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This study investigated the biological characteristics of Staphylococcus strains isolated from Xizangan yak milk by examining the antibiotic resistance phenotypes of 69 isolates against 18 antibiotics, detecting 31 associated resistance genes, identifying 16 virulence genes, and assessing biofilm formation capability. Furthermore, molecular typing techniques including spa typing, multilocus sequence typing (MLST), and Staphylococcus cassette chromosome mec (SCCmec) were used for detailed characterization of the isolates. The findings revealed a high penicillin resistance rate of 72.46%. Resistance genes such as gyrA (100.00%), glrB (92.75%), and gyrB (44.93%) were prevalent. The detection rates were 81.16% and 55.07% for the beta-lactamase gene blaZ and the mecA gene, respectively. Among the tested virulence genes, lukS, lukF, hla, clfA, and icaD were detected in 40.58% of isolates, while sec was detected in 24.64%. MLST typing identified four isolates belonging to the ST62623 type and 24 other isolates representing novel ST types not reported on PubMLST.org. Spa typing revealed spa types t1940 (n = 9), t3022 (n = 8), t4558 (n = 6), t4236 (n = 3), t4445 (n = 1), and one unreported spa type. For SCCmec typing, 11 isolates were typed as SCCmec IVb and 9 as SCCmec V. These findings significantly enhance our understanding of the biological characteristics of Staphylococcus strains derived from Xizangan yak milk.
Introduction
The yak is an ancient animal with a domestication history of millennia [1], and has progressively become an essential component of life for the residents of the Xizang Plateau and adjacent regions. Yaks have a crucial role in economic activities, religious rituals, folk traditions, and social frameworks. In the life of Xizang and other highland tribes, yaks are valued as diligent pack animals supply various resources, including meat, milk, wool, and leather [2]. However, the rudimentary breeding practices and inadequate management standards in yak farming in Xizang render these animals vulnerable to several bacterial infections that can lead to diseases. Therefore, this study aims to investigate the biological characteristics of Staphylococcus strains derived from yak milk, which is crucial for the prevention and treatment of related diseases.
Based on the presence of coagulase, staphylococci can be classified into coagulase-positive staphylococci (CPS) and coagulase-negative staphylococci (CNS). Staphylococcus aureus (S. aureus), a representative of coagulase-positive staphylococci (CPS), is the most clinically significant staphylococcus identified to date [3]. S. aureus exhibits strong virulence and adaptability, enabling it to evade immune responses and cause damage to the host via biofilm formation and generation of virulence factors [4]. S. aureus can induce a spectrum of diseases, including encephalitis, pericarditis, and pneumonia. It can also provoke systemic inflammatory responses such as sepsis and septicemia, posing serious threats to the health of humans and animals [5, 6]. In veterinary medicine, S. aureus is a source of great concern, frequently causing mastitis in cattle and sheep [7, 8], arthritis in chickens [9], and dermatitis in pigs [10], among other reported infections in animals like ducks [11]. Furthermore, S. aureus is one of the primary pathogens responsible for foodborne diseases [12], with the enterotoxins produced by this bacterium significantly contributing to gastroenteritis [13]. Antibiotics have historically served as an effective treatment for S. aureus infections; however, the misuse of antibiotics has resulted in the gradual emergence of resistant strains. Methicillin-resistant Staphylococcus aureus (MRSA) was first reported in 1961 and rapidly disseminated [14]. By the 1980s, it had risen to become one of the three most challenging infectious diseases globally [15]. Research has demonstrated that the pathogenic mechanisms of MRSA are complex since the bacterium can colonize several anatomical sites in the host, including the throat [16], nasal cavity, armpits, groin [17], and intestines [18]. Notably, intestinal MRSA colonization can lead to infections in distant tissues [19]. Additionally, MRSA can cause chronic, persistent, and recurrent infections in the host, as well as invasive infections [20]. Therefore, MRSA poses a significant challenge to global public health systems [21].
