Multilocus sequence Typing Scheme for Enterococucus faecalis Reveals Hospital-Adapted genetic Complexes in Background of High Rates of Recombination
- Ruiz-Garbajosa, P. 5
- Bonten, M.J.M. 4
- Robinson, D.A. 3
- Top, J. 4
- Nallapareddy, S.R. 1
- Torres, C. 2
- Coque, T.M. 5
- Cantón, R. 5
- Baquero, F. 5
- Murray, B.E. 1
- Del Campo, R. 5
- Willems, R.J.L. 4
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1
University of Texas System
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2
Universidad de La Rioja
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3
New York Medical College
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4
University Medical Center Utrecht
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5
Hospital Ramón y Cajal
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ISSN: 0095-1137
Año de publicación: 2006
Volumen: 44
Número: 6
Páginas: 2220-2228
Tipo: Artículo
Otras publicaciones en: Journal of Clinical Microbiology
Resumen
A multilocus sequence typing (MLST) scheme based on seven housekeeping genes was used to investigate the epidemiology and population structure of Enterococcus faecalis. MLST of 110 isolates from different sources and geographic locations revealed 55 different sequence types that grouped into four major clonal complexes (CC2, CC9, CC10, and CC21) by use of eBURST. Two of these clonal complexes, CC2 and CC9, are particularly fit in the hospital environment, as CC2 includes the previously described BVE clonal complex identified by an alternative MLST scheme and CC9 includes exclusively isolates from hospitalized patients. Identical alleles were found in genetically diverse isolates with no linkage disequilibrium, while the different MLST loci gave incongruent phylogenetic trees. This demonstrates that recombination is an important mechanism driving genetic variation in E. faecalis and suggests an epidemic population structure for E. faecalis. Our novel MLST scheme provides an excellent tool for investigating local and short-term epidemiology as well as global epidemiology, population structure, and genetic evolution of E. faecalis. Copyright © 2006, American Society for Microbiology. All Rights Reserved.