Department of Molecular Cell Biology, Samsung Biomedical Research Institute, Sungkyunkwan University School of Medicine, Suwon, South Korea.
J Clin Microbiol. 2012 Mar;50(3):818-22. doi: 10.1128/JCM.05895-11. Epub 2011 Dec 14.
To investigate the characteristics of main Streptococcus pneumoniae clones of serotype 6D (ST282 and ST3171) in South Korea, antimicrobial susceptibility testing was performed, and 11 genes around the cps locus were sequenced on ST282(6D), ST3171(6D), and ST81(6A) isolates. The antimicrobial susceptibility patterns were very similar between clones belonging to the same clonal complex, ST81(6A) and ST282(6D); nonsusceptibilities to penicillin and cefuroxime, high MICs of ceftriaxone, and high resistance rates to trimethoprim-sulfamethoxazole. However, ST3171(6D) isolates showed resistance to only macrolides and clindamycin. The sequences of 11 genes around the cps locus indicated the same genetic backgrounds between the ST81(6A) and ST282(6D) isolates. On the other hand, ST3171(6D) isolates showed nucleotide and amino acid differences from ST81(6A) and ST282(6D) isolates in most genes, indicating a different genetic background. The mosaic structure of dexB gene in ST282(6D) isolates indicated that recombination might occur in the dexB gene. Our results suggest that the multidrug-resistant ST282(6D) pneumococcal clone has emerged by serial genetic recombination, including capsular switch.
为了研究韩国血清型 6D(ST282 和 ST3171)主要肺炎链球菌克隆的特征,对其进行了抗生素敏感性测试,并对 ST282(6D)、ST3171(6D)和 ST81(6A)分离株的 cps 基因座周围的 11 个基因进行了测序。属于同一克隆复合体的克隆,如 ST81(6A)和 ST282(6D),其抗生素敏感性模式非常相似;对青霉素和头孢呋辛的不敏感性、头孢曲松的高 MIC 值以及对复方磺胺甲噁唑的高耐药率。然而,ST3171(6D)分离株仅对大环内酯类和克林霉素表现出耐药性。cps 基因座周围 11 个基因的序列表明 ST81(6A)和 ST282(6D)分离株具有相同的遗传背景。另一方面,ST3171(6D)分离株在大多数基因中与 ST81(6A)和 ST282(6D)分离株表现出核苷酸和氨基酸差异,表明其具有不同的遗传背景。ST282(6D)分离株的 dexB 基因的镶嵌结构表明该基因可能发生了重组。我们的研究结果表明,多药耐药的 ST282(6D)肺炎链球菌克隆通过包括荚膜转换在内的连续基因重组而出现。