Abstract
Infections caused by methicillin-resistant S. aureus strains are mainly associated with a hospital setting. However, nowadays, the MRSA infections of non-hospitalized patients are observed more frequently. In order to distinguish them from hospital-associated methicillin-resistant S. aureus (HA-MRSA) strains, given them the name of community-associated methicillin-resistant S. aureus (CA-MRSA). CA-MRSA strains most commonly cause skin infections, but may lead to more severe diseases, and consequently the patient’s death. The molecular markers of CA-MRSA strains are the presence of accessory gene regulator (agr) of group I or III, staphylococcal cassette chromosome mec (SCCmec) type IV, V or VII and genes encoding for Panton–Valentine leukocidin (PVL). In addition, CA-MRSA strains show resistance to β-lactam antibiotics. Studies on the genetic elements of CA-MRSA strains have a key role in the unambiguous identification of strains, monitoring of infections, improving the treatment, work on new antimicrobial agents and understanding the evolution of these pathogens.
Similar content being viewed by others
References
Aires de Sousa M, de Lencastre H (2003) Evolution of sporadic isolates of methicillin-resistant Staphylococcus aureus (MRSA) in hospitals and their similarities to isolates of community-acquired MRSA. J Clin Microbiol 41:3806–3815
Arvidson S, Tegmark K (2001) Regulation of virulence determinants in Staphylococcus aureus. Int J Med Microbiol 291:159–170
Beenken KE, Blevins JS, Smeltzer MS (2003) Mutation of sarA in Staphylococcus aureus limits biofilm formation. Infect Immun 71:4206–4211
Berger-Bachi B, Rohrer S (2002) Factors influencing methicillin resistance in Staphylococci. Arch Microbiol 178:165–171
Boles BR, Horswill AR (2008) agr-mediated dispersal of Staphylococcus aureus Biofilms. PLoS Pathog 25:4(4)
Boyle-Vavra S, Daum RS (2007) Community-acquired methicillin-resistant Staphylococcus aureus: the role of Panton–Valentine leukocidin. Lab Invest 87:3–9
Campoccia D, Baldassarri L, Pirini V, Ravaioli S, Montanaro L, Arciola CR (2008) Molecular epidemiology of Staphylococcus aureus from implant orthopaedic infections: ribotypes, agr polymorphism, leukocidal toxins and antibiotic resistance. Biomaterials 29:4108–4116
CDC (Centers for Disease Control, Prevention) (1999) Four pediatric deaths from community-acquired methicillin-resistant Staphylococcus aureus-Minnesota and North Dakota, 1997–1999. Morb Mortal Wkly Rep 48:707–710
CDC (Centers for Disease Control, Prevention) (2001) Methicillin-resistant Staphylococcus aureus skin or soft tissue infections in a state prison–Mississippi, 2000. Morb Mortal Wkly Rep 50:919–922
CDC (Centers for Disease Control, Prevention) (2003) Methicillin-resistant Staphyloccocus aureus infections among competitive sports participants-Colorado, Indiana, Pennsylvania, and Los Angeles County, 2000–2003. Morb Mortal Wkly Rep 52:793–795
CDC (Centers for Disease Control, Prevention) (2004) Community-associated methicillin-resistant Staphylococus aureus infections in Pacific Islanders-Hawaii, 2001–2003. Morb Mortal Wkly Rep 53:767–770
Charlebois E, Bangsberg D, Moss N (2002) Population-based community prevalence of methicillin-resistant Staphylococcus aureus in the urban poor of San Francisco. Clin Infect Dis 34:425–433
Chavez TT, Decker CF (2008) Health care-associated MRSA versus community-associated MRSA. Dis Mon 54:763–768
Collins RJ (2007) Community-acquired methicillin-resistant Staphylococcus aureus in a group home setting. Consult Pharm 22:763–767
Collins F, Hampton S (2005) Hand-washing and methicillin-resistant Staphylococcus aureus. Br J Nurs 14:703–707
Conceicao T, ires-de-Sousa M, Fuzi M, Toth A, Paszti J, Ungvari E, van Leeuwen WB, van Belkum A, Grundmann H, de Lencastre H (2007) Replacement of methicillin-resistant Staphylococcus aureus clones in Hungary over time: a 10-year surveillance study. Clin Microbiol Infect 13:971–979
