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在密集药物抗性铜绿假单胞菌的病态恒化培养中,多粘菌素耐药性迅速而一致的演变。

Rapid and Consistent Evolution of Colistin Resistance in Extensively Drug-Resistant Pseudomonas aeruginosa during Morbidostat Culture.

机构信息

Max Planck Institute for Developmental Biology, Tübingen, Germany.

Institute for Medical Microbiology, University Hospital Tübingen, Tübingen, Germany.

出版信息

Antimicrob Agents Chemother. 2017 Aug 24;61(9). doi: 10.1128/AAC.00043-17. Print 2017 Sep.

DOI:10.1128/AAC.00043-17
PMID:28630206
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5571341/
Abstract

Colistin is a last-resort antibiotic commonly used against multidrug-resistant strains of To investigate the potential for evolution of resistance against colistin and to map the molecular targets of colistin resistance, we exposed two isolates to colistin using a continuous-culture device known as a morbidostat. As a result, colistin resistance reproducibly increased 10-fold within 10 days and 100-fold within 20 days, along with highly stereotypic yet strain-specific mutation patterns. The majority of mutations hit the two-component signaling system and genes involved in lipopolysaccharide (LPS) synthesis, including , , and We tracked the frequencies of all arising mutations by whole-genome deep sequencing every 3 to 4 days to obtain a detailed picture of the dynamics of resistance evolution, including competition and displacement among multiple resistant subpopulations. In 7 out of 18 cultures, we observed mutations in along with a mutator phenotype that seemed to facilitate resistance evolution.

摘要

黏菌素是一种最后手段的抗生素,通常用于对抗多种耐药菌株。为了研究对黏菌素产生耐药性的潜力,并绘制黏菌素耐药性的分子靶标,我们使用一种称为病态生物测定仪的连续培养设备,将两种分离株暴露于黏菌素下。结果,在 10 天内,黏菌素耐药性可重复性地增加了 10 倍,在 20 天内增加了 100 倍,同时出现了高度定型但具有菌株特异性的突变模式。大多数突变都发生在双组分信号系统和涉及脂多糖 (LPS) 合成的基因中,包括 、 、和 。我们通过全基因组深度测序,每隔 3 到 4 天跟踪所有出现的突变频率,以获得耐药性进化的详细情况,包括多个耐药亚群之间的竞争和替代。在 18 个培养物中的 7 个中,我们观察到了 中的突变以及似乎有助于耐药性进化的突变体表型。

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