There are several types of coagulase-negative staphylococci (CNS), including Staphylococcus chromogenes (S. chromogenes), Staphylococcus pasteuri (S. pasteuri), and Staphylococcus epidermidis (S. epidermidis). Over 30 subtypes of CNS have been identified, and this number continues expanding. Research has demonstrated that CNS contributes positively to the skin colonization of S. aureus [22], and serves as a gene reservoir that enhances the antibiotic resistance of staphylococci [23]. CNS are major components of the microbial flora on humans and animals' skin and mucous membranes. Although formerly considered non-pathogenic, recent studies have revealed that CNS could be potent and harmful to living organisms. Research indicated that most catheter-associated, device-associated, and prosthetic joint infections are caused by CNS, which generally exhibit high levels of antibiotic resistance [24]. Furthermore, methicillin-resistant coagulase-negative staphylococci (MRCNS) have been progressively identified in recent years [25, 26].
Staphylococcus agnetis (S. agnetis) is an emerging pathogen found in chickens but commonly isolated from cattle subclinical mastitis [27]. It is often derived from lesions associated with bacterial chondronecrosis with osteomyelitis (BCO) in broiler chickens [28]. This bacterium is classified as a coagulase-variable staphylococcus [29]. Therefore, monitoring S. aureus antimicrobial resistance in yak milk is essential to assess the risk patterns and develop efficient animal antibiotic treatments. To our knowledge, there is a scarcity of research on the contamination of S. aureus in yak milk. This study aims to isolate and identify Staphylococcus strains from yak milk to understand the biological characteristics of these strains.
Common molecular typing methods for staphylococci include multilocus sequence typing (MLST), staphylococcal protein A gene (spa) typing, staphylococcal cassette chromosome mec (SCCmec) typing, etc. [30]. This technique improves multilocus gel electrophoresis and combines phenotypic typing with protein electrophoresis. It can distinguish the genotypes of bacteria based on the nucleotide variations of seven housekeeping genes, namely arcC, aroE, glpF, gmk, pta, tpi, and yqiL. In 1987, Pickenhahn et al. first used the spa typing method to type Staphylococcus aureus [31]. The spa protein is an important component of the cell wall of Staphylococcus aureus, including the X, C, and Fc regions. Spa typing is mainly evaluated based on the number and sequence variations of the repetitive sequences in the X region. The polymorphic X region encodes part of the staphylococcal protein A (Spa). It contains changes in the number of tandem repetitive sequences and base sequence changes within each repetitive sequence. That is, in any Staphylococcus aureus strain, each new 24-base pair sequence is assigned a unique repeat code, and the spa type is determined by the continuity and specific sequence of these repetitive sequences [32]. SCCmec typing was established in the early twenty-first century and has now become an important tool for studying the molecular epidemiology of methicillin-resistant Staphylococcus aureus (MRSA). The SCCmec is the core factor for MRSA to acquire drug resistance. It consists of three parts: the mec gene cluster, the ccr gene cluster, and three J regions of different sizes. Currently, SCCmec typing is achieved by detecting the different combinations between the mec gene cluster and the ccr gene cluster [33]. The convenience of the polymerase chain reaction (PCR)-based method has also led to the wide application of SCCmec typing.
Materials and methods
Sample
A total of 219 yak milk samples were collected from the primary grazing areas in Xizang from May 2023 to May 2024. The sampling was conducted across various locations, including Lhasa City (n = 81), Nyingchi City (n = 7), Nagqu City (n = 95), and Shannan City (n = 36), covering a total of nine counties or districts, as depicted in Fig. 1. Fresh yak milk samples were collected and stored in a vehicle refrigerator at −20 °C for transportation back to the laboratory of the Xizang Animal Husbandry and Veterinary Research Institute.
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Isolation and culture of bacteria
Following the thawing and homogenization of the milk samples, 200 µL was uniformly distributed over Tryptic Soy Agar (TSA) (Hopebio, Qingdao, China) with 5% sterile defibrinated sheep blood (Chengrui, Zhengzhou, China) and incubated at 37 °C for 24 h. Typical colonies that were round, well-defined, smooth, and appeared milky white or golden yellow were selected for purification. After at least four subcultures for purification, Gram staining and microscopic examination were performed.
