Laboratory of Infectious Diseases, Graduate School of Infection Control Sciences & Kitasato Institute for Life Sciences, Kitasato University.
Division of Clinical Laboratory, Sanritsu Zelkova Veterinary Laboratory.
Jpn J Infect Dis. 2020 May 22;73(3):242-249. doi: 10.7883/yoken.JJID.2019.392. Epub 2020 Jan 31.
This study investigated quinolone nonsusceptible Streptococcus canis with point mutations in quinolone resistance-determining regions (QRDRs). After selecting targets from 185 isolates, we tested antimicrobial susceptibility using levofloxacin, ciprofloxacin, norfloxacin, and moxifloxacin. We also determined the amino acid sequences of QRDRs in gyrA/gyrB/parC/parE genes and their point mutations. Finally, we performed S. canis-derived M-like protein (SCM) allele typing, multilocus sequence typing, and antimicrobial resistance genotyping. Correlations between nonsusceptible strains and their related factors were examined. We found 13 (7.0%) nonsusceptible isolates consisting of two classes, high-level minimum inhibitory concentrations (MICs) (n = 7, 3.8%) and low-level MICs (n = 6, 3.2%). Mutations Ser81Phe/Ser81Tyr/Glu85Lys in gyrA, Ser67Phe/Ser67Tyr/Asp71Tyr in parC, Asp438Asn in parE, and Gly408Asp in gyrB were observed in these nonsusceptible strains. Common mutations included Ser81 and Ser67/Asp71; additionally, we found one strain each with Glu85, Asp438, and Gly408 mutations. There was a significant correlation between nonsusceptible isolates and the presence of SCM allele type 2, sequence type 46, tetracyclineresistance genes, and macrolide/lincosamide-resistance genes. These results could be used in future, by veterinarians while treating companion animals with clinical symptoms of streptococcal infections.
本研究调查了喹诺酮类药物不敏感的链球菌,这些链球菌在喹诺酮类药物耐药决定区(QRDR)中存在点突变。在从 185 个分离株中选择靶标后,我们使用左氧氟沙星、环丙沙星、诺氟沙星和莫西沙星测试了抗菌药物敏感性。我们还确定了 gyrA/gyrB/parC/parE 基因中 QRDR 的氨基酸序列及其点突变。最后,我们进行了源自链球菌的 M 样蛋白(SCM)等位基因分型、多位点序列分型和抗菌药物耐药基因分型。检查了非敏感性菌株及其相关因素之间的相关性。我们发现了 13 株(7.0%)非敏感性分离株,包括两类:高水平最小抑菌浓度(MIC)(n = 7,3.8%)和低水平 MIC(n = 6,3.2%)。gyrA 中的 Ser81Phe/Ser81Tyr/Glu85Lys、parC 中的 Ser67Phe/Ser67Tyr/Asp71Tyr、parE 中的 Asp438Asn 和 gyrB 中的 Gly408Asp 突变在这些非敏感性菌株中观察到。常见的突变包括 Ser81 和 Ser67/Asp71;此外,我们还发现了一株具有 Glu85、Asp438 和 Gly408 突变的菌株。非敏感性分离株与 SCM 等位基因类型 2、46 型序列、四环素耐药基因和大环内酯/林可酰胺耐药基因的存在之间存在显著相关性。这些结果可在兽医未来治疗患有链球菌感染临床症状的伴侣动物时使用。