Cotter PA, Miller JF (1998) In vivo and ex vivo regulation of bacterial virulence gene expression. Curr Opin Microbiol 1:19
Cuny C, Kuemmerle J, Stanek C, Willey B, Strommenger B, Witte W (2006) Emergence of MRSA infections in horses in a veterinary hospital: strain characterisation and comparison with MRSA from humans. Euro Surveill 11:44–47
Deurenberg RH, Stobberingh EE (2008) The molecular evolution of methicillin-resistant Staphylococcus aureus. Infect Gen Evol 8:747–763
Deurenberg RH, Vink C, Kalenic S, Friedrich AW, Bruggeman CA, Stobberingh EE (2007) The molecular evolution of methicillin-resistant Staphylococcus aureus. Clin Microbiol Infect 13:222–235
Diekema DJ, Pfaller MA, Schmitz FJ, Smayevsky J, Bell J, Jones RN, Beach M (2001) Survey of infections due to Staphylococcus species: frequency of occurrence and antimicrobial susceptibility of isolates collected in the United States, Canada, Latin America, Europe, and the Western Pacific region for the SENTRY Antimicrobial Surveillance Program, 1997–1999. Clin Infect Dis 32(Suppl 2):S114–S132
Diep BA, Carleton HA, Chang RF, Sensabaugh GF, Perdreau-Remington F (2006a) Roles of 34 virulence genes in the evolution of hospital- and community-associated strains of methicillin-resistant Staphylococcus aureus. J Infect Dis 193:1495–1503
Diep BA, Gill SR, Chang RF, Phan TH, Chen JH, Davidson MG, Lin F, Lin J, Carleton HA, Mongodin EF, Sensabaugh GF, Perdreau-Remington F (2006b) Complete genome sequence of USA300, an epidemic clone of community-acquired meticillin-resistant Staphylococcus aureus. Lancet 367:731–739
Diep BA, Palazzolo-Ballance AM, Tattevin P, Basuino L, Braughton KR, Whitney AR, Chen L, Kreiswirth BN, Otto M, DeLeo FR, Chambers HF (2008) Contribution of Panton–Valentine leukocidin in community-associated methicillin-resistant Staphylococcus aureus pathogenesis. PloS ONE 3(9)
Diep BA, Stone GG, Basuino L, Graber CJ, Miller A, des Etages SA, Jones A, Palazzolo-Balance AM, Perdreau-Remington F, Sensabaugh GF, DeLeo FR, Chambers HF (2008b) The arginine catabolic mobile element and staphylococcal chromosomal cassette mec linkage: convergence of virulence and resistance in the USA300 clone of methicillin resistant Staphylococcus aureus. J Infect Dis 197:1523–1530
Dufour P, Gillet Y, Bes M, Lina G, Vandenesch F, Floret D, Etienne J, Richet H (2002) Community-acquired methicillin-resistant Staphylococcus aureus infections in France: emergence of a single clone that produces Panton–Valentine leukocidin. Clin Infect Dis 35:819–824
Eady EA, Cove JH (2003) Staphylococcal resistance revisited: community-acquired methicillin resistant Staphylococcus aureus—an emerging problem for the management of skin and soft tissue infections. Curr Opin Infect Dis 16:103–124
Ellis MW, Hospenthal DR, Dooley DP, Gray PJ, Murray CK (2004) Natural history of community-acquired methicillin-resistant Staphylococcus aureus colonization and infection in soldiers. Clin Infect Dis 39:971–979
Enright MC, Day NP, Davies CE, Peacock SJ, Spratt BG (2000) Multilocus sequence typing for characterization of methicillin-resistant and methicillin-susceptible clones of Staphylococcus aureus. J Clin Microbiol 38:1008–1015
Faria NA, Oliveira DC, Westh H, Monnet DL, Larsen AR, Skov R, de Lencastre H (2005) Epidemiology of emerging methicillin-resistant Staphylococcus aureus (MRSA) in Denmark: a nationwide study in a country with low prevalence of MRSA infection. J Clin Microbiol 43:1836–1842
Fey PD, Said-Salim B, Rupp ME, Hinrichs SH, Boxrud DJ, Davis CC, Kreiswirth BN, Schlievert PM (2003) Comparative molecular analysis of community- or hospital-acquired methicillin-resistant Staphylococcus aureus. Antimicrob Agents Chemother 47:196–203
