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Volume 21, Number 10—October 2015
Dispatch

Methicillin-Susceptible, Vancomycin-Resistant Staphylococcus aureus, Brazil

Diana Panesso, Paul Planet, Lorena Diaz, Jean-Emmanuel Hugonnet, Truc T. Tran, Apurva Narechania, Jose M. Munita, Sandra Rincon, Lina P. Carvajal, Jinnethe Reyes, Alejandra Londoño, Hannah Smith, Robert Sebra, Gintaras Deikus, George M. Weinstock, Barbara E. Murray, Flavia Rossi, Michel Arthur, and Cesar A. AriasComments to Author 
Author affiliations: Universidad El Bosque, Bogota, Colombia (D. Panesso, P.J. Planet, L. Diaz, J.M. Munita, S. Rincon, L.P. Carvajal, J. Reyes, G. M. Weinstock, C.A. Arias); University of Texas Medical School, Houston, Texas, USA (D. Panesso, T.T. Tran, J.M. Munita, A. Londoño, B.E. Murray, C.A. Arias); American Museum of Natural History, New York (P.J. Planet, A. Narechania); Columbia University, New York, New York, USA (P.J. Planet, A. Londoño, H. Smith); Centre de Recherche des Cordeliers, Paris, France (J.E. Hugonnet, M. Arthur); Université Pierre et Marie Curie, Paris (J.E. Hugonnet, M. Arthur); Université Paris Descartes, Paris (J.E. Hugonnet, M. Arthur); Clinica Alemana de Santiago, Santiago, Chile (J.M. Munita); Universidad del Desarrollo, Santiago (J.M. Munita); Icahn School of Medicine at Mount Sinai, New York (R. Sebra, G. Deikus); The Jackson Laboratory for Genomic Medicine, Farmington, Connecticut, USA (G.M. Weinstock); Universidade da São Paulo, São Paulo, Brazil (F. Rossi)

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Figure 1

Molecular typing of Staphylococcus aureus strains, Brazil. A) SmaI digestion of total DNA, followed by pulsed-field gel electrophoresis. Lane M, lambda ladder (molecular masses are indicated in kilobases on the left); lane 1, vancomycin-susceptible, methicillin-resistant S. aureus (VS-MRSA) isolated from the blood of a Brazilian patient (1); lane 2, vancomycin-resistant MRSA (VR-MRSA) isolated from the same patient and blood culture (1); lane 3, transconjugant 1 obtained from a mating experiment

Figure 1. Molecular typing of Staphylococcus aureus strains, Brazil. A) SmaI digestion of total DNA, followed by pulsed-field gel electrophoresis. Lane M, lambda ladder (molecular masses are indicated in kilobases on the left); lane 1, vancomycin-susceptible, methicillin-resistant S. aureus (VS-MRSA) isolated from the blood of a Brazilian patient (1); lane 2, vancomycin-resistant MRSA (VR-MRSA) isolated from the same patient and blood culture (1); lane 3, transconjugant 1 obtained from a mating experiment using vancomycin-resistant MSSA (VR-MSSA) as donor and VS-MRSA as recipient; lane 4, vancomycin-susceptible MSSA (VS-MSSA) isolated from the blood of the same patient 13 days after isolation of VR-MRSA; lane 5, VR-MSSA isolated at the same time as VS-MSSA; lane 6, transconjugant 2 obtained from a mating experiment using VR-MRSA as donor and VS-MSSA as recipient; lane 7, S. aureus RN4220 RF, lane 8, transconjugant 3 obtained using VR-MSSA as donor and RN4220 RF as recipient. B) S1 digestion of total DNA using the same strains shown in panel A. C) Hybridization with vanA probe using the same strains shown in panel A. Arrow indicates a positive signal for the vanA gene.

