Genetic diversity of wall teichoic acid glycosyltransferases affects immune recognition.

is a leading cause of skin and soft tissue infections and systemic infections. Wall teichoic acids (WTAs) are cell wall-anchored glycopolymers that are important for nasal colonization, phage-mediated horizontal gene transfer, and antibiotic resistance. WTAs consist of a polymerized ribitol phosphate (RboP) chain that can be glycosylated with -acetylglucosamine (GlcNAc) by three glycosyltransferases: TarS, TarM, and TarP. TarS and TarP modify WTA with β-linked GlcNAc at the C-4 (β1,4-GlcNAc) and the C-3 position (β1,3-GlcNAc) of the RboP subunit, respectively, whereas TarM modifies WTA with α-linked GlcNAc at the C-4 position (α1,4-GlcNAc). Importantly, these WTA glycosylation patterns impact immune recognition and clearance of . Previous studies suggest that is near-universally present within the population, whereas a smaller proportion co-contain either or . To gain more insight into the presence and genetic variation of , and in the population, we analysed a collection of 25 652 . genomes within the PubMLST database. Over 99 % of isolates contained . Co-presence of / or / occurred in 37 and 7 % of isolates, respectively, and was associated with specific clonal complexes. We also identified 26 isolates (0.1 %) that contained all three glycosyltransferase genes. At sequence level, we identified alleles with amino acid substitutions in critical enzymatic residues or with premature stop codons. Several variants were expressed in a -negative strain. Analysis using specific monoclonal antibodies and human langerin showed that WTA glycosylation was severely attenuated or absent. Overall, our data provide a broad overview of the genetic diversity of the three WTA glycosyltransferases in the population and the functional consequences for immune recognition.