Seção de Bacteriologia e Micologia, Instituto Evandro Chagas (IEC), Ananindeua, PA, Brazil.
Universidade Federal de São Paulo (UNIFESP), Laboratório ALERTA, Disciplina de Infectologia, Departamento de Medicina, Escola Paulista de Medicina (EPM), São Paulo, SP, Brazil.
J Antimicrob Chemother. 2023 Jun 1;78(6):1359-1366. doi: 10.1093/jac/dkad077.
OBJECTIVES: To characterize a novel acquired MBL, BIM-1, in a Pseudomonas #2 (subgroup P. guariconensis) strain isolated from the Aurá river located in the Brazilian Amazon hydrographic basin. METHODS: WGS using an Illumina® MiSeq System was used to characterize the genome of Pseudomonas sp. IEC33019 strain. Southern blotting/hybridization assays were performed to confirm the location of the MBL-encoding gene, blaBIM-1 (Belém Imipenemase). Antimicrobial susceptibility testing, cloning, and biochemical and phenotypic characterization were performed to determine BIM-1 kinetics. RESULTS: The IEC33019 strain showed high resistance rates to β-lactams, ciprofloxacin and aminoglycosides, being susceptible only to polymyxins and susceptible, increased exposure to aztreonam. WGS analysis revealed a novel acquired MBL-encoding gene, blaBIM-1, found as a gene cassette inserted into a class 1 integron (In1326) that also carried qnrVC1 and aadA11e. In1326 was located in a complex transposon, Tn7122, carried by a 52.7 kb conjugative plasmid (pIEC33019) with a toxin/antitoxin system (vapB/vapC). BIM-1 belongs to the molecular subgroup B1 and shares 70.2% and 64.9% similarity with SIM-1 and IMP-1, respectively. Kinetics analysis of BIM-1 showed hydrolytic activity against all β-lactams tested. CONCLUSIONS: BIM-1 is a novel acquired MBL encoded by a gene carried by mobile genetic elements, which can be transferred to other Gram-negative bacilli (GNB). Because the IEC33019 strain was recovered from a river impacted by a populous metropolitan region with poor basic sanitation and served by limited potable freshwater, it would be important to establish the role of the BIM-1-producing GNB as nosocomial pathogens and/or as colonizers of the riverside population in this geographical region.
目的:对一株从巴西亚马逊流域的奥拉河分离出的假单胞菌#2 (假单胞菌属瓜拉尼亚种)菌株中发现的新型获得性 MBL,BIM-1 进行表型特征鉴定。
方法:采用 Illumina® MiSeq 系统进行全基因组测序,以鉴定假单胞菌 sp. IEC33019 菌株的基因组。通过 Southern blot/杂交实验来确认 MBL 编码基因 blaBIM-1(贝伦亚胺培南酶)的位置。进行药敏试验、克隆、生化和表型特征鉴定,以确定 BIM-1 的动力学。
结果:IEC33019 株对β-内酰胺类、环丙沙星和氨基糖苷类药物的耐药率较高,仅对多黏菌素类药物敏感,且对氨曲南的敏感性增加。全基因组序列分析揭示了一种新型获得性 MBL 编码基因 blaBIM-1,该基因作为一个基因盒插入到一个 I 类整合子(In1326)中,该整合子还携带 qnrVC1 和 aadA11e。In1326 位于一个复杂的转座子 Tn7122 上,Tn7122 由一个 52.7 kb 的可接合质粒(pIEC33019)携带,该质粒上还带有一个毒素/抗毒素系统(vapB/vapC)。BIM-1 属于分子亚群 B1,与 SIM-1 和 IMP-1 的相似度分别为 70.2%和 64.9%。BIM-1 的动力学分析表明,它对所有测试的β-内酰胺类药物均具有水解活性。
结论:BIM-1 是一种新型的获得性 MBL,由携带移动遗传元件的基因编码,该基因可转移至其他革兰氏阴性杆菌(GNB)。由于 IEC33019 菌株是从一条受到人口众多的大都市地区影响的河流中分离出来的,该地区的基本卫生条件较差,淡水供应有限,因此,有必要确定产生 BIM-1 的 GNB 是否作为医院获得性病原体以及/或作为该地区河流沿岸人群的定居者发挥作用。
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