Biochemical identification tests
Biochemical identification test was carried out using Staphylococcus biochemical micro-identification tube. The specific bacterial colony was inoculated into biochemical identification tubes (Microbial Reagent, Hangzhou, China) according to the instructions and cultured at 37 °C for 18 to 24 h, and then results were observed and recorded.
Bacterial genome extraction
Purified single colonies were inoculated into Tryptic Soy Broth (TSB) (Hopebio, Qingdao, China) with 5% Fetal Bovine Serum (FBS) (Tianhang, Zhejiang, China) and cultured overnight at 37 °C at 130 rpm. Transferred 2 mL of the bacterial suspension, centrifuged at 10,000 rpm for 1 min, and discarded the supernatant. Added 500 µL of Tris–EDTA (TE) buffer (Yuanye, Shanghai, China) and vortexed until the bacterial pellet was completely resuspended. Added 20 µL of Proteinase K (Yuanye, Shanghai, China) (20 mg/mL) and 180 µL of lysozyme (Yuanye, Shanghai, China) (10 mg/mL), mixed thoroughly, and incubated at 37 °C for 10 min. After centrifugation at 10,000 rpm for 2 min, the supernatant was discarded. After adding 200µL of TE buffer and vertexing the bacterial pellet until it was fully reconstituted, it was placed in a metal bath set at 100℃ for 15 min before being swiftly moved to an ice box to cool for 5 min. Finally, centrifugation was performed at 10,000 rpm for 2 min, and the supernatant was collected and stored at −20 °C for future use.
PCR identification of Staphylococcus
The 16S rRNA primers were synthesized [34], which were used to amplify the genomic DNA of the isolated strains through PCR. The primer sequences were 27F: 5′-AGAGTTTGATCCTGGCTCAG-3′ and 1492R: 5′-ACGGCTACCTTGTTACGACTT-3′, synthesized by Songon Biotech (Shanghai) Co., Ltd. The PCR amplification was conducted in a 25 µL reaction volume, consisting of 1 µL of the upstream primer, 1 µL of the downstream primer, 12.5 µL of PCR mix (Vazyme, Nanjing, Chian), 2 µL of DNA template, and 8.5 µL of ddH2O. The PCR products were then subjected to electrophoresis on a 1.0% agarose gel, and images were captured for analysis using a gel imaging system. Positive amplification products were sent to Tsingke Biotechnology (Chengdu) Co., Ltd. for sequencing, and further identification was performed using the NCBI website (https://www.ncbi.nlm.nih.gov/).
Antimicrobial susceptibility test
The Kirby-Bauer disk diffusion method was used to determine the sensitivity of the isolated bacteria to 18 antimicrobial agents [35]. The purified bacterial suspension was evenly spread on TSB (with 5% FBS), and then 18 antibiotic susceptibility disks (Microbial Reagent, Hangzhou, China) were placed on the agar. The plates were incubated at 37 °C for 24 h. The selected antimicrobial agents included commonly used drugs for livestock and humans: penicillin (10 U), cefotaxime (30 µg), trimethoprim-sulfamethoxazole (23.75/1.25 µg), tetracycline (30 µg), neomycin (30 µg), gentamicin (10 µg), kanamycin (30 µg), streptomycin (10 µg), ciprofloxacin (5 µg), chloramphenicol (30 µg), florfenicol (30 µg), erythromycin (15 µg), rifampicin (5 µg), polymyxin B (300 IU), lincomycin (2 µg), oxacillin (1 µg), levofloxacin (5 µg), and vancomycin (30 µg). Finally, the diameters of the inhibition zones were measured, and the resistance of the isolated bacteria was determined according to the manufacturer's instructions.