Finck-Barbançon V, Duportail G, Meunier O, Colin DA (1993) Pore formation by a two-component leukocidin from Staphylococcus aureus within the membrane of human polymorphonuclear leukocytes. Biochim Biophys Acta 1182:275–282
Frenay HM, Bunschoten AE, Schouls LM, van Leeuwen WJ, Vandenbroucke-Grauls CM, Verhoef J, Mooi FR (1996) Molecular typing of methicillin-resistant Staphylococcus aureus on the basis of protein A gene polymorphism. Eur J Clin Microbiol Infect Dis 15:60–64
Fridkin SK, Hageman JC, Morrison M, Thomson Sanza L, Como-Sabetti K, Jernigan JA, Harriman K, Harrison LH, Lynfield R, Farley MM (2005) Methicillin-resistant Staphylococcus aureus disease in three communities. N Engl J Med 352:1436–1444
Gauduchon V, Cozon G, Vandenesch F, Genestier AL, Eyssade N, Peyrol S, Etienne J, Lina G (2004) Neutralization of Staphylococcus aureus Panton Valentine leukocidin by intravenous immunoglobulin in vitro. J Infect Dis 189:346–353
Genestier AL, Michallet MC, Prevost G, Bellot G, Chalabreysse L, Peyrol S, Thivolet F, Etienne J, Lina G, Vallette FM, Vandenesch F, Genestier L (2005) Staphylococcus aureus Panton–Valentine leukocidin directly targets mitochondria and induces Bax-independent apoptosis of human neutrophils. J Clin Invest 115:3117–3127
Giesbrecht P, Kersten T, Maidhof H, Wecke J (1998) Staphylococcal cell wall: morphogenesis and fatal variations in the presence of penicillin. Microbiol Mol Biol Rev 62:1371–1414
Gillet Y, Issartel B, Vanhems P, Fournet JC, Lina G, Bes M, Vandenesch F, Piemont Y, Brousse N, Floret D, Etienne J (2002) Association between Staphylococcus aureus strains carrying gene for Panton–Valentine leukocidin and highly lethal necrotising pneumonia in young immunocompetent patients. Lancet 359:753–759
Gomes AR, Vinga S, Zavolan M, de Lencastre H (2005) Analysis of the genetic variability of virulence-related loci in epidemic clones of methicillin-resistant Staphylococcus aureus. Antimicrob Agents Chemother 49:366–379
Gonzalez BE, Hulten KG, Dishop MK, Lamberth LB, Hammerman WA, Mason EO Jr, Kaplan SL (2005) Pulmonary manifestations in children with invasive community-acquired Staphylococcus aureus infection. Clin Infect Dis 41:583–590
Gosbell IB (2005) Epidemiology, clinical features and management of infections due to community methicillin-resistant Staphylococcus aureus (cMRSA). Intern Med J 35(Suppl 2):S120–S135
Graham PL III, Lin SX, Larson EL (2006) A U.S. population-based survey of Staphylococcus aureus colonization. Ann Intern Med 144:318–325
Groom A, Wolsey D, Naimi T, Smith K, Johnson S, Boxrud D, Moore KA, Cheek JE (2001) Community-acquired methicillin-resistant Staphylococcus aureus in a rural American Indian community. JAMA 286:1201–1205
Grundmann H, Aires-de-Sousa M, Boyce J, Tiermersma E (2006) Emergence and resurgence of methicillin-resistant Staphylococcus aureus as a public-health threat. Lancet 368:874–885
Guillet V, Roblin P, Werner S, Coraiola M, Menestrina G, Monteil H, Prevost G, Mourey L (2004) Crystal structure of leucotoxin S component. J Biolog Chem 279:41028–41037
Hedin G, Fang H (2007) Epidemiology of methicillin-resistant Staphylococcus aureus in Southern Stockholm, 2000–2003. Microb Drug Resist 13:241–250
Herold BC, Immergluck LC, Maranan MC, Lauderdale DS, Gaskin RE, Boyle-Vavra S, Leitch CD, Daum RS (1998) Community-acquired methicillin-resistant Staphylococus aureus in children with no identified predisposing risk. JAMA 279:593–598
Holfelder M, Eigner U, Turnwald AM, Witte W, Weizenegger M, Fahr A (2006) Direct detection of methicillin-resistant Staphylococcus aureus in clinical specimens by a nucleic acid-based hybridisation assay. Clin Microbiol Infect 12:1163–1167
Hookey JV, Richardson JF, Cookson BD (1998) Molecular typing of Staphylococcus aureus based on PCR restriction fragment length polymorphism and DNA sequence analysis of the coagulase gene. J Clin Microbiol 36:1083–1089
Hryniewicz W (1999) Epidemiology of MRSA. Infection 27(Suppl 2):S13–S16
