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A Link Between Virulence and Ecological Abundance in Natural Populations of Staphylococcus aureus
Nicholas P. J. Day,1*Catrin E. Moore,1Mark C. Enright,2Anthony R. Berendt,1John Maynard Smith,3Michael F. Murphy,4Sharon J. Peacock,5Brian G. Spratt,2Edward J. Feil2
Staphylococcus aureus is a major cause of severe
infection in humans and yet is carried without symptoms by a large
proportionof the population. We used multilocus sequence typing to
characterizeisolates of S. aureus recovered from
asymptomatic nasal carriageand from episodes of severe disease within
a defined population.We identified a number of frequently carried
genotypes that weredisproportionately common as causes of disease,
even taking intoaccount their relative abundance among carriage
isolates. Theexistence of these ecologically abundant hypervirulent
clonessuggests that factors promoting the ecological fitness of thisimportant pathogen also increase its virulence.
1 Centre for Tropical Medicine, Nuffield
Department of Clinical Medicine, University of Oxford, John Radcliffe
Hospital, Oxford OX3 9DU, UK.
2 Wellcome Trust
Centre for the Epidemiology of Infectious Disease, University of
Oxford, Oxford OX1 3FY.
3 School of Biological
Sciences, University of Sussex, Falmer, Brighton, BN1 9QG, UK.
4 National Blood Service, John Radcliffe
Hospital, Oxford OX3 9DU, UK.
5 Nuffield Department
of Clinical Laboratory Sciences, University of Oxford, John Radcliffe
Hospital, Oxford, OX3 9DU, UK.
*
To whom correspondence should be addressed. E-mail:
nick.day{at}ndm.ox.ac.uk
Present address: Department of Biology and
Biochemistry, University of Bath, Bath, BA2 7AY, UK.
Present address: Department of Infectious Disease
Epidemiology, Imperial College School of Medicine, St. Mary's Campus,
NorfolkPlace, London, W2 1PG, UK.
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