Origin and Evolution of European Community-Acquired Methicillin-Resistant <named-content content-type="genus-species">Staphylococcus aureus</named-content>

ABSTRACT Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) was recognized in Europe and worldwide in the late 1990s. Within a decade, several genetically and geographically distinct CA-MRSA lineages carrying the small SCCmec type IV and V genetic elements and the Panton-Valent...

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Autores principales: Marc Stegger, Thierry Wirth, Paal S. Andersen, Robert L. Skov, Anna De Grassi, Patricia Martins Simões, Anne Tristan, Andreas Petersen, Maliha Aziz, Kristoffer Kiil, Ivana Cirković, Edet E. Udo, Rosa del Campo, Jaana Vuopio-Varkila, Norazah Ahmad, Sima Tokajian, Georg Peters, Frieder Schaumburg, Barbro Olsson-Liljequist, Michael Givskov, Elizabeth E. Driebe, Henrik E. Vigh, Adebayo Shittu, Nadjia Ramdani-Bougessa, Jean-Philippe Rasigade, Lance B. Price, Francois Vandenesch, Anders R. Larsen, Frederic Laurent
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Publicado: American Society for Microbiology 2014
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spelling oai:doaj.org-article:f59177fc13fe4f059add8a143959b6d52021-11-15T15:45:54ZOrigin and Evolution of European Community-Acquired Methicillin-Resistant <named-content content-type="genus-species">Staphylococcus aureus</named-content>10.1128/mBio.01044-142150-7511https://doaj.org/article/f59177fc13fe4f059add8a143959b6d52014-10-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mBio.01044-14https://doaj.org/toc/2150-7511ABSTRACT Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) was recognized in Europe and worldwide in the late 1990s. Within a decade, several genetically and geographically distinct CA-MRSA lineages carrying the small SCCmec type IV and V genetic elements and the Panton-Valentine leukocidin (PVL) emerged around the world. In Europe, the predominant CA-MRSA strain belongs to clonal complex 80 (CC80) and is resistant to kanamycin/amikacin and fusidic acid. CC80 was first reported in 1993 but was relatively rare until the late 1990s. It has since been identified throughout North Africa, the Middle East, and Europe, with recent sporadic reports in sub-Saharan Africa. While strongly associated with skin and soft tissue infections, it is rarely found among asymptomatic carriers. Methicillin-sensitive S. aureus (MSSA) CC80 strains are extremely rare except in sub-Saharan Africa. In the current study, we applied whole-genome sequencing to a global collection of both MSSA and MRSA CC80 isolates. Phylogenetic analyses strongly suggest that the European epidemic CA-MRSA lineage is derived from a PVL-positive MSSA ancestor from sub-Saharan Africa. Moreover, the tree topology suggests a single acquisition of both the SCCmec element and a plasmid encoding the fusidic acid resistance determinant. Four canonical SNPs distinguish the derived CA-MRSA lineage and include a nonsynonymous mutation in accessory gene regulator C (agrC). These changes were associated with a star-like expansion into Europe, the Middle East, and North Africa in the early 1990s, including multiple cases of cross-continent imports likely driven by human migrations. IMPORTANCE With increasing levels of CA-MRSA reported from most parts of the Western world, there is a great interest in understanding the origin and factors associated with the emergence of these epidemic lineages. To trace the origin, evolution, and dissemination pattern of the European CA-MRSA clone (CC80), we sequenced a global collection of strains of the S. aureus CC80 lineage. Our study determined that a single descendant of a PVL-positive methicillin-sensitive ancestor circulating in sub-Saharan Africa rose to become the dominant CA-MRSA clone in Europe, the Middle East, and North Africa. In the transition from a methicillin-susceptible lineage to a successful CA-MRSA clone, it simultaneously became resistant to fusidic acid, a widely used antibiotic for skin and soft tissue infections, thus demonstrating the importance of antibiotic selection in the success of this clone. This finding furthermore highlights the significance of horizontal gene acquisitions and underscores the combined importance of these factors for the success of CA-MRSA.Marc SteggerThierry WirthPaal S. AndersenRobert L. SkovAnna De GrassiPatricia Martins SimõesAnne TristanAndreas PetersenMaliha AzizKristoffer KiilIvana CirkovićEdet E. UdoRosa del CampoJaana Vuopio-VarkilaNorazah AhmadSima TokajianGeorg PetersFrieder SchaumburgBarbro Olsson-LiljequistMichael GivskovElizabeth E. DriebeHenrik E. VighAdebayo ShittuNadjia Ramdani-BougessaJean-Philippe RasigadeLance B. PriceFrancois VandeneschAnders R. LarsenFrederic LaurentAmerican Society for MicrobiologyarticleMicrobiologyQR1-502ENmBio, Vol 5, Iss 5 (2014)
institution DOAJ
collection DOAJ
language EN
topic Microbiology
QR1-502
spellingShingle Microbiology
QR1-502
Marc Stegger
Thierry Wirth
Paal S. Andersen
Robert L. Skov
Anna De Grassi
Patricia Martins Simões
Anne Tristan
Andreas Petersen
Maliha Aziz
Kristoffer Kiil
Ivana Cirković
Edet E. Udo
Rosa del Campo
Jaana Vuopio-Varkila
Norazah Ahmad
Sima Tokajian
Georg Peters
Frieder Schaumburg
Barbro Olsson-Liljequist
