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牛源类印度不动杆菌分离株的碳青霉烯耐药性及致病性

Carbapenem-resistance and pathogenicity of bovine Acinetobacter indicus-like isolates.

作者信息

Klotz Peter, Göttig Stephan, Leidner Ursula, Semmler Torsten, Scheufen Sandra, Ewers Christa

机构信息

Institute of Hygiene and Infectious Diseases of Animals, Justus-Liebig-University Giessen, Giessen, Germany.

Institute for Medical Microbiology and Infection Control, Hospital of the Johann Wolfgang von Goethe-University, Frankfurt am Main, Germany.

出版信息

PLoS One. 2017 Feb 16;12(2):e0171986. doi: 10.1371/journal.pone.0171986. eCollection 2017.

Abstract

The objective of this study was to characterize blaOXA-23 harbouring Acinetobacter indicus-like strains from cattle including genomic and phylogenetic analyses, antimicrobial susceptibility testing and evaluation of pathogenicity in vitro and in vivo. Nasal and rectal swabs (n = 45) from cattle in Germany were screened for carbapenem-non-susceptible Acinetobacter spp. Thereby, two carbapenem resistant Acinetobacter spp. from the nasal cavities of two calves could be isolated. MALDI-TOF mass spectrometry and 16S rDNA sequencing identified these isolates as A. indicus-like. A phylogenetic tree based on partial rpoB sequences indicated closest relation of the two bovine isolates to the A. indicus type strain A648T and human clinical A. indicus isolates, while whole genome comparison revealed considerable intraspecies diversity. High mimimum inhibitory concentrations were observed for carbapenems and other antibiotics including fluoroquinolones and gentamicin. Whole genome sequencing and PCR mapping revealed that both isolates harboured blaOXA-23 localized on the chromosome and surrounded by interrupted Tn2008 transposon structures. Since the pathogenic potential of A. indicus is unknown, pathogenicity was assessed employing the Galleria (G.) mellonella infection model and an in vitro cytotoxicity assay using A549 human lung epithelial cells. Pathogenicity in vivo (G. mellonella killing assay) and in vitro (cytotoxicity assay) of the two A. indicus-like isolates was lower compared to A. baumannii ATCC 17978 and similar to A. lwoffii ATCC 15309. The reduced pathogenicity of A. indicus compared to A. baumannii correlated with the absence of important virulence genes encoding like phospholipase C1+C2, acinetobactin outer membrane protein BauA, RND-type efflux system proteins AdeRS and AdeAB or the trimeric autotransporter adhesin Ata. The emergence of carbapenem-resistant A. indicus-like strains from cattle carrying blaOXA-23 on transposable elements and revealing genetic relatedness to isolates from human clinical sources requires further investigations regarding the pathogenic potential, genomic characteristics, zoonotic risk and putative additional sources of this new Acinetobacter species.

摘要

本研究的目的是对来自牛的携带blaOXA - 23的类印度不动杆菌菌株进行特征分析,包括基因组和系统发育分析、抗菌药物敏感性测试以及体内外致病性评估。对德国牛的鼻拭子和直肠拭子(n = 45)进行筛选,以寻找对碳青霉烯不敏感的不动杆菌属细菌。由此,从两头小牛的鼻腔中分离出两株耐碳青霉烯的不动杆菌属细菌。基质辅助激光解吸电离飞行时间质谱(MALDI - TOF)和16S rDNA测序将这些分离株鉴定为类印度不动杆菌。基于部分rpoB序列构建的系统发育树表明,这两株来自牛的分离株与印度不动杆菌模式菌株A648T以及人类临床分离的印度不动杆菌关系最为密切,而全基因组比较显示种内存在相当大的多样性。观察到这些分离株对碳青霉烯类以及包括氟喹诺酮类和庆大霉素在内的其他抗生素具有高最低抑菌浓度。全基因组测序和PCR图谱分析表明,两株分离株均携带位于染色体上且被中断的Tn2008转座子结构包围的blaOXA - 23。由于印度不动杆菌的致病潜力未知,因此采用大蜡螟(G. mellonella)感染模型以及使用A549人肺上皮细胞的体外细胞毒性试验来评估其致病性。与鲍曼不动杆菌ATCC 17978相比,这两株类印度不动杆菌分离株的体内(大蜡螟杀伤试验)和体外(细胞毒性试验)致病性较低,与洛菲不动杆菌ATCC 15309相似。与鲍曼不动杆菌相比,印度不动杆菌致病性降低与缺乏编码磷脂酶C1 + C2、铁载体外膜蛋白BauA、RND型外排系统蛋白AdeRS和AdeAB或三聚体自转运黏附素Ata等重要毒力基因有关。携带位于转座元件上的blaOXA - 23且与人类临床来源分离株具有遗传相关性的牛源耐碳青霉烯类印度不动杆菌样菌株的出现,需要进一步研究这种新型不动杆菌的致病潜力、基因组特征、人畜共患病风险以及可能的其他来源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d959/5313175/cdade5de561d/pone.0171986.g001.jpg

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