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临床分离株中生物膜诱导的抗生素耐药性

Biofilm-Induced Antibiotic Resistance in Clinical Isolates.

作者信息

Shenkutie Abebe Mekuria, Yao Mian Zhi, Siu Gilman Kit-Hang, Wong Barry Kin Chung, Leung Polly Hang-Mei

机构信息

Department of Health Technology and Informatics, the Hong Kong Polytechnic University, Hong Kong, China.

Department of Pathology, United Christian Hospital, Hong Kong, China.

出版信息

Antibiotics (Basel). 2020 Nov 17;9(11):817. doi: 10.3390/antibiotics9110817.

Abstract

In order to understand the role of biofilm in the emergence of antibiotic resistance, a total of 104 clinical strains were investigated for their biofilm-forming capacities and genes associated with biofilm formation. Selected biofilm-formers were tested for antibiotic susceptibilities when grown in biofilm phase. Reversibility of antibiotic susceptibility in planktonic cells regrown from biofilm were investigated. We found 59.6% of the strains were biofilm-formers, among which, 66.1% were non-multidrug resistant (MDR) strains. Presence of virulence genes , , and was significantly associated with biofilm-forming capacities. When strains were grown in biofilm state, the minimum biofilm eradication concentrations were 44, 407, and 364 times higher than the minimum bactericidal concentrations (MBC) for colistin, ciprofloxacin, and imipenem, respectively. Persisters were detected after treating the biofilm at 32-256 times the MBC of planktonic cells. Reversibility test for antibiotic susceptibility showed that biofilm formation induced reversible antibiotic tolerance in the non-MDR strains but a higher level of irreversible resistance in the extensively drug-resistant (XDR) strain. In summary, we showed that the non-MDR strains were strong biofilm-formers. Presence of persisters in biofilm contributed to the reduced antibiotic susceptibilities. Biofilm-grown has induced antibiotic tolerance in non-MDR strains and increased resistance levels in XDR strains. To address the regulatory mechanisms of biofilm-specific resistance, thorough investigations at genome and transcription levels are warranted.

摘要

为了解生物膜在抗生素耐药性产生中的作用,共对104株临床菌株的生物膜形成能力及与生物膜形成相关的基因进行了研究。对筛选出的生物膜形成菌株在生物膜生长阶段进行抗生素敏感性测试。研究了从生物膜再生长的浮游细胞中抗生素敏感性的可逆性。我们发现59.6%的菌株是生物膜形成菌,其中66.1%是非多重耐药(MDR)菌株。毒力基因、和的存在与生物膜形成能力显著相关。当菌株在生物膜状态下生长时,对于黏菌素、环丙沙星和亚胺培南,最低生物膜清除浓度分别比最低杀菌浓度(MBC)高44倍、407倍和364倍。在以浮游细胞MBC的32 - 256倍处理生物膜后检测到持留菌。抗生素敏感性可逆性测试表明,生物膜形成在非MDR菌株中诱导了可逆的抗生素耐受性,但在广泛耐药(XDR)菌株中诱导了更高水平的不可逆耐药性。总之,我们表明非MDR菌株是强大的生物膜形成菌。生物膜中持留菌的存在导致抗生素敏感性降低。生物膜生长的已在非MDR菌株中诱导了抗生素耐受性,并在XDR菌株中提高了耐药水平。为解决生物膜特异性耐药的调控机制,有必要在基因组和转录水平进行深入研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b1a/7698371/6a7aed7b9bb4/antibiotics-09-00817-g001.jpg

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