Antibiotic resistance gene detection
Antibiotic resistance genes were detected in isolated strains using the PCR method [34]. Primers are listed in Table 1. These include resistance genes for macrolides, lincomycins, and streptogramins B (MLSB) such as ermA, ermB, ermC, ermF, erm33, mphC, msrA, lnuA, and lunB; genes associated with pleuromutilins resistance (vga, vgb); β-lactam resistance genes (blaZ, mecA); tetracycline resistance genes (tetM, tetO, tetL, tetK); chloramphenicol resistance genes (cfr, fexA); aminoglycoside resistance genes (aacA-aphD, aadD); quinolone resistant genes (gyrA, gyrB, glrA, glrB); glycopeptide resistance genes (VanA, VanB, VanC1, VanC2/3); the oxazolidinone resistance gene (optrA); and the lifamycin resistance gene (ropB).
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Biofilm detection
Qualitative detection of biofilm
Qualitative biofilm experiments were conducted following the methodology proposed by [34]. Inoculation of S. aureus onto Congo Red Agar (CRA) wad performed and incubated at 37 °C for 24 h. The color of the colonies was observed: black colonies indicate positive, while red colonies indicate negative for biofilm formation. The preparation method for CRA is as described previously. Briefly, 0.8 g of Congo Red (Beichen, Tianjin, China) was dissolved in 10 mL of deionized water and sterilized at 121 °C for 15 min for later use. Brain–Heart Infusion Broth (BHI) (Hopebio, Qingdao, China) 37 g, agar (Yuanye, Shanghai, China) 10 g, and sucrose (Sinopharm Chemical, Shanghai, China) 50 g were dissolved in 1L of deionized water, sterilized at 121 °C for 15 min, and then cooled to about 60 °C before adding 10 mL of Congo Red solution. Finally, mix thoroughly and pour equal amounts into sterilized Petri dishes.
Quantitative detection of biofilms
The biofilm quantification of S. aureus was performed using a microtiter plate assay (MPA) [36]. Firstly, single colony inoculation was performed in TSB (with 5% FBS) and incubated overnight at 37℃ with shaking at 130r/min. Afterward, the culture was mixed with TSB containing 0.25% glucose (Sinopharm Chemical, Shanghai, China) and 0.5% sodium chloride (Sinopharm Chemical, Shanghai, China) at a 1:100 ratio. 200µL of the mixture was transferred into each well of a 96-well plate and incubated at 37℃ for 24 h. Discarded the culture and washed the wells three times with sterile phosphate-buffered saline (PBS, PH 7.2) (Labgic, Beijing, China). After drying at room temperature, 150 µL of methanol (Jinshan, Chengdu, China) was added to each well and fixed for 20 min. Washed with PBS again and dried. Then, 150 µL of 0.1% crystal violet (Yuanye, Shanghai, China) solution is added to each well and stained for 15 min. Washed thrice with distilled water and dried at room temperature. Subsequently, 150 µL ethanol (Jinshan, Chengdu, China) was added to each well and waited for 30 min until the dye was completely dissolved. Finally, optical density was measured at 450 nm (OD450). A culture medium was used without bacteria as a blank control and set three parallel samples. Average optical density (OD450) and standard deviation (s) of the blank control were calculated. A strain is considered biofilm-positive if its OD450 is greater than the blank control OD450 plus 3 s.
Detection of virulence genes
Primers were synthesized (Table 2) for the detection of virulence genes in isolated S. aureus using the PCR method [34]. The targeted genes include enterotoxin genes (sea, seb, sec, sed, see), toxic shock syndrome toxin gene (tsst), leukocidin genes (lukF, lukS), hemolysin gene (hla), clumping factor genes (clfA, clfB), coagulase gene (coa), fibronectin-binding protein genes (fnbA, fnbB), and cell adhesion protein genes (icaA, icaD).
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Molecular typing
SCCmec typing
SCCmec typing method is mainly suitable for Staphylococcus containing the mecA gene. Reference [34] synthesized primers (Table 3) and used the PCR method to perform SCCmec typing of MRSA and MRSCN strains.
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Multilocus sequence typing
MLST typing on S. aureus was performed using primers obtained from the MLST database (http://www.mlst.net/) for the seven housekeeping genes of S. aureus (arcC, aroE, glpF, gmk, pta, tpi, yqiL). After PCR amplification, the products of the seven housekeeping gene fragments were sequenced (Chengdu Tsingke Biotechnology Co., Ltd) and compared with the allele profiles in the S. aureus MLST database (https://pubmlst.org/) for the determination of their sequence type (ST). The primer sequences are shown in Table 4.
