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与 ST11 碳青霉烯类耐药菌不同形态相关的遗传、毒力和抗菌药物耐药特征。

Genetic, virulence, and antimicrobial resistance characteristics associated with distinct morphotypes in ST11 carbapenem-resistant .

机构信息

State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, National Clinical Research Center for Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.

Jinan Microecological Biomedicine Shandong Laboratory, Jinan, Shandong, China.

出版信息

Virulence. 2024 Dec;15(1):2349768. doi: 10.1080/21505594.2024.2349768. Epub 2024 May 12.

Abstract

ST11 is the most common lineage among carbapenem-resistant (CRKP) infections in Asia. Diverse morphotypes resulting from genetic mutations are associated with significant differences in microbial characteristics among isolates. Here, we investigated the genetic determinants and critical characteristics associated with distinct morphotypes of ST11 CRKP. An ST11-KL47 CRKP isolate carrying a pLVPK-like virulence plasmid was isolated from a patient with a bloodstream infection; the isolate had the "mcsw" morphotype. Two distinct morphotypes ("ntrd" and "msdw") were derived from this strain during passage. Whole genome sequencing was used to identify mutations that cause the distinct morphotypes of ST11 CRKP. Transmission electron microscopy, antimicrobial susceptibility tests, growth assays, biofilm formation, virulence assays, membrane permeability assays, and RNA-seq analysis were used to investigate the specific characteristics associated with different morphotypes of ST11 CRKP. Compared with the parental mcsw morphotype, the ntrd morphotype resulted from mutation of genes involved in capsular polysaccharide biosynthesis (, , and ), a result validated by gene knockout experiments. This morphotype showed capsule deficiency and lower virulence potential, but higher biofilm production. By contrast, the msdw morphotype displayed competition deficiency and increased susceptibility to chlorhexidine and polymyxin B. Further analyses indicated that these characteristics were caused by interruption of the sigma factor gene by insertion mutations and deletion of the gene, which attenuated membrane integrity presumably by downregulating the phage shock protein operon. These data expand current understanding of genetic, virulence, and antimicrobial resistance characteristics associated with distinct morphotypes in ST11 CRKP.

摘要

ST11 是亚洲耐碳青霉烯肠杆菌科(CRKP)感染中最常见的谱系。由于基因突变而导致的不同形态与分离株之间微生物特征的显著差异有关。在这里,我们研究了与 ST11 CRKP 不同形态相关的遗传决定因素和关键特征。从血流感染患者中分离到一株携带 pLVPK 样毒力质粒的 ST11-KL47 CRKP 分离株,该分离株具有“mcsw”形态。从该菌株中衍生出两种不同的形态(“ntrd”和“msdw”)。使用全基因组测序来鉴定导致 ST11 CRKP 不同形态的突变。使用透射电子显微镜、抗菌药物敏感性试验、生长试验、生物膜形成、毒力试验、膜通透性试验和 RNA-seq 分析来研究与 ST11 CRKP 不同形态相关的特定特征。与亲本 mcsw 形态相比,ntrd 形态是由于参与荚膜多糖生物合成的基因(、、和)突变引起的,这一结果通过基因敲除实验得到了验证。该形态表现出荚膜缺失和较低的毒力潜力,但生物膜生成能力更高。相比之下,msdw 形态表现出竞争缺陷和对洗必泰和多粘菌素 B 的敏感性增加。进一步的分析表明,这些特征是由于插入突变中断了 sigma 因子基因和缺失基因所致,这可能通过下调噬菌体休克蛋白操纵子而削弱了膜完整性。这些数据扩展了我们对与 ST11 CRKP 不同形态相关的遗传、毒力和抗微生物耐药性特征的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8c5/11093053/036578a30630/KVIR_A_2349768_F0001_OC.jpg

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