Department of Veterinary Pathobiology, Texas A&M University, College Station, Texas, United States of America.
Department of Veterinary Integrative Biosciences, Texas A&M University, College Station, Texas, United States of America.
PLoS One. 2020 Nov 16;15(11):e0242195. doi: 10.1371/journal.pone.0242195. eCollection 2020.
Though carbapenems are not licensed for use in food animals in the U.S., carbapenem resistance among Enterobacteriaceae has been identified in farm animals and their environments. The objective of our study was to determine the extent to which older-generation β-lactam antibiotics approved for use in food animals in the U.S. might differentially select for resistance to antibiotics of critical importance to human health, such as carbapenems. Escherichia coli (E. coli) strains from humans, food animals, or the environment bearing a single β-lactamase gene (n = 20 each) for blaTEM-1, blaCMY-2, and blaCTX-M-* or else blaKPC/IMP/NDM (due to limited availability, often in combination with other bla genes), were identified, along with 20 E. coli strains lacking any known beta-lactamase genes. Baseline estimates of intrinsic bacterial fitness were derived from the population growth curves. Effects of ampicillin (32 μg/mL), ceftriaxone (4 μg/mL) and meropenem (4 μg/mL) on each strain and resistance-group also were assessed. Further, in vitro batch cultures were prepared by mixing equal concentrations of 10 representative E. coli strains (two from each resistance gene group), and each mixture was incubated at 37°C for 24 hours in non-antibiotic cation-adjusted Mueller-Hinton II (CAMH-2) broth, ampicillin + CAMH-2 broth (at 2, 4, 8, 16, and 32 μg/mL) and ceftiofur + CAMH-2 broth (at 0.5, 1, 2, 4, and 8μg/mL). Relative and absolute abundance of resistance-groups were estimated phenotypically. Line plots of the raw data were generated, and non-linear Gompertz models and multilevel mixed-effect linear regression models were fitted to the data. The observed strain growth rate distributions were significantly different across the groups. AmpC strains (i.e., blaCMY-2) had distinctly less robust (p < 0.05) growth in ceftriaxone (4 μg/mL) compared to extended-spectrum beta-lactamase (ESBL) producers harboring blaCTX-M-*variants. With increasing beta-lactam antibiotic concentrations, relative proportions of ESBLs and CREs were over-represented in the mixed bacterial communities; importantly, this was more pronounced with ceftiofur than with ampicillin. These results indicate that aminopenicillins and extended-spectrum cephalosporins would be expected to propagate carbapenemase-producing Enterobacteriaceae in food animals if and when Enterobacteriaceae from human health care settings enter the food animal environment.
虽然碳青霉烯类药物在美国并未被批准用于食用动物,但已在农场动物及其环境中发现了肠杆菌科的碳青霉烯类耐药性。我们研究的目的是确定美国批准用于食用动物的旧一代β-内酰胺类抗生素在多大程度上可能会选择性地产生对抗生素的耐药性,这些抗生素对人类健康至关重要,如碳青霉烯类抗生素。我们鉴定了来自人类、食用动物或环境的携带单个β-内酰胺酶基因(blaTEM-1、blaCMY-2 和 blaCTX-M-* 或 blaKPC/IMP/NDM(由于供应有限,通常与其他 bla 基因结合)的 20 株大肠埃希菌菌株,以及 20 株缺乏任何已知β-内酰胺酶基因的大肠埃希菌菌株。从种群生长曲线中得出了细菌固有适应性的基线估计值。还评估了氨苄西林(32μg/mL)、头孢曲松(4μg/mL)和美罗培南(4μg/mL)对每种菌株和耐药组的影响。此外,通过混合 10 株代表性大肠埃希菌菌株(每个耐药基因组 2 株)的等浓度制备了体外分批培养物,然后将每种混合物在非抗生素阳离子调整的 Mueller-Hinton II(CAMH-2)肉汤中于 37°C 孵育 24 小时,氨苄西林+CAMH-2 肉汤(在 2、4、8、16 和 32μg/mL 下)和头孢噻呋+CAMH-2 肉汤(在 0.5、1、2、4 和 8μg/mL 下)。通过表型估计了耐药组的相对和绝对丰度。生成了原始数据的折线图,并拟合了非线性 Gompertz 模型和多级混合效应线性回归模型。观察到的菌株生长速率分布在各组之间存在显著差异。与携带 blaCTX-M-* 变体的 ESBL 生产者相比,blaCMY-2 菌株(即 AmpC 菌株)在头孢曲松(4μg/mL)中的生长明显较弱(p<0.05)。随着β-内酰胺类抗生素浓度的增加,ESBLs 和 CREs 的相对比例在混合细菌群落中被过度表达;重要的是,这在头孢噻呋中比氨苄西林更为明显。这些结果表明,如果来自人类医疗保健环境的肠杆菌科进入食用动物环境,那么青霉素类和头孢菌素类抗生素预计会在食用动物中繁殖产碳青霉烯酶的肠杆菌科。