Huang H, Flynn NM, King JH, Monchaud C, Morita M, Cohen SH (2006) Comparisons of community-associated methicillin-resistant Staphylococcus aureus (MRSA) and hospital-associated MSRA infections in Sacramento, California. J Clin Microbiol 44:2423–2427
Huang YH, Tseng SP, Hu JM, Tsai JC, Hsueh PR, Teng LJ (2007) Clonal spread of SCCmec type IV methicillin-resistant Staphylococcus aureus between community and hospital. Clin Microbiol Infect 13:717–724
Ito T, Katayama Y, Hiramatsu K (1999) Cloning and nucleotide sequence determination of the entire mec DNA of pre-methicillin-resistant Staphylococcus aureus N315. Antimicrob Agents Chemother 43:1449–1458
Ito T, Katayama Y, Asada K (2001) Structural comparison of three types of staphylococcal cassette chromosome mec integrated in the chromosome in methicillin-resistant Staphylococcus aureus. Antimicrob Agents Chemother 45:1323–1336
Ito T, Okuma K, Ma XX, Yuzawa H, Hiramatsu K (2003) Insights on antibiotic resistance of Staphylococcus aureus from its whole genome: genomic island SCC. Drug Resist Updat 6:41–52
Janzon L, Ardvidson S (1990) The role of delta-lysine gene (hld) in the regulation of virulence genes by the accessory gene regulator (agr) in Staphylococcus aureus. EMBO J 9:1391–1399
Jarraud S, Lyon GJ, Figueiredo AMS, Ge’rard L, Vandenesch F, Etienne J, Muir TW, Novick RP (2000) Exfoliatin-producing strains define a fourth agr specificity group in Staphylococcus aureus. J Bacteriol 182:6517–6522
Jarraud S, Mougel C, Thioulouse J, Lina G, Meugnier H, Forey F, Nesme X, Etienne J, Vandenesch F (2002) Relationships between Staphylococcus aureus genetic background, virulence factors, agr groups (alleles), and human disease. Infect Immun 70:631–641
Jevons MP (1961) “Celbenin”—resistant Staphylococci. BMJ 1:124–125
Ji G, Beavis R, Novick RP (1997) Bacterial interference caused by autoinducing peptide variants. Science 276:2027–2030
Kaiser AM, Schultsz C, Kruithof GJ, bets-Ossenkopp Y, Vandenbroucke-Grauls C (2004) Carriage of resistant microorganisms in repatriates from foreign hospitals to The Netherlands. Clin Microbiol Infect 10:972–979
Kampf G, Meyer B, Goroncy-Bermes P (2003) Comparison of two test methods for the determination of sufficient antimicrobial activity of three commonly used alcohol-based hand rubs for hygienic hand disinfection. J Hosp Infect 55:220–225
Kaneko J, Kamio Y (2004) Bacterial two-component and hetero-heptameric pore-forming cytolytic toxins: structures, pore-forming mechanism, and organization of the genes. Biosci Biotechnol Biochem 68:981–1003
Karynski M, Sabat AJ, Empel J, Hryniewicz W (2008) Molecular surveillance of methicillin-resistant Staphylococcus aureus by multiple-locus variable number tandem repeat fingerprinting (formerly multiple-locus variable number tandem repeat analysis) and spa typing in a hierarchic approach. Diagn Microbiol Infect Dis 62:255–262
Katayama Y, Ito T, Hiramatsu K (2000) A new class of genetic element, Staphylococcus cassette chromosome mec, encodes methicillin resistance in Staphylococcus aureus. Antimicrob Agents Chemother 44:1549–1555
Kilic A, Li H, Stratton CW, Tang YW (2006) Antimicrobial susceptibility patterns and staphylococcal cassette chromosome mec types of, as Well as Panton–Valentine leukocidin occurrence among, methicillin-resistant Staphylococcus aureus isolates from children and adults in Middle Tennessee. J Clin Microbiol 44:4436–4440
Kim JS, Song W, Kim HS, Choa CH, Leea KM, Choib MS, Kimc EC (2006) Association between the methicillin resistance of clinical isolates of Staphylococcus aureus, their staphylococcal cassette chromosome mec (SCCmec) subtype classification, and their toxin gene profiles. Diagn Microbiol Infect Dis 56:289–295
Kowalski TJ, Berbari EF, Osmon DR (2005) Epidemiology, treatment, and prevention of community-acquired methicillin-resistant Staphylococcus aureus infections. Mayo Clin Proc 80:1201–1207