Michael Givskov
Elizabeth E. Driebe
Henrik E. Vigh
Adebayo Shittu
Nadjia Ramdani-Bougessa
Jean-Philippe Rasigade
Lance B. Price
Francois Vandenesch
Anders R. Larsen
Frederic Laurent
Origin and Evolution of European Community-Acquired Methicillin-Resistant <named-content content-type="genus-species">Staphylococcus aureus</named-content>
description ABSTRACT Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) was recognized in Europe and worldwide in the late 1990s. Within a decade, several genetically and geographically distinct CA-MRSA lineages carrying the small SCCmec type IV and V genetic elements and the Panton-Valentine leukocidin (PVL) emerged around the world. In Europe, the predominant CA-MRSA strain belongs to clonal complex 80 (CC80) and is resistant to kanamycin/amikacin and fusidic acid. CC80 was first reported in 1993 but was relatively rare until the late 1990s. It has since been identified throughout North Africa, the Middle East, and Europe, with recent sporadic reports in sub-Saharan Africa. While strongly associated with skin and soft tissue infections, it is rarely found among asymptomatic carriers. Methicillin-sensitive S. aureus (MSSA) CC80 strains are extremely rare except in sub-Saharan Africa. In the current study, we applied whole-genome sequencing to a global collection of both MSSA and MRSA CC80 isolates. Phylogenetic analyses strongly suggest that the European epidemic CA-MRSA lineage is derived from a PVL-positive MSSA ancestor from sub-Saharan Africa. Moreover, the tree topology suggests a single acquisition of both the SCCmec element and a plasmid encoding the fusidic acid resistance determinant. Four canonical SNPs distinguish the derived CA-MRSA lineage and include a nonsynonymous mutation in accessory gene regulator C (agrC). These changes were associated with a star-like expansion into Europe, the Middle East, and North Africa in the early 1990s, including multiple cases of cross-continent imports likely driven by human migrations. IMPORTANCE With increasing levels of CA-MRSA reported from most parts of the Western world, there is a great interest in understanding the origin and factors associated with the emergence of these epidemic lineages. To trace the origin, evolution, and dissemination pattern of the European CA-MRSA clone (CC80), we sequenced a global collection of strains of the S. aureus CC80 lineage. Our study determined that a single descendant of a PVL-positive methicillin-sensitive ancestor circulating in sub-Saharan Africa rose to become the dominant CA-MRSA clone in Europe, the Middle East, and North Africa. In the transition from a methicillin-susceptible lineage to a successful CA-MRSA clone, it simultaneously became resistant to fusidic acid, a widely used antibiotic for skin and soft tissue infections, thus demonstrating the importance of antibiotic selection in the success of this clone. This finding furthermore highlights the significance of horizontal gene acquisitions and underscores the combined importance of these factors for the success of CA-MRSA.
format article
author Marc Stegger
Thierry Wirth
Paal S. Andersen
Robert L. Skov
Anna De Grassi
Patricia Martins Simões
Anne Tristan
Andreas Petersen
Maliha Aziz
Kristoffer Kiil
Ivana Cirković
Edet E. Udo
Rosa del Campo
Jaana Vuopio-Varkila
Norazah Ahmad
Sima Tokajian
Georg Peters
Frieder Schaumburg
Barbro Olsson-Liljequist
Michael Givskov
Elizabeth E. Driebe
Henrik E. Vigh
Adebayo Shittu
Nadjia Ramdani-Bougessa
Jean-Philippe Rasigade
Lance B. Price
Francois Vandenesch
Anders R. Larsen
Frederic Laurent
author_facet Marc Stegger
Thierry Wirth
Paal S. Andersen
Robert L. Skov
Anna De Grassi
Patricia Martins Simões
Anne Tristan
Andreas Petersen
Maliha Aziz
Kristoffer Kiil
Ivana Cirković
Edet E. Udo
Rosa del Campo
Jaana Vuopio-Varkila
Norazah Ahmad
Sima Tokajian
Georg Peters
Frieder Schaumburg
Barbro Olsson-Liljequist
Michael Givskov
Elizabeth E. Driebe
Henrik E. Vigh
Adebayo Shittu
Nadjia Ramdani-Bougessa
Jean-Philippe Rasigade
Lance B. Price
Francois Vandenesch
Anders R. Larsen
Frederic Laurent
author_sort Marc Stegger
title Origin and Evolution of European Community-Acquired Methicillin-Resistant <named-content content-type="genus-species">Staphylococcus aureus</named-content>
title_short Origin and Evolution of European Community-Acquired Methicillin-Resistant <named-content content-type="genus-species">Staphylococcus aureus</named-content>
title_full Origin and Evolution of European Community-Acquired Methicillin-Resistant <named-content content-type="genus-species">Staphylococcus aureus</named-content>
title_fullStr Origin and Evolution of European Community-Acquired Methicillin-Resistant <named-content content-type="genus-species">Staphylococcus aureus</named-content>
title_full_unstemmed Origin and Evolution of European Community-Acquired Methicillin-Resistant <named-content content-type="genus-species">Staphylococcus aureus</named-content>
title_sort origin and evolution of european community-acquired methicillin-resistant <named-content content-type="genus-species">staphylococcus aureus</named-content>
publisher American Society for Microbiology
publishDate 2014
url https://doaj.org/article/f59177fc13fe4f059add8a143959b6d5
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