invasive Methicillin-Resistant <named-content content-type="genus-species">Staphylococcus aureus</named-content> USA500 Strains from the U.S. Emerging Infections Program Constitute Three Geographically Distinct Lineages
title_short Invasive Methicillin-Resistant <named-content content-type="genus-species">Staphylococcus aureus</named-content> USA500 Strains from the U.S. Emerging Infections Program Constitute Three Geographically Distinct Lineages
title_full Invasive Methicillin-Resistant <named-content content-type="genus-species">Staphylococcus aureus</named-content> USA500 Strains from the U.S. Emerging Infections Program Constitute Three Geographically Distinct Lineages
title_fullStr Invasive Methicillin-Resistant <named-content content-type="genus-species">Staphylococcus aureus</named-content> USA500 Strains from the U.S. Emerging Infections Program Constitute Three Geographically Distinct Lineages
title_full_unstemmed Invasive Methicillin-Resistant <named-content content-type="genus-species">Staphylococcus aureus</named-content> USA500 Strains from the U.S. Emerging Infections Program Constitute Three Geographically Distinct Lineages
title_sort invasive methicillin-resistant <named-content content-type="genus-species">staphylococcus aureus</named-content> usa500 strains from the u.s. emerging infections program constitute three geographically distinct lineages
publisher American Society for Microbiology
publishDate 2018
url https://doaj.org/article/bd7eee950bc64c1487d2b4aad54d7a62
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