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犬猫源二氧化碳嗜纤维菌属抗菌药物敏感性及耐药基因流行情况调查与新型A类β-内酰胺酶CST-1的特性分析

Investigation of antimicrobial susceptibility and resistance gene prevalence in Capnocytophaga spp. isolated from dogs and cats and characterization of novel class A β-lactamase CST-1.

作者信息

Umeda Kaoru, Suzuki Michio, Imaoka Koichi

机构信息

Department of Bacteriology, Osaka Institute of Public Health, Osaka, 1-3-3, Nakamichi, Higashinari-ku, Osaka, 537-0025, Japan.

Department of Veterinary Science, National Institute of Infectious Diseases, 1-23-1 Toyama, Shinjuku-ku, Tokyo, 162-8640, Japan.

出版信息

Eur J Clin Microbiol Infect Dis. 2025 Mar;44(3):559-569. doi: 10.1007/s10096-024-05025-0. Epub 2024 Dec 20.

Abstract

PURPOSE

Capnocytophaga spp., common inhabitants of the animal oral cavity, are zoonotic pathogens transmitted to humans through dog/cat bites and cat scratches. Appropriate antimicrobial therapy is essential for treatment this zoonotic disease because of the rapid deterioration of systemic symptoms at disease onset; however, antimicrobial resistance of animal bite-associated Capnocytophaga spp. has not been fully investigated. We sought to understand the antimicrobial susceptibility and prevalence of resistance genes among Capnocytophaga sp. isolates obtained from dogs and cats.

METHOD

Minimum inhibitory concentrations (MICs) of nine antibiotics for a total of 57 isolates belonging to 6 species (C. canimorsus, C. cynodegmi, C. canis, C. felis, C. stomatis, and C. catalasegens) were assayed using E-test. Resistance genes were detected using polymerase chain reaction, nucleotide sequencing, and whole-genome sequencing.

RESULTS

The MICs of penicillin, ceftriaxone, cefepime, clindamycin, minocycline, nalidixic acid, and ciprofloxacin were high for some isolates. The MICs of imipenem and amoxicillin/clavulanic acid were low for all isolates. Known resistance genes bla, bla, emrF, and tetQ were detected using polymerase chain reaction. Mutation in the quinolone resistance-determining region of gyrA was also detected. Cst-1, a previously unreported gene, was identified using whole-genome analysis of two C. stomatis isolates. CST-1 was proposed as a class A, subclass A2, β-lactamase based on amino acid sequence and phylogenetic relationship. In recombination experiments, CST-1 inactivated penicillin and first- and second-generation cephems; however, sulbactam inhibited it.

CONCLUSION

Known and novel resistance genes are prevalent among Capnocytophaga spp. in animal oral cavities. The findings have clinical implications, especially in antimicrobial treatment.

摘要

目的

嗜二氧化碳噬细胞菌属是动物口腔中的常见菌,是通过狗/猫咬伤和猫抓挠传播给人类的人畜共患病原体。由于疾病发作时全身症状迅速恶化,适当的抗菌治疗对于治疗这种人畜共患病至关重要;然而,与动物咬伤相关的嗜二氧化碳噬细胞菌属的抗菌耐药性尚未得到充分研究。我们试图了解从狗和猫分离出的嗜二氧化碳噬细胞菌属菌株的抗菌敏感性和耐药基因的流行情况。

方法

使用E-test测定了9种抗生素对总共57株属于6个物种(犬咬嗜二氧化碳噬细胞菌、犬龈噬二氧化碳噬细胞菌、犬嗜二氧化碳噬细胞菌、猫嗜二氧化碳噬细胞菌、口腔嗜二氧化碳噬细胞菌和产过氧化氢酶嗜二氧化碳噬细胞菌)的分离株的最低抑菌浓度(MIC)。使用聚合酶链反应、核苷酸测序和全基因组测序检测耐药基因。

结果

部分分离株对青霉素、头孢曲松、头孢吡肟、克林霉素、米诺环素、萘啶酸和环丙沙星的MIC较高。所有分离株对亚胺培南和阿莫西林/克拉维酸的MIC较低。使用聚合酶链反应检测到已知的耐药基因bla、bla、emrF和tetQ。还检测到gyrA喹诺酮耐药决定区的突变。通过对两株口腔嗜二氧化碳噬细胞菌分离株的全基因组分析鉴定出一个以前未报道的基因Cst-1。根据氨基酸序列和系统发育关系,CST-1被提议为A类、A2亚类β-内酰胺酶。在重组实验中,CST-1使青霉素以及第一代和第二代头孢菌素失活;然而,舒巴坦可抑制它。

结论

已知和新的耐药基因在动物口腔中的嗜二氧化碳噬细胞菌属中普遍存在。这些发现具有临床意义,尤其是在抗菌治疗方面。

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