Antibiotic resistance profiling and phenotyping of Aeromonas species isolated from aquatic sources

This study aimed to investigate antibiotics resistance pattern and phenotyping of Aeromonas species isolated from different aquatic sources in Melaka, Malaysia. A total of 53 Aeromonas species were isolated from the following sources: sediment (n = 13), bivalve (n = 10), sea cucumber (n = 16) and sea water (n = 14) and resistance to 12 antibiotics – Tetracycline (30 μg), Kanamycin (30 μg), Oxytetracycline (30 μg), Ampicillin (10 μg), Streptomycin (10 μg), Gentamicin (10 μg), Sulphamethoxazole (25 μg), Nalixidic acid (30 μg), Trimethoprim (1.25 μg), Novobiocin (5 μg), Penicilin (10 μg) and Chloramphenicol (10 μg) was tested. The results obtained from this study reveal multi drug resistance pattern among the isolates. All the isolates were completely resistant to Ampicillin, Novobiocin, Sulphamethoxazole and Trimethoprim, respectively but susceptible to Tetracycline (100%), Kanamycin (5.7%), Gentamicin (5.7%) and Oxytetracycline (24.5%). Antibiotics phenotyping of the bacteria revealed 21 different phenotypes among the isolates.     

Helicobacter pylori in a poultry slaughterhouse: Prevalence,genotyping and antibiotic resistance pattern

Although Helicobacter pylori (H. pylori) is a highly significant pathogen, its source remains unclear. Many people consume chicken daily as a source of animal protein worldwide; thus, hygienic methods of supplying chickens for consumption are critical for public health. Therefore, our study examined the distribution of the glmM (ureC), babA2, vacA and cagA virulence genes in H. pylori strains in chicken meat and giblets (gizzards and livers) and the resistance of the strains to various antibiotics. Ninety chicken meat, gizzard and liver samples were obtained from a semi-automatic abattoir in Sadat City, Egypt, and were cultured and preliminarily analyzed using biochemical tests. The presence of the ureC, babA2, vacA and cagA genotypes was tested for in samples positive for H. pylori by multiplex polymerase chain reaction (Multiplex-PCR). The resistance of H. pylori to various antimicrobial drugs was tested using the disc diffusion method. In total, 7 of the 90 chicken samples were positive for H. pylori (7.78%); in 3/7 (42.85%) samples, the bacteria were found in the chicken liver, while the bacteria were found in the meat in 2/7 (28.57%) and in the gizzard in 2/7 (28.57%) samples. The total prevalence of both the ureC and babA2 genes in the isolated H. pylori strains was 100%, while the prevalence of the vacA and cagA genes was 57.1% and 42.9%, respectively. The resistance of H. pylori to the antibiotics utilized in our study was 100% for streptomycin; 85.7% for amoxicillin and penicillin; 71.4% for oxytetracycline, nalidixic acid and ampicillin; 57.1% for sulfamethoxazole and erythromycin; and 42.9% for neomycin, chloramphenicol and norfloxacin. In conclusion, the chicken meat and giblets were tainted by H. pylori, with a higher occurrence of the ureC, babA2, vacA and cagA genotypes. Future investigations should investigate the resistance of H. pylori to various antimicrobial agents in Egypt.     

Sewage dilution and loss of antibiotic resistance and virulence determinants in E. coli

The possession of potential virulence factors (serum resistance, aerobactin production, colicin production) and antibiotic resistance was evaluated in 418 E. coli strains isolated from river water. The strains were isolated from 11 points showing different levels of contamination. From the data obtained, it can be concluded that bacteria from less contaminated water present less antibiotic resistance and virulence factors than those isolated from highly contaminated water. This situation suggests that E. coli strains producing plasmid encoded antibiotic resistance and/or virulence factors, survive less well in aquatic environments without selective pressure) than the sensitive non-virulent ones.     

Assessment of environmental enterococci: bacterial antagonism,pathogenic capacity and antibiotic resistance

The properties of 166 environmental strains belonging to the seven enterococcal species were studied. Enterococci originated mainly from surface- and waste-waters. They were screened for the presence of enterocins, virulence factors, and antibiotic resistance. The presence of different enterocin genes (entA, entB, entP, ent31, entL50AB) was frequently observed in our enterococcal isolates, 109 strains contained at least one enterocin gene. The distribution of enterocin genes varied according to the species, the genes were present mainly in E. hirae and E. faecium. By enterocin spot assay, 10 isolates inhibited the growth of Listeria strains. To evaluate the pathogenic ability of isolates, the distribution of selected virulence genes (cylA, gelE and esp) was investigated, eleven strains were positive in some of these genes, five of them belonged to E. faecalis. Regarding the antibiotic resistance of isolates, only two strains were multiresistant and two strains (E. hirae and E. casseliflavus) were resistant to vancomycin.     