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Spa typing
In order to amplify the polymorphic region X of the S. aureus spa gene was synthesized following the previously published protocol [37]. After purification, the sequencing was outsourced to Tsingke Biotechnology Co., Ltd. (Chengdu). The obtained sequences were submitted to the spa gene typing database (http://spatyper.fortinbras.us//) for comparison, leading to the identification of the spa type for each strain of S.aureus. The primer sequences are shown in Table 5.
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Result
Isolation and identification of bacteria
A total of 219 samples of yak milk were analyzed, and 69 were found to be positive, resulting in a positive rate of 31.51%. Based on phenotypic screening, biochemical identification (Table 6), and 16S sequencing, five species of Staphylococcus were isolated: S. aureus, S. chromogenes, S. pasteuri, S. agnetis, and S. epidermidis. A total of 69 strains of Staphylococcus were chosen for further testing from each positive sample.
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Antibiotic sensitivity test results
The antibiotic susceptibility tests (Fig. 2, Table 7) indicated that penicillin exhibited the highest number of resistant strains, with 50 strains (72.46%). This was followed by tetracycline with 11 strains (15.94%), erythromycin with 10 strains (14.49%), lincomycin with 9 strains (13.04%), methicillin with 8 strains (11.59%), polymyxin B with 7 strains (10.14%), kanamycin with 6 strains (8.70%), and trimethoprim-sulfamethoxazole with 3 strains (4.35%). The resistance rates of S.aureus to penicillin and compound sulfamethoxazole were 67.86% and 3.57% respectively. The resistance rates of S. chromogenes to penicillin, tetracycline, and polymyxin B were 100.00%, 13.33%, and 13.33% respectively. The resistance rates of S. pasteuri to penicillin, tetracycline, erythromycin, lincomycin, oxacillin, and kanamycin were 100.00%, 69.23%, 69.23%, 53.33%, 53.33%, and 46.15% respectively. The resistance rates of S. agnetis to polymyxin B and lincomycin were 50.00% and 10.00% respectively. The resistance rates of S. epidermidis to penicillin, compound sulfamethoxazole, and erythromycin were 100.00%, 66.67%, and 33.33% respectively.
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Antibiotic resistance gene detection
The results of the antibiotic resistance gene detection (Table 8) indicated that the resistance genes were detected in the following order, from highest to lowest prevalence: Quinolone resistance gene gyrA (100.00%), glrB (92.75%), β-lactam resistance gene blaZ (81.16%), mecA (55.07%), Quinolone resistance gene gyrB (44.93%), MLSB resistance gene lnuA (33.33%), Tetracycline resistance gene tetK (33.33%), Aminoglycoside resistance gene aacA-aphD (27.54%), Streptogramin resistance gene vga (13.04%), MLSB resistance gene ermC (1.45%), Streptogramin resistance gene vgb (1.45%). These findings highlight the prevalence of specific resistance genes among the isolated strains, particularly those related to quinolone and β-lactam antibiotics.
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In S. aureus, the distribution of gyrA, gyrB, and glrB is the most extensive, with a carriage rate of 100.00% for each. Followed by blaZ (71.43%), mecA (45.71%), and tet(K) (2.86%). In S. chromogenes, the carriage rates of gyrA and blaZ are both 100.00%. Next is glrB (80.00%). The carriage rates of vga and vgb are 60.00% and 6.67%, respectively, and the carriage rate of tet(K) is 13.33%. In S. pasteuri, the carriage rates of blaZ, mecA, gyrA, and glrB are all 100.00%. Next is lnu(A), with a detection rate of 92.31%. The detection rates of tet(K) and aacA—aphD are 69.23% and 61.54% respectively. In S. agnetis, gyrA has the most extensive distribution with a carriage rate of 100.00%. The carriage rates of lnu(A), tet(K), aacA—aphD, and glrB are all 80.00%, and the carriage rates of blaZ and mecA are both 70.00%. In S. epidermidis, the carriage rates of lnu(A), blaZ, mecA, tet(K), aacA—aphD, gyrA, gyrB and glrB are all 100.00%.
