2012
DOI: 10.1371/journal.pone.0030187
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Genomic and SNP Analyses Demonstrate a Distant Separation of the Hospital and Community-Associated Clades of Enterococcus faecium

Abstract: Recent studies have pointed to the existence of two subpopulations of Enterococcus faecium, one containing primarily commensal/community-associated (CA) strains and one that contains most clinical or hospital-associated (HA) strains, including those classified by multi-locus sequence typing (MLST) as belonging to the CC17 group. The HA subpopulation more frequently has IS16, pathogenicity island(s), and plasmids or genes associated with antibiotic resistance, colonization, and/or virulence. Supporting the two … Show more

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Cited by 127 publications
(148 citation statements)
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References 34 publications
(101 reference statements)
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“…As introduced above, we recently reported the existence of two subpopulations of E. faecium, one containing primarily community-associated strains (CA clade; also called clade B) and one containing mostly hospital-associated strains (HA clade; also called clade A) (12,15). These two clades differ by ϳ3.5 to 4.2% of their nucleotides at the core genome level.…”
Section: Resultsmentioning
confidence: 93%
See 1 more Smart Citation
“…As introduced above, we recently reported the existence of two subpopulations of E. faecium, one containing primarily community-associated strains (CA clade; also called clade B) and one containing mostly hospital-associated strains (HA clade; also called clade A) (12,15). These two clades differ by ϳ3.5 to 4.2% of their nucleotides at the core genome level.…”
Section: Resultsmentioning
confidence: 93%
“…The locus tags for the WxL locus C of TX16 (DO) are HMPREF0351_10114 to HMPREF0351_10119, where SwpC is HMPREF0351_10114 and LwpC is HMPREF0351_10115. NCBI BLAST then was used to find the WxL loci in TX1330 (a community-associated [CA] commensal isolate of clade B) and TX82 (a hospital-associated [HA] clinical isolate of clade A that we have used extensively in experimental models) using the sequences obtained from TX16 (12)(13)(14)(15)(16)(17). Confirmatory sequencing of the TX1330 and TX82 WxL loci were performed using the primers in Table S2 in the supplemental material.…”
Section: Methodsmentioning
confidence: 99%
“…Potential sSNP sites were determined using the parsimonious assumption that each codon has only one potential sSNP site. Generations per year were estimated at a range from 100 to 300 to allow for a broad estimation (37)(38)(39)(40). The experimentally determined synonymous mutation rate of 1.4 ϫ 10 Ϫ10 (41) was used.…”
Section: Methodsmentioning
confidence: 99%
“…The infections caused by E. faecium, which include urinary tract infections (UTIs), bloodstream infections, and endocarditis, among others, represent a major therapeutic challenge due to the typical resistance of this species to multiple antibiotics (2). Several lines of evidence, including molecular epidemiological studies based on multilocus sequence typing (MLST) (3)(4)(5) and comparative whole-genome analyses (6,7), indicate that E. faecium strains that cause outbreaks and infections in hospitalized patients (HA clade or subclade A1) are considerably different from those forming part of the normal microbiota of healthy individuals (community-associated [CA] clade or clade B). Indeed, HA clade strains, compared to CA clade strains, are associated with increased presence, differential expression, and/or carriage of functional forms of genes encoding putative or confirmed virulence determinants that can participate in the adhesion of E. faecium to host tissues, including Acm (adhesin of collagen from E. faecium) (8), Esp (enterococcal surface protein) (9), other MSCRAMMs (microbial surface component recognizing adhesive matrix molecules) (10,11), and proteinaceous surface structures known as pili (10).…”
mentioning
confidence: 99%