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对巴塞罗那大都市区肺炎克雷伯菌中 CTX-M-15 编码基因的特征分析:质粒多样性和染色体整合。

Characterisation of the CTX-M-15-encoding gene in Klebsiella pneumoniae strains from the Barcelona metropolitan area: plasmid diversity and chromosomal integration.

机构信息

Servicio de Microbiología, Hospital Vall d'Hebron, 08035 Barcelona, Spain.

出版信息

Int J Antimicrob Agents. 2010 Jul;36(1):73-8. doi: 10.1016/j.ijantimicag.2010.03.005. Epub 2010 Apr 13.

Abstract

The localisation and genetic organisation of bla(CTX-M-15) were studied in 37 CTX-M-15-producing Klebsiella pneumoniae isolates collected from 2005 to 2008 within the Barcelona metropolitan area. Polymerase chain reaction (PCR)-based replicon typing and Southern hybridisations were used to identify the bla(CTX-M-15) location. The genetic environment was analysed by PCR mapping and sequencing, and transferability of bla(CTX-M-15) was evaluated by conjugation and transformation assays. The majority of the 37 isolates carried bla(CTX-M-15) in a plasmid location, frequently associated with the aac(6')-Ib-cr gene. Plasmids encoding bla(CTX-M-15) carried three distinct replicons, i.e. IncFII, IncR and IncFIIk, the latter two not having been described previously in association with bla(CTX-M-15). Several of these plasmids were not self-transferable. Furthermore, in all isolates belonging to sequence type ST-1, bla(CTX-M-15) was found integrated into the K. pneumoniae chromosome. In all the studied isolates, the mobile element ISEcp1 was found upstream of bla(CTX-M-15), whereas IS26 was found inserted within ISEcp1 in several isolates, in previously unreported positions. In conclusion, these findings indicate that among K. pneumoniae strains isolated in the Barcelona metropolitan area, bla(CTX-M-15) is associated with diverse genetic elements, including the IncR and IncFIIk replicons, as reported for the first time here, and the chromosome.

摘要

本研究对 2005 年至 2008 年期间于巴塞罗那市区采集的 37 株产 CTX-M-15 肺炎克雷伯菌中 bla(CTX-M-15)的定位和遗传组织进行了研究。采用聚合酶链反应(PCR)基于复制子分型和 Southern 杂交来鉴定 bla(CTX-M-15)的位置。通过 PCR 图谱和测序分析了遗传环境,并通过接合和转化实验评估了 bla(CTX-M-15)的可转移性。37 株分离株中的大多数携带 bla(CTX-M-15)的质粒位置,通常与 aac(6')-Ib-cr 基因相关。编码 bla(CTX-M-15)的质粒携带三种不同的复制子,即 IncFII、IncR 和 IncFIIk,后两者以前未曾与 bla(CTX-M-15)相关联。这些质粒中的一些不具有自我转移能力。此外,在所有属于序列型 ST-1 的分离株中,bla(CTX-M-15)发现整合到肺炎克雷伯菌染色体中。在所研究的所有分离株中,移动元件 ISEcp1 位于 bla(CTX-M-15)上游,而在几个分离株中,IS26 位于 ISEcp1 内,处于以前未报道的位置。总之,这些发现表明,在巴塞罗那市区分离的肺炎克雷伯菌菌株中,bla(CTX-M-15)与包括 IncR 和 IncFIIk 复制子在内的多种遗传元件相关,这是首次在此报道,并且与染色体相关。

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