Pinheiro Luiza, Brito Carla Ivo, de Oliveira Adilson, Martins Patrícia Yoshida Faccioli, Pereira Valéria Cataneli, da Cunha Maria de Lourdes Ribeiro de Souza
Departamento de Microbiologia e Imunologia, Instituto de Biociências, UNESP-Univ Estadual Paulista, Botucatu, SP 18618-970, Brasil.
Toxins (Basel). 2015 Sep 14;7(9):3688-99. doi: 10.3390/toxins7093688.
Although opportunistic pathogens, coagulase-negative staphylococci (CoNS), including Staphylococcus epidermidis and Staphylococcus haemolyticus, have long been regarded as avirulent organisms. The role of toxins in the development of infections caused by CoNS is still controversial. The objective of this study was to characterize the presence of enterotoxin and cytotoxin genes in S. epidermidis and S. haemolyticus isolates obtained from blood cultures. Cytotoxin genes were detected by PCR using novel species-specific primers. Among the 85 S. epidermidis and 84 S. haemolyticus isolates, 95.3% and 79.8%, respectively, carried at least one enterotoxin gene. The most frequent enterotoxin genes were sea (53.3%), seg (64.5%) and sei (67.5%). The seg gene was positively associated with S. epidermidis (p = 0.02), and this species was more toxigenic than S. haemolyticus. The hla/yidD gene was detected in 92.9% of S. epidermidis and the hla gene in 91.7% of S. haemolyticus isolates; hlb was detected in 92.9% of the S. epidermidis isolates and hld in 95.3%. Nosocomial Staphylococcus epidermidis and S. haemolyticus isolates exhibited a high toxigenic potential, mainly producing the non-classical enterotoxins seg and sei. The previously unreported detection of hla/yidD and hlb in S. epidermidis and S. haemolyticus using species-specific primers showed that these hemolysin genes differ between CoNS species and that they are highly frequent in blood culture isolates.
尽管凝固酶阴性葡萄球菌(CoNS)作为机会致病菌,包括表皮葡萄球菌和溶血葡萄球菌,长期以来一直被视为无毒力的微生物。毒素在CoNS引起的感染发展中的作用仍存在争议。本研究的目的是鉴定从血培养中获得的表皮葡萄球菌和溶血葡萄球菌分离株中肠毒素和细胞毒素基因的存在情况。使用新型种特异性引物通过PCR检测细胞毒素基因。在85株表皮葡萄球菌和84株溶血葡萄球菌分离株中,分别有95.3%和79.8%携带至少一个肠毒素基因。最常见的肠毒素基因是sea(53.3%)、seg(64.5%)和sei(67.5%)。seg基因与表皮葡萄球菌呈正相关(p = 0.02),且该菌种比溶血葡萄球菌的产毒能力更强。在92.9%的表皮葡萄球菌分离株中检测到hla/yidD基因,在91.7%的溶血葡萄球菌分离株中检测到hla基因;在92.9%的表皮葡萄球菌分离株中检测到hlb基因,在95.3%的分离株中检测到hld基因。医院获得性表皮葡萄球菌和溶血葡萄球菌分离株表现出较高的产毒潜力,主要产生非经典肠毒素seg和sei。使用种特异性引物在表皮葡萄球菌和溶血葡萄球菌中首次检测到hla/yidD和hlb,表明这些溶血素基因在CoNS菌种之间存在差异,且在血培养分离株中高度常见。