1. Environmental conditions dictate differential evolution of vancomycin resistance in Staphylococcus aureus
- Author
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Richard Szubin, Yara Seif, Ying Hefner, George Sakoulas, Adam M. Feist, Bernhard O. Palsson, Connor A. Olson, Henrique Machado, Amitesh Anand, Victor Nizet, and Ying Jones
- Subjects
Staphylococcus aureus ,QH301-705.5 ,Evolution ,Medicine (miscellaneous) ,Biology ,medicine.disease_cause ,Antimicrobial resistance ,General Biochemistry, Genetics and Molecular Biology ,Treatment failure ,Article ,Microbiology ,Evolution, Molecular ,Bacterial evolution ,03 medical and health sciences ,Genes, Regulator ,medicine ,Genetics ,Humans ,2.1 Biological and endogenous factors ,Biology (General) ,Allele ,Aetiology ,Gene ,030304 developmental biology ,Vancomycin resistance ,0303 health sciences ,030306 microbiology ,Regulator ,Molecular ,Vancomycin Resistance ,biochemical phenomena, metabolism, and nutrition ,Phenotype ,Regulon ,Emerging Infectious Diseases ,Infectious Diseases ,Experimental evolution ,Genes ,Mutation ,Vancomycin ,Antimicrobial Resistance ,General Agricultural and Biological Sciences ,medicine.drug - Abstract
While microbiological resistance to vancomycin in Staphylococcus aureus is rare, clinical vancomycin treatment failures are common, and methicillin-resistant S. aureus (MRSA) strains isolated from patients after prolonged vancomycin treatment failure remain susceptible. Adaptive laboratory evolution was utilized to uncover mutational mechanisms associated with MRSA vancomycin resistance in a physiological medium as well as a bacteriological medium used in clinical susceptibility testing. Sequencing of resistant clones revealed shared and media-specific mutational outcomes, with an overlap in cell wall regulons (walKRyycHI, vraSRT). Evolved strains displayed similar properties to resistant clinical isolates in their genetic and phenotypic traits. Importantly, resistant phenotypes that developed in physiological media did not translate into resistance in bacteriological media. Further, a bacteriological media-specific mechanism for vancomycin resistance associated with a mutated mprF was confirmed. This study bridges the gap between the understanding of clinical and microbiological vancomycin resistance in S. aureus and expands the number of allelic variants (18 ± 4 mutations for the top 5 mutated genes) that result in vancomycin resistance phenotypes., Henrique Machado et al. describe mutational mechanisms associated with MRSA vancomycin resistance in Staphylococcus aureus using adaptive laboratory evolution experiments focused on tolerance. Their results reveal environment-dependent mutational strategies to vancomycin tolerization and the impact of mutations in regulatory genes, providing insight into the development of antibiotic resistance under multiple conditions.
- Published
- 2021