Kuehnert MJ, Kruszon-Moran D, Hill HA, McQuillan G, McAllister K, Fosheim G, McDougal LK, Chaitram J, Jensen B, Fridkin SK, Killgore G, Tenover FC (2006) Prevalence of Staphylococcus aureus nasal colonization in the United States 2001–2002. J Infect Dis 193:172–179
Kurlenda J, Grinholc M, Jasek K, Wegrzyn G (2007) RAPD typing of methicillin-resistant Staphylococcus aureus: a 7-year experience in a Polish hospital. Med Sci Monit 13:MT13–MT18
Kurlenda J, Grinholc M, Krzyszton-Russjan J, Wisniewska K (2009) Epidemiological investigation of nosocomial outbreak of staphylococcal skin diseases in neonatal ward. Antonie Van Leeuwenhoek 95:387–394
Loeffler B, Hussain M, Grundmeier M, Brueck M, Holzinger M, Varga G, Roth J, Kahl BC, Proctor RA, Peters G (2010) Staphylococcus aureus Panton–Valentine leukocidin is a very potent cytotoxic factor for human neutrophils. PLoS Pathog 6(1)
Lopez-Aguilar C, Perez-Roth E, Moreno A, Duran MC, Casanova C, Aguirre-Jaime A, Mendez-Alvarez S (2007) Association between the presence of the Panton–Valentine leukocidin-encoding gene and a lower rate of survival among hospitalized pulmonary patients with Staphylococcal disease. J Clin Microbiol 45:274–276
Lorber B (2006) Update in infectious diseases. Ann Intern Med 145:354–360
Ma XX, Ito T, Chongtrakool P, Hiramatsu K (2006) Predominance of clones carrying Panton–Valentine leukocidin genes among methicillin-resistant Staphylococcus aureus strains isolated in Japanese hospitals from 1979 to 1985. J Clin Microbiol 44:4515–4527
Maguire G, Arthur A, Boustead P, Dwyer B, Currie B (1996) Emerging epidemic of community-acquired methicillin-resistant Staphylococcus aureus infection in the Northern Territory. Med J Aust 164:721–723
Manzur A, Vidal M, Pujol M, Cisnal M, Hornero A, Masuet C, Pena C, Gudiol F, Ariza J (2007) Predictive factors of meticillin resistance among patients with Staphylococcus aureus bloodstream infections at hospital admission. J Hosp Infect 66:135–141
Maree CL, Daum RS, Boyle-Vavra S, Matayoshi K, Miller LG (2007) Community-associated methicillin-resistant Staphylococcus aureus isolates causing healthcare-associated infections. Emerg Infect Dis 13:236–242
Matouskova I, Janout V (2008) Current knowledge of methicillin-resistant Staphylococcus aureus and community-associated methicillin-resistant Staphylococcus aureus. Biomed Pap Med Fac Univ Palacky Olomuc Czech Repub 152:191–202
McDougal LK, Steward CD, Killgore GE, Chaitram JM, McAllister SK, Tenover FC (2003) Pulsed-field gel electrophoresis typing of oxacillin-resistant Staphylococcus aureus isolates from the United States: establishing a national database. J Clin Microbiol 41:5113–5120
Millar BC, Prendergast BD, Moore JE (2008) Community-associated MRSA (CA-MRSA): an emerging pathogen in infective endocarditis. J Antimicrob Chemother 61:1–7
Monecke S, Slickers P, Ellington MJ, Kearns AM, Ehricht R (2007) High diversity of Panton–Valentine leukocidin-positive, methicillin-susceptible isolates of Staphylococcus aureus and implications for the evolution of community-associated methicillin-resistant S. aureus. Clin Microbiol Infect 13:1157–1164
Mongkolrattanothai K, Boyle S, Murphy TV, Daum RS (2004) Novel nonmecA-containing staphylococcal chromosomal cassette composite island containing pbp4 and tagF genes in a commensal Staphylococcal species: a possible reservoir for antibiotic resistance islands in Staphylococcus aureus. Antimicrob Agents Chemother 48:1823–1836
Montgomery CP, Boyle-Vavra S, Daum RS (2009) The arginine catabolic mobile element is not associated with enhanced virulence in experimental invasive disease caused by the community-associated methicillin-resistant Staphylococcus aureus USA300 genetic background. Infect Immun 77:2650–2656
