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Antimicrobial Agents and Chemotherapy, April 2007, p. 1497-1499, Vol. 51, No. 4
0066-4804/07/$08.00+0 doi:10.1128/AAC.01239-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
Fitness Cost of Staphylococcal Cassette Chromosome mec in Methicillin-Resistant Staphylococcus aureus by Way of Continuous Culture
Sui Mae Lee,1
Miriam Ender,2
Rajan Adhikari,1,2
John M. B. Smith,1
Brigitte Berger-Bächi,2 and
Gregory M. Cook1*
Department of Microbiology and Immunology, Otago School of Medical Sciences, University of Otago, P.O. Box 56, Dunedin, New Zealand,1
Institute of Medical Microbiology, University of Zürich, Gloriastr. 32, CH8006 Zürich, Switzerland2
Received 3 October 2006/
Returned for modification 13 November 2006/
Accepted 17 December 2006

ABSTRACT
We examined the effect of introducing type I or IV staphylococcal
cassette chromosome
mec (SCC
mec) elements on the growth yield
of
Staphylococcus aureus in glucose-limited continuous culture.
Type I showed increased glucose consumption and ATP demand per
gram of cells synthesized and decreased cell yield compared
to those of the parent strain. In contrast, type IV SCC
mec elements
had no adverse energetic effect.

