Abstract
Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) expressing Panton-Valentine leukocidin (PVL) have been characterized worldwide, but it has not been done in Egypt. In this study, we analyzed the molecular characteristics of PVL+CA-MRSA in Egypt, compared their genetic patterns with that of PVL+ methicillin-susceptible S. aureus and PVL+CA-MRSA from different countries, and investigated the allelic variations among their lukS-PV and lukF-PV gene sequences. The prevalence of PVL+MRSA was 19.04%. They belonged to different genetic clones with multi-locus sequence types (MLST) 30, 80, and the novel type 1010. ST80 strains showed unique antibiotic resistance profile that was distinguishable from the European ST80 clone: they had no resistance to tetracycline and fusidic acid. Two nonsynonymous substitutions in the lukS-PV gene region and two haplotype variants among these isolates were detected. We revealed that PVL is a good marker for CA-MRSA infections and that PVL+ isolates belonged to different genotypes.
Copyright 2009 Elsevier GmbH. All rights reserved.
MeSH terms
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Alleles
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Amino Acid Substitution / genetics
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Bacterial Proteins / genetics
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Bacterial Toxins / biosynthesis*
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Bacterial Typing Techniques
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Cluster Analysis
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Community-Acquired Infections / epidemiology*
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Community-Acquired Infections / microbiology*
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DNA Fingerprinting
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DNA, Bacterial / chemistry
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DNA, Bacterial / genetics
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Egypt / epidemiology
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Electrophoresis, Gel, Pulsed-Field
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Exotoxins / biosynthesis*
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Genotype
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Humans
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Leukocidins / biosynthesis*
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Leukocidins / genetics
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Methicillin-Resistant Staphylococcus aureus / classification*
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Methicillin-Resistant Staphylococcus aureus / genetics*
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Methicillin-Resistant Staphylococcus aureus / isolation & purification
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Microbial Sensitivity Tests
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Molecular Epidemiology
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Molecular Sequence Data
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Prevalence
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Sequence Analysis, DNA
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Staphylococcal Infections / epidemiology*
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Staphylococcal Infections / microbiology*
Substances
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Bacterial Proteins
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Bacterial Toxins
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DNA, Bacterial
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Exotoxins
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Leukocidins
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Panton-Valentine leukocidin
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leukocidin S-component protein, Staphylococcus
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LukF protein, Staphylococcus aureus
Associated data
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GENBANK/FJ821790
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GENBANK/FJ821791
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GENBANK/FJ821792
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GENBANK/FJ821793