Murchan S, Kaufmann ME, Deplano A, de Ryck R, Struelens M, Zinn CE, Fussing V, Salmenlinna S, Vuopio-Varkila J, El Solh N, Cuny C, Witte W, Tassios PT, Legakis N, van Leeuwen W, van Belkum A, Vindel A, Laconcha I, Garaizar J, Haeggman S, Olsson-Liljequist B, Ransjo U, Coombes G, Cookson B (2003) Harmonization of pulsed-field gel electrophoresis protocols for epidemiological typing of strains of methicillin-resistant Staphylococcus aureus: a single approach developed by consensus in 10 European laboratories and its application for tracing the spread of related strains. J Clin Microbiol 41:1574–1585
Naimi TS, LeDell KH, Como-Sabetti K, Borchardt SM, Boxrud DJ, Etienne J, Johnson SK, Vandenesch F, Fridkin S, O’Boyle C, Danila RN, Lynfield R (2003) Comparison of community- and health-care associated methicillin-resistant Staphylococcus aureus infection. JAMA 290:2976–2984
Nilsson P, Alexandersson H, Ripa T (2005) Use of broth enrichment and real-time PCR to exclude the presence of methicillin-resistant Staphylococcus aureus in clinical samples: a sensitive screening approach. Clin Microbiol Infect 11:1027–1034
NNIS (National Nosocomial Infections Surveillance System) (2002) System report, data summary from January 1992 to June 2002, issued August 2002. Am J Infect Control 30:458–475
Novick RP (2000) Pathogenicity factors and their regulation. In: Fischetti VA, Novick RP, Ferretti JJ, Portnoy DA, Rood JI (eds) Gram-positive pathogens. American Society for Microbiology, Washington, pp 392–407
Novick RP (2003) Autoinduction and signal transduction in the regulation of staphylococcal virulence. Mol Microbiol 48:1429–1449
Novick RP, Ross HF, Projan SJ, Kornblum J, Kreiswirth B, Moghazeh S (1993) Synthesis of staphylococcal virulence factors is controlled by a regulatory RNA molecule. EMBO J 12:3967–3975
Okuma K, Iwakawa K, Turnidge JD, Grubb WB, Bell JM, O’Brien FG, Coombs GW, Pearman JW, Tenover FC, Kapi M, Tiensasitorn C, Ito T, Hiramatsu K (2002) Dissemination of new methicillin-resistant Staphylococcus aureus clones in the community. J Clin Microbiol 40:4289–4294
Olive DM, Bean P (1999) Principles and applications of methods for DNA-based typing of microbial organisms. J Clin Microbiol 37:1661–1669
Oliveira DC, Tomasz A, de Lencastre H (2002) Secrets of success of a human pathogen: molecular evolution of pandemic clones of meticillin-resistant Staphylococcus aureus. Lancet Infect Dis 2:180–189
Oliveira DC, Milheirico C, de Lencastre H (2006) Redefining a structural variant of staphylococcal cassette chromosome mec, SCCmec yype VI. Antimicrob Agents Chemother 50:3457–3459
Ornskov D, Kolmos B, Bendix HP, Nederby NJ, Brandslund I, Schouenborg P (2008) Screening for methicillin-resistant Staphylococcus aureus in clinical swabs using a high-throughput real-time PCR-based method. Clin Microbiol Infect 14:22–28
Pan ES, Diep BA, Charlebois ED, Auerswald C, Carleton HA, Sensabaugh GF, Perdreau-Remington F (2005) Population dynamics of nasal strains of methicillin-resistant Staphylococcus aureus—and their relation to community-associated disease activity. J Infect Dis 192:811–818
Panton PN, Valentine FC (1932) Staphylococcal toxin. Lancet 222:506–508
Pedeacq JD, Maveyraud L, Prevost G, Baba-Moussa L, Gonzalez A, Courcelle E, Shepard W, Monteil H, Samana JP, Mourey L (1999) The structure of a Staphylococcus leucocidin component (LukF-PV) reveals the fold of the water-soluble species of a family of transmembrane pore-forming toxins. Struct Fold Des 7:277–287
Prevost G, Couppie P, Prevost P, Gayet S, Petiau P, Cribier B, Monteil H, Piemont Y (1995) Epidemiological data on Staphylococcus aureus strains producing synergohymenotropic toxins. J Med Microbiol 42:237–245
Riley TV, Rouse IL (1995) Methicillin-resistant Staphylococcus aureus in Western Australia, 1983–1992. J Hosp Infect 29:177–188
