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马波沙星给药对山羊粪便菌群中产马波沙星耐药大肠杆菌的出现的影响及耐药分子机制的阐明。

Impact of marbofloxacin administration on the emergence of marbofloxacin-resistant E. coli in faecal flora of goats and elucidation of molecular basis of resistance.

机构信息

Department of Veterinary Pharmacology and Toxicology, Dr. G.C. Negi College of Veterinary and Animal Sciences, CSK H.P. Agricultural University, Palampur, H.P., India; Department of Veterinary Pharmacology and Toxicology, Guru Angad Dev Veterinary and Animal Sciences University, Ludhiana, Punjab, India.

Department of Veterinary Microbiology, Guru Angad Dev Veterinary and Animal Sciences University, Ludhiana, Punjab, India.

出版信息

J Glob Antimicrob Resist. 2020 Jun;21:116-123. doi: 10.1016/j.jgar.2020.03.019. Epub 2020 Apr 14.

Abstract

OBJECTIVES

The level of resistance immediately prior to slaughter in food-producing animals is of great public health significance because of likely transmission of resistant bacteria via the food chain.

METHODS

Marbofloxacin was administered to goats at the dose of 2 mg/kg body weight by intramuscular route for 5 days. Faecal Escherichia coli population was monitored and examined for bacteriological procedures. DNA sequencing of gyrA and parC genes was performed to identify mutations at quinolone-resistance determining region, and interaction between marbofloxacin and GyrA was studied by in silico docking. E. coli isolates were screened for plasmid-mediated quinolone resistance genes qnrA, qnrB, qnrS, aac(6')Ib-cr, qepA, oqxA and oqxB. Efflux pump-mediated resistance was evaluated by ethidium bromide assay, reduction in minimum inhibitory concentration (MIC) values in the presence of efflux pump inhibitors and relative expression of AcrAB-TolC efflux pump.

RESULTS

During the treatment period, emergence of marbofloxacin-resistant E. coli strains was observed in gut flora. Quinolone resistance determining regions (QRDRs) in gyrA identified amino acid codon mutations Ser83Leu and Asp87Asn, and Ser80Ile in parC. Docking analysis implied that marbofloxacin could not form strong complexes with mutated DNA-gyrase. A high prevalnce of PMQR genes, especially qnrS, was observed along with overexpression of AcrAB-TolC efflux pump.

CONCLUSIONS

The study highlighted the high prevalence of transferable mechanisms of quinolone resistance and over expression of efflux pumps in marbofloxacin-resistant E. coli isolates apart from classic QRDR mutations. The present study recommends to consider the period of dominance of resistant commensals, being excreted by animals during the antimicrobial treatments, while formulating the withdrawal period for drugs, especially in food-producing animals.

摘要

目的

食品生产动物屠宰前的耐药水平具有重要的公共卫生意义,因为耐药菌可能通过食物链传播。

方法

给山羊肌肉注射 2mg/kg 体重的马波沙星,连续 5 天。监测粪便大肠杆菌种群并进行细菌学检查。对喹诺酮耐药决定区(QRDR)的基因突变进行 DNA 测序,并通过计算机对接研究马波沙星与 GyrA 之间的相互作用。筛选大肠杆菌分离株中的质粒介导喹诺酮耐药基因 qnrA、qnrB、qnrS、aac(6')Ib-cr、qepA、oqxA 和 oqxB。通过溴化乙锭试验评估外排泵介导的耐药性,在存在外排泵抑制剂的情况下降低最小抑菌浓度(MIC)值,并相对表达 AcrAB-TolC 外排泵。

结果

在治疗期间,观察到肠道菌群中出现了马波沙星耐药的大肠杆菌菌株。gyrA 的 QRDR 区鉴定出丝氨酸 83 亮氨酸和天冬氨酸 87 天冬酰胺以及丙氨酸 80 异亮氨酸的密码子突变,以及 parC 的丝氨酸 80 异亮氨酸。对接分析表明,马波沙星不能与突变的 DNA-gyrase 形成强复合物。除经典 QRDR 突变外,还观察到 PMQR 基因,特别是 qnrS 的高流行率以及 AcrAB-TolC 外排泵的过度表达。

结论

本研究强调了在马波沙星耐药大肠杆菌分离株中除了经典 QRDR 突变外,还存在可转移的喹诺酮耐药机制和外排泵过度表达的高流行率。本研究建议在制定药物停药期时,特别是在食品生产动物中,应考虑到动物在抗菌治疗期间排泄的耐药共生菌的优势期。

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