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宿主防御抗菌肽耐药性在序列类型(ST)5的医疗保健相关耐甲氧西林金黄色葡萄球菌(MRSA)菌株相较于ST72的家畜相关和社区相关MRSA菌株毒力增加中的潜在作用。

Potential role of host defense antimicrobial peptide resistance in increased virulence of health care-associated MRSA strains of sequence type (ST) 5 versus livestock-associated and community-associated MRSA strains of ST72.

作者信息

Kang Kyoung-Mi, Park Jong-Hwan, Kim So Hyun, Yang Soo-Jin

机构信息

School of Bioresources and Bioscience, Chung-Ang University, Anseong, Republic of Korea.

Laboratory Animal Medicine, College of Veterinary Medicine, Chonnam National University, Gwangju, Republic of Korea.

出版信息

Comp Immunol Microbiol Infect Dis. 2019 Feb;62:13-18. doi: 10.1016/j.cimid.2018.11.012. Epub 2018 Nov 30.

Abstract

The most significant community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) in Korea is sequence type (ST) 72 with staphylococcal cassette chromosome mec (SCCmec) type IV (ST72-MRSA-IV). Although the impact of CA-MRSA on the clinical outcomes versus healthcare-associated (HA)-MRSA remains unclear, it has recently been revealed that ST5 HA-MRSA-II is associated with higher mortality compared with ST72 CA-MRSA-IV, suggesting higher virulence in ST5 HA-MRSA-II strains. In this investigation, human-/animal-originated ST72-MRSA-IV strains were examined for virulence phenotypes and compared with those of ST5-MRSA-II strains, the established HA-MRSA in Korea. Overall, ST5 HA-MRSA-II strains demonstrated higher levels of resistance to host defense-cationic antimicrobial peptides of human (LL-37), bovine (BMAP-28), and bacterial (polymyxin B) origins versus ST72-MRSA-IV strains via enhanced surface positive charge. Hemolysis profiles, gelatinase activity, and staphylococcal superantigen gene profiles were not different between ST72 CA-MRSA and ST5 HA-MRSA strains. However, ST5 HA-MRSA strains were able to downregulate initial cytokine response in murine macrophages.

摘要

韩国最主要的社区获得性耐甲氧西林金黄色葡萄球菌(CA-MRSA)是序列型(ST)72,带有IV型葡萄球菌盒式染色体mec(SCCmec)(ST72-MRSA-IV)。尽管CA-MRSA与医疗保健相关(HA)-MRSA相比对临床结局的影响尚不清楚,但最近有研究表明,与ST72 CA-MRSA-IV相比,ST5 HA-MRSA-II与更高的死亡率相关,这表明ST5 HA-MRSA-II菌株的毒力更强。在本研究中,对源自人/动物的ST72-MRSA-IV菌株的毒力表型进行了检测,并与韩国已确定的HA-MRSA即ST5-MRSA-II菌株进行了比较。总体而言,与ST72-MRSA-IV菌株相比,ST5 HA-MRSA-II菌株通过增强表面正电荷,对人源(LL-37)、牛源(BMAP-28)和细菌源(多粘菌素B)的宿主防御阳离子抗菌肽表现出更高的耐药性。ST72 CA-MRSA和ST5 HA-MRSA菌株之间的溶血谱、明胶酶活性和葡萄球菌超抗原基因谱没有差异。然而,ST5 HA-MRSA菌株能够下调小鼠巨噬细胞中的初始细胞因子反应。

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