“…However, we also identified some strains of type I and type II which may have incorporated a "selfdestruct" mechanism of the agr inactivation by incorporating transposase or additional hypothetical genes in the agr locus. Inactivation of agr appears to confer a fitness advantage under the conditions of antibiotic selection, in vivo environment, and biofilm formation (Botelho et al, 2016;Paulander et al, 2012;Tan et al, 2015). Loss of agr function has been associated with resistance to host cationic antimicrobial peptides, tolerance to vancomycin, and development of intermediate resistance to vancomycin, a phenotype that is associated with treatment failure in bloodstream infections (Fischer et al, 2011;Mwangi et al, 2007;Sakoulas et al, 2002Sakoulas et al, , 2005Tsuji et al, 2007;Vandamme et al, 1997).…”