Biofilm detection results
The CRA method detected a total of 42 positive biofilm strains (60.87%) and 27 negative strains (39.13%). In contrast, the MPA method identified 54 positive biofilm strains (78.26%) and 15 negative strains (21.74%). The detailed results are shown in Table 9 and Table 10.
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Virulence gene detection
The results of the virulence gene detection data (Table 11) indicated that the leukotoxin genes lukS and lukF, the hemolysin gene hla, the clumping factor gene clfA, and the cell adhesion protein gene icaD exhibited the highest detection rate, each at 40.58%.The remaining virulence genes, listed from highest to lowest detection rate, were as follows: enterotoxin gene sec (24.64%), sed (10.14%), cell adhesion protein gene icaA (5.80%), enterotoxin gene sea (4.35%), and fibronectin-binding protein gene fnbA (1.45%).
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The detection rates of the lukf, luks, hla, and clfA in S.aureus were all 100.00%. Followed by icaD (96.43%), sec (50.00%), and fnbA (2.70%). Among S. chromogenes, the sed was the most widely distributed, with a detection rate of 46.67%. Followed by the icaA (26.67%) and icaD (6.67%). No virulence genes were detected in S. pasteuri and S. agnetis. In S. epidermidis, the detection rates of the sea and sec were both 100.00%.
Typing results
SCC typing
Among the 38 strains containing the mecA gene, the detection of SCCmec types revealed 11 stains of SCCmec IVb type and 2 strains of SCCmec V type (Table 12).
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MLST typing
Among the 28 strains of S. aureus, ST6263 (n = 4), ST9542 (n = 10), ST9543 (= n),4 ST9544 (n = 1), ST9545 (n = 1), and ST9546 (n = 8) were identified. Notably, except ST6263, all other STs represent novel sequence types (Table 13).
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Spa typing
Among the 28 S. aureus strains, a total of 6 different spa types were identified. These included spa type t1940 (n = 9), t3022 (n = 8), t4558 (n = 6), t4236 (n = 3), t4445 (n = 1), and one unreported spa type (Table 14).
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Discussion
This study collected 219 samples of yak milk from the Xizang region and isolated 69 strains of staphylococci, with a detection rate of 31.51%. Among these, the highest proportion was S. aureus (40.58%), followed by S. chromogenes (21.74%), S. pasteuri (18.84%), S. agnetis (14.49%), and S. epidermidis (4.35%). These findings suggest a relatively serious contamination situation in yak milk from Xizang. Additionally, previous reports have indicated 47.2% isolation rate of S. aureus from bulk tank milk in dairy herds within the Lombardy region (Northern Italy) [38]. Another study found a 52% isolation rate of S. chromogenes in samples from commercial dairy herds in West Flanders, Belgium [39]. Moreover, previously it was reported an 18.1% isolation rate of S. pasteuri in nasal swabs from pig farms in Belgium [40], while 37.14% isolation rate of S. epidermidis in cheese samples made from unpasteurized milk purchased in Poland [41]. Overall, these data indicate that the isolation rate of staphylococci is closely related to the living environment of the host. This study shows that the isolation rate of staphylococci from yak milk in Xizang is lower compared to that from animals in other regions, which may be associated with differences in animal species. Furthermore, the unique environmental conditions of the Xizang region, including its high altitude, intense ultraviolet radiation, and low levels of airborne particulate pollutants, likely facilitate bacterial adhesion, thereby influencing bacterial survival and reproduction [42]. This phenomenon is further supported by a previous study conducted by Kumar S et al. which indicates that preferential growth of Gram-negative bacteria and a decrease in Gram-positive bacteria occur in high-altitude regions [43].