rmlB基因在单核细胞增生李斯特菌耐药性、生物被膜形成和毒力方面的作用

【目的】探究单核细胞增生李斯特菌(Listeria monocytogenes,Lm)rmlB基因在细菌耐药、生物被膜形成和毒力方面的作用。【方法】通过同源重组的方法敲除Lm染色体上的rmlB基因,比较野生株与rmlB缺失株在耐药性方面的差异;利用微孔板法观测rmlB缺失菌株生物被膜形成能力的变化;利用RT-PCR检测缺失菌株中主要毒力基因转录表达,并观察rmlB缺失对细菌溶血活性的影响。【结果】同野生菌株相比,rmlB缺失菌株对头孢菌素和杆菌肽等作用位点在细菌细胞壁和细胞膜的敏感性显著增加(P≤0.01),生物被膜形成能力显著降低(P≤0.01),细菌主要毒力基因hly的转录表达及溶血活性也发生显著降低(P≤0.01)。【结论】rmlB基因在Lm生物被膜形成和耐受作用位点位于细胞壁和细胞膜的抗生素及细菌毒力方面具有重要作用。     

Interaction of bacteria isolated from clinical biofilms with cardiovascular prosthetic devices and eukaryotic cells

Purpose

To identify the relationships between some infectious agents implicated in cardiovascular diseases with the cellular substrate and prosthetic devices in the presence of antibiotics.

Specific objectives

Strains isolation and identification, comparative study of antibiotic resistance of planktonic (disk diffusion, E-test, automatic systems) and sessile (using original experimental models for in vitro development of monospecific biofilms) bacterial cells, virulence assays (adherence and invasion of HeLa cells, slime test, soluble virulence factors expression), dynamic study of biofilm development on inert substrata, under the influence of antibiotics, the influence of cellular and soluble bacterial fractions on HeLa cells (by flow cytometry and real-time PCR).

Results

The identified strains were isolated from different sources, the etiology being dominated by Gram-negative non-fermentative bacilli, Gram-positive cocci and yeasts, harboring invasion enzymes responsible for development of systemic infections. The isolated strains exhibited a high level of antibiotic resistance to beta-lactams, aminoglycosides and quinolones, and an evident tendency of colonizing the cellular and inert substrate, the degree of colonization depending on the physico-chemical nature of the substrate. By comparison with planktonic ones, the sessile bacterial strains expressed a changed profile of antibiotic resistance, this aspect being very important for the readjustment of the treatment and prevention of infections associated with prosthetic devices. In vitro experiments suggested that different fractions of S. aureus cultures could trigger the release of proinflammatory (TNF-α, IL-1b, IL-6) and anti-inflammatory (IL-8) cytokines and induced apoptosis in HeLa cells.     

矿泉水和山泉水中铜绿假单胞菌污染调查及分离菌株毒力基因与耐药性分析

【目的】初步掌握全国矿泉水和山泉水生产过程中铜绿假单胞菌(Pseudomonas aeruginosa)的污染情况。分析矿泉水与山泉水中铜绿假单胞菌的致病性与耐药性。【方法】研究通过对广西、湖北、云南等全国9个省36家水厂进行采样,共采集108个样本,并根据《饮用天然矿泉水检测方法》国家标准(GB/T 8538-2008)检测其铜绿假单胞菌的污染率、污染水平。对分离出的铜绿假单胞菌菌株进行毒力基因与药敏实验。【结果】全国矿泉水水源水、活性碳过滤后水、成品水的污染率分别为16.7%、16.7%、0,污染水平分别为3.7、2.0、0 CFU/250 m L。全国山泉水水源水、活性碳过滤后水、成品水的污染率分别为66.7%、83.3%、5.6%,污染水平分别为5.1、7.3、2.0 CFU/250 m L。对所分离出的36株铜绿假单胞菌进行毒力基因检测和药敏试验显示:exo U、exo S、phz M、tox A、las B检出率分别为25.0%、75.0%、100%、88.8%、100%,但对美国国家临床实验室标准化委员会标准中14种抗生素均无耐药性。【结论】山泉水水源水、活性碳过滤后水、成品水污染率明显高于矿泉水,但污染水平均较低,无大于40.0 CFU/250 m L样品检出。山泉水活性碳过滤后污染率最高,表明大部分企业在活性碳过滤环节存在污染问题。毒力基因exo U、exo S、phz M、tox A、las B在分离到的36株铜绿假单胞菌检出率高,但分离到的菌株对所选取的14种抗生素均无耐药性。     

