Evidence map›Paper›PMID 34052522›Full record

ArticleJournal of global antimicrobial resistance2021

Whole-genome analysis uncovers loss of blaZ associated with carriage isolates belonging to methicillin-resistant Staphylococcus aureus (MRSA) clone ST5-VI in Cape Verde.

Magdalena Wysocka, Tamar Monteiro, Carine de Pina, Deisy Gonçalves, Sandrine de Pina, Antonio Ludgero-Correia, Joao Moreno, Roxana Zamudio, Nada Almebairik, Laura J Gray and 8 more

Open access · goldAbstract read
In one paragraph

Article in Journal of global antimicrobial resistance, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.1field-weighted citation impact, top 52% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Study on the Mechanism of Berberine Reversing MRSA Resistance to β-Lactam Antibiotics by Inhibiting blaZ Expression.International microbiology : the official journal of the Spanish Society for Microbiology · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 6 countries.

Magdalena WysockaDepartment of Genetics and Genome Biology, University of Leicester, Leicester, UK; Department of Molecular Biotechnology and Microbiology, Gdansk University of Technology, Gdańsk, Poland.
Tamar MonteiroUniversidade de Cabo Verde, Praia, Santiago, Cape Verde.
Carine de PinaUniversidade de Cabo Verde, Praia, Santiago, Cape Verde.
Deisy GonçalvesUniversidade de Cabo Verde, Praia, Santiago, Cape Verde.
Sandrine de PinaUniversidade de Cabo Verde, Praia, Santiago, Cape Verde.
Antonio Ludgero-CorreiaUniversidade de Cabo Verde, Praia, Santiago, Cape Verde.
Joao MorenoUniversidade de Cabo Verde, Praia, Santiago, Cape Verde.
Roxana ZamudioDepartment of Genetics and Genome Biology, University of Leicester, Leicester, UK.
Nada AlmebairikDepartment of Genetics and Genome Biology, University of Leicester, Leicester, UK.
Laura J GrayDepartment of Health Sciences, University of Leicester, Leicester, UK.
Manish PareekDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.
David R JenkinsDepartment of Clinical Microbiology, Leicester University Hospitals, NHS Trust, Leicester, UK.
Marta Aires-de-SousaLaboratory of Molecular Genetics, Instituto de Tecnologia Química e Biológica António Xavier (ITQB-NOVA), Universidade Nova de Lisboa, Oeiras, Portugal; Escola Superior de Saúde da Cruz Vermelha Portuguesa, Lisbon, Portugal.
Herminia De LencastreLaboratory of Molecular Genetics, Instituto de Tecnologia Química e Biológica António Xavier (ITQB-NOVA), Universidade Nova de Lisboa, Oeiras, Portugal; Laboratory of Microbiology & Infectious Diseases, The Rockefeller University, New York, NY, USA.
Sandra BelezaDepartment of Genetics and Genome Biology, University of Leicester, Leicester, UK.
Isabel I AraujoUniversidade de Cabo Verde, Praia, Santiago, Cape Verde.
Teresa ConceiçãoLaboratory of Molecular Genetics, Instituto de Tecnologia Química e Biológica António Xavier (ITQB-NOVA), Universidade Nova de Lisboa, Oeiras, Portugal. Electronic address: teresagc@itqb.unl.pt.
Marco R OggioniDepartment of Genetics and Genome Biology, University of Leicester, Leicester, UK; Dipartimento di Farmacia e Biotecnologie, Universita' di Bologna, Bologna, Italy. Electronic address: mro5@leicester.ac.uk.
University of Cape Verde · CVUniversity of Leicester · GBUniversidade Nova de Lisboa · PTGdańsk University of Technology · PLRockefeller University · USUniversity Hospitals of Leicester NHS Trust · GB

Funding

Department of Health PDF-2015-08-102Medical Research Council MR/V027549/1
6 · The paper itself

Abstract

objectivesSurveillance studies for Staphylococcus aureus carriage are a primary tool to survey the prevalence of methicillin-resistant S. aureus (MRSA) in the general population, patients and healthcare workers. We have previously reported S. aureus carriage in various African countries, including Cape Verde.

methodsWhole-genome sequences of 106 S. aureus isolates from Cape Verde were determined.

resultsStaphylococcus aureus carriage isolates in Cape Verde show high genetic variability, with the detection of 27 sequence types (STs) and three primary genetic clusters associated with ST152, ST15 and ST5. One transmission event with less than eight core-genome single nucleotide polymorphisms (cgSNP) differences was detected among the ST5-VI MRSA lineage. Genetic analysis confirmed the phenotypic resistance and allowed the identification of six independent events of plasmid or transposon loss associated with the deletion of blaZ in nine isolates. In the four ST5 MRSA isolates, loss of the blaZ plasmid coincided with the acquisition of SCCmec type VI and an unusual penicillin phenotype with a minimum inhibitory concentration (MIC) at the breakpoint, indicating an adaptation trend in this endemic lineage. Similar events of blaZ plasmid loss, with concomitant acquisition SCCmec elements, were detected among ST5 isolates from different geographical origins.

conclusionOverall, the genome data allowed to place isolates in a phylogenetic context and to identify different blaZ gene deletions associated with plasmid or transposon loss. Genomic analysis unveiled adaptation and evolution trends, namely among emerging MRSA lineages in the country, which deserve additional consideration in the design of future infection control protocols.

Indexed as

Methicillin-Resistant Staphylococcus aureusAnti-Bacterial AgentsCabo VerdeClone CellsHumansPhylogenyStaphylococcus aureusAnti-Bacterial AgentsAntibiotic resistanceCape VerdeGenomic epidemiologyMethicillin-resistantMRSAStaphylococcus aureus

Identifiers

PMID34052522
PMCPMC8440226
OpenAlexW3165390767

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.