Souza Aline R V, de Pina Sandrine E C M, Costa Natália S, Neves Felipe P G, Merquior Vânia L C, Peralta José Mauro, Pinto Tatiana C A, Teixeira Lúcia M
Instituto de Microbiologia Paulo de Goes, Universidade Federal Do Rio de Janeiro, Rio de Janeiro, RJ, 21941-902, Brazil.
Instituto de Biofísica Carlos Chagas Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, 21941-902, Brazil.
Sci Rep. 2021 Apr 12;11(1):7936. doi: 10.1038/s41598-021-87071-8.
Optochin susceptibility testing is a major assay used for presumptive identification of Streptococcus pneumoniae. Still, atypical optochin-resistant (Opt) pneumococci have been reported and this phenotype has been attributed to nucleotide substitutions in the genes coding for the FFATPase. While substitutions in the atpC gene (c-subunit of ATPase) are more common and better characterized, data on mutations in the atpA (a-subunit) are still limited. We have characterized five Opt isolates presenting alterations in the atpA (Trp206Cys in four isolates and Trp206Ser in one isolate), constituting the first report of such mutations in Brazil. Most of the Opt isolates consisted of heterogeneous populations. Except for Opt MICs and the nucleotide changes in the atpA gene, Opt and Opt subpopulations originating from the same culture had identical characteristics. In addition, we compared phenotypic and genetic characteristics of these atpA mutants with those of atpC mutants previously identified in Brazil. No structural alterations were detected among predicted proteins, regardless of mutations in the coding gene, suggesting that, despite the occurrence of mutations, protein structures tend to be highly conserved, ensuring their functionalities. Phylogenetic analysis revealed that atypical Opt strains are true pneumococci and Opt resistance does not represent any apparent selective advantage for clinical isolates.
奥普托欣敏感性试验是用于肺炎链球菌初步鉴定的主要检测方法。尽管如此,仍有非典型耐奥普托欣(Opt)肺炎球菌的报道,这种表型归因于编码F型ATP酶的基因中的核苷酸替换。虽然atpC基因(ATP酶的c亚基)中的替换更为常见且特征更明确,但关于atpA(a亚基)突变的数据仍然有限。我们鉴定了5株在atpA中存在改变的Opt分离株(4株为Trp206Cys,1株为Trp206Ser),这是巴西首次报道此类突变。大多数Opt分离株由异质群体组成。除了Opt最低抑菌浓度和atpA基因中的核苷酸变化外,来自同一培养物的Opt及其亚群具有相同的特征。此外,我们将这些atpA突变体的表型和遗传特征与之前在巴西鉴定的atpC突变体进行了比较。无论编码基因中是否存在突变,预测蛋白中均未检测到结构改变,这表明尽管发生了突变,但蛋白结构倾向于高度保守,以确保其功能。系统发育分析表明,非典型Opt菌株是真正的肺炎球菌,Opt耐药性对临床分离株不代表任何明显的选择优势。