Detection of the <i>agr</i> System and Resistance to Antimicrobials in Biofilm-Producing <i>S. epidermidis</i>

The ability of <i>Staphylococcus epidermidis</i> to produce virulence factors, such as biofilm, added to its increased resistance to antimicrobials can cause infections that are difficult to treat. Many staphylococcal virulence factors are under the control of the accessory gene regulato...

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Main Authors: Valéria Cataneli Pereira, Luiza Pinheiro-Hubinger, Adilson de Oliveira, Danilo Flávio Moraes Riboli, Katheryne Benini Martins, Letícia Calixto Romero, Maria de Lourdes Ribeiro de Souza da Cunha
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:Molecules
Subjects:
Online Access:https://www.mdpi.com/1420-3049/25/23/5715
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author Valéria Cataneli Pereira
Luiza Pinheiro-Hubinger
Adilson de Oliveira
Danilo Flávio Moraes Riboli
Katheryne Benini Martins
Letícia Calixto Romero
Maria de Lourdes Ribeiro de Souza da Cunha
author_facet Valéria Cataneli Pereira
Luiza Pinheiro-Hubinger
Adilson de Oliveira
Danilo Flávio Moraes Riboli
Katheryne Benini Martins
Letícia Calixto Romero
Maria de Lourdes Ribeiro de Souza da Cunha
author_sort Valéria Cataneli Pereira
collection DOAJ
description The ability of <i>Staphylococcus epidermidis</i> to produce virulence factors, such as biofilm, added to its increased resistance to antimicrobials can cause infections that are difficult to treat. Many staphylococcal virulence factors are under the control of the accessory gene regulator (<i>agr</i>). The objective of this study was to establish the <i>agr</i> locus and susceptibility of biofilm-producing <i>S. epidermidis</i> specimens to antimicrobial agents, through PCR reactions, reverse transcription polymerase chain reaction (RT-PCR), and the determination of minimum inhibitory concentration (MIC), and to analyze the clonal profile of 300 strains isolated from blood culture specimens from inpatients at a University Hospital in Brazil, over a 20-year period by pulsed-field gel electrophoresis (PFGE) and multilocus sequence typing (MLST) techniques. The <i>ica</i> operon expression was shown in 83.6% strains, <i>bhp</i> gene in 11.5%, and <i>aap</i> gene in 32.8%. Oxacillin resistance was detected in 90.1%, while 4.9% showed tigecycline resistance, and intermediate resistance to quinupristin/dalfopristin was identified in 0.4%. Clonal profile determination showed 11 clusters, with the ST2 type determined as the major cluster. The <i>S. epidermidis</i> biofilm producer demonstrated a predominance of <i>agr</i> I locus, oxacillin resistance, and SCC<i>mec</i> III as well as the potential dissemination of pathogenic clones in hospital settings over long periods.
