关键词: Staphylococcus aureus chronic infection prosthetic joint infection rifampicin resistance small colony variant

Mesh : Anti-Bacterial Agents / pharmacology Arthritis, Infectious / microbiology Chronic Disease Gene Expression Profiling Genome, Bacterial Genomics / methods Humans Microbial Sensitivity Tests Phenotype Prosthesis-Related Infections / microbiology Recurrence Staphylococcal Infections / microbiology Staphylococcus aureus / drug effects physiology Transcriptome

来  源:   DOI:10.3389/fcimb.2019.00363   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
Small colony variants (SCV) of Staphylococcus aureus have been reported as implicated in chronic infections. Here, we investigated the genomic and transcriptomic changes involved in the evolution from a wild-type to a SCV from in a patient with prosthetic joint infection relapse. The SCV presented a stable phenotype with no classical auxotrophy and the emergence of rifampicin resistance. Whole Genome Sequencing (WGS) analysis showed only the loss of a 42.5 kb phage and 3 deletions, among which one targeting the rpoB gene, known to be the target of rifampicin and to be associated to SCV formation in the context of a constitutively active stringent response. Transcriptomic analysis highlighted a specific signature in the SCV strain including a complex, multi-level strategy of survival and adaptation to chronicity within the host including a protection from the inflammatory response, an evasion of the immune response, a constitutively activated stringent response and a scavenging of iron sources.
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