1 Department of Biological Safety, Federal Institute for Risk Assessment (BfR) , Berlin, Germany .
Microb Drug Resist. 2013 Dec;19(6):437-45. doi: 10.1089/mdr.2012.0226. Epub 2013 Jun 29.
Drug-resistant derivatives of serovar-specific virulence plasmids, such as pSLT, in clinically-relevant Salmonella enterica serovar Typhimurium strains, represent a threat for human health. We have analysed 14 S. Typhimurium isolates recovered in Italy and the United Kingdom from swine and from cases of human infection for the presence of virulence-resistance (VR) plasmids. They were negative for the multidrug resistance (MDR) region of the Salmonella genomic island 1 (SGI1), but expressed resistance to ampicillin, chloramphenicol, streptomycin/spectinomycin, sulfamethoxazole, and tetracyclines. The isolates were characterised by XbaI pulsed-field gel electrophoresis, multilocus sequence typing, and detection of resistance and virulence determinants (PCR/sequencing). Identification of VR plasmids was accomplished by PCR detection of bla genes (encoding ampicillin resistance), class 1 integrons and the pSLT virulence gene spvC. Plasmid analyses were performed by alkaline lysis, S1-nuclease digestion, replicon typing, conjugation, restriction analyses, and Southern blot/hybridization. Two blaOXA-1 positive isolates contained pSLT-derived plasmids related to pUO-StVR2. In nine isolates, eight from swine and one from a patient, MDR-conferring-IncFII-VR plasmids were detected. They contained the blaTEM-1 gene as well as a nonconventional class 1 integron with dfrA12-aadA2 gene cassettes in its variable region, and a sul3 gene in the 3' conserved segment. Restriction analysis suggested a novel pSLT variant. The results obtained underline the role of swine as a potential reservoir for the blaTEM-1-IncFII-plasmids. The occurrence and spread of virulence- and MDR-conferring plasmids should be considered as a potential public health problem.
血清型特异性毒力质粒(如 pSLT)的耐药衍生物,存在于临床相关的鼠伤寒沙门氏菌血清型 Typhimurium 菌株中,对人类健康构成威胁。我们分析了从意大利和英国的猪和人类感染病例中分离出的 14 株鼠伤寒沙门氏菌,以确定其是否存在毒力-耐药(VR)质粒。它们对沙门氏菌基因组岛 1(SGI1)的多药耐药(MDR)区呈阴性,但对氨苄青霉素、氯霉素、链霉素/壮观霉素、磺胺甲恶唑和四环素表现出耐药性。通过 XbaI 脉冲场凝胶电泳、多位点序列分型以及耐药和毒力决定因素(PCR/测序)的检测,对这些分离株进行了特征描述。通过 bla 基因(编码氨苄青霉素耐药性)、I 类整合子和 pSLT 毒力基因 spvC 的 PCR 检测,完成了 VR 质粒的鉴定。通过碱性裂解、S1 核酸酶消化、复制子分型、接合、限制性分析和 Southern 印迹/杂交进行质粒分析。两个 blaOXA-1 阳性分离株含有与 pUO-StVR2 相关的 pSLT 衍生质粒。在 9 个分离株中,有 8 个来自猪,1 个来自患者,检测到 MDR 赋予的 IncFII-VR 质粒。它们含有 blaTEM-1 基因,以及其可变区具有非传统 I 类整合子和 dfrA12-aadA2 基因盒,3'保守区具有 sul3 基因。限制分析表明存在一种新型 pSLT 变体。研究结果强调了猪作为 blaTEM-1-IncFII-质粒的潜在储存库的作用。应将毒力和 MDR 赋予质粒的发生和传播视为一个潜在的公共卫生问题。