RT Journal A1 Laabei, Maisem A1 Recker, Mario A1 Rudkin, Justine K. A1 Aldeljawi, Mona A1 Gulay, Zeynep A1 Sloan, Tim J. A1 Williams, Paul A1 Endres, Jennifer L. A1 Bayles, Kenneth W. A1 Fey, Paul D. A1 Yajjala, Vijaya Kumar A1 Widhelm, Todd A1 Hawkins, Erica A1 Lewis, Katie A1 Parfett, Sara A1 Scowen, Lucy A1 Peacock, Sharon J. A1 Holden, Matthew A1 Wilson, Daniel A1 Read, Timothy D. A1 van den Elsen, Jean A1 Priest, Nicholas K. A1 Feil, Edward J. A1 Hurst, Laurence D. A1 Josefsson, Elisabet A1 Massey, Ruth C. T1 Predicting the virulence of MRSA from its genome sequence JF Genome Research JO Genome Research YR 2014 FD May 01 VO 24 IS 5 SP 839 OP 849 DO 10.1101/gr.165415.113 UL http://genome.cshlp.org/content/24/5/839.abstract AB Microbial virulence is a complex and often multifactorial phenotype, intricately linked to a pathogen’s evolutionary trajectory. Toxicity, the ability to destroy host cell membranes, and adhesion, the ability to adhere to human tissues, are the major virulence factors of many bacterial pathogens, including Staphylococcus aureus. Here, we assayed the toxicity and adhesiveness of 90 MRSA (methicillin resistant S. aureus) isolates and found that while there was remarkably little variation in adhesion, toxicity varied by over an order of magnitude between isolates, suggesting different evolutionary selection pressures acting on these two traits. We performed a genome-wide association study (GWAS) and identified a large number of loci, as well as a putative network of epistatically interacting loci, that significantly associated with toxicity. Despite this apparent complexity in toxicity regulation, a predictive model based on a set of significant single nucleotide polymorphisms (SNPs) and insertion and deletions events (indels) showed a high degree of accuracy in predicting an isolate’s toxicity solely from the genetic signature at these sites. Our results thus highlight the potential of using sequence data to determine clinically relevant parameters and have further implications for understanding the microbial virulence of this opportunistic pathogen.