Service de Bactériologie-Virologie, INSERM U914 Emerging Resistance to Antibiotics, Département Anesthésie-Réanimation, Hôpital de Bicêtre, Assistance Publique/Hôpitaux de Paris, Faculté de Médecine et Université Paris-Sud, K.-Bicêtre, France.
Clin Microbiol Infect. 2012 Sep;18(9):907-13. doi: 10.1111/j.1469-0691.2011.03708.x. Epub 2011 Nov 30.
Carbapenem resistance is increasingly being reported among Acinetobacter species, and results mostly from the expression of acquired carbapenem-hydrolysing oxacillinases (CHDLs). Several Acinetobacter species intrinsically possess chromosomal CHDL genes: Acinetobacter baumannii (bla(OXA-51) ), Acinetobacter radioresistens (bla(OXA-23) ), and Acinetobacter lwoffii (bla(OXA-134) ). We aimed to identify the progenitors of novel CHDL-encoding genes for identification of potential reservoirs. We performed PCR screening using degenerated internal primers designed from a sequence alignment of the known CHDLs (OXA-23, OXA-40, OXA-51, OXA-58, OXA-134, and OXA-143) applied to a collection of 50 Acinetobacter strains belonging to 23 different species. Two strains of Acinetobacter johnsonii, one strain of Acinetobacter calcoaceticus and two strains of Acinetobacter haemolyticus were found to harbour, respectively, the totally novel bla(OXA-211) -like, bla(OXA-213) -like and bla(OXA-214) -like genes. In addition, the complete genomes of those three species available in GenBank, i.e. one A. johnsonii genome, four A. calcoaceticus genomes, and one A. haemolyticus genome, were analysed and found to be positive for the presence of bla(OXA211) -like, bla(OXA-213) -like and bla(OXA-214) -like genes, respectively. The β-lactamases OXA-211, OXA-213 and OXA-214 are diverse, with amino acid identities ranging from 53% to 76%, as compared with the naturally occurring OXA-51-like CHDL from A. baumannii. These β-lactamases showed a peculiar hydrolysis profile, including mostly penicillins and carbapenems. Regarding bla(OXA-23) in A. radioresistens and bla(OXA-134) in A. lwoffii, these genes were not expressed (or expressed at a non-significant level) in their host. Detection of these β-lactamase genes might be used as a useful tool for accurate identification of these Acinetobacter species.
碳青霉烯类耐药性在不动杆菌属物种中越来越多地被报道,主要是由于获得性碳青霉烯水解氧杂头孢菌素(CHDLs)的表达。几种不动杆菌属物种内在地具有染色体 CHDL 基因:鲍曼不动杆菌(bla(OXA-51))、耐辐射不动杆菌(bla(OXA-23))和洛菲不动杆菌(bla(OXA-134))。我们旨在鉴定新型 CHDL 编码基因的前体,以鉴定潜在的储库。我们使用从已知 CHDLs(OXA-23、OXA-40、OXA-51、OXA-58、OXA-134 和 OXA-143)的序列比对设计的退化内部引物进行 PCR 筛选,应用于属于 23 个不同种的 50 株不动杆菌菌株的集合。发现 2 株约翰逊不动杆菌、1 株醋酸钙不动杆菌和 2 株溶血不动杆菌分别携带完全新型 bla(OXA-211)样、bla(OXA-213)样和 bla(OXA-214)样基因。此外,在 GenBank 中可获得的这三种物种的完整基因组,即 1 个约翰逊不动杆菌基因组、4 个醋酸钙不动杆菌基因组和 1 个溶血不动杆菌基因组,经过分析发现它们均为 bla(OXA211)样、bla(OXA-213)样和 bla(OXA-214)样基因的阳性。OXA-211、OXA-213 和 OXA-214 β-内酰胺酶具有多样性,与鲍曼不动杆菌天然存在的 OXA-51 样 CHDL 的氨基酸同一性为 53%至 76%。这些β-内酰胺酶表现出独特的水解谱,包括主要的青霉素类和碳青霉烯类。关于耐辐射不动杆菌中的 bla(OXA-23)和洛菲不动杆菌中的 bla(OXA-134),这些基因在其宿主中未表达(或表达水平不显著)。检测这些β-内酰胺酶基因可作为准确鉴定这些不动杆菌属物种的有用工具。