TEXT
New strains of methicillin-resistant
Staphylococcus aureus (MRSA),
have emerged in the community, causing infections in young,
otherwise healthy people, such as children and military personnel
(
15,
16), and these strains can achieve a higher infection burden
than nosocomial strains (
10). In New Zealand, a community-acquired
MRSA (CA-MRSA) strain designated Western Samoan phage pattern
led to a 15-fold increase in MRSA cases between 1993 and 2000
(
14).
The origins of CA-MRSA strains remain elusive. Compared to hospital-acquired MRSA, CA-MRSA strains appear to have higher growth rates, but the basis for this is unknown (11). These strains compete in an environment that is largely devoid of antibiotic selective pressure, and therefore, the selection for factors that contribute to ecological fitness may outweigh the need for multiple resistance determinants. Moreover, genetic factors seem to determine the permissiveness of S. aureus strain lineages to accommodate mecA and maintain methicillin resistance (8).
In this study, we sought to determine the fitness cost of the staphylococcal cassette chromosome mec (SCCmec) elements by measuring various physiological parameters between three isogenic S. aureus strains carrying either SCCmec type I or SCCmec type IV elements or no SCCmec element, by way of glucose-limited continuous culture.
The susceptible parent strain BB255 is of NCTC8325 background. Strain RA120 is BB255 transformed with an SCCmec type I element (4). Strain RA2 was constructed in this study by transformation of strain BB255 with chromosomal DNA obtained from ST92/398, a CA-MRSA isolate harboring a SCCmec element type IV (1), as described earlier (4). In vitro transformation frequencies were extremely low (
4 x 101/µg of chromosomal DNA). One representative transformant from eight analyzed, designated RA2, was chosen for further study. Figure 1 illustrates that the SmaI-G fragment of strain BB255 harboring orfX, the integration site for SCCmec, shifted by about 25 kb in the transformant RA2 due to the integration of the SCCmec type IV element, which was confirmed by Southern blotting with a mecA probe and by SCCmec typing (5, 12, 13).
Growth experiments were performed in a medium containing the
following: Na
2HPO
4·2H
2O, 6.0 g/liter; KH
2PO
4, 3.0 g/liter;
NaCl, 0.5 g/liter; NH
4Cl, 5.0 g/liter; CaCl
2, 15 mg/liter; MgSO
4,
247 mg/liter; MnSO
4, 1.0 mg/liter; citric acid, 0.06 mg/liter;
tryptone, 1.0 g/liter; and glucose, 0.9 g/liter. The cell yield
for all strains was proportional to the glucose concentration,
indicating that this medium was glucose limited. The doubling
times for each strain at 37°C were as follows: 39 ±
3 min for BB255, 41 ± 3 min for RA2, and 54 ±
5 min for RA120. On the basis of these results, the SCC
mec type
I element appeared to have a negative effect on the growth rate
of BB255 compared to SCC
mec type IV in batch culture.
To study the roles of the different SCCmec elements on bacterial fitness at precisely controlled growth rates, all strains were grown in glucose-limited continuous culture, with a working volume of approximately 350 ml at a dilution rate of 0.1 h1 (doubling time of 6.9 h). The growth medium was inoculated with exponential-phase cells and permitted to undergo batch growth to densities of approximately 0.3 to 0.8 (optical density at 600 nm) with constant agitation at 200 rpm. Concomitant with the initiation of continuous growth, agitation was then increased to 400 rpm to provide adequate aeration during steady-state conditions. The desired dilution rate was maintained for at least four residence times to allow the culture to reach steady state prior to sampling. At each steady state, 90-ml samples were removed and analyzed for residual glucose (UV method; R-Biopharm), end products (3), total viable CFU on LB agar plates, and cell weight (dry weight). After each sampling, the culture was again maintained for at least four residence times to reach steady state prior to replicate sampling. The values reported are the means of two to four independent experiments with triplicate determinations performed per sampling for each parameter measured. The standard experimental error of the mean associated with these determinations is shown.
At a dilution rate of 0.1 h1, cells reached a steady-state optical density at 600 nm of 0.39 to 0.56 (data not shown) and the CFU ranged from 5.75 x 107 to 5.86 x 108 (Fig. 2A). To determine the cell yield on glucose (Yglucose), the dry weight and glucose consumption rate of all strains were measured (Fig. 2B and C). Strain RA120 had the lowest dry weight but exhibited the greatest rate of glucose consumption, resulting in the lowest Yglucose for the three strains studied (Fig. 2D). In contrast, strain RA2 had the highest dry weight and the lowest rate of glucose consumption, resulting in a relatively high Yglucose. Strain BB255 was intermediate for both parameters. End product analysis from glucose consumption for each strain indicated that glucose was oxidized to CO2 at each dilution rate, i.e., no incomplete oxidation to acetate or lactate was detected.
When
S. aureus is grown on glucose as the sole carbon and energy
source under aerobic growth conditions, the theoretical ATP
yield is 9.4 mol of ATP produced per mol of glucose consumed
(
6). On the basis of this value, we calculated the weight in
grams (dry weight) of cells produced per mole of ATP utilized
(
YATP) for each strain (Fig.
3A). For example, at a dilution
rate of 0.1 h
1, the average
Yglucose value for strain
BB255 was 38.4 g (dry weight) of cells/mol glucose utilized
(Fig.
2D) or 38.4 g (dry weight) of cells/9.4 mol of ATP utilized,
which is equivalent to a
YATP value of 4.10 ± 0.3 g (dry
weight) cells/mol ATP utilized. The calculated
YATP value for
strain RA2 was 5.64 ± 0.45 g (dry weight) cells/mol ATP
utilized, and for RA120, it was 3.24 ± 0.2 g (dry weight)
cells/mol ATP utilized (Fig.
3A). These values are equivalent
to an ATP demand per gram of newly synthesized biomass for each
strain as follows: BB255, 244 ± 18 mmol ATP/g cells synthesized;
RA2, 177 ± 22 mmol ATP/g cells synthesized; and for RA120,
308 ± 25 mmol ATP/g cells synthesized (Fig.
3B).
A number of studies have suggested that the size of the SCC
mec element plays a major role in the fitness of
S. aureus strains
(
2,
7,
16). Our data suggest that the SCC
mec type IV element
from CA-MRSA did not impose an energetic cost to its naïve
host in terms of the maximum growth rate, cell yield, and the
amount of cells that can be produced per mole of ATP consumed.
However, the SCC
mec type I element reduced the fitness of its
host in terms of growth rate and cell yield. It is unlikely
that the difference in size of the SCC
mec elements is responsible
for decreased fitness. Genes expressed from this DNA, such as
pls coding for the plasmin-sensitive cell wall protein Pls,
located on type I but not on type IV SCC
mec elements, may affect
the performance of MRSA. Notwithstanding this, the most likely
factor may be the ease at which PBP2a was integrated into the
existing cell wall synthesis complex, and the possible secondary
compensatory events accompanying this event. Naïve cells,
such as strain BB255 used here as a recipient for SCC
mec, represent
a host barrier for PBP2a, and were postulated to have to adapt
in order to accept PBP2a (
9). The altered ribosome binding site
of
mecA in the type IV SCC
mec element (unpublished results)
predicts lower PBP2a production compared to type I
mecA, the
latter of which is known to produce large and constitutive amounts
of PBP2. It is possible that differences in the levels of PBP2a
may have triggered different compensatory events and that these
have caused the negative effect of SCC
mec type I elements on
growth yield.

ACKNOWLEDGMENTS
Sui Mae Lee was supported by the University of Otago Dr Sulaiman
Daud Jubilee 125 Postgraduate Scholarship. The financial assistance
of the Otago Medical Research Foundation and the Deans Fund
of the Otago School of Medical Sciences is gratefully acknowledged.
M. Ender was supported by a grant of the Swiss National Science
Foundation NF31-105390/1 to B. Berger-Bächi.

FOOTNOTES
* Corresponding author. Mailing address: Department of Microbiology and Immunology, Otago School of Medical Sciences, University of Otago, P.O. Box 56, Dunedin, New Zealand. Phone: 64 3 479 7722. Fax: 64 3 479 8540. E-mail:
greg.cook{at}stonebow.otago.ac.nz 
Published ahead of print on 5 February 2007. 

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Antimicrobial Agents and Chemotherapy, April 2007, p. 1497-1499, Vol. 51, No. 4
0066-4804/07/$08.00+0 doi:10.1128/AAC.01239-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.