PMID- 19571023 OWN - NLM STAT- MEDLINE DCOM- 20091026 LR - 20211020 IS - 1098-660X (Electronic) IS - 0095-1137 (Print) IS - 0095-1137 (Linking) VI - 47 IP - 9 DP - 2009 Sep TI - A trilocus sequence typing scheme for hospital epidemiology and subspecies differentiation of an important nosocomial pathogen, Enterococcus faecalis. PG - 2713-9 LID - 10.1128/JCM.00667-09 [doi] AB - In this study, we present a trilocus sequence typing (TLST) scheme based on intragenic regions of two antigenic genes, ace and salA (encoding a collagen/laminin adhesin and a cell wall-associated antigen, respectively), and a gene associated with antibiotic resistance, lsa (encoding a putative ABC transporter), for subspecies differentiation of Enterococcus faecalis. Each of the alleles was analyzed using 50 E. faecalis isolates representing 42 diverse multilocus sequence types (ST(M); based on seven housekeeping genes) and four groups of clonally linked (by pulsed-field gel electrophoresis [PFGE]) isolates. The allelic profiles and/or concatenated sequences of the three genes agreed with multilocus sequence typing (MLST) results for typing of 49 of the 50 isolates; in addition to the one exception, two isolates were found to have identical TLST types but were single-locus variants (differing by a single nucleotide) by MLST and were therefore also classified as clonally related by MLST. TLST was also comparable to PFGE for establishing short-term epidemiological relationships, typing all isolates classified as clonally related by PFGE with the same type. TLST was then applied to representative isolates (of each PFGE subtype and isolation year) of a collection of 48 hospital isolates and demonstrated the same relationships between isolates of an outbreak strain as those found by MLST and PFGE. In conclusion, the TLST scheme described here was shown to be successful for investigating short-term epidemiology in a hospital setting and may provide an alternative to MLST for discriminating isolates. FAU - Chowdhury, Shahreen A AU - Chowdhury SA AD - Division of Infectious Diseases, Department of Internal Medicine, University of Texas Medical School at Houston, 6431 Fannin Street, Houston, TX 77030, USA. FAU - Arias, Cesar A AU - Arias CA FAU - Nallapareddy, Sreedhar R AU - Nallapareddy SR FAU - Reyes, Jinnethe AU - Reyes J FAU - Willems, Rob J L AU - Willems RJ FAU - Murray, Barbara E AU - Murray BE LA - eng GR - R37 AI 47923/AI/NIAID NIH HHS/United States GR - K99 AI072961/AI/NIAID NIH HHS/United States GR - 1K99-AI72961/AI/NIAID NIH HHS/United States GR - UL1 RR024148/RR/NCRR NIH HHS/United States GR - R37 AI047923/AI/NIAID NIH HHS/United States PT - Comparative Study PT - Evaluation Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20090701 PL - United States TA - J Clin Microbiol JT - Journal of clinical microbiology JID - 7505564 RN - 0 (ATP-Binding Cassette Transporters) RN - 0 (Ace protein, Enterococcus) RN - 0 (Bacterial Proteins) RN - 0 (Carrier Proteins) RN - 0 (DNA, Bacterial) RN - 0 (Lsa protein, Enterococcus faecalis) SB - IM MH - ATP-Binding Cassette Transporters/genetics MH - Animals MH - Bacterial Proteins/genetics MH - Bacterial Typing Techniques/*methods MH - Carrier Proteins/genetics MH - Cross Infection/*microbiology MH - DNA Fingerprinting/*methods MH - DNA, Bacterial/chemistry/genetics MH - Disease Outbreaks MH - Enterococcus faecalis/*classification/genetics/*isolation & purification MH - Genotype MH - Gram-Positive Bacterial Infections/*diagnosis/*microbiology MH - Humans MH - Sequence Analysis, DNA/*methods PMC - PMC2738112 EDAT- 2009/07/03 09:00 MHDA- 2009/10/27 06:00 PMCR- 2010/03/01 CRDT- 2009/07/03 09:00 PHST- 2009/07/03 09:00 [entrez] PHST- 2009/07/03 09:00 [pubmed] PHST- 2009/10/27 06:00 [medline] PHST- 2010/03/01 00:00 [pmc-release] AID - JCM.00667-09 [pii] AID - 0667-09 [pii] AID - 10.1128/JCM.00667-09 [doi] PST - ppublish SO - J Clin Microbiol. 2009 Sep;47(9):2713-9. doi: 10.1128/JCM.00667-09. Epub 2009 Jul 1.