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References
  1. Rossi  F, Diaz  L, Wollam  A, Panesso  D, Zhou  Y, Rincon  S, Transferable vancomycin resistance in a community-associated MRSA lineage. N Engl J Med. 2014;370:152431. DOIPubMedGoogle Scholar
  2. Reyes  J, Rincon  S, Diaz  L, Panesso  D, Contreras  GA, Zurita  J, Dissemination of methicillin-resistant Staphylococcus aureus USA300 sequence type 8 lineage in Latin America. Clin Infect Dis. 2009;49:18617. DOIPubMedGoogle Scholar
  3. Tomita  H, Pierson  C, Lim  SK, Clewell  DB, Ike  Y. Possible connection between a widely disseminated conjugative gentamicin resistance (pMG1-like) plasmid and the emergence of vancomycin resistance in Enterococcus faecium. J Clin Microbiol. 2002;40:332633. DOIPubMedGoogle Scholar
  4. Arias  CA, Panesso  D, Singh  KV, Rice  LB, Murray  BE. Cotransfer of antibiotic resistance genes and a hylEfm-containing virulence plasmid in Enterococcus faecium. Antimicrob Agents Chemother. 2009;53:42406. DOIPubMedGoogle Scholar
  5. Benson  MA, Ohneck  EA, Ryan  C, Alonzo  F III, Smith  H, Narechania  A, Evolution of hypervirulence by a MRSA clone through acquisition of a transposable element. Mol Microbiol. 2014;93:66481. DOIPubMedGoogle Scholar
  6. Stamatakis  A. RAxML-VI-HPC: maximum likelihood-based phylogenetic analyses with thousands of taxa and mixed models. Bioinformatics. 2006;22:268890. DOIPubMedGoogle Scholar
  7. Bouhss  A, Josseaume  N, Severin  A, Tabei  K, Hugonnet  JE, Shlaes  D, Synthesis of the L-alanyl-L-alanine cross-bridge of Enterococcus faecalis peptidoglycan. J Biol Chem. 2002;277:4593541. DOIPubMedGoogle Scholar
  8. Kos  VN, Desjardins  CA, Griggs  A, Cerqueira  G, Van Tonder  A, Holden  MT, Comparative genomics of vancomycin-resistant Staphylococcus aureus strains and their positions within the clade most commonly associated with methicillin-resistant S. aureus hospital-acquired infection in the United States. MBio. 2012;3:e0011212. DOIPubMedGoogle Scholar
  9. Arbeloa  A, Hugonnet  JE, Sentilhes  AC, Josseaume  N, Dubost  L, Monsempes  C, Synthesis of mosaic peptidoglycan cross-bridges by hybrid peptidoglycan assembly pathways in gram-positive bacteria. J Biol Chem. 2004;279:4154656. DOIPubMedGoogle Scholar
  10. Nübel  U, Roumagnac  P, Feldkamp  M, Song  JH, Ko  KS, Huang  YC, Frequent emergence and limited geographic dispersal of methicillin-resistant Staphylococcus aureus. Proc Natl Acad Sci U S A. 2008;105:141305. DOIPubMedGoogle Scholar
  11. Caboclo  RM, Cavalcante  FS, Iorio  NL, Schuenck  RP, Olendzki  AN, Felix  MJ, Methicillin-resistant Staphylococcus aureus in Rio de Janeiro hospitals: dissemination of the USA400/ST1 and USA800/ST5 SCCmec type IV and USA100/ST5 SCCmec type II lineages in a public institution and polyclonal presence in a private one. Am J Infect Control. 2013;41:e216. DOIPubMedGoogle Scholar
  12. Dabul  AN, Kos  VN, Gilmore  MS, Camargo  IL. Draft genome sequence of methicillin-resistant Staphylococcus aureus strain SA16, representative of an endemic clone from a Brazilian hospital. Genome Announc. 2013;1:e00754–13.
  13. Teixeira  MM, Araujo  MC, Silva-Carvalho  MC, Beltrame  CO, Oliveira  CC, Figueiredo  AM, Emergence of clonal complex 5 (CC5) methicillin-resistant Staphylococcus aureus (MRSA) isolates susceptible to trimethoprim-sulfamethoxazole in a Brazilian hospital. Braz J Med Biol Res. 2012;45:63743. DOIPubMedGoogle Scholar
  14. Hiramatsu  K, Aritaka  N, Hanaki  H, Kawasaki  S, Hosoda  Y, Hori  S, Dissemination in Japanese hospitals of strains of Staphylococcus aureus heterogeneously resistant to vancomycin. Lancet. 1997;350:16703 . DOIPubMedGoogle Scholar
  15. Arthur  M, Depardieu  F, Cabanie  L, Reynolds  P, Courvalin  P. Requirement of the VanY and VanX D,D-peptidases for glycopeptide resistance in enterococci. Mol Microbiol. 1998;30:81930 . DOIPubMedGoogle Scholar

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