Botelho Ana Maria Nunes, Cerqueira E Costa Maiana Oliveira, Moustafa Ahmed M, Beltrame Cristiana Ossaille, Ferreira Fabienne Antunes, Côrtes Marina Farrel, Costa Bruno Souza Scramignon, Silva Deborah Nascimento Santos, Bandeira Paula Terra, Lima Nicholas Costa Barroso, Souza Rangel Celso, de Almeida Luiz Gonzaga Paula, Vasconcelos Ana Tereza Ribeiro, Narechania Apurva, Ryan Chanelle, O'Brien Kelsey, Kolokotronis Sergios-Orestis, Planet Paul J, Nicolás Marisa Fabiana, Figueiredo Agnes Marie Sá
Laboratório de Biologia Molecular de Bactérias, Instituto de Microbiologia Paulo de Góes, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Laboratório Nacional de Computação Científica, Petrópolis, Rio de Janeiro, Brazil.
Front Microbiol. 2019 Feb 27;10:82. doi: 10.3389/fmicb.2019.00082. eCollection 2019.
The global spread of specific clones of methicillin-resistant (MRSA) has become a major public health problem, and understanding the dynamics of geographical spread requires worldwide surveillance. Over the past 20 years, the ST239 lineage of MRSA has been recognized as an emerging clone across the globe, with detailed studies focusing on isolates from Europe and Asia. Less is known about this lineage in South America, and, particularly, Brazil where it was the predominant lineage of MRSA in the early 1990s to 2000s. To gain a better understanding about the introduction and spread of ST239 MRSA in Brazil we undertook a comparative phylogenomic analysis of ST239 genomes, adding seven completed, closed Brazilian genomes. Brazilian ST239 isolates grouped in a subtree with those from South American, and Western, romance-language-speaking, European countries, here designated the South American clade. After an initial worldwide radiation in the 1960s and 1970s, we estimate that ST239 began to spread in South America and Brazil in approximately 1988. This clone demonstrates specific genomic changes that are suggestive of local divergence and adaptational change including single-nucleotide polymorphisms variants, and a distinct pattern of virulence-associated genes (mainly the presence of the and the absence of and ). A survey of a geographically and chronologically diverse set of 100 Brazilian ST239 isolates identified this virulence genotype as the predominant pattern in Brazil, and uncovered an unexpectedly high prevalence of -dysfunction (30%). ST239 isolates from Brazil also appear to have undergone transposon (IS6) insertions in or near global regulatory genes ( and ) that likely led to rapid reprogramming of bacterial traits. In general, the overall pattern observed in phylogenomic analyses of ST239 is of a rapid initial global radiation, with subsequent local spread and adaptation in multiple different geographic locations. Most ST239 isolates harbor the gene, which we show here to have anti-restriction activity. We hypothesize that this gene may have improved the ability of this lineage to acquire multiple resistance genes and distinct virulence-associated genes in each local context. The allopatric divergence pattern of ST239 also may suggest strong selective pressures for specific traits in different geographical locations.
耐甲氧西林金黄色葡萄球菌(MRSA)特定克隆的全球传播已成为一个重大的公共卫生问题,而了解其地理传播动态需要进行全球监测。在过去20年里,MRSA的ST239谱系已被公认为全球范围内出现的一个克隆谱系,已有详细研究聚焦于来自欧洲和亚洲的分离株。关于该谱系在南美洲,尤其是巴西的情况所知较少,在巴西它是20世纪90年代初至21世纪初MRSA的主要谱系。为了更好地了解ST239 MRSA在巴西的引入和传播情况,我们对ST239基因组进行了比较系统基因组学分析,新增了7个已完成测序的巴西完整基因组。巴西的ST239分离株与来自南美洲以及欧洲讲罗曼语的西方国家的分离株归为一个子树,在此称为南美分支。在20世纪60年代和70年代首次在全球范围内辐射之后,我们估计ST239大约在1988年开始在南美洲和巴西传播。该克隆显示出特定的基因组变化,提示存在局部分化和适应性变化,包括单核苷酸多态性变异,以及一种独特的毒力相关基因模式(主要是存在[具体基因1]和不存在[具体基因2]和[具体基因3])。对100株来自巴西、在地理和时间上具有多样性的ST239分离株进行的一项调查确定这种毒力基因型是巴西的主要模式,并发现[具体功能障碍]的患病率意外地高(30%)。来自巴西的ST239分离株似乎还在全局调控基因([具体基因4]和[具体基因5])中或其附近发生了转座子(IS6)插入,这可能导致细菌性状快速重新编程。总体而言,在ST239的系统基因组学分析中观察到的总体模式是,最初在全球范围内快速辐射,随后在多个不同地理位置进行局部传播和适应。大多数ST239分离株携带[具体基因6],我们在此表明该基因具有抗限制活性。我们推测该基因可能提高了这个谱系在每个局部环境中获得多种耐药基因和不同毒力相关基因的能力。ST239的异域分化模式也可能表明在不同地理位置对特定性状存在强大的选择压力。