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Characterization of Staphylococcus aureus isolates from pediatric patients with cystic fibrosis

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Abstract

Staphylococcus aureus is one of the major respiratory pathogens associated with cystic fibrosis (CF) patients. In this study, we collected sputum and isolated fifty S. aureus isolates from CF patients with the median age of 9.5 years old. Then we determined the profiles of these isolates by antibiotic susceptibility testing, examining their cytotoxicity and ability to internalize into an epithelial cell line (A549), as well as multiple loci sequencing typing. Predominant CF S. aureus isolates were resistant to penicillin; however, these isolates were sensitive to various antibiotics, such as vancomycin and minocycline. Different CF S. aureus isolates showed distinct cytotoxic activities, and 90 % of CF S. aureus isolates possessed the enterotoxin genes, sea and hlg. Moreover, we found that multiple different CF S. aureus isolates appeared to have the distinct capacity of invading A549 cells. ST5 (14 %), ST30 (14 %), and ST8 (10 %) were prevalent ST types in these isolates. Further analysis revealed that ST5 and ST30 isolates were less toxic than ST8 and ST15 isolates, and that the ST5, ST15, ST59, and ST87 types of CF S. aureus were less capable of invading A549 cells. Our results suggest that the ST typing method may be useful in predicting cytotoxicity and the invading capacity of S. aureus isolates from patients with CF.

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Acknowledgments

This study was funded by Mayo Clinic Internal grant (James Phillips), NIH grant AI078951 (Yinduo Ji) and Shanghai Vocational College of Agriculture and Forestry scholarship (Ying Liu and Dengke Zhong).

Author contributions

Ying Liu, Lu Ji, Junshu Yang, Dengke Zhong performed the experiments. Jiang Zhang, James Phillips and Yinduo Ji designed the experiments. Ying Liu, Lu Ji, Jiang Zhang, James Phillips and Yinduo Ji analyzed the data. Jiang Zhang, James Phillips and Yinduo Ji wrote the manuscript.

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Correspondence to James Phillips or Yinduo Ji.

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Liu, Y., Zhang, J., Zhong, D. et al. Characterization of Staphylococcus aureus isolates from pediatric patients with cystic fibrosis. World J Microbiol Biotechnol 32, 162 (2016). https://doi.org/10.1007/s11274-016-2122-4

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