2010
DOI: 10.1126/science.1182395
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Evolution of MRSA During Hospital Transmission and Intercontinental Spread

Abstract: Current methods for differentiating isolates of predominant lineages of pathogenic bacteria often do not provide sufficient resolution to define precise relationships. Here, we describe a high-throughput genomics approach that provides a high-resolution view of the epidemiology and microevolution of a dominant strain of methicillin-resistant Staphylococcus aureus (MRSA). This approach reveals the global geographic structure within the lineage, its intercontinental transmission through four decades, and the pot… Show more

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Cited by 1,002 publications
(1,117 citation statements)
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References 26 publications
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“…To infer a temporal scale, we estimated the rate of nucleotide substitution using published whole-genome data from ST239, sampled over a 20-year period [7]. A rate estimate obtained from these data was used to inform a prior applying only to third codon positions.…”
Section: Methodsmentioning
confidence: 99%
See 1 more Smart Citation
“…To infer a temporal scale, we estimated the rate of nucleotide substitution using published whole-genome data from ST239, sampled over a 20-year period [7]. A rate estimate obtained from these data was used to inform a prior applying only to third codon positions.…”
Section: Methodsmentioning
confidence: 99%
“…To deal with the challenges of these data, we introduce two methodological innovations. First, to add a temporal scale to our phylogeny, we estimate rates of substitution from whole-genome sequences of S. aureus with known dates of isolation in the recent past [6][7][8]. We use these estimates to constrain rates at sites least likely to be affected by weak purifying selection (which can decrease rates over the longer term [9]), while also allowing for rate variation across the tree.…”
Section: Introductionmentioning
confidence: 99%
“…A small number of MRSA clones have dominated globally in hospital settings, and progressive waves of different clones have occurred over time. 8,9 Currently, sequence type (ST) 22 (EMRSA-15) has been growing in importance in the UK, Europe, South-East Asia (i.e. Singapore) and Australia, and is replacing other MRSA clones (ST36 or EMRSA-16 in the UK, ST239 in Singapore and Australia).…”
mentioning
confidence: 99%
“…Consequently, staphylococci have been subjected to many molecular epidemiology studies 80 , including WGS analyses [41][42][43][44][45][46]82 . Many areas of the biology and pathology of these organisms have been investigated, including their evolution (particularly the origins of MRSA) in hospitals and communities 83,84 , the spread of clones among animals and humans 85 , the dynamics of colonization and infection 86 , and outbreak detection and control 87 .…”
Section: Applying Gene-by-gene Analysismentioning
confidence: 99%