title: VanA-type enterococci from humans, animals, and food: species distribution, population structure, Tn1546 typing and location, and virulence determinants.
abstract: VanA-type human (n=69), animal (n=49), and food (n=36) glycopeptide-resistant enterococci (GRE) from different geographic areas were investigated to study their possible reservoirs and transmission routes. Pulsed-field gel electrophoresis (PFGE) revealed two small genetically related clusters, M39 (n=4) and M49 (n=13), representing Enterococcus faecium isolates from animal and human feces and from clinical and fecal human samples. Multilocus sequence typing showed that both belonged to the epidemic lineage of CC17. purK allele analysis of 28 selected isolates revealed that type 1 was prevalent in human strains (8/11) and types 6 and 3 (14/15) were prevalent in poultry (animals and meat). One hundred and five of the 154 VanA GRE isolates, encompassing different species, origins, and PFGE types, were examined for Tn1546 type and location (plasmid or chromosome) and the incidence of virulence determinants. Hybridization of S1- and I-CeuI-digested total DNA revealed a plasmid location in 98% of the isolates. Human intestinal and animal E. faecium isolates bore large (>150 kb) vanA plasmids. Results of PCR-restriction fragment length polymorphism and sequencing showed the presence of prototype Tn1546 in 80% of strains and the G-to-T mutation at position 8234 in three human intestinal and two pork E. faecium isolates. There were no significant associations (P>0.5) between Tn1546 type and GRE source or enterococcal species. Virulence determinants were detected in all reservoirs but were significantly more frequent (P<0.02) among clinical strains. Multiple determinants were found in clinical and meat Enterococcus faecalis isolates. The presence of indistinguishable vanA elements (mostly plasmid borne) and virulence determinants in different species and PFGE-diverse populations in the presence of host-specific purK housekeeping genes suggested that all GRE might be potential reservoirs of resistance determinants and virulence traits transferable to human-adapted clusters.
authors.affiliation: Institute of Microbiology and Biomedical Sciences, Polytechnic University of Marche, Via Ranieri, Monte d'Ago, 60131 Ancona, Italy. f.biavasco@univpm.it
authors.forename: F
authors.initials: F
authors.lastname: Biavasco
authors.forename: G
authors.initials: G
authors.lastname: Foglia
authors.forename: C
authors.initials: C
authors.lastname: Paoletti
authors.forename: G
authors.initials: G
authors.lastname: Zandri
authors.forename: G
authors.initials: G
authors.lastname: Magi
authors.forename: E
authors.initials: E
authors.lastname: Guaglianone
authors.forename: A
authors.initials: A
authors.lastname: Sundsfjord
authors.forename: C
authors.initials: C
authors.lastname: Pruzzo
authors.forename: G
authors.initials: G
authors.lastname: Donelli
authors.forename: B
authors.initials: B
authors.lastname: Facinelli
mesh_terms: D000818:Animals; D001426:Bacterial Proteins / Q000235:genetics*; D015373:Bacterial Typing Techniques; D019729:Carbon-Oxygen Ligases / Q000235:genetics*; D002262:Carboxy-Lyases / Q000235:genetics; D002876:Chromosomes, Bacterial / Q000235:genetics; D016172:DNA Fingerprinting; D004251:DNA Transposable Elements / Q000235:genetics; D004269:DNA, Bacterial / Q000235:genetics / Q000378:metabolism; D016983:Enterococcus / Q000145:classification* / Q000187:drug effects / Q000235:genetics* / Q000302:isolation & purification; D013293:Enterococcus faecalis / Q000145:classification / Q000187:drug effects / Q000235:genetics / Q000302:isolation & purification; D016984:Enterococcus faecium / Q000145:classification / Q000187:drug effects / Q000235:genetics / Q000302:isolation & purification; D005243:Feces / Q000382:microbiology; D005516:Food Microbiology; D016908:Gram-Positive Bacterial Infections / Q000453:epidemiology / Q000382:microbiology* / Q000635:transmission / Q000662:veterinary*; D006801:Humans; D008460:Meat / Q000382:microbiology; D017720:Molecular Epidemiology; D010957:Plasmids / Q000235:genetics; D017354:Point Mutation; D012150:Polymorphism, Restriction Fragment Length; D011200:Poultry; D013552:Swine; D020713:Vancomycin Resistance / Q000235:genetics*; D037521:Virulence Factors / Q000235:genetics
chemical_list: D001426:Bacterial Proteins; D004251:DNA Transposable Elements; D004269:DNA, Bacterial; C071437:VanA ligase, Bacteria; D037521:Virulence Factors; D002262:Carboxy-Lyases; D019729:Carbon-Oxygen Ligases