In recent years, the misuse of antibiotics has led to increased bacterial resistance and the emergence of multidrug-resistant strains. This study conducted phenotype resistance testing on the 69 isolated staphylococci against 18 antimicrobial agents. The results revealed that, except for S. agnetis, all staphylococci had a penicillin resistance rate of ≥ 50%. Specifically, the resistance rate for S. aureus was 64.29%, while S. chromogenes, S. pasteuri, and S. epidermidis exhibited a concerning 100% resistance rate to penicillin. A previous report indicated a 100% penicillin resistance rate in S. aureus isolated from ice cream [44], while a 90.62% resistance rate in S. aureus isolated from raw milk, pasteurized milk, and dairy-based beverages [45]. Although there are discrepancies between these results and our findings, they all indicate a generally high penicillin resistance rate in S. aureus. Our results are consistent with those of Regecová et al., who reported penicillin resistance in S. chromogenes isolated from sheep milk [46]. However, there was a difference in the penicillin resistance rate of S. epidermidis compared to the 74.40% rate in 78 strains isolated from mastitic milk [47], which may be attributed to the relatively small number of S. epidermidis strains isolated in our study. The resistance situation for S. pasteuri was particularly severe; besides penicillin, it showed nearly 50% resistance to six other antimicrobial agents, including erythromycin and tetracycline. The resistance rate for S. epidermidis to erythromycin reached 67%. Conversely, other staphylococci exhibited high sensitivity to antimicrobial agents, except for penicillin. Notably, Staphylococcus strains isolated in other studies exhibited significantly higher resistance rates to commonly used antibiotics such as erythromycin and demonstrated multidrug resistance compared to the findings of this study [48,49,50]. This suggests that the resistance of strains isolated from various regions is influenced by the types and quantities of antibiotics administered. In the Xizangan pastoral region, characterized by inadequate transportation and obsolete animal illness control protocols, the restricted and frequently misused veterinary pharmaceuticals have exacerbated bacterial resistance to specific drugs. Resistance genes detection results indicated that MRSA and MRCNS had detection rates of 53.57% and 51.61%, respectively, While β-lactam resistance genes blaZ and mecA had detection rates of 81.16% and 55.07%. This is consistent with the high penicillin resistance observed in staphylococci and is significantly higher compared to the 8.3% MRSA isolation rate [51]. This discrepancy may be due to environmental factors, as well as the temporal development of S. aureus resistance. The elevated detection rates of MRSA and MRCNS in this study may pose potential threats to yaks and humans, indicating that Tibet should optimize antibiotic strategies by prioritizing staphylococcus-sensitives antimicrobials to mitigate public health risks. Among the isolated S. pasteuri, the detection rates of the MLSB resistance gene lnuA, tetracycline resistance gene tetK, aminoglycoside resistance gene aacA-aphD, and quinolone resistance genes gyrA and glrB were all greater than 60%. However, some strains showed no resistance to the corresponding drugs. Multiple resistance genes were detected in S. epidermidis; however, it exhibited resistance only to penicillin, erythromycin, and trimethoprim-sulfamethoxazole. This suggests that resistance to these antimicrobial agents may be mediated by more than one gene, indicating that resistance phenotypes rarely consistently correlate with genotypes, which aligns with the previously published study [52]. Studies have shown that the expression of resistance genes is influenced by various environmental factors [53], and bacterial resistance cannot be completely explained from genetic and biochemical perspectives [54].
