Amin Mansour, Navidifar Tahereh, Saleh Shooshtari Farkhondeh, Goodarzi Hamed
Infectious and Tropical Diseases Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Department of Microbiology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Infect Drug Resist. 2019 May 13;12:1171-1180. doi: 10.2147/IDR.S196575. eCollection 2019.
Metallo-β-Lactamases (MBL) are usually encoded on the gene cassettes harboring integrons and disseminated easily among isolates. This study was aimed to investigate the association of the genes encoding MBL with the presence of class 1 and 2 integrons among multidrug-resistant (MDR) isolates. A total of 85 non-duplicated isolates were collected and evaluated for the amplification of The presence of genes encoding MBLs, including and , as well as and was evaluated by PCR. Also, the production of MBLs was screened phenotypically by the combination of EDTA and meropenem. In this study, 77 out of 85 isolates were MDR. Also, 34 isolates had only , 10 had only and 15 had both and . The phenotypic detection of MBLs was found in 30 isolates, among which was as the most common the gene encoding MBL followed by and . The gene cassettes analysis revealed that class 1 integron is often responsible for transferring the genes harboring MBLs. The production of MBLs among strains is one of the main mechanisms of resistance to carbapenems. Therefore, the development of inexpensive screening methods for the phenotypic detection of MBLs in clinical laboratories settings is essential. Also, our data revealed that the class 1 integron is often responsible for the dissemination of the MBL genes among isolates.
金属β-内酰胺酶(MBL)通常由携带整合子的基因盒编码,并易于在分离株之间传播。本研究旨在调查编码MBL的基因与多重耐药(MDR)分离株中1类和2类整合子存在之间的关联。共收集了85株非重复分离株,并通过聚合酶链反应(PCR)评估编码MBL的基因的扩增情况,包括blaVIM、blaIMP、blaNDM和blaOXA-48。此外,通过乙二胺四乙酸(EDTA)和亚胺培南联合使用,从表型上筛选MBL的产生情况。在本研究中,85株分离株中有77株为MDR。此外,34株分离株仅携带blaVIM,10株仅携带blaIMP,15株同时携带blaVIM和blaIMP。在30株分离株中发现了MBL的表型检测结果,其中blaVIM是编码MBL最常见的基因,其次是blaIMP和blaNDM。基因盒分析显示,1类整合子通常负责携带MBL的基因的转移。MBL在菌株中的产生是对碳青霉烯类耐药的主要机制之一。因此,开发用于临床实验室环境中MBL表型检测的廉价筛选方法至关重要。此外,我们的数据显示,1类整合子通常负责MBL基因在分离株中的传播。