Suppr超能文献

ST11-K47 超毒力株中 KPC-135 介导的对头孢他啶-阿维巴坦耐药的分子机制。

Molecular mechanisms responsible KPC-135-mediated resistance to ceftazidime-avibactam in ST11-K47 hypervirulent .

机构信息

Institute of Antibiotics, Huashan Hospital, Fudan University, Shanghai, People's Republic of China.

Key Laboratory of Clinical Pharmacology of Antibiotics, Ministry of Health, Shanghai, People's Republic of China.

出版信息

Emerg Microbes Infect. 2024 Dec;13(1):2361007. doi: 10.1080/22221751.2024.2361007. Epub 2024 Jun 12.

Abstract

Ceftazidime-avibactam resistance attributable to the gene mutation is increasingly documented in clinical settings. In this study, we characterized the mechanisms leading to the development of ceftazidime-avibactam resistance in ST11-K47 hypervirulent that harboured the gene. This strain possessed fimbriae and biofilm, demonstrating pathogenicity. Compared with the wild-type KPC-2 carbapenemase, the novel KPC-135 enzyme exhibited a deletion of Glu168 and Leu169 and a 15-amino acid tandem repeat between Val262 and Ala276. The gene was located within the Tn transposon truncated by IS and carried on an IncFII/IncR-type plasmid. Compared to the -positive cloned strain, only the MIC of ceftazidime increased against -positive and wasn't inhibited by avibactam (MIC 32 μg/mL), while clavulanic acid and vaborbactam demonstrated some inhibition. Kinetic parameters revealed that KPC-135 exhibited a lower and cat/ with ceftazidime and carbapenems, and a higher (∼26-fold) 50% inhibitory concentration with avibactam compared to KPC-2. The KPC-135 enzyme exerted a detrimental effect on fitness relative to the wild-type strain. Furthermore, this strain possessed hypervirulent determinants, which included the IncHI1B/FIB plasmid with and expression of type 1 and 3 fimbriae. In conclusion, we reported a novel KPC variant, KPC-135, in a clinical ST11-K47 hypervirulent strain, which conferred ceftazidime-avibactam resistance, possibly through increased ceftazidime affinity and decreased avibactam susceptibility. This strain simultaneously harboured resistance and virulence genes, posing an elevated challenge in clinical treatment.

摘要

越来越多的临床研究证实,与 blaCTX-M-14 基因突变相关的头孢他啶-阿维巴坦耐药性。在这项研究中,我们对携带 blaCTX-M-14 基因的 ST11-K47 超毒力菌株发展为头孢他啶-阿维巴坦耐药的机制进行了研究。该菌株具有菌毛和生物膜,表现出致病性。与野生型 KPC-2 碳青霉烯酶相比,新型 KPC-135 酶缺失了 Glu168 和 Leu169,并且在 Val262 和 Ala276 之间有 15 个氨基酸串联重复。blaCTX-M-14 基因位于 Tn 转座子内,被 IS 截断,并位于 IncFII/IncR 型质粒上。与阳性克隆株相比,只有头孢他啶对阳性株的 MIC 增加,且不受阿维巴坦抑制(MIC 32 μg/mL),而克拉维酸和沃硼巴坦有一定抑制作用。动力学参数表明,与 KPC-2 相比,KPC-135 对头孢他啶和碳青霉烯类的 较低,cat/ 较低,对阿维巴坦的 50%抑制浓度(IC50)较高(约 26 倍)。与野生型菌株相比,KPC-135 酶对适应性有不利影响。此外,该菌株还具有超毒力决定因子,包括带有 blaCTX-M-14 的 IncHI1B/FIB 质粒和 1 型和 3 型菌毛的表达。综上所述,我们报道了一种新型 KPC 变体 KPC-135,它存在于临床 ST11-K47 超毒力菌株中,导致头孢他啶-阿维巴坦耐药,可能是通过增加头孢他啶的亲和力和降低阿维巴坦的敏感性。该菌株同时携带耐药性和毒力基因,在临床治疗中构成了更高的挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f93/11172257/1159450997a4/TEMI_A_2361007_F0001_OC.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验