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Journal of Clinical Microbiology, August 2001, p. 2760-2767, Vol. 39, No. 8
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.8.2760-2767.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.

Genetic Variation among Hospital Isolates of Methicillin-Sensitive Staphylococcus aureus: Evidence for Horizontal Transfer of Virulence Genes

P. C. L. Moore and J. A. Lindsay*

Department of Infectious Diseases, St. George's Hospital Medical School, London SW17 0RE, United Kingdom

Received 5 January 2001/Returned for modification 26 February 2001/Accepted 2 May 2001

Staphylococcus aureus strains often carry in their genomes virulence genes that are not found in all strains and that may be carried on discrete genetic elements. Strains also differ in that they carry one of four classes of an accessory gene regulator (agr) locus, an operon that regulates virulence factor expression and that has been proposed to be a therapeutic target. To look at their distribution among hospital strains, we investigated 38 methicillin-sensitive S. aureus isolates, classifying the isolates by agr class and screening them for the presence and restriction fragment length polymorphisms (RFLPs) of 12 core and 14 accessory virulence genes. Twenty-three (61%) were agr class I, 10 (26%) were agr class II, and 5 (13%) were agr class III. None were agr class IV. The S. aureus strains had distinguishable RFLP profiles, although clusters of isolates with clearly related core gene profiles were found among our strains, including all five agr class III strains, two sets of six strains within agr class I, and six strains within agr class II. Within these clusters there was evidence of horizontal acquisition and/or loss of multiple accessory virulence genes. Furthermore, two isolates from the same patient were identical except for the presence of the sea gene, indicating that movement of mobile elements may occur in vivo. Several strong correlations with the carriage of virulence genes between strains were seen, including a positive correlation between tst and agr class III and negative correlations between tst and lukE-splB and between lukE-splB and seg-sei. This suggests that the core genome or the presence of accessory genetic elements within a strain may influence acquisition and loss of other elements encoding virulence genes.

* Corresponding author. Mailing address: Department of Infectious Diseases, St. George's Hospital Medical School, Cranmer Terr., Tooting, London SW17 0RE, United Kingdom. Phone: 44 20 8725 0445. Fax: 44 20 8725 3487. E-mail: jlindsay{at}sghms.ac.uk.

Journal of Clinical Microbiology, August 2001, p. 2760-2767, Vol. 39, No. 8
0095-1137/01/$04.00+0   DOI: 10.1128/JCM.39.8.2760-2767.2001
Copyright © 2001, American Society for Microbiology. All rights reserved.


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