Nagy Eszter Zsófia, Kovács Áron Botond, Wehmann Enikő, Bekő Katinka, Földi Dorottya, Bányai Krisztián, Kreizinger Zsuzsa, Gyuranecz Miklós
Veterinary Medical Research Institute, Budapest, Hungary.
National Laboratory of Infectious Animal Diseases, Antimicrobial Resistance, Veterinary Public Health and Food Chain Safety, Budapest, Hungary.
Front Microbiol. 2023 Jul 11;14:1216893. doi: 10.3389/fmicb.2023.1216893. eCollection 2023.
is one of the most important waterfowl-pathogenic mycoplasmas. Due to inadequate antibiotic treatment, many strains with high minimal inhibitory concentration (MIC) values for multiple drugs have been isolated lately. Decreased antibiotic susceptibility in several species are known to be associated with mutations in topoisomerase and ribosomal genes, but other strategies such as active efflux pump mechanisms were also described. The scope of this study was the phenotypic and genetic characterization of the active efflux mechanism in .
We measured the MIC values in the presence and absence of different efflux pump inhibitors (EPIs), such as carbonyl cyanide m-chlorophenylhydrazine (CCCP), orthovanadate (OV), and reserpine (RSP). Moreover, bioinformatic tools were utilized to detect putative regulatory sequences of membrane transport proteins coding genes, while comparative genome analysis was performed to reveal potential markers of antibiotic resistance.
Out of the three examined EPIs, CCCP decreased the MICs at least two-fold below the original MICs (in 23 cases out of 36 strains). In the presence of OV or RSP, MIC value differences could be seen only if modified dilution series (10% decrease steps were used instead of two-fold dilutions) were applied (in 24/36 cases with OV and 9/36 with RSP). During comparative genome analysis, non-synonymous single nucleotide polymorphisms (nsSNPs) were identified in genes encoding ABC membrane transport proteins, which were displayed in higher percentages in strains with increased MICs. In terms of other genes, a nsSNP was identified in DNA gyrase subunit A () gene which can be related to decreased susceptibility to enrofloxacin. The present study is the first to highlight the importance of efflux pump mechanisms in .
Considering the observed effects of the EPI CCCP against this bacterium, it can be assumed, that the use of EPIs would increase the efficiency of targeted antibiotic therapy in the future control of this pathogen. However, further research is required to obtain a more comprehensive understanding of efflux pump mechanism in this bacterium.
[病原体名称]是最重要的水禽致病性支原体之一。由于抗生素治疗不充分,近来已分离出许多对多种药物具有高最低抑菌浓度(MIC)值的菌株。已知几种物种中抗生素敏感性降低与拓扑异构酶和核糖体基因突变有关,但也描述了其他策略,如主动外排泵机制。本研究的范围是对[病原体名称]中主动外排机制进行表型和遗传特征分析。
我们在存在和不存在不同外排泵抑制剂(EPI)的情况下测量MIC值,如羰基氰化物间氯苯腙(CCCP)、原钒酸盐(OV)和利血平(RSP)。此外,利用生物信息学工具检测膜转运蛋白编码基因的假定调控序列,同时进行比较基因组分析以揭示抗生素抗性的潜在标志物。
在三种检测的EPI中,CCCP使MIC至少降低至原始MIC的两倍以下(36株菌株中有23例)。在存在OV或RSP的情况下,只有应用修改后的稀释系列(使用10%的递减步骤而不是两倍稀释)才能看到MIC值差异(使用OV时36例中有24例,使用RSP时36例中有9例)。在比较基因组分析期间,在编码ABC膜转运蛋白的基因中鉴定出非同义单核苷酸多态性(nsSNP),在MIC增加的[病原体名称]菌株中其出现百分比更高。就其他基因而言,在DNA促旋酶亚基A()基因中鉴定出一个nsSNP,其可能与对恩诺沙星敏感性降低有关。本研究首次强调了外排泵机制在[病原体名称]中的重要性。
考虑到EPI CCCP对这种细菌的观察效果,可以假设,在未来控制这种病原体时,使用EPI将提高靶向抗生素治疗的效率。然而,需要进一步研究以更全面地了解这种细菌中的外排泵机制。