Zhao Lei, Li Hongru, Zhu Ziwen, Wakefield Mark R, Fang Yujiang, Ye Ying
Department of Infectious Disease, The First Affiliated Hospital of Anhui Medical University, China; Department of Molecular Biology, Institute of Bacterium Resistance, Anhui Medical University, China; Department of Molecular Biology, Anhui Center for Surveillance of Bacterial Resistance, Hefei, China.
Department of Clinical Medicine, Xiangya Hospital Central South University, Changsha, China.
Infect Genet Evol. 2017 Jun;50:20-24. doi: 10.1016/j.meegid.2017.02.001. Epub 2017 Feb 9.
Acinetobacter baumannii has been becoming a great challenge to clinicians due to their resistance to almost all available antibiotics. In this study, we sequenced the genome from a multiple antibiotics resistant Acinetobacter baumannii stain which was named A. baumannii-1isolated from China by SMRT sequencing technology to explore its potential mechanisms to antibiotic resistance. We found that several mechanisms might contribute to the antibiotic resistance of Acinetobacter baumannii. Specifically, we found that SNP in genes associated with nucleotide excision repair and ABC transporter might contribute to its resistance to multiple antibiotics; we also found that specific genes associated with bacterial DNA integration and recombination, DNA-mediated transposition and response to antibiotics might contribute to its resistance to multiple antibiotics; Furthermore, specific genes associated with penicillin and cephalosporin biosynthetic pathway and specific genes associated with CHDL and MBL β-lactamase genes might contribute to its resistance to multiple antibiotics. Thus, the detailed mechanisms by which Acinetobacter baumannii show extensive resistance to multiple antibiotics are very complicated. Such a study might be helpful to develop new strategies to control Acinetobacter baumannii infection.
鲍曼不动杆菌因其对几乎所有现有抗生素均具有耐药性,已给临床医生带来巨大挑战。在本研究中,我们对一株多重耐药鲍曼不动杆菌菌株进行了全基因组测序,该菌株命名为鲍曼不动杆菌-1,是采用单分子实时(SMRT)测序技术从中国分离得到的,旨在探索其产生抗生素耐药性的潜在机制。我们发现几种机制可能导致鲍曼不动杆菌产生抗生素耐药性。具体而言,我们发现与核苷酸切除修复及ABC转运蛋白相关的基因中的单核苷酸多态性(SNP)可能导致其对多种抗生素耐药;我们还发现与细菌DNA整合与重组、DNA介导的转座以及抗生素应答相关的特定基因可能导致其对多种抗生素耐药;此外,与青霉素和头孢菌素生物合成途径相关的特定基因以及与CHDL和MBLβ-内酰胺酶基因相关的特定基因可能导致其对多种抗生素耐药。因此,鲍曼不动杆菌对多种抗生素表现出广泛耐药性的详细机制非常复杂。此类研究可能有助于制定控制鲍曼不动杆菌感染的新策略。