Influence of Host Genetics and Environment on Nasal Carriage of Staphylococcus aureus in Danish Middle-Aged and Elderly Twins

Background. Nasal carriage is a major risk factor for Staphylococcus aureus infection. Approximately, onequarter of adults carry S. aureus. However, the role of host genetics on S. aureus nasal carriage is unknown. Methods. Nasal swabs were obtained from a national cohort of middle-aged and elderly...

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Veröffentlicht in:The Journal of infectious diseases 2012-10, Vol.206 (8), p.1178-1184
Hauptverfasser: Andersen, Paal Skytt, Pedersen, Jacob Krabbe, Fode, Peder, Skov, Robert L., Fowler, Vance G., Stegger, Marc, Christensen, Kaare
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container_issue 8
container_start_page 1178
container_title The Journal of infectious diseases
container_volume 206
creator Andersen, Paal Skytt
Pedersen, Jacob Krabbe
Fode, Peder
Skov, Robert L.
Fowler, Vance G.
Stegger, Marc
Christensen, Kaare
description Background. Nasal carriage is a major risk factor for Staphylococcus aureus infection. Approximately, onequarter of adults carry S. aureus. However, the role of host genetics on S. aureus nasal carriage is unknown. Methods. Nasal swabs were obtained from a national cohort of middle-aged and elderly Danish twins. Subjects colonized with S. aureus were identified by growth on selective plates and spa typing. A second sample was obtained from twins initially concordant for carriage. Twins found to again be colonized with S. aureus were defined as persistent carriers. Results. The prevalence of S. aureus carriage among 617 twin pairs (monozygotic/dizygotic pairs: 112/505) was 26.3% (95% confidence interval [CI], 24.0%-28.9%). The concordance rate for carriage did not differ significantly between pairs of monozygotic (37.5%; 95% CI, 22.3%-53.8%) twins and same sex (24.2%; 95% CI, 15.4%-34.5%), and opposite sex (21.4%; 95% CI, 12.0%-33.4%) dizygotic twins. Despite shared childhoods, only 1 of 617 pairs was concordant with respect to lineage. Although heritability increased for S. aureus and lineage persistency, no significant heritability was detected. Conclusion. In this study, host genetic factors exhibited only a modest influence on the S. aureus carrier state of middle-aged and elderly individuals.
doi_str_mv 10.1093/infdis/jis491
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Nasal carriage is a major risk factor for Staphylococcus aureus infection. Approximately, onequarter of adults carry S. aureus. However, the role of host genetics on S. aureus nasal carriage is unknown. Methods. Nasal swabs were obtained from a national cohort of middle-aged and elderly Danish twins. Subjects colonized with S. aureus were identified by growth on selective plates and spa typing. A second sample was obtained from twins initially concordant for carriage. Twins found to again be colonized with S. aureus were defined as persistent carriers. Results. The prevalence of S. aureus carriage among 617 twin pairs (monozygotic/dizygotic pairs: 112/505) was 26.3% (95% confidence interval [CI], 24.0%-28.9%). The concordance rate for carriage did not differ significantly between pairs of monozygotic (37.5%; 95% CI, 22.3%-53.8%) twins and same sex (24.2%; 95% CI, 15.4%-34.5%), and opposite sex (21.4%; 95% CI, 12.0%-33.4%) dizygotic twins. Despite shared childhoods, only 1 of 617 pairs was concordant with respect to lineage. Although heritability increased for S. aureus and lineage persistency, no significant heritability was detected. Conclusion. In this study, host genetic factors exhibited only a modest influence on the S. aureus carrier state of middle-aged and elderly individuals.</description><identifier>ISSN: 0022-1899</identifier><identifier>EISSN: 1537-6613</identifier><identifier>DOI: 10.1093/infdis/jis491</identifier><identifier>PMID: 22872733</identifier><identifier>CODEN: JIDIAQ</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Aged ; Aged, 80 and over ; BACTERIA ; Bacteriology ; Biological and medical sciences ; Carrier State - epidemiology ; Denmark ; Environmental Microbiology ; Female ; Fundamental and applied biological sciences. 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Nasal carriage is a major risk factor for Staphylococcus aureus infection. Approximately, onequarter of adults carry S. aureus. However, the role of host genetics on S. aureus nasal carriage is unknown. Methods. Nasal swabs were obtained from a national cohort of middle-aged and elderly Danish twins. Subjects colonized with S. aureus were identified by growth on selective plates and spa typing. A second sample was obtained from twins initially concordant for carriage. Twins found to again be colonized with S. aureus were defined as persistent carriers. Results. The prevalence of S. aureus carriage among 617 twin pairs (monozygotic/dizygotic pairs: 112/505) was 26.3% (95% confidence interval [CI], 24.0%-28.9%). The concordance rate for carriage did not differ significantly between pairs of monozygotic (37.5%; 95% CI, 22.3%-53.8%) twins and same sex (24.2%; 95% CI, 15.4%-34.5%), and opposite sex (21.4%; 95% CI, 12.0%-33.4%) dizygotic twins. 