Screening of genes encoding adhesion factors and biofilm production in methicillin resistant strains of Staphylococcus aureus isolated from Palestinian patients

Abstract Background Intercellular adhesion and biofilm production by Staphylococcus aureus makes these bacteria resistant to antimicrobial therapy. Here, Methicillin-resistant Staphylococcus aureus (MRSA) strains were characterized and the prevalence of genes encoding adhesion factors and biofilm fo...

Full description

Bibliographic Details
Main Authors: Kifaya Azmi, Walaa Qrei, Ziad Abdeen
Format: Article
Language:English
Published: BMC 2019-07-01
Series:BMC Genomics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12864-019-5929-1
_version_ 1830231092161937408
author Kifaya Azmi
Walaa Qrei
Ziad Abdeen
author_facet Kifaya Azmi
Walaa Qrei
Ziad Abdeen
author_sort Kifaya Azmi
collection DOAJ
description Abstract Background Intercellular adhesion and biofilm production by Staphylococcus aureus makes these bacteria resistant to antimicrobial therapy. Here, Methicillin-resistant Staphylococcus aureus (MRSA) strains were characterized and the prevalence of genes encoding adhesion factors and biofilm formation was determined. Results All 248 MRSA isolates identified by cefoxitin disc diffusion were positive for the mecA gene. SCCmec-IV was the most frequently detected genotype (92.7%) and SCCmec-IVa was also very prevalent (84.3%). The quantitative microtiter plate assay showed that all the isolates were able to produce biofilm with levels ranging from high (21%) to moderate (46.4%) to low (32.7%). All the strains possessed the icaD/icaA genes and produced biofilm (P < 0.05). None of the isolates possessed the bap gene. Furthermore, 94.8% of the isolates were positive for eno, 80.2% for clfA and for clfB, 78.2% for fnbA, 76.2% for ebps, 62.2% for fib, 39.9% for cna and 29.0% for fnbB. Also, nearly 69.8% of the isolates were positive for the gene sarA. All four agr groups were present: agr group 1 was predominant with 39.5%; agr group 3. agr group 2 and 3 strains carried more toxin-producing genes, and frequently produced more toxin. Sixty-six (26.6%) of the strains were multidrug resistant. All were vancomycin sensitive. Agr group I is more resistant to ciprofloxacin and gentamicin while agr group III is more resistant to erythromycin. Maximum sensitivity was to gentamicin and SXT, and they could be considered drugs of choice for controlling MRSA mediated infections in this region. Conclusions Biofilm development in MRSA might be an ica dependent and one needs to investigate the involvement of other global regulators, agr and sarA, and their contribution to the biofilm phenotype, as the high rate of biofilm production among the studied strains of S. aureus.
first_indexed 2024-12-18T11:06:09Z
format Article
id doaj.art-68fe7855f2f44c7ea09d1cca3f397324
institution Directory Open Access Journal
issn 1471-2164
language English
last_indexed 2024-12-18T11:06:09Z
publishDate 2019-07-01
publisher BMC
record_format Article
series BMC Genomics
spelling doaj.art-68fe7855f2f44c7ea09d1cca3f3973242022-12-21T21:10:06ZengBMCBMC Genomics1471-21642019-07-0120111210.1186/s12864-019-5929-1Screening of genes encoding adhesion factors and biofilm production in methicillin resistant strains of Staphylococcus aureus isolated from Palestinian patientsKifaya Azmi0Walaa Qrei1Ziad Abdeen2Biochemistry and Molecular Biology Department, Al-Quds Nutrition and Health Research Institute, Faculty of Medicine, Al-Quds UniversityAl-Quds Public Health SocietyAl-Quds Public Health SocietyAbstract Background Intercellular adhesion and biofilm production by Staphylococcus aureus makes these bacteria resistant to antimicrobial therapy. Here, Methicillin-resistant Staphylococcus aureus (MRSA) strains were characterized and the prevalence of genes encoding adhesion factors and biofilm formation was determined. Results All 248 MRSA isolates identified by cefoxitin disc diffusion were positive for the mecA gene. SCCmec-IV was the most frequently detected genotype (92.7%) and SCCmec-IVa was also very prevalent (84.3%). The quantitative microtiter plate assay showed that all the isolates were able to produce biofilm with levels ranging from high (21%) to moderate (46.4%) to low (32.7%). All the strains possessed the icaD/icaA genes and produced biofilm (P < 0.05). None of the isolates possessed the bap gene. Furthermore, 94.8% of the isolates were positive for eno, 80.2% for clfA and for clfB, 78.2% for fnbA, 76.2% for ebps, 62.2% for fib, 39.9% for cna and 29.0% for fnbB. Also, nearly 69.8% of the isolates were positive for the gene sarA. All four agr groups were present: agr group 1 was predominant with 39.5%; agr group 3. agr group 2 and 3 strains carried more toxin-producing genes, and frequently produced more toxin. Sixty-six (26.6%) of the strains were multidrug resistant. All were vancomycin sensitive. Agr group I is more resistant to ciprofloxacin and gentamicin while agr group III is more resistant to erythromycin. Maximum sensitivity was to gentamicin and SXT, and they could be considered drugs of choice for controlling MRSA mediated infections in this region. Conclusions Biofilm development in MRSA might be an ica dependent and one needs to investigate the involvement of other global regulators, agr and sarA, and their contribution to the biofilm phenotype, as the high rate of biofilm production among the studied strains of S. aureus.http://link.springer.com/article/10.1186/s12864-019-5929-1MRSAAntibioticsSCCmecBiofilmAgrsarA
spellingShingle Kifaya Azmi
Walaa Qrei
Ziad Abdeen
Screening of genes encoding adhesion factors and biofilm production in methicillin resistant strains of Staphylococcus aureus isolated from Palestinian patients
BMC Genomics
MRSA
Antibiotics
SCCmec
Biofilm
Agr
sarA
title Screening of genes encoding adhesion factors and biofilm production in methicillin resistant strains of Staphylococcus aureus isolated from Palestinian patients
title_full Screening of genes encoding adhesion factors and biofilm production in methicillin resistant strains of Staphylococcus aureus isolated from Palestinian patients
title_fullStr Screening of genes encoding adhesion factors and biofilm production in methicillin resistant strains of Staphylococcus aureus isolated from Palestinian patients
title_full_unstemmed Screening of genes encoding adhesion factors and biofilm production in methicillin resistant strains of Staphylococcus aureus isolated from Palestinian patients
title_short Screening of genes encoding adhesion factors and biofilm production in methicillin resistant strains of Staphylococcus aureus isolated from Palestinian patients
title_sort screening of genes encoding adhesion factors and biofilm production in methicillin resistant strains of staphylococcus aureus isolated from palestinian patients
topic MRSA
Antibiotics
SCCmec
Biofilm
Agr
sarA
url http://link.springer.com/article/10.1186/s12864-019-5929-1
work_keys_str_mv AT kifayaazmi screeningofgenesencodingadhesionfactorsandbiofilmproductioninmethicillinresistantstrainsofstaphylococcusaureusisolatedfrompalestinianpatients
AT walaaqrei screeningofgenesencodingadhesionfactorsandbiofilmproductioninmethicillinresistantstrainsofstaphylococcusaureusisolatedfrompalestinianpatients
AT ziadabdeen screeningofgenesencodingadhesionfactorsandbiofilmproductioninmethicillinresistantstrainsofstaphylococcusaureusisolatedfrompalestinianpatients