Phylogenetic analysis of Staphylococcus aureus CC398 reveals a sub-lineage epidemiologically associated with infections in horses.
Abstract: In the early 2000s, a particular MRSA clonal complex (CC398) was found mainly in pigs and pig farmers in Europe. Since then, CC398 has been detected among a wide variety of animal species worldwide. We investigated the population structure of CC398 through mutation discovery at 97 genetic housekeeping loci, which are distributed along the CC398 chromosome within 195 CC398 isolates, collected from various countries and host species, including humans. Most of the isolates in this collection were received from collaborating microbiologists, who had preserved them over years. We discovered 96 bi-allelic polymorphisms, and phylogenetic analyses revealed that an epidemic sub-clone within CC398 (dubbed 'clade (C)') has spread within and between equine hospitals, where it causes nosocomial infections in horses and colonises the personnel. While clade (C) was strongly associated with S. aureus from horses in veterinary-care settings (p = 2 × 10(-7)), it remained extremely rare among S. aureus isolates from human infections.
Publication Date: 2014-02-04 PubMed ID: 24505386PubMed Central: PMC3913741DOI: 10.1371/journal.pone.0088083Google Scholar: Lookup
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Summary
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The research paper investigates the genetic structure of a specific variant of Staphylococcus aureus (CC398) and identifies a sub-group associated with horse infections.
Study Background and Objective
- The study was initiated to explore the population structure of a particular MRSA clonal complex named CC398. This variant was initially discovered in pigs and pig farmers in Europe during the early 2000s. However, it has since been identified in a range of different animal species around the world.
- The research aimed to understand the diversity and spread of this variant by examining its genetic structure, particularly focusing on any potential sub-group specific to horses.
Methodology
- To map out the genetic structure, the researchers conducted a mutation discovery study by analyzing 97 genetic housekeeping loci distributed across the CC398 chromosome.
- The study worked with 195 CC398 isolates collected from various countries and host species, including humans. Most of these isolates were sourced from collaborating microbiologists, who preserved them over a period of time.
Findings
- During the analysis, 96 bi-allelic polymorphisms were discovered. Bi-allelic polymorphisms are variations at a single genetic location where there are exactly two possible forms.
- The phylogenetic analyses revealed the existence of a specific sub-clone within CC398, which is referred to as ‘clade (C)’ in the study. This sub-clone has spread within and between equine hospitals, where it not only causes infections in horses, but also colonizes the hospital staff.
- The statistical association demonstrated a very strong correlation between clade (C) and S. aureus from horses in veterinary-care settings. Remarkably, the clade (C) remained rare among human cases of S. aureus infection.
Conclusion
- This study identified a sub-lineage of the CC398 variant of Staphylococcus aureus that appears to be associated with infections in horses.
- The results emphasize the need for effective infection control strategies within equine hospitals to protect both horses and hospital personnel from this specific strain of infection.
Cite This Article
APA
Abdelbary MM, Wittenberg A, Cuny C, Layer F, Kurt K, Wieler LH, Walther B, Skov R, Larsen J, Hasman H, Fitzgerald JR, Smith TC, Wagenaar JA, Pantosti A, Hallin M, Struelens MJ, Edwards G, Böse R, Nübel U, Witte W.
(2014).
Phylogenetic analysis of Staphylococcus aureus CC398 reveals a sub-lineage epidemiologically associated with infections in horses.
PLoS One, 9(2), e88083.
https://doi.org/10.1371/journal.pone.0088083 Publication
Researcher Affiliations
- Robert Koch Institute, Wernigerode, Germany.
- Institute of Microbiology and Epizootics, Free University Berlin, Berlin, Germany.
- Robert Koch Institute, Wernigerode, Germany.
- Robert Koch Institute, Wernigerode, Germany.
- Robert Koch Institute, Wernigerode, Germany.
- Institute of Microbiology and Epizootics, Free University Berlin, Berlin, Germany.
- Institute of Microbiology and Epizootics, Free University Berlin, Berlin, Germany.
- Microbiology and Infection Control, Statens Serum Institut, Copenhagen, Denmark.
- Microbiology and Infection Control, Statens Serum Institut, Copenhagen, Denmark.
- National Food Institute, Technical University of Denmark, Lyngby, Denmark.
- The Roslin Institute, University of Edinburgh, Edinburgh, United Kingdom.
- Department of Epidemiology, College of Public Health, the University of Iowa, Iowa City, Iowa, United States of America.
- Department of Infectious Diseases and Immunology, Faculty of Veterinary Medicine, Utrecht University, Utrecht, the Netherlands.
- Istituto Superiore di Sanità, Rome, Italy.
- Centre National de Référence Staphylococcus aureus, Microbiology Department, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.
- European Centre for Disease Prevention and Control, Stockholm, Sweden.
- Department of Microbiology, Scottish MRSA Reference Laboratory (SMRSARL), Glasgow Royal Infirmary, Glasgow, United Kingdom.
- Labor Dr. Böse GmbH, Harsum, Germany.
- Robert Koch Institute, Wernigerode, Germany.
- Robert Koch Institute, Wernigerode, Germany.
MeSH Terms
- Animals
- Genetic Loci / genetics
- Horse Diseases / epidemiology
- Horse Diseases / genetics
- Horse Diseases / microbiology
- Horses / microbiology
- Hospitals, Animal
- Humans
- Phylogeny
- Polymorphism, Genetic / genetics
- Staphylococcal Infections / epidemiology
- Staphylococcal Infections / genetics
- Staphylococcal Infections / microbiology
- Staphylococcus aureus / genetics
Grant Funding
- BB/I013873/1 / Biotechnology and Biological Sciences Research Council
Conflict of Interest Statement
Competing Interests: One or more of the authors (R. Böse) are employed by a commercial company Labor Dr. Böse GmbH. This does not alter the authors\' adherence to all the PLOS ONE policies on sharing data and materials.
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