Bacterial biofilm infections have become a significant global healthcare issue, with clinical data indicating that approximately 80% of chronic and recurrent bacterial infections are associated with biofilms [55]. In this study, biofilm detection, results revealed that 42 strains tested positive for biofilm formation using the CRA method. In comparison, 54 strains were positive using the MPA method. The latter includes the former, which may be due to the limitations in nutritional conditions during the growth of strains in the CRA method, making it difficult to assess their biofilm-forming capability [56]. Biofilm-forming staphylococci demonstrated poor antibiotic resistance in susceptibility assessments. A previous study showed that among MSSA (Methicillin-Sensitive Staphylococcus aureus) and MRSA isolates, biofilm formation was not significantly associated with methicillin resistance. Furthermore, the sensitivity of biofilm-positive strains to antibiotics such as trimethoprim and gentamicin was non- significant from that of biofilm-negative strains [57]. In addition, analysis of MRSA biofilm-forming ability in China revealed that some biofilm-positive strains remained sensitive to antibiotics like dalbavancin, suggesting that biofilm presence does not universally confer resistance to all drugs [58]. These findings align with the results of our study. The formation of staphylococcal biofilms is primarily regulated by the expression of polysaccharide intercellular adhesin (PIA), whose synthesis is controlled by the icaA/B/C/D operon [59]. However, staphylococci lacking ica genes are capable of biofilm formation via the direct influence of surface proteins, including the bap protein [60]. This study revealed a detection rate of 46.38% for icaA/D; nevertheless, additional staphylococci lacking these genes still exhibited biofilm positive in the MPA test, suggesting that bacterial surface proteins may regulate their biofilm development. Previous research found that only 45% of biofilm-positive strains from rabbit-derived staphylococci contained icaA/D or icaB/C [61, 62]. A possible explanation for this phenomenon is that icaA and icaD may have undergone mutations during genetic evolution [63], or mutations at other loci on transposons could hinder the formation of PIA and biofilms [64]. The virulence gene detection results showed that out of 16 virulence genes tested, 11 were detected, primarily in S. aureus, with a small number of virulence genes found in S. chromogenes and S. epidermidis. No virulence genes were detected in S. pasteuri and S. agnetis. The pathogenicity of staphylococci is mostly determined by the virulence factors they produce; thus, the discovery of virulence genes indicates that the pathogenicity of the S. aureus isolated in this investigation is superior to that of other staphylococci. It is noteworthy that the coagulase gene (coa) was not detected in S. aureus, which may be due to the production of fibrinolysin by the isolated S. aureus, leading to the degradation of fibrin clots or insufficient amounts of free coagulase produced. The leukocidin genes lukS and lukF, the hemolysin gene hla, and the clumping factor gene clfA were detected with a prevalence of 100% in S. aureus, while the enterotoxin gene sec was detected at a rate of 50%. Neelam et al. reported detection rates of 49% for the hla gene and 1.8% for the sec gene in S. aureus isolated from milk [65]. Likewise, Liu Yichen found detection rates of 81.25% and 78.13% for the hla and clfA genes, respectively, in S. aureus isolated from dead duck embryos [66]. The higher detection rates of the corresponding genes in this study suggest that the presence of virulence genes is geographically associated, with different strains prevalent in various areas and varying in their carriage of virulence genes.
Conclusion
In summary, this study explored the prevalence and biological characteristics of staphylococci isolated from yak milk in Xizang through antimicrobial susceptibility testing, biofilm assays, and the detection of virulence and resistance genes. Notably, the isolated staphylococci possessed several resistance genes. Despite the absence of significant multiple drug resistance, this circumstance warrants attention. It is imperative to abandon a monotherapy approach and rigorously regulate dosages. The information obtained from this study can provide a theoretical basis for the prevention and treatment of staphylococci in yaks.
Data availability
The datasets generated during the current study are available in the GenBank, under accession number: PQ721055~PQ721123. They are also available from the corresponding author upon reasonable request.
Abbreviations
CPS:
Coagulase-Positive Staphylococci
CNS:
Coagulase-Negative Staphylococci
MRSA:
Methicillin-Resistant Staphylococcus aureus
MSSA:
Methicillin-Sensitive Staphylococcus aureus
MRCNS:
Methicillin-Resistant Coagulase-Negative Staphylococci
BCO:
Bacterial Chondronecrosis with Osteomyelitis
TSA:
Tryptic Soy Agar
TSB:
Tryptic Soy Broth
BHI:
Brain–Heart Infusion
FBS:
Fetal Bovine Serum
TE:
Tris–EDTA
PBS:
Phosphate Buffer Saline
MLSB :
Macrolides, Lincomycins, and Streptogramins B
CRA:
Congo Red Agar
MPA:
Microtiter Plate Assay
SCCmec:
Staphylococcus Cassette Chromosome mec
MLST:
Multilocus Sequence Typing
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