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ST239-MRSA 菌株的克隆多样性和流行病学特征。

Clonal Diversity and Epidemiological Characteristics of ST239-MRSA Strains.

机构信息

Department of Microbiology, Faculty of Veterinary Medicine, Zagazig University, Zagazig, Egypt.

Department of Zoonoses, Faculty of Veterinary Medicine, Zagazig University, Zagazig, Egypt.

出版信息

Front Cell Infect Microbiol. 2022 Mar 25;12:782045. doi: 10.3389/fcimb.2022.782045. eCollection 2022.

Abstract

Methicillin-resistant (MRSA) is a major pathogen associated with severe morbidity and mortality and poses a significant threat to public health worldwide. The genetic diversity based on sequence types of MRSA strains was illustrated in previous studies; meanwhile, the diversity along with the predominant sequence type, especially in Egypt, remains unknown. The purpose of the current study was to determine the diversity of the predominant MRSA clone ST239-MRSA (n = 50) isolated from different hosts and clinical samples and to illustrate the correlation between the resistance patterns, toxin genes, and the genetic background in Port-said and El-Sharkia Governorates, Egypt. The ST239-MRSA clone was analyzed by phenotypic antibiotyping and various genotypic assays comprising SCC, , , , and -RFLP in addition to toxin gene profiles. Most of the analyzed strains (40/50, 80%) were multidrug resistant (MDR), belonged to SCC-III, -I, and genotype I, and harbored and genes. A negative correlation between the toxin gene profiles and antimicrobial resistance was recorded. Meanwhile, the correlation between the toxin gene profiles and the genetic background was not observed in this study. Although ST239-MRSA strains belonged to a single sequence type, they exhibited a high degree of phenotypic and genotypic diversity, indicating weak clonality and adaptability. With such diversity, it is assumed that these strains may have undergone different evolutionary processes during transmission events among and/or within a single host or tissue niche.

摘要

耐甲氧西林金黄色葡萄球菌(MRSA)是一种与严重发病率和死亡率相关的主要病原体,对全球公共卫生构成重大威胁。先前的研究表明了基于 MRSA 菌株序列类型的遗传多样性;同时,与主要序列类型相关的多样性,特别是在埃及,仍然未知。本研究的目的是确定来自不同宿主和临床样本的优势 MRSA 克隆 ST239-MRSA(n=50)的多样性,并说明埃及塞得港和 Sharkia 省的耐药模式、毒素基因和遗传背景之间的相关性。通过表型抗生素药敏试验和各种基因型检测分析 ST239-MRSA 克隆,包括 SCC、、、、和-RFLP 以及毒素基因谱。分析的大多数菌株(40/50,80%)为多药耐药(MDR),属于 SCC-III、-I 和 基因型 I,并携带 和 基因。记录到毒素基因谱与抗菌药物耐药性之间存在负相关。同时,在本研究中未观察到毒素基因谱与遗传背景之间的相关性。尽管 ST239-MRSA 菌株属于单一序列类型,但它们表现出高度的表型和基因型多样性,表明其克隆性弱且适应性强。鉴于这种多样性,可以假设这些菌株在宿主或组织生态位之间和/或内部的传播事件中可能经历了不同的进化过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6858/8990901/11385f36cf89/fcimb-12-782045-g001.jpg

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