一株泛耐药性白细胞毒素阴性社区获得性耐甲氧西林金黄色葡萄球菌的毒力基础

Basis of virulence in a Panton-Valentine leukocidin-negative community-associated methicillin-resistant Staphylococcus aureus strain.

作者信息

Chen Yan, Yeh Anthony J, Cheung Gordon Y C, Villaruz Amer E, Tan Vee Y, Joo Hwang-Soo, Chatterjee Som S, Yu Yunsong, Otto Michael

机构信息

Pathogen Molecular Genetics Section, Laboratory of Human Bacterial Pathogenesis, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland Department of Infectious Diseases, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou, China.

Pathogen Molecular Genetics Section, Laboratory of Human Bacterial Pathogenesis, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.

出版信息

J Infect Dis. 2015 Feb 1;211(3):472-80. doi: 10.1093/infdis/jiu462. Epub 2014 Aug 19.

Abstract

Community-associated (CA) infections with methicillin-resistant Staphylococcus aureus (MRSA) are on a global rise. However, analysis of virulence characteristics has been limited almost exclusively to the US endemic strain USA300. CA-MRSA strains that do not produce Panton-Valentine leukocidin (PVL) have not been investigated on a molecular level. Therefore, we analyzed virulence determinants in a PVL-negative CA-MRSA strain, ST72, from Korea. Genome-wide analysis identified 3 loci that are unique to that strain, but did not affect virulence. In contrast, phenol-soluble modulins (PSMs) and the global virulence regulator Agr strongly affected lysis of neutrophils and erythrocytes, while α-toxin and Agr had a major impact on in vivo virulence. Our findings substantiate the general key roles these factors play in CA-MRSA virulence. However, our analyses also showed noticeable differences to strain USA300, inasmuch as α-toxin emerged as a much more important factor than PSMs in experimental skin infection caused by ST72.

摘要

社区获得性(CA)耐甲氧西林金黄色葡萄球菌(MRSA)感染在全球呈上升趋势。然而,对毒力特征的分析几乎完全局限于美国流行菌株USA300。未产生杀白细胞素(PVL)的CA-MRSA菌株尚未在分子水平上进行研究。因此,我们分析了一株来自韩国的PVL阴性CA-MRSA菌株ST72的毒力决定因素。全基因组分析确定了该菌株特有的3个基因座,但不影响毒力。相比之下,酚溶性调节蛋白(PSMs)和全局毒力调节因子Agr强烈影响中性粒细胞和红细胞的裂解,而α毒素和Agr对体内毒力有重大影响。我们的研究结果证实了这些因素在CA-MRSA毒力中所起的一般关键作用。然而,我们的分析也显示出与USA300菌株有明显差异,因为在由ST72引起的实验性皮肤感染中,α毒素比PSMs成为一个重要得多的因素。

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