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环境亚抑制浓度的抗生素、重金属和杀菌剂对耐受性产生的影响及其对突变选择窗的作用

Impact of Environmental Sub-Inhibitory Concentrations of Antibiotics, Heavy Metals, and Biocides on the Emergence of Tolerance and Effects on the Mutant Selection Window in .

作者信息

Chukwu Kelechi B, Abafe Ovokeroye A, Amoako Daniel G, Ismail Arshad, Essack Sabiha Y, Abia Akebe L K

机构信息

Antimicrobial Research Unit, College of Health Sciences, University of KwaZulu-Natal, Durban 4000, South Africa.

Residue Laboratory, Agricultural Research Council, Onderstepoort Veterinary Research Campus, Onderstepoort 0110, South Africa.

出版信息

Microorganisms. 2023 Sep 9;11(9):2265. doi: 10.3390/microorganisms11092265.

Abstract

Bacteria's ability to withstand the detrimental effects of antimicrobials could occur as resistance or tolerance with the minimum inhibitory concentration, the mutant prevention concentration, and the mutant selection window as salient concepts. Thus, this study assessed the impact of exposure to extremely high doses of ampicillin on the level of persistence and tolerance development in isolates previously exposed to different concentrations of selected antibiotics, biocides, and heavy metals. These isolates were previously exposed to oxytetracycline (OXYTET), amoxicillin (AMX), copper (Cu), zinc (Zn), benzalkonium chloride (BAC) 10, dimethylammonium chloride (DADMAC) 12 and a combination of all the individual pollutants (ALL). The isolates were exposed to very high concentrations (25 × MIC) of ampicillin, and their tolerance was calculated as the time required to kill 99.9% of the bacterial population (MDK). The MDK increased by 30 to 50% in test isolates (DADMAC, OXYTET, Zinc = 28 h; BAC, Copper = 30 h; amoxycillin, ALL = 26 h) compared to the untreated control. BAC-exposed isolates decreased from 2.5 × 10 CFU/mL to 2.5 × 10 CFU/mL on the second day, displaying the highest tolerance increase. The tolerance appeared to originate from two sources, i.e., stochastic persistence and genetic-induced persistence, involving multiple genes with diverse mechanisms. The mutant selection window of the isolates to ampicillin, amoxicillin, and oxytetracycline also slightly increased compared to the control, indicating the selective survival of persister cells during the 30-day exposure. These findings indicate that bacterial exposure to sub-inhibitory concentrations of environmental chemical stressors may not always result in the development of antimicrobial resistance but could initiate this process by selecting persisters that could evolve into resistant isolates.

摘要

细菌对抗菌药物有害作用的耐受能力可能表现为耐药性或耐受性,其中最低抑菌浓度、突变预防浓度和突变选择窗是关键概念。因此,本研究评估了暴露于极高剂量氨苄青霉素对先前暴露于不同浓度选定抗生素、杀菌剂和重金属的分离株的持续存在水平和耐受性发展的影响。这些分离株先前分别暴露于土霉素(OXYTET)、阿莫西林(AMX)、铜(Cu)、锌(Zn)、苯扎氯铵(BAC)10、二甲基氯化铵(DADMAC)12以及所有单一污染物的组合(ALL)。将分离株暴露于极高浓度(25×MIC)的氨苄青霉素中,并将其耐受性计算为杀死99.9%细菌群体所需的时间(MDK)。与未处理的对照相比,测试分离株(DADMAC、OXYTET、锌=28小时;BAC、铜=30小时;阿莫西林、ALL=26小时)的MDK增加了30%至50%。暴露于BAC的分离株在第二天从2.5×10 CFU/mL降至2.5×10 CFU/mL,显示出最高的耐受性增加。耐受性似乎源于两个来源,即随机持续存在和遗传诱导的持续存在,涉及多个具有不同机制的基因。与对照相比,分离株对氨苄青霉素、阿莫西林和土霉素的突变选择窗也略有增加,表明在30天暴露期间持续存在细胞的选择性存活。这些发现表明,细菌暴露于亚抑制浓度的环境化学应激源可能并不总是导致抗菌药物耐药性的产生,但可能通过选择可能演变为耐药分离株的持续存在菌来启动这一过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/278c/10535725/e2bf1a58781e/microorganisms-11-02265-g001.jpg

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