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Staphylococcus epidermidis - virulence factors and innate ... - Munin

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(391). Finally, arginine deiminase, the main enzyme coded for by the operon, is important in the<br />

inhibition of human peripheral blood mononuclear cell proliferation in Streptococcus pyogenes<br />

(392). The opp3- operon encodes an ABC transporter system. Similar opp-operons in other<br />

bacterial species have a wide array of functions, such as pheromone transport, chemotaxis <strong>and</strong><br />

expression of <strong>virulence</strong> determinants (391, 393). ACME –opp3 belong to the same family as<br />

opp1 <strong>and</strong> opp2, two natural chromosomal operons encoding ABC transporters involved in<br />

nutrient up-take from the bacterial environment (394).<br />

ACME integrates into orfX in both the USA300 clone <strong>and</strong> ATCC12228 strain, <strong>and</strong> is flanked by<br />

SCCmec- specific repeat sequences (391). The SCCmec elements nearby <strong>and</strong> their cassette<br />

chromosome recombinases (ccrA/ccrB) is believed to be important when moving this isl<strong>and</strong> from<br />

one strain to another (391, 395-397)<br />

ACME was first described in the community associated methicillin-resistant S. aureus (Ca-<br />

MRSA) USA300 strain <strong>and</strong> the biofilm-negative S. <strong>epidermidis</strong> strain ATCC12228 (391). In S.<br />

aureus ACME was initially considered as a new <strong>and</strong> putative important <strong>virulence</strong> factor. This<br />

was due to its presence in the pathogenic <strong>and</strong> widespread S. aureus strain, USA300 (398-401),<br />

<strong>and</strong> its correlation to methicillin resistance through it co-localization in to the SCCmec element<br />

(391, 396), <strong>and</strong> because an isogenic ACME-negative mutant showed significantly reduced fitness<br />

in a rabbit infection model (402). However, <strong>and</strong> in contrast to Diep`s study from 2008, a recent<br />

study did not show that the presence of ACME was associated with increased <strong>virulence</strong> in a rat<br />

model of necrotizing pneumonia (403) Thus, currently ACMEs role as a <strong>virulence</strong> factor in S.<br />

aureus is unclear.<br />

44

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