Sianglum Wipawadee, Wonglumsom Wijit, Srimanote Potjanee, Kittiniyom Kanokwan
Department of Clinical Microbiology, Faculty of Medical Technology, Mahidol University, Bangkok, Thailand.
Southeast Asian J Trop Med Public Health. 2007 Nov;38(6):1095-101.
Escherichia coli was used to investigate quinolone resistance and mutations in gyrA gene of E. coli isolated from pet (dog and cat), human (pet's owner), vegetable and edible ice in Bangkok and vicinity. Susceptibility test for nalidixic acid (NA) showed similar percent resistance among the sample sources but a lower ciprofloxacin (CIP) resistance was found particularly in human source. Mutations within quinolone resistance determining region of gyrA gene analyzed using non-radioactive single-strand conformation polymorphism (SSCP) and sequencing showed 10 different SSCP patterns. E. coli isolates from pet, vegetable and ice showed more variety of patterns than strains isolated from human. Four out of 10 SSCP patterns were identified as having mutations in amino acids positions 83 (Ser to Leu) and position 87 (Asp to Asn). These mutations were observed only in NA-resistant strains and combined mutations were observed only in E. coli isolated from humans and pets. As only 24% of NA- and CIP-resistant E coli isolates contained gyrA mutations, other quinolone resistant mechanisms may be involved. Nevertheless, gyrA mutations may be used to monitor nalidixid acid resistance in E. coli.
利用大肠杆菌来研究从曼谷及其周边地区的宠物(狗和猫)、人类(宠物主人)、蔬菜和食用冰中分离出的大肠杆菌的喹诺酮耐药性及gyrA基因的突变情况。对萘啶酸(NA)的药敏试验显示,不同样本来源的耐药百分比相似,但环丙沙星(CIP)耐药性较低,尤其是在人类样本中。使用非放射性单链构象多态性(SSCP)和测序分析gyrA基因喹诺酮耐药决定区的突变情况,结果显示有10种不同的SSCP模式。从宠物、蔬菜和冰中分离出的大肠杆菌菌株的模式比从人类中分离出的菌株更多样化。10种SSCP模式中有4种被鉴定为在第83位氨基酸(丝氨酸变为亮氨酸)和第87位氨基酸(天冬氨酸变为天冬酰胺)处发生了突变。这些突变仅在耐NA菌株中观察到,且组合突变仅在从人类和宠物中分离出的大肠杆菌中观察到。由于只有24%的耐NA和耐CIP大肠杆菌分离株含有gyrA突变,可能涉及其他喹诺酮耐药机制。尽管如此,gyrA突变可用于监测大肠杆菌对萘啶酸的耐药性。