Abstract

BackgroundMany contributing factors are involved in the development of equine pastern dermatitis (EPD). Among the most frequently suspected is Staphylococcus aureus, known for its pathogenic potential in skin and soft tissue infections. We therefore investigated the association between S. aureus carriage and EPD.ResultsOne hundred five EPD-affected horses and 95 unaffected controls were examined for the presence of methicillin-resistant and -susceptible Staphylococcus aureus (MRSA and MSSA) on the pastern skin and in the nostrils. S. aureus isolates were cultivated from swab samples on selective MSSA and MRSA chromogenic agar and identified using MALDI-TOF MS. Isolates were analysed by Illumina whole genome sequencing for genetic relatedness (cgMLST, spa typing), and for the presence of antimicrobial resistance and virulence determinants. A markedly higher proportion of samples from EPD-affected horses proved positive for S. aureus, both from the pastern (59.0 % vs. 6.3 % in unaffected horses; P<0.001), and from the nose (59.0 % vs. 8.4 %; P<0.001). Isolates belonged to 20 sequence types (ST) with lineages ST15-t084 (spa) (18 %), ST1-t127 (13 %), and ST1-t1508 (12 %) being predominant. Eight S. aureus were MRSA ST398-t011 and ST6239-t1456, and contained the staphylococcal cassette chromosome SCCmecIVa. Antimicrobial resistance genes were almost equally frequent in pastern and in nasal samples, whereas some virulence factors such as the beta-hemolysin, ESAT-6 secretion system, and some enterotoxins were more abundant in isolates from pastern samples, possibly enhancing their pathogenic potential.ConclusionsThe markedly higher prevalence of S. aureus containing specific virulence factors in affected skin suggests their contribution in the development and course of EPD.

Highlights

  • Many contributing factors are involved in the development of equine pastern dermatitis (EPD)

  • Our study highlights the potential importance of S. aureus in the development and pathogenesis of EPD, revealing a substantial higher abundance of S. aureus in affected horses, as well as specific genetic features of the S. aureus population

  • Our observations suggest that dissemination of strains takes place between different sites within the same horses, and that spreading occurs between horses living in the same stable

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Summary

Introduction

Many contributing factors are involved in the development of equine pastern dermatitis (EPD). Among the most frequently suspected is Staphylococcus aureus, known for its pathogenic potential in skin and soft tissue infections. Equine pastern dermatitis (EPD) is one of the most frequently encountered skin disorders in equine practice. It is considered a syndrome rather than a disease entity. Infection with Staphylococcus aureus, which is known for its opportunistic pathogenicity [4] and association with skin and soft tissue infections [5, 6], is frequently suspected in the context of EPD [1, 3, 7, 8]. The acquisition and expression of different virulence factors is presumed to play a role in skin and soft tissue infections, such as e.g. intercellular adhesins promoting biofilm formation [15], cytotoxins challenging many different cell types of the hematopoietic lineage [16], or superantigens excessively triggering the immune system such as the ESAT-6-like (early secreted antigen target 6 kDa) staphylococcal type VII secretion system known as ESAT-6 secretion system (ESS) [17, 18]

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