An oligonucleotide probe microarray for investigation of the evolution of epidemic Staphylococcus aureus strains has been constructed. The array comprises 383 probes based on virulence-associated genes present in four key strains. Twelve strains including seven for which the complete chromosomal nucleotide sequence was available were tested on the array. Twenty-six per cent of the probes were able to differentiate between strains to give a minimum of two gene differences between pairs. A gene difference distance tree based on the array data had approximately the same topology as one prepared using concatenated MLST sequences. Differences in the topologies of these trees were found to indicate that large-scale recombination events had occurred during the evolution of the species. One such occurrence appears to have been a key event in the genesis of the EMRSA-15 clone (ST22) that currently represents the most prevalent methicillin-resistant S. aureus (MRSA) in the UK.
INTRODUCTIONStaphylococcus aureus is an important human pathogen responsible for bacterial infections seen both in the community and in hospitals. Over the last decades the emergence of multi-drug resistant strains has greatly increased the economic and health importance of staphylococcal infection (Chambers, 2001;Stefani & Varaldo, 2003;Wenzel, 1982). S. aureus is a highly adapted and extremely successful colonizer of the human nasopharynx, other mucosal surfaces and skin (Kluytmans et al., 1997;Williams, 1963). Colonization is generally asymptomatic but occasionally results in disease with a wide variety of signs and symptoms. These range from mild self-limiting infections of the skin to fulminating septicaemia (Lowy, 1998;Projan & Novick, 1997). Staphylococcal disease appears to result from an imbalance between the bacterium and the immune system and is associated with tissue invasion or unchecked growth. S. aureus is able to maintain its colonist status by producing a variety of proteins that interact with host-cell components (Baba et al., 2002;Kuroda et al., 2001). These proteins are described as virulence-associated and have functions such as extracellular matrix binding and host cell lysis. Expression of the S. aureus virulence-associated proteins is very carefully controlled by means of a network of regulatory genes including the agr and sar operons (Chien & Cheung, 1998;Sabersheikh & Saunders, 2004). Strain variation in these regulatory mechanisms may be an important factor influencing the switch from colonization to disease. Such variations may also contribute towards the success of the species by helping to minimize the emergence of immunity to essential S. aureus-specific antigens.Genome sequencing has shown that the species maintains a large number of virulence-associated genes but that not all are carried by each individual strain (Baba et al., 2002;Holden et al., 2004;Kuroda et al., 2001). Pairwise comparisons show as much as 20 % variation in the gene inventory of different S. aureus with most of the difference contributed by virule...