In:
PLOS Pathogens, Public Library of Science (PLoS), Vol. 17, No. 2 ( 2021-2-5), p. e1009304-
Abstract:
S . epidermidis is a substantial component of the human skin microbiota, but also one of the major causes of nosocomial infection in the context of implanted medical devices. We here aimed to advance the understanding of S . epidermidis genotypes and phenotypes conducive to infection establishment. Furthermore, we investigate the adaptation of individual clonal lines to the infection lifestyle based on the detailed analysis of individual S . epidermidis populations of 23 patients suffering from prosthetic joint infection. Analysis of invasive and colonizing S . epidermidis provided evidence that invasive S . epidermidis are characterized by infection-supporting phenotypes (e.g. increased biofilm formation, growth in nutrient poor media and antibiotic resistance), as well as specific genetic traits. The discriminating gene loci were almost exclusively assigned to the mobilome. Here, in addition to IS 256 and SCC mec , chromosomally integrated phages was identified for the first time. These phenotypic and genotypic features were more likely present in isolates belonging to sequence type (ST) 2. By comparing seven patient-matched nasal and invasive S . epidermidis isolates belonging to identical genetic lineages, infection-associated phenotypic and genotypic changes were documented. Besides increased biofilm production, the invasive isolates were characterized by better growth in nutrient-poor media and reduced hemolysis. By examining several colonies grown in parallel from each infection, evidence for genetic within-host population heterogeneity was obtained. Importantly, subpopulations carrying IS insertions in agrC , mutations in the acetate kinase (AckA) and deletions in the SCC mec element emerged in several infections. In summary, these results shed light on the multifactorial processes of infection adaptation and demonstrate how S . epidermidis is able to flexibly repurpose and edit factors important for colonization to facilitate survival in hostile infection environments.
Type of Medium:
Online Resource
ISSN:
1553-7374
DOI:
10.1371/journal.ppat.1009304
DOI:
10.1371/journal.ppat.1009304.g001
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10.1371/journal.ppat.1009304.g002
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10.1371/journal.ppat.1009304.g003
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10.1371/journal.ppat.1009304.g004
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10.1371/journal.ppat.1009304.g005
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10.1371/journal.ppat.1009304.g006
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10.1371/journal.ppat.1009304.g007
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10.1371/journal.ppat.1009304.g008
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10.1371/journal.ppat.1009304.g009
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10.1371/journal.ppat.1009304.g010
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10.1371/journal.ppat.1009304.g011
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10.1371/journal.ppat.1009304.g012
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10.1371/journal.ppat.1009304.g013
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10.1371/journal.ppat.1009304.g014
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10.1371/journal.ppat.1009304.t001
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10.1371/journal.ppat.1009304.s001
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10.1371/journal.ppat.1009304.s002
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10.1371/journal.ppat.1009304.s003
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10.1371/journal.ppat.1009304.s004
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10.1371/journal.ppat.1009304.s005
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10.1371/journal.ppat.1009304.s006
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10.1371/journal.ppat.1009304.s007
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10.1371/journal.ppat.1009304.s008
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10.1371/journal.ppat.1009304.s009
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10.1371/journal.ppat.1009304.s010
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10.1371/journal.ppat.1009304.s011
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10.1371/journal.ppat.1009304.s012
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10.1371/journal.ppat.1009304.s013
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10.1371/journal.ppat.1009304.s014
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10.1371/journal.ppat.1009304.s015
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10.1371/journal.ppat.1009304.s016
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10.1371/journal.ppat.1009304.s017
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10.1371/journal.ppat.1009304.s018
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10.1371/journal.ppat.1009304.s019
DOI:
10.1371/journal.ppat.1009304.s020
DOI:
10.1371/journal.ppat.1009304.s021
Language:
English
Publisher:
Public Library of Science (PLoS)
Publication Date:
2021
detail.hit.zdb_id:
2205412-1
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