Research Article

Pathogenicity of Methicillin Resistant Staphylococcus aureus (MRSA) Strains: Molecular and Genetic Perspectives: A Review

1 Department of Microbiology, Faculty of Life Sciences, Bayero University Kano, Nigeria.
* Corresponding author: gabidah@yahoo.com
Published: Dec, 2020
Pages: 5303-5312

Abstract

Methicillin resistant Staphylococcus aureus (MRSA) is a pathogenic bacterium of significant importance that causes most of the hospital and community acquired infections associated with S. aureus. Methicillin resistance in strains of S. aureus is due to possession of the mecA gene or mecC gene found on a mobile genetic element (SCCmec). The virulence of MRSA is multifactorial because of the combined action of numerous virulence factors that facilitate tissue adhesion, immune evasion, and host cell injury. These virulence determinants involve both structural factors, such as surface adhesins that mediate adherence to host tissues, and secreted factors, such as enzymes, which convert host tissue into nutrients. The virulence factors of MRSA include PVL, TSST-1, Staphylococcus protein A (spa). The quorum sensing together with the global accessory regulator of Staphylococcus aureus helps control the expression of virulence gene as some are up-regulated during exponential phase of growth and down-regulated during stationary phase and vice-versa. MRSA is versatile and unpredictable. Its capacity for genetic adaptation and the serial emergence of successful epidemic strains cause it to remain a major threat to human health, further understanding of its pathogenicity trends and epidemiology will give an insight on how to tackle it’s spread.

