Vilela Felipe Pinheiro, Gomes Carolina Nogueira, Passaglia Jaqueline, Rodrigues Dália Prazeres, Costa Renata Garcia, Tiba Casas Monique Ribeiro, Fernandes Sueli Aparecida, Falcão Juliana Pfrimer, Campioni Fábio
1 Faculdade de Odontologia de Ribeirão Preto-USP , Ribeirão Preto, Brazil .
2 Departamento de Análises Clínicas, Toxicológicas e Bromatológicas, Faculdade de Ciências Farmacêuticas de Ribeirão Preto-USP , Ribeirão Preto, Brazil .
Microb Drug Resist. 2019 Mar;25(2):143-151. doi: 10.1089/mdr.2017.0329. Epub 2018 Sep 15.
Resistance of Salmonella Dublin strains to quinolones and tetracycline has been increasing worldwide. Studies regarding the genotypic resistance traits of strains of this serovar isolated in Brazil are scarce. This study aims to examine the genetic characteristics of Salmonella Dublin strains isolated in Brazil, which are associated with resistance to quinolone and tetracycline. The minimum inhibitory concentrations (MICs) of nalidixic acid, ciprofloxacin, and tetracycline of the 10 strains sensitive and 21 strains resistant to quinolone and tetracycline were determined using Etest. The mutation profiles of the gyrA, gyrB, parC, and parE genes were accessed by sequencing, while the presence of plasmid-mediated quinolone resistance and tet genes was analyzed by PCR. Quinolone-resistant strains presented the amino acid substitutions Ser96→Tyr, Ser96→Phe, Asp107→Asn, or Asp108→Gly on the gyrA gene, and the Ser224→Phe and Glu231→Asp mutations on the gyrB gene. The qnrA, tet(A), and tet(B) genes were detected in 5, 13, and 6 strains, respectively. Analysis of the MIC values revealed that 1 and 3 strains presented intermediate and resistant MIC profiles to nalidixic acid, respectively; 6 strains presented intermediate MIC profile to ciprofloxacin; and 13 strains presented resistant MIC profile to tetracycline. In the Salmonella Dublin strains studied, quinolone resistance was mainly related to mutation points that led to target alteration in the gyrA and gyrB genes, while tetracycline resistance was associated with the presence of tet(A) and/or tet(B) genes, with the highest resistance levels detected in strains bearing the tet(B) gene. The presence of the aforementioned genotypic resistance traits in Salmonella Dublin strains isolated over 33 years in Brazil indicates that ciprofloxacin or tetracycline therapy against such strains may fail.
都柏林沙门氏菌菌株对喹诺酮类和四环素的耐药性在全球范围内一直在增加。关于在巴西分离出的该血清型菌株的基因型耐药特征的研究很少。本研究旨在检测在巴西分离出的都柏林沙门氏菌菌株的遗传特征,这些特征与对喹诺酮类和四环素的耐药性有关。使用Etest法测定了10株对喹诺酮类和四环素敏感的菌株以及21株耐药菌株对萘啶酸、环丙沙星和四环素的最低抑菌浓度(MIC)。通过测序分析gyrA、gyrB、parC和parE基因的突变谱,同时通过PCR分析质粒介导的喹诺酮耐药性和tet基因的存在情况。喹诺酮耐药菌株在gyrA基因上出现了氨基酸取代,如Ser96→Tyr、Ser96→Phe、Asp107→Asn或Asp108→Gly,在gyrB基因上出现了Ser224→Phe和Glu231→Asp突变。分别在5株、13株和6株菌株中检测到qnrA、tet(A)和tet(B)基因。对MIC值的分析表明,分别有1株和3株菌株对萘啶酸呈现中介和耐药的MIC谱;6株菌株对环丙沙星呈现中介MIC谱;13株菌株对四环素呈现耐药MIC谱。在所研究的都柏林沙门氏菌菌株中,喹诺酮耐药性主要与导致gyrA和gyrB基因靶点改变的突变点有关,而四环素耐药性与tet(A)和/或tet(B)基因的存在有关,在携带tet(B)基因的菌株中检测到的耐药水平最高。在巴西33年期间分离出的都柏林沙门氏菌菌株中存在上述基因型耐药特征,表明针对此类菌株的环丙沙星或四环素治疗可能会失败。