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1983年至2014年在巴西圣保罗州分离的宋内志贺氏菌菌株的分子分型及β-内酰胺抗性基因的出现情况

Molecular typing and occurrence of beta-lactam resistance genes of Shigella sonnei strains isolated from 1983 to 2014 in the São Paulo state of Brazil.

作者信息

Seribelli Amanda Ap, Frazão Miliane R, Medeiros Marta I Cazentini, Stehling Eliana G, Falcão Juliana P

机构信息

School of Pharmaceutical Sciences of Ribeirão Preto, Department of Clinical Analyses, Toxicology and Food Science, University of São Paulo, Café Avenue, 14040-903, Brazil.

Adolfo Lutz Institute of Ribeirão Preto, São Paulo, Brazil.

出版信息

Microbiol Immunol. 2017 Dec;61(12):547-553. doi: 10.1111/1348-0421.12550.

Abstract

Shigella sonnei, which has generally been associated with dysentery in developed countries, has recently been emerging in developing countries. Specifically, in Brazil few published studies have that molecularly characterized this species. The aims of this study were to analyze the efficacy of typing using multiple-locus variable-number tandem-repeat analysis (MLVA), study the phylogeny by multi-locus sequence typing (MLST) and assess the presence of some beta-lactam resistance genes in S. sonnei strains isolated from human diarrhoeic faeces in the São Paulo State in Brazil between 1983 and 2014. Seventy-two such S. sonnei strains were typed by MLVA and grouped into two clusters. The discrimination index of MLVA was found to be 0.996. Twenty strains were typed by MLST as ST152. In addition, the bla gene was detected in eight (72.7%) of the 11 S. sonnei strains that had previously been shown to be resistant to β-lactams. However, bla , bla and bla genes were not found. MLVA results suggested the existence of two prevalent subtypes in the S. sonnei strains studied, confirming previous results. Moreover, MLVA efficiently discriminated monomorphic S. sonnei species. Because the S. sonnei strains studied belonged to clonal complex 152 and all isolates were typed as ST152, MLST is not a suitable method for studying the population structure of S. sonnei. Although, the rates of β-lactam resistance were not high in the present study, the frequency of bla may represent a risk for patients receiving antimicrobial treatment. Taken together, the results provide better molecular characterization of this globally clinically important pathogen.

摘要

宋内志贺菌在发达国家通常与痢疾相关,最近在发展中国家也开始出现。具体而言,在巴西,很少有已发表的研究对该菌种进行分子特征分析。本研究的目的是分析多位点可变数目串联重复序列分析(MLVA)分型的有效性,通过多位点序列分型(MLST)研究系统发育,并评估1983年至2014年期间从巴西圣保罗州人类腹泻粪便中分离的宋内志贺菌菌株中一些β-内酰胺抗性基因的存在情况。通过MLVA对72株此类宋内志贺菌菌株进行分型,并分为两个簇。发现MLVA的鉴别指数为0.996。通过MLST对20株菌株分型为ST152。此外,在先前已显示对β-内酰胺耐药的11株宋内志贺菌菌株中的8株(72.7%)中检测到bla基因。然而,未发现bla、bla和bla基因。MLVA结果表明在所研究的宋内志贺菌菌株中存在两种流行亚型,证实了先前的结果。此外,MLVA有效地鉴别了单态性的宋内志贺菌菌种。由于所研究的宋内志贺菌菌株属于克隆复合体152,且所有分离株均分型为ST152,因此MLST不是研究宋内志贺菌种群结构的合适方法。尽管在本研究中β-内酰胺耐药率不高,但bla的频率可能对接受抗菌治疗的患者构成风险。综上所述,这些结果为这种全球临床上重要的病原体提供了更好的分子特征。

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