References

  1. Andrey, D. O, Jousselin, A., Villanueva, M., Renzoni, A., Monod, A., Barras, C., and Kelley, W. L. (2015). Impact of the Regulators SigB, Rot, SarA and sarS on the Toxic Shock Tst Promoter and TSST-1 Expression in Staphylococcus aureus. PLOS ONE, 10(8), e0135579. https://doi.org/10.1371/journal.pone.0135579
  2. Arora, D., & Arora, B. (2003). Textbook of Microbiology (3rd ed.). New Delhi, India: CBS Publishers and Distributors. Pp 213-224.
  3. Bien, J., Sokolova, O., and Bozko, P. (2011). Characterization of Virulence Factors of Staphylococcus aureus: Novel Function of Known Virulence Factors That Are Implicated in Activation of Airway Epithelial Proinflammatory Response. Journal of Pathogens, 1–13. https://doi.org/10.4061/2011/601905
  4. Campanile, F., Bongiorno, D., Perez, M., Mongelli, G., Sessa, L., Benvenuto, S., and Stefani, S. (2015). Epidemiology of Staphylococcus aureus in Italy: First nationwide survey, 2012. Journal of Global Antimicrobial Resistance, 3(4), 247–254. https://doi.org/10.1016/j.jgar.2015.06.006
  5. Castro, A., Komora, N., Ferreira, V., Lira, A., Mota, M., Silva, J., and Teixeira, P. (2016). Prevalence of Staphylococcus aureus from nares and hands on healthcare professionals in a Portuguese Hospital. Journal of Applied Microbiology, 121(3), 831–839. https://doi.org/10.1111/jam.13186
  6. Chambers, H. F., and DeLeo, F. R. (2009). Waves of resistance: Staphylococcus aureus in the antibiotic era. Nature Reviews Microbiology, 7(9), 629–641. https://doi.org/10.1038/nrmicro2200
  7. Chongtrakool, P., Ito, T., Ma, X. X., Kondo, Y., Trakulsomboon, S., Tiensasitorn, C., and Hiramatsu, K. (2006). Staphylococcal Cassette Chromosome mec (SCCmec) Typing of Methicillin-Resistant Staphylococcus aureus Strains Isolated in 11 Asian Countries: a Proposal for a New Nomenclature for SCCmec Elements. Antimicrobial Agents and Chemotherapy, 50(3), 1001–1012. https://doi.org/10.1128/aac.50.3.1001-1012.2006
  8. DeLeo, F. R., and Chambers, H. F. (2009). Reemergence of antibiotic-resistant Staphylococcus aureus in the genomics era. Journal of Clinical Investigation, 119(9), 2464–2474. https://doi.org/10.1172/jci38226
  9. Enright, M. C., Robinson, D. A., Randle, G., Feil, E. J., Grundmann, H., and Spratt, B. G. (2002). The evolutionary history of methicillin-resistant Staphylococcus aureus (MRSA). Proceedings of the National Academy of Sciences, 99(11), 7687–7692. https://doi.org/10.1073/pnas.122108599
  10. Gordon, R. J., and Lowy, F. D. (2008). Pathogenesis of Methicillin-Resistant Staphylococcus aureus Infections. Clinical Infectious Diseases, 46(S5), S350–S359. https://doi.org/10.1086/533591
  11. Hanssen, A.M., and Ericson Sollid, J. U. (2006). SCCmec in Staphylococci: genes on the move. FEMS Immunology & Medical Microbiology, 46(1), 8–20. https://doi.org/10.1111/j.1574-695X.2005.00009.x
  12. Harmsen, D., Claus, H., Witte, W., Rothganger, J., Claus, H., Turnwald, D., and Vogel, U. (2003). Typing of Methicillin-Resistant Staphylococcus aureus in a University Hospital Setting by Using Novel Software for spa Repeat Determination and Database Management. Journal of Clinical Microbiology, 41(12), 5442–5448. https://doi.org/10.1128/jcm.41.12.5442-5448.2003
  13. Kong, E. F., Johnson, J. K., and Jabra-Rizk, M. A. (2016). Community-Associated Methicillin-Resistant Staphylococcus aureus: An Enemy amidst Us. PLOS Pathogens, 12(10), e1005837. https://doi.org/10.1371/journal.ppat.1005837
  14. Laabei, M., Recker, M., Rudkin, J. K., Aldeljawi, M., Gulay, Z., Sloan, T. J., and Massey, R. C. (2014). Predicting the virulence of MRSA from its genome sequence. Genome Research, 24(5), 839–849. https://doi.org/10.1101/gr.165415.113
  15. Lowy, F. D. (2003). Antimicrobial resistance: the example of Staphylococcus aureus. Journal of Clinical Investigation, 111(9), 1265–1273. https://doi.org/10.1172/jci18535
  16. Mehrotra, M., Wang, G., and Johnson, W. M. (2000). Multiplex PCR for Detection of Genes for Staphylococcus aureus Enterotoxins, Exfoliative Toxins, Toxic Shock Syndrome Toxin 1, and Methicillin Resistance. Journal of Clinical Microbiology, 38, 1032–1035.
  17. Narukawa, M., Yasuoka, A., Note, R., and Funada, H. (2009). Sequence-Based typing Rapid Screening Method for the Areal and Nosocomial Outbreaks of MRSA. The Tohoku Journal of Experimental Medicine, 218(3), 207–213. https://doi.org/10.1620/tjem.218.207
  18. Oliveira, D. C., Milheiriço, C., Vinga, S., and de Lencastre, H. (2006). Assessment of allelic variation in the ccrAB locus in methicillin-resistant Staphylococcus aureus clones. Journal of Antimicrobial Chemotherapy, 58(1), 23–30. https://doi.org/10.1093/jac/dkl208
  19. Otto, M. (2010). Basis of Virulence in Community-Associated Methicillin-Resistant Staphylococcus aureus. Annual Review of Microbiology, 64(1), 143–162. https://doi.org/10.1146/annurev.micro.112408.134309
  20. Otto, M. (2012). MRSA virulence and spread. Cellular Microbiology, 14(10), 1513–1521. https://doi.org/10.1111/j.1462-5822.2012.01832.x
  21. Plata, K., Rosato, A. E., and Węgrzyn, G. (2009). Staphylococcus aureus as an infectious agent: Overview of biochemistry and molecular genetics of its pathogenicity. Acta Biochimica Polonica, 56(4), 597–612.
  22. Ryan, J. and Ray, C. (2011). Sherris Medical Microbiology. McGraw Hill Educational Medical, New York, USA, Pp 433-455.
  23. Turley, A. Hryniewicz, W., and Empel, J. (2011). Staphylococcal Cassette Chromosome mec (SCCmec) Classification and Typing Methods: an Overview. Polish Journal of Microbiology, 60(2), 95–103.
  24. Turner, N. A., Sharma-Kuinkel, B. K., Maskarinec, S. A., Eichenberger, E. M., Shah, P. P., Carugati, M., and Fowler, V. G. (2019). Methicillin-resistant Staphylococcus aureus: an overview of basic and clinical research. Nature Reviews Microbiology, 17, 203–218.
  25. Vasconcelos, N. G., and Cunha, M. de L. R. de S. (2010). Staphylococcal Enterotoxins: Molecular Aspects and Detection Methods. Journal of Public Health and Epidemiology, 2(3), 29–42.
  26. Wendlandt, S., Schwarz, S., and Silley, P. (2013). Methicillin-Resistant Staphylococcus aureus: A Food-Borne Pathogen? Annual Review of Food Science and Technology, 4(1), 117–139. https://doi.org/10.1146/annurev-food-030212-182653
  27. Zhao, H., Xu, S., Yang, H., He, C., Xu, X., Hu, F., ... Liu, Q. (2019). Molecular Typing and Variations in Amount of tst Gene Expression of TSST-1-Producing Clinical Staphylococcus aureus Isolates. Frontiers in Microbiology, 10. https://doi.org/10.3389/fmicb.2019.01388
How to Cite

M., T. A., U.A, D., & H., K. A. (2020). Pathogenicity of Methicillin Resistant Staphylococcus aureus (MRSA) Strains: Molecular and Genetic Perspectives: A Review. Nigerian Journal of Microbiology, 34(2), 5303-5312. https://doi.org/10.67614/njm.2020.3xvkscqn

T. A. M., D. U.A, and K. A. H., "Pathogenicity of Methicillin Resistant Staphylococcus aureus (MRSA) Strains: Molecular and Genetic Perspectives: A Review," Nigerian Journal of Microbiology, vol. 34, no. 2, pp. 5303-5312, December 2020. doi: 10.67614/njm.2020.3xvkscqn

Share this article:
Facebook X / Twitter LinkedIn