Roberts JC, Gulino SP, Peak KK, Luna VA, Sanderson R (2002) Fatal necrotizing pneumonia due to a Panton–Valentine leukocidin positive community-associated methicillin-sensitive Staphylococcus aureus and Influenza co-infection: a case report. Ann Clin Microbiol Antimicrob 7:5
Robinson DA, Kearns AM, Holmes A, Morrison D, Grundmann H, Edwards G, O’Brien FG, Tenover FC, McDougal LK, Monk AB, Enright MC (2005) Reemergence of early pandemic Staphylococcus aureus as a community-acquired methicillin-resistant clone. Lancet 365:1256–1258
Robinson JO, Pearson JC, Christiansen KJ, Coombs GW, Murray RJ (2008) Community-associated versus healthcare-associated methicillin-resistant Staphylococcus aureus bacteraemia: a 10-year retrospective review. Eur J Clin Microbiol Infect Dis 28:353–361
Sabat A, Malachowa N, Miedzobrodzki J, Hryniewicz W (2006) Comparison of PCR-based methods for typing Staphylococcus aureus isolates. J Clin Microbiol 44:3804–3807
Said-Salim B, Mathema B, Kreiswirth BN (2003) Community-acquired methicillin-resistant Staphylococcus aureus: an emerging pathogen. Infect Control Hosp Epidemiol 24:451–455
Saiman L, Cronquist A, Wu F, Zhou J, Rubenstein D, Eisner W, Kreiswirth BN, la-Latta P (2003) An outbreak of methicillin-resistant Staphylococcus aureus in a neonatal intensive care unit. Infect Control Hosp Epidemiol 24:317–321
Sakoulas G (2006) The accessory gene regulator (agr) in methicillin-resistant Staphylococcus aureus: role in virulence and reduced susceptibility to glycopeptide antibiotics. Drug Discov Today 3:287–294
Sakoulas G, Eliopoulus GM, Moellering RC Jr, Wennersten C, Venkataraman L, Novick RP, Gold HS (2002) Accessory gene regulator (agr) locus in geographically diverse Staphylococcus aureus isolates with reduced susceptibility to vancomycin. Antimicrob Agents Chemother 46:1492–1502
Salgado CD, Farr BM, Calfee DP (2003) Community-acquired methicillin-resistant Staphylococcus aureus: a meta-analysis of prevalence and risk factors. Clin Infect Dis 36:131–139
Saravolatz LD, Markowitz N, Arking L, Pohlod D, Fisher E (1982) Methicillin-resistant Staphylococcus aureus: epidemiologic observations during a community-acquired outbreak. Ann Intern Med 96:11–16
Saunders A, Panaro L, McGeer A, Rosenthal A, White D, Willey BM, Gravel D, Bontovics E, Yaffe B, Katz K (2007) A nosocomial outbreak of community-associated methicillin-resistant Staphylococcus aureus among healthy newborns and postpartum mothers. Can J Infect Dis Med Microbiol 18:128–132
Schwalbe RS, Stapleton JT, Gilligan PH (1987) Emergence of vancomycin resistance in coagulase-negative staphylococci. N Engl J Med 316:927–931
Skov R, Westh H (2005) Epidemic increase of methicillin resistant Staphylococcus aureus (MRSA) in Denmark–interventions required now. Ugeskr Laeger 167:1396
Staali L, Monteil H, Colin DA (1998) The Staphylococcal pore-forming leukotoxins open Ca channels in the membrane of human polymorphonuclear neutophils. J Membr Biol 162:209–216
Szmigielski S, Prevost G, Monteil H, Colin DA, Jeljaszewicz J (1999) Leukocidal toxins of staphylococci. Zentralbl Bakteriol 289:185–201
Sztramko R, Katz K, Antoniou T, Mulvey MR, Brunetta J, Crouzat F, Kovacs C, Merkley B, Tilley D, Loutfy MR (2007) Community-associated methicillin-resistant Staphylococcus aureus infections in men who have sex with men: a case series. Can J Infect Dis Med Microbiol 18:257–261
Takano T, Higuchi W, Otsuka T, Baranovich T, Enany S, Saito K, Isobe H, Dohmae S, Ozaki K, Takano M, Iwao Y, Shibuya M, Okubo T, Yabe S, Shi D, Reva I, Teng LJ, Yamamoto T (2008) Novel characteristics of community-acquired methicillin-resistant Staphylococcus aureus belonging to multilocus sequence type 59 in Taiwan. Antimicrob Agents Chemother 52:837–845
Taneike I, Otsuka T, Dohmae S, Saito K, Ozaki K, Takano M, Higuchi W, Takano T, Yamamoto T (2006) Molecular nature of methicillin-resistant Staphylococcus aureus derived from explosive nosocomial outbreaks of the 1980 s in Japan. FEBS Lett 580:2323–2334
