Intermediate-type vancomycin resistance (VISA) in genetically-distinct Staphylococcus aureus isolates is linked to specific, reversible metabolic alterations.

PLoS One

Division of Infectious Diseases, Department of Medicine, Weill Cornell Medical College, New York, New York, United States of America; Department of Microbiology and Immunology, Weill Cornell Medical College, New York, New York, United States of America.

Published: June 2015

Intermediate (VISA-type) vancomycin resistance in Staphylococcus aureus has been associated with a range of physiologic and genetic alterations. Previous work described the emergence of VISA-type resistance in two clonally-distinct series of isolates. In both series (the first belonging to MRSA clone ST8-USA300, and the second to ST5-USA100), resistance was conferred by a single mutation in yvqF (a negative regulator of the vraSR two-component system associated with vancomycin resistance). In the USA300 series, resistance was reversed by a secondary mutation in vraSR. In this study, we combined systems-level metabolomic profiling with statistical modeling techniques to discover specific, reversible metabolic alterations associated with the VISA phenotype.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4016254PMC
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0097137PLOS

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