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spelling doaj.art-0a570f8fe5934b2295d1fea49746ab8b2023-11-20T23:24:43ZengMDPI AGMolecules1420-30492020-12-012523571510.3390/molecules25235715Detection of the <i>agr</i> System and Resistance to Antimicrobials in Biofilm-Producing <i>S. epidermidis</i>Valéria Cataneli Pereira0Luiza Pinheiro-Hubinger1Adilson de Oliveira2Danilo Flávio Moraes Riboli3Katheryne Benini Martins4Letícia Calixto Romero5Maria de Lourdes Ribeiro de Souza da Cunha6Sector of Microbiology and Immunology, Department of Chemical and Biological Sciences, Institute of Biosciences, UNESP—University Estadual Paulista, Botucatu CEP 18618-689, São Paulo, BrazilSector of Microbiology and Immunology, Department of Chemical and Biological Sciences, Institute of Biosciences, UNESP—University Estadual Paulista, Botucatu CEP 18618-689, São Paulo, BrazilSector of Microbiology and Immunology, Department of Chemical and Biological Sciences, Institute of Biosciences, UNESP—University Estadual Paulista, Botucatu CEP 18618-689, São Paulo, BrazilSector of Microbiology and Immunology, Department of Chemical and Biological Sciences, Institute of Biosciences, UNESP—University Estadual Paulista, Botucatu CEP 18618-689, São Paulo, BrazilSector of Microbiology and Immunology, Department of Chemical and Biological Sciences, Institute of Biosciences, UNESP—University Estadual Paulista, Botucatu CEP 18618-689, São Paulo, BrazilSector of Microbiology and Immunology, Department of Chemical and Biological Sciences, Institute of Biosciences, UNESP—University Estadual Paulista, Botucatu CEP 18618-689, São Paulo, BrazilSector of Microbiology and Immunology, Department of Chemical and Biological Sciences, Institute of Biosciences, UNESP—University Estadual Paulista, Botucatu CEP 18618-689, São Paulo, BrazilThe ability of <i>Staphylococcus epidermidis</i> to produce virulence factors, such as biofilm, added to its increased resistance to antimicrobials can cause infections that are difficult to treat. Many staphylococcal virulence factors are under the control of the accessory gene regulator (<i>agr</i>). The objective of this study was to establish the <i>agr</i> locus and susceptibility of biofilm-producing <i>S. epidermidis</i> specimens to antimicrobial agents, through PCR reactions, reverse transcription polymerase chain reaction (RT-PCR), and the determination of minimum inhibitory concentration (MIC), and to analyze the clonal profile of 300 strains isolated from blood culture specimens from inpatients at a University Hospital in Brazil, over a 20-year period by pulsed-field gel electrophoresis (PFGE) and multilocus sequence typing (MLST) techniques. The <i>ica</i> operon expression was shown in 83.6% strains, <i>bhp</i> gene in 11.5%, and <i>aap</i> gene in 32.8%. Oxacillin resistance was detected in 90.1%, while 4.9% showed tigecycline resistance, and intermediate resistance to quinupristin/dalfopristin was identified in 0.4%. Clonal profile determination showed 11 clusters, with the ST2 type determined as the major cluster. The <i>S. epidermidis</i> biofilm producer demonstrated a predominance of <i>agr</i> I locus, oxacillin resistance, and SCC<i>mec</i> III as well as the potential dissemination of pathogenic clones in hospital settings over long periods.https://www.mdpi.com/1420-3049/25/23/5715oxacillin resistanceST2<i>agr</i> locusbiofilmantimicrobial resistance
spellingShingle Valéria Cataneli Pereira
Luiza Pinheiro-Hubinger
Adilson de Oliveira
Danilo Flávio Moraes Riboli
Katheryne Benini Martins
Letícia Calixto Romero
Maria de Lourdes Ribeiro de Souza da Cunha
Detection of the <i>agr</i> System and Resistance to Antimicrobials in Biofilm-Producing <i>S. epidermidis</i>
Molecules
oxacillin resistance
ST2
<i>agr</i> locus
biofilm
antimicrobial resistance
title Detection of the <i>agr</i> System and Resistance to Antimicrobials in Biofilm-Producing <i>S. epidermidis</i>
title_full Detection of the <i>agr</i> System and Resistance to Antimicrobials in Biofilm-Producing <i>S. epidermidis</i>
title_fullStr Detection of the <i>agr</i> System and Resistance to Antimicrobials in Biofilm-Producing <i>S. epidermidis</i>
title_full_unstemmed Detection of the <i>agr</i> System and Resistance to Antimicrobials in Biofilm-Producing <i>S. epidermidis</i>
title_short Detection of the <i>agr</i> System and Resistance to Antimicrobials in Biofilm-Producing <i>S. epidermidis</i>
title_sort detection of the i agr i system and resistance to antimicrobials in biofilm producing i s epidermidis i
topic oxacillin resistance
ST2
<i>agr</i> locus
biofilm
antimicrobial resistance
url https://www.mdpi.com/1420-3049/25/23/5715
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