一株益生性粪肠球菌的安全性评价

目的 研究1株微生态活菌制品生产用粪肠球菌的安全性。 方法 采用目前肠球菌安全性评价主要方法,测定粪肠球菌GMCC 0460.3株的全基因组序列并分析毒力和耐药性相关基因;以生物化学方法测定其耐药性和有毒代谢产物的产生情况;经口灌胃小鼠测定其动物体内毒力。 结果 该株肠球菌对卡那霉素和磺胺类药物耐药,耐药谱窄;基因组存在多种肠球菌毒力基因;生化试验表明其溶血性阴性、氨基脱羧酶活性阴性、硝基还原酶活性较低、细胞表面疏水性较低、生物膜形成能力较弱;动物实验结果表明该株菌在小鼠体内无明显毒性作用。 结论 粪肠球菌GMCC0 460.3株实验评价的结果显示了良好的安全性。     

Restored fitness leads to long-term persistence of resistant Bacteroides strains in the human intestine

Acquired antibiotic resistance typically confers a cost to the bacteria, but these costs can be reduced by genetic compensation over time. The fitness of two Bacteroides thetaiotaomicron clones consecutively isolated in vivo was studied using an in vitro pair-wise competition method. The isolates derived from faecal samples of two clindamycin-exposed healthy volunteers and the two B. thetaiotaomicron clone types could be followed up to 18 months in these two subjects. The two clones were originally susceptible to clindamycin and lacked erm genes; however, after 7 days of clindamycin administration they carried the erm (erythromycin methylase)(G) or (F) gene, respectively, and expressed phenotypic clindamycin resistance. The initial cost of acquired resistance was high as seen in the in vitro pair-wise competition experiments. At 2 weeks post-administration, no growth disadvantage was detected for isolates of either of the two clones in the in vitro experiments and this regained fitness remained for isolates collected up to 18 months. Competition analysis of an in vitro isolated erm(G) positive transconjugant also demonstrated an initial reduction of fitness that was restored over time. The results indicate that the biological cost associated with a resistance gene can rapidly be compensated during in vivo growth. Thus, once the resistant clone has gained its resistance determinant it will be difficult to eliminate.     

天津地区气单胞菌分离株的鉴定与多位点序列分型

[目的]研究气单胞菌菌株分类情况,并分析其致病性.[方法]采集环境样品和鱼类标本,分离并鉴定气单胞菌菌株,并运用多位点序列分型(Multilocus sequence typing,MLST)方法进行分类研究,利用PCR和测序方法分析毒力基因Aera、Hly、Aha1、GCAT和Nuc的分布.[结果]通过对分离菌株的16S rRNA基因进行分析,确认属于4种不同气单胞菌的7个分离株.发现所有菌株至少有1种毒力基因阳性,其中3株具有4种毒力基因.药物敏感实验显示,6株分离株对3种或3种以上抗菌素具有多重耐药性.最后,对看家基因gyrB、groL、gltA、metG、ppsA和recA进行分析,与MLST数据库中的等位基因序列比对,发现7株分离株均为新的不同的序列型(Sequence type,ST).[结论]气单胞菌具有较高的遗传多样性.     

幽门螺杆菌抗生素耐药机制研究进展

幽门螺杆菌(Helicobacter pylori,H.pylori)感染可引起消化性溃疡、胃粘膜相关淋巴组织淋巴瘤和胃癌。随着抗生素耐药性的问题越来越严重,耐药机制的研究也不断深入。分子检测方法,尤其是核酸检测技术,可高效、快速、准确地检测幽门螺杆菌抗生素耐药基因及突变,对幽门螺杆菌感染的临床治疗发挥重要的指导作用,同时也可对幽门螺杆菌抗生素耐药性进行大规模及时有效监控。本文讨论了关于幽门螺杆菌抗生素耐药机制并着重总结了相关耐药基因及突变。     

四株杂交鳢致病性舒伯特气单胞菌特性及致病性比较

【背景】舒伯特气单胞菌为革兰氏阴性短杆菌,是一种人-畜-鱼共患的条件性致病菌,它能引起不同程度的人类疾病,近年来更是在水产养殖中被频繁报道。【目的】比较分析4株杂交鳢源舒伯特气单胞菌(WL-4、ZL-1、ZL-13、D075)菌株间生理生化特性、致病性以及对常用药物的敏感性差异,为水产舒伯特气单胞菌病的防治提供参考依据。【方法】使用全自动细菌生化鉴定仪检测菌株的生理生化特性;运用PCR扩增和测序比对菌株的gyrB、16S rRNA基因序列;采用改良平板法检测毒力因子表达,PCR技术检测菌株毒力基因和耐药基因的携带情况;通过人工注射感染分析4株舒伯特气单胞菌对杂交鳢的致病性差异;并采用微量二倍稀释法测试15种抗菌药物对菌株的最小抑菌浓度。【结果】以ATCC43700 (人源