Staphylococcus aureus is a major human pathogen responsible for a wide range of infections, from mild skin conditions to severe systemic diseases. The increasing prevalence of antibiotic-resistant strains, such as methicillin-resistant S. aureus (MRSA), poses significant challenges to global healthcare systems. This review provides a comprehensive analysis of the genomic mechanisms underpinning antibiotic resistance and virulence in S. aureus. Key resistance mechanisms include the acquisition of resistance genes through horizontal gene transfer, mutations in target sites, and the overexpression of efflux pumps. Additionally, the regulation of virulence factors, such as toxins, adhesion molecules, and enzymes, is controlled by complex genetic networks, including quorum sensing and global regulators like the agr and sar systems. Advances in whole-genome sequencing have facilitated a deeper understanding of the genetic diversity and adaptability of S. aureus. These insights are essential for developing innovative therapeutic strategies and mitigating the impact of this pathogen on public health.
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