通过ESBL/PBP信号通路呈现β-内酰胺类抗菌药物耐药性。
presents antimicrobial drug resistance for β-lactam through the ESBL/PBP signaling pathway.
作者信息
Jiang Wei, Yang Wenjie, Zhao Xuequn, Wang Na, Ren Haixia
机构信息
Department of Infectious Disease, Tianjin First Central Hospital, Tianjin 300000, P.R. China.
Department of Transplantation, Tianjin First Central Hospital, Tianjin 300000, P.R. China.
出版信息
Exp Ther Med. 2020 Apr;19(4):2449-2456. doi: 10.3892/etm.2020.8498. Epub 2020 Feb 7.
Overuse and misuse of antibiotics leads to antibiotic resistance which has become a significant public health concern. is the most common pathogenic bacteria underlying nosocomial infections due to the expression of virulence factors and occurrence of antibiotic resistance. Evidence indicates that β-lactamase is involved in the antibiotic resistance of to β-lactam antibiotics. The aim of the present study was to investigate the association between the molecular biological mechanisms of antibiotic resistance of and extended-spectrum β-lactamase (ESBL). In order to assess temporal trends in prevalence and antimicrobial susceptibility, bacteria were isolated and the ESBL expression level was analyzed. Susceptibility tests were performed using automated systems. The β-lactam-resistance in was assessed by the β-lactam agar screen plate and respective MIC values were evaluated using E-test strips. The confirmatory disk diffusion methods were applied for phenotypic identification of the ESBL production of . The results showed that bacteria exhibited higher ESBL production after treatment with β-lactam compared to the control. The ESBL gene expression was upregulated in after treatment with β-lactam. Results identified that penicillin-binding proteins (PBPs) were associated with the growth and resistance to β-lactams. Zinc finger nuclease markedly inhibited the antibiotic resistance of β-lactam. PBP knockdown abolished the inhibitory effects of zinc finger nuclease on the growth of induced by β-lactam antibiotic treatment. In conclusion, these results suggest that the resistance of bacteria antimicrobial drugs is through the ESBL signaling pathway, which indicates that ESBL may be a potential target for abolishing resistance to β-lactam.
抗生素的过度使用和滥用导致了抗生素耐药性,这已成为一个重大的公共卫生问题。由于毒力因子的表达和抗生素耐药性的出现,是医院感染最常见的病原菌。有证据表明,β-内酰胺酶与对β-内酰胺类抗生素的耐药性有关。本研究的目的是调查对β-内酰胺类抗生素耐药的分子生物学机制与超广谱β-内酰胺酶(ESBL)之间的关联。为了评估患病率和抗菌药物敏感性的时间趋势,分离了细菌并分析了ESBL表达水平。使用自动化系统进行药敏试验。通过β-内酰胺琼脂筛选平板评估对β-内酰胺类抗生素的耐药性,并使用E-test试纸条评估各自的MIC值。采用确证纸片扩散法对产生ESBL的进行表型鉴定。结果表明,与对照组相比,经β-内酰胺类抗生素处理后的细菌表现出更高的ESBL产生。经β-内酰胺类抗生素处理后,中ESBL基因表达上调。结果确定青霉素结合蛋白(PBPs)与对β-内酰胺类抗生素的生长和耐药性有关。锌指核酸酶显著抑制了对β-内酰胺类抗生素的耐药性。敲低PBP消除了锌指核酸酶对β-内酰胺类抗生素处理诱导的生长的抑制作用。总之,这些结果表明,细菌对抗菌药物的耐药性是通过ESBL信号通路产生的,这表明ESBL可能是消除对β-内酰胺类抗生素耐药性的潜在靶点。
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