DNA microarray analysis of Staphylococcus aureus causing bloodstream infection: bacterial genes associated with mortality?

Providing evidence for microbial genetic determinants’ impact on outcome in Staphylococcus aureus bloodstream infections (SABSI) is challenging due to the complex and dynamic microbe–host interaction. Our recent population-based prospective study reported an association between the S. aureus clonal...

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Veröffentlicht in:European journal of clinical microbiology & infectious diseases 2016-08, Vol.35 (8), p.1285-1295
Hauptverfasser: Blomfeldt, A., Aamot, H. V., Eskesen, A. N., Monecke, S., White, R. A., Leegaard, T. M., Bjørnholt, J. V.
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container_issue 8
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container_title European journal of clinical microbiology & infectious diseases
container_volume 35
creator Blomfeldt, A.
Aamot, H. V.
Eskesen, A. N.
Monecke, S.
White, R. A.
Leegaard, T. M.
Bjørnholt, J. V.
description Providing evidence for microbial genetic determinants’ impact on outcome in Staphylococcus aureus bloodstream infections (SABSI) is challenging due to the complex and dynamic microbe–host interaction. Our recent population-based prospective study reported an association between the S. aureus clonal complex (CC) 30 genotype and mortality in SABSI patients. This follow-up investigation aimed to examine the genetic profiles of the SABSI isolates and test the hypothesis that specific genetic characteristics in S. aureus are associated with mortality. SABSI isolates ( n  = 305) and S. aureus CC30 isolates from asymptomatic nasal carriers ( n  = 38) were characterised by DNA microarray analysis and spa typing. Fisher’s exact test, least absolute shrinkage and selection operator (LASSO) and elastic net regressions were performed to discern within four groups defined by patient outcome and characteristics. No specific S. aureus genetic determinants were found to be associated with mortality in SABSI patients. By applying LASSO and elastic net regressions, we found evidence suggesting that agrIII and cna were positively and setC (= selX ) and seh were negatively associated with S. aureus CC30 versus non-CC30 isolates. The genes chp and sak , encoding immune evasion molecules, were found in higher frequencies in CC30 SABSI isolates compared to CC30 carrier isolates, indicating a higher virulence potential. In conclusion, no specific S. aureus genes were found to be associated with mortality by DNA microarray analysis and state-of-the-art statistical analyses. The next natural step is to test the hypothesis in larger samples with higher resolution methods, like whole genome sequencing.
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Our recent population-based prospective study reported an association between the S. aureus clonal complex (CC) 30 genotype and mortality in SABSI patients. This follow-up investigation aimed to examine the genetic profiles of the SABSI isolates and test the hypothesis that specific genetic characteristics in S. aureus are associated with mortality. SABSI isolates ( n  = 305) and S. aureus CC30 isolates from asymptomatic nasal carriers ( n  = 38) were characterised by DNA microarray analysis and spa typing. Fisher’s exact test, least absolute shrinkage and selection operator (LASSO) and elastic net regressions were performed to discern within four groups defined by patient outcome and characteristics. No specific S. aureus genetic determinants were found to be associated with mortality in SABSI patients. 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subjects Aged
Aged, 80 and over
Asymptomatic
Bacteremia - microbiology
Bacteremia - mortality
Biomedical and Life Sciences
Biomedicine
Deoxyribonucleic acid
DNA
DNA, Bacterial - analysis
DNA, Bacterial - genetics
Epidemiology
Fatalities
Female
Genes, Bacterial - genetics
Genomes
Genotype & phenotype
Hospitals
Host-Pathogen Interactions - genetics
Humans
Hypotheses
Infectious diseases
Internal Medicine
Male
Medical Microbiology
Microarray Analysis
Middle Aged
Mortality
Original Article
Patients
Population
Prospective Studies
Staphylococcal Infections - microbiology
Staphylococcal Infections - mortality
Staphylococcus aureus
Staphylococcus aureus - genetics
Staphylococcus aureus - pathogenicity
Staphylococcus infections
Statistical analysis
Surgery
Virulence
title DNA microarray analysis of Staphylococcus aureus causing bloodstream infection: bacterial genes associated with mortality?
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