Department of Bacteriology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Department of Bacteriology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Infect Genet Evol. 2021 Jan;87:104628. doi: 10.1016/j.meegid.2020.104628. Epub 2020 Nov 7.
The molecular mechanism underlying the development of vancomycin-intermediate Staphylococcus aureus (VISA) remains unclear. The abuses of antibacterial compounds lead to a change in the bacterial susceptibility patterns. Therefore, we examined the effect of Chlorhexidine (CHX) on in vitro development of VISA and reported CHX-selected VISA mutant Tm1 with phenotypic features similar to the clinical VISA isolates. WalKR, VraTSR, and GraSR are the most common regulatory systems involved in VISA evaluation. The expression of these systems, as well as walKR-regulated autolysins and VraTSR-regulated cell wall stimulon, were compared, by RT-qPCR, between the mutant and parental strains. The results revealed the downregulation of walKR, vraTSR, atlA, sle1, lytM, and pbpB genes in Tm1. The complete sequences of walKR and vraTSR genes was compared using the Sanger sequencing method. We detected Walk.R55C, WalR.A38T, and VraS·N340-D347del novel mutations in Tm1. These mutations were classified as deleterious mutations and predicted to affect protein function using the SIFT prediction algorithm. Novel mutations in Tm1 confirm the genetic diversity of VISA isolates. We suggest that WalKR and VraTSR may be involved in sense and response to CHX. In this regard, CHX may have a role in cell wall degradation of S. aureus and the emergence of VISA due to mutations in the CA domain of the Walk and VraS and the REC domain of WalR. Therefore, CHX should be used with caution.
万古霉素中介金黄色葡萄球菌(VISA)发病机制的分子机制尚不清楚。抗菌化合物的滥用导致了细菌敏感性模式的改变。因此,我们研究了洗必泰(CHX)对体外 VISA 发展的影响,并报告了具有与临床 VISA 分离株相似表型特征的 CHX 选择 VISA 突变体 Tm1。WalKR、VraTSR 和 GraSR 是参与 VISA 评估的最常见的调节系统。通过 RT-qPCR 比较了这些系统以及 walKR 调节的自溶素和 VraTSR 调节的细胞壁刺激子在突变体和亲本菌株中的表达。结果表明,Tm1 中 walKR、vraTSR、atlA、sle1、lytM 和 pbpB 基因的表达下调。使用 Sanger 测序方法比较了 walKR 和 vraTSR 基因的完整序列。我们在 Tm1 中检测到 Walk.R55C、WalR.A38T 和 VraS·N340-D347del 新突变。这些突变被归类为有害突变,并使用 SIFT 预测算法预测会影响蛋白质功能。Tm1 中的新突变证实了 VISA 分离株的遗传多样性。我们认为 WalKR 和 VraTSR 可能参与对 CHX 的感知和反应。在这方面,CHX 可能由于 Walk 和 VraS 的 CA 结构域以及 WalR 的 REC 结构域中的突变而在金黄色葡萄球菌细胞壁降解和 VISA 的出现中发挥作用。因此,应谨慎使用 CHX。