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Psychology</topic><topic>Genetic concordance</topic><topic>Genetics</topic><topic>Heritability</topic><topic>Humans</topic><topic>Identical twins</topic><topic>Infectious diseases</topic><topic>Major and Brief Reports</topic><topic>Male</topic><topic>Medical genetics</topic><topic>Medical sciences</topic><topic>Microbiology</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Modeling</topic><topic>Molecular Typing</topic><topic>Older adults</topic><topic>Prevalence</topic><topic>Staphylococcal Infections - epidemiology</topic><topic>Staphylococcal Infections - genetics</topic><topic>Staphylococcus aureus</topic><topic>Staphylococcus aureus - classification</topic><topic>Staphylococcus aureus - genetics</topic><topic>Staphylococcus aureus - growth &amp; development</topic><topic>Staphylococcus aureus - isolation &amp; purification</topic><topic>Twin studies</topic><topic>Twins</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Andersen, Paal Skytt</creatorcontrib><creatorcontrib>Pedersen, Jacob Krabbe</creatorcontrib><creatorcontrib>Fode, Peder</creatorcontrib><creatorcontrib>Skov, Robert L.</creatorcontrib><creatorcontrib>Fowler, Vance G.</creatorcontrib><creatorcontrib>Stegger, Marc</creatorcontrib><creatorcontrib>Christensen, Kaare</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Journal of infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Andersen, Paal Skytt</au><au>Pedersen, Jacob Krabbe</au><au>Fode, Peder</au><au>Skov, Robert L.</au><au>Fowler, Vance G.</au><au>Stegger, Marc</au><au>Christensen, Kaare</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of Host Genetics and Environment on Nasal Carriage of Staphylococcus aureus in Danish Middle-Aged and Elderly Twins</atitle><jtitle>The Journal of infectious diseases</jtitle><addtitle>J Infect Dis</addtitle><date>2012-10-15</date><risdate>2012</risdate><volume>206</volume><issue>8</issue><spage>1178</spage><epage>1184</epage><pages>1178-1184</pages><issn>0022-1899</issn><eissn>1537-6613</eissn><coden>JIDIAQ</coden><abstract>Background. Nasal carriage is a major risk factor for Staphylococcus aureus infection. Approximately, onequarter of adults carry S. aureus. However, the role of host genetics on S. aureus nasal carriage is unknown. Methods. Nasal swabs were obtained from a national cohort of middle-aged and elderly Danish twins. Subjects colonized with S. aureus were identified by growth on selective plates and spa typing. A second sample was obtained from twins initially concordant for carriage. Twins found to again be colonized with S. aureus were defined as persistent carriers. Results. The prevalence of S. aureus carriage among 617 twin pairs (monozygotic/dizygotic pairs: 112/505) was 26.3% (95% confidence interval [CI], 24.0%-28.9%). The concordance rate for carriage did not differ significantly between pairs of monozygotic (37.5%; 95% CI, 22.3%-53.8%) twins and same sex (24.2%; 95% CI, 15.4%-34.5%), and opposite sex (21.4%; 95% CI, 12.0%-33.4%) dizygotic twins. Despite shared childhoods, only 1 of 617 pairs was concordant with respect to lineage. Although heritability increased for S. aureus and lineage persistency, no significant heritability was detected. Conclusion. In this study, host genetic factors exhibited only a modest influence on the S. aureus carrier state of middle-aged and elderly individuals.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>22872733</pmid><doi>10.1093/infdis/jis491</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Aged, 80 and over
BACTERIA
Bacteriology
Biological and medical sciences
Carrier State - epidemiology
Denmark
Environmental Microbiology
Female
Fundamental and applied biological sciences. Psychology
Genetic concordance
Genetics
Heritability
Humans
Identical twins
Infectious diseases
Major and Brief Reports
Male
Medical genetics
Medical sciences
Microbiology
Middle Aged
Miscellaneous
Modeling
Molecular Typing
Older adults
Prevalence
Staphylococcal Infections - epidemiology
Staphylococcal Infections - genetics
Staphylococcus aureus
Staphylococcus aureus - classification
Staphylococcus aureus - genetics
Staphylococcus aureus - growth & development
Staphylococcus aureus - isolation & purification
Twin studies
Twins
title Influence of Host Genetics and Environment on Nasal Carriage of Staphylococcus aureus in Danish Middle-Aged and Elderly Twins
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