Tenover FC, McDougal LK, Goering VR, Killgore G, Projan SJ, Patel JB, Dunman PM (2006) Characterization of a strain of community-associated methicillin-resistant Staphylococcus aureus widely disseminated in the United States. J Clin Microbiol 44:108–118
Tiemersma EW, Bronzwaer SL, Lyytikainen O, Degener JE, Schrijnemakers P, Bruinsma N, Monen J, Witte W, Grundman H (2004) Methicillin-resistant Staphylococcus aureus in Europe, 1999–2002. Emerg Infect Dis 10:1627–1634
Tomita T, Kamio Y (1997) Molecular biology of the pore-forming cytolysin from Staphylococcus aureus, alpha- and gamma-hemolysins and leukocidin. Biosci Botechnol Biochem 61:565–572
Toshkova K, Annemuller C, Akineden O, Lammler C (2001) The significance of nasal carriage of Staphylococcus aureus as risk factor for human skin infection. FEMS Microbiol Lett 202:17–24
Tristan A, Bes M, Meugnier H, Lina G, Bozdogan B, Courvalin P, Reverdy ME, Enright MC, Vandenesch F, Etienne J (2007) Global distribution of Panton–Valentine leukocidin–positive methicillin-resistant Staphylococcus aureus, 2006. Emerg Infect Dis 13:594–600
Udo EE, Pearman JW, Grubb WB (1993) Genetic analysis of community isolates of methicillin-resistant Staphylococcus aureus in Western Australia. J Hosp Infect 25:97–108
von Specht M, Gardella N, Tagliaferri P, Gutkind G, Mollerach M (2006) Methicillin-resistant Staphylococcus aureus in community-acquired meningitis. Eur J Clin Microbiol Infect Dis 25:267–269
Voyich JM, Otto M, Mathema B, Braughton KR, Whitney AR, Welty D, Long RD, Dorward DW, Gardner DJ, Lina G, Kreiswirth BN, Deleo FR (2006) Is Panton–Valentine leukocidin the major virulence determinant in community associated methicillin-resistant Staphylococcus aureus disease? J Infect Dis 194:1761–1770
Wagenaar J, van Duijkeren E, Troelstra A, van de Giessen A, Kluytmans J, Mevius D, Tiemersma E, van der Wolf P (2007) Questions and answers about MRSA in farm animals. Tijdschr Diergeneeskd 132:558–560
Wang CH, Lin CY, Luo YH, Tsai PJ, Lin YS, Lin MT, Chuang WJ, Liu CC, Wu JJ (2005) Effects of oligopeptide permease in group a streptococcal infection. Infect Immun 73:2881–2890
Wannet WJ, Spalburg E, Heck ME, Pluister GN, Willems RJ, de Neeling AJ (2004) Widespread dissemination in The Netherlands of the epidemic Berlin methicillin-resistant Staphylococcus aureus clone with low-level resistance to oxacillin. J Clin Microbiol 42:3077–3082
Witte W, Cuny C, Strommenger B, Braulke C, Heuck D (2004) Emergence of a new community acquired MRSA strain in Germany. Euro Surveill 9:16–18
Wright JS, Jin R, Novick RP (2005) Transient interference with staphylococcal quorum sensing blocks abscess formation. Proc Natl Acad Sci USA 102:1691–1696
Zhang L, Gray L, Novick RP, Ji G (2002) Transmembrane topology of AgrB, the protein involved in the post-translational modification of agrD in Staphylococcus aureus. J Biol Chem 277:34736–34742
Acknowledgments
This work was supported by the grant no. 2370/B/P01/2008/34 (N N401237034) from the Ministry of Science and Higher Education (MNiSW), by the grant for young investigators, The Foundation for the Development of Gdansk University and by the European Union within the European Social Fund in the framework of the project “InnoDoktorant - Scholarships for PhD students, I edition”.
Conflict of interest statement
None.
Author information
Authors and Affiliations
Corresponding author
Additional information
Communicated by Sebastian Suerbaum.
Rights and permissions
About this article
Cite this article
Nastaly, P., Grinholc, M. & Bielawski, K.P. Molecular characteristics of community-associated methicillin-resistant Staphylococcus aureus strains for clinical medicine. Arch Microbiol 192, 603–617 (2010). https://doi.org/10.1007/s00203-010-0594-4
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00203-010-0594-4