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临床分离沙门氏菌中与扩展谱和AmpC β-内酰胺酶基因转移相关的质粒的特征及耐药基因型的时间稳定性。

Characterisation of plasmids implicated in the mobilisation of extended-spectrum and AmpC β-lactamase genes in clinical Salmonella enterica isolates and temporal stability of the resistance genotype.

机构信息

Área de Bioquímica y Biología Molecular, Universidad de La Rioja, Av. Madre de Dios 51, Logroño, La Rioja, Spain.

出版信息

Int J Antimicrob Agents. 2013 Aug;42(2):167-72. doi: 10.1016/j.ijantimicag.2013.04.016. Epub 2013 May 23.

Abstract

Plasmids implicated in the mobilisation of β-lactamase genes in extended-spectrum β-lactamase (ESBL)- and AmpC-producing Salmonella enterica isolates recovered from three Spanish hospitals were characterised. The temporal stability of these plasmids and of the resistance phenotype without antimicrobial pressure was also assessed in the laboratory setting. The resistance determinants and their genetic environments were characterised by PCR sequencing, and their genomic location was analysed by S1 nuclease pulsed-field gel electrophoresis (PFGE) and I-CeuI PFGE, followed by Southern blot hybridisation. The 11 S. enterica studied strains carried blaCTX-M-9 (serovar Virchow, 2 isolates), blaCTX-M-10 (Virchow, 2), blaCTX-M-14 (Enteritidis, 1), blaCTX-M-15 (Gnesta and S. enterica group C, 2), blaSHV-2 (Livingstone, 1), blaSHV-12 (Enteritidis, 1) and blaCMY-2 (Bredeney, 2). The ISEcp1-blaCTX-M-14-IS903 and ISEcp1-blaCTX-M-15-orf477 genetic structures were detected. IncI1 and IncA/C plasmids carried blaCTX-M-14, blaCTX-M-15, blaSHV-2, blaSHV-12 and blaCMY-2 genes. blaCTX-M-9 included in an In60 complex integron and blaCTX-M-10 linked to a phage-related element were found in non-typeable plasmids. Conjugation and temporal stability experiments were performed in vitro through daily passages (100 days) in the absence of antimicrobial pressure. In the stability experiments, 5 of the 11 tested isolates lost the ESBL or AmpC plasmidic genes and this was associated with concomitant loss of the whole or partial plasmid. In conclusion, successful plasmids belonging to different Inc groups mobilise ESBL- and AmpC-encoding genes in S. enterica. Loss of ESBL/AmpC genes in the absence of antimicrobial pressure might explain the low prevalence of these β-lactamases among Salmonella isolates.

摘要

研究了从西班牙三家医院分离出的产超广谱β-内酰胺酶(ESBL)和 AmpC 的沙门氏菌中与β-内酰胺酶基因转移有关的质粒,并评估了这些质粒和无抗菌压力时耐药表型的实验室稳定性。通过 PCR 测序、S1 核酸酶脉冲场凝胶电泳(PFGE)和 I-CeuI PFGE 分析以及 Southern 印迹杂交,对耐药决定因子及其遗传环境进行了特征分析。11 株研究的沙门氏菌携带 blaCTX-M-9(血清型 Virchow,2 株)、blaCTX-M-10(Virchow,2 株)、blaCTX-M-14(Enteritidis,1 株)、blaCTX-M-15(Gnesta 和沙门氏菌组 C,2 株)、blaSHV-2(Livingstone,1 株)、blaSHV-12(Enteritidis,1 株)和 blaCMY-2(Bredeney,2 株)。检测到 ISEcp1-blaCTX-M-14-IS903 和 ISEcp1-blaCTX-M-15-orf477 遗传结构。IncI1 和 IncA/C 质粒携带 blaCTX-M-14、blaCTX-M-15、blaSHV-2、blaSHV-12 和 blaCMY-2 基因。在无法检测到抗菌压力的情况下,通过体外每日传代(100 天)进行了接合和稳定性实验。在稳定性实验中,11 个测试分离株中的 5 个丢失了 ESBL 或 AmpC 质粒基因,这与整个或部分质粒的丢失有关。总之,不同 Inc 组的成功质粒可在沙门氏菌中转移 ESBL 和 AmpC 编码基因。在没有抗菌压力的情况下,ESBL/AmpC 基因的丢失可能解释了沙门氏菌分离株中这些β-内酰胺酶的低流行率。

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