Genomic diversity of antibiotic multi-resistant Staphylococcus epidermidis isolated from a tertiary care hospital in México City

Laboratorio de Patogenicidad Bacteriana, Departamento de Salud Pública, Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México, México
Centro de Ciencias Genómicas, Universidad Nacional Autónoma de México, Cuernavaca, Morelos, México
Instituto Nacional de Medicina Genómica, Mexico City, México
DOI
10.7287/peerj.preprints.27693v1
Subject Areas
Genomics, Microbiology, Infectious Diseases
Keywords
Staphylococcus epidermidis, genomes, pangenome, prophages, CRISPR, Recombination, antibiotic resistance, insertion sequences, clonal structure
Copyright
© 2019 Cabrera-Contreras et al.
Licence
This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ Preprints) and either DOI or URL of the article must be cited.
Cite this article
Cabrera-Contreras R, Santamaría RI, Bustos P, Martínez-Flores I, Meléndez E, Morelos R, Barbosa-Amezcua M, González-Covarrubias V, Soberón X, González V. 2019. Genomic diversity of antibiotic multi-resistant Staphylococcus epidermidis isolated from a tertiary care hospital in México City. PeerJ Preprints 7:e27693v1

Abstract

Staphylococcus epidermidis is a human commensal and opportunistic pathogen worldwide distributed. To ascertain which pathogenic S. epidermidis clones are circulating in a local tertiary hospital setting, we sequenced the complete genomes of 17 S. epidermidis isolates obtained from neonatal infections at a Hospital Care Unit in México City. Genomic comparisons between S. epidermidis isolates revealed high pairwise whole genome nucleotide identities of about 97% to 99% and essentially a clonal structure. We inferred eight Multilocus Sequence Types (MLST´s), six of them of worldwide distribution, and two showing allelic variants, not in MLST databases. The profile of virulence includes genes involved in biofilm and modulin formation; most of the strains are multi-resistant to methicillin and several other beta-lactams, fluoroquinolones, and macrolides. Uneven distribution of insertion sequences, phages, and CRISPR-Cas immunity phage systems suggest frequent horizontal gene transfer. Rates of recombination between S. epidermidis strains were more frequent than the mutation rate and affected the whole genome. Therefore, recombination properties shape the population structure of local nosocomial S. epidermidis strains, formed by pathogenic and probably, non-pathogenic clones.

Author Comment

This is a submission to PeerJ for review.

Supplemental Information

Genome identity (ANIm) between pairs of SE INPer strains

Pairwise whole genome alignments were done with Mummer within the JSspecies program (Richter et al., 2016). The percent of average nucleotide alignment (ANI) was illustrated by a heat-map constructed with ggPlot2 in R (see methods). ANI > 99% are in red color. S. epidermidis ATCC 12228 was included for comparison. S10 strain had ANI = 97% respect all the other SE strains.

DOI: 10.7287/peerj.preprints.27693v1/supp-1

Pangenome model of SE strains

The pangenome model of 29 SE strains was performe with GET_HOMOLOGUES (Contreras-Moreira and Vinuesa, 2013) as described in methods. A. Pangenome size (number of gene family clusters, Y axis) as a function of the number of SE genomes (X axis). B. Core genome according to the Tettelin equations.

DOI: 10.7287/peerj.preprints.27693v1/supp-2

Clonal relationships of the STs detected in INPer strains respect to the ST database

Alleles for the seven proteins used in the S. epidermidisMLST scheme (Thomas et al., 2007) were looked at the Staphylococcus epidermidis MLST database ( https://pubmlst.org/sepidermidis/ ; Table 1; see methods) (Feil et al., 2004). The clonal relationships among STs were determined by eBURST( http://eburst.mlst.net ). Six out of 8 ST complexes assigned to the SEINPer strains are denoted by numbers in violet color.

DOI: 10.7287/peerj.preprints.27693v1/supp-3

Completeness of SE INPer genome collection

DOI: 10.7287/peerj.preprints.27693v1/supp-5

Genomes of SEfrom the GenBank used in this work

DOI: 10.7287/peerj.preprints.27693v1/supp-6

Prophage sequences and their homologs found in SEINPer genomes

DOI: 10.7287/peerj.preprints.27693v1/supp-7

CRISPR-Cas elements present in SE INPer strains

DOI: 10.7287/peerj.preprints.27693v1/supp-8

Insertion sequences present in SEINPer strains

DOI: 10.7287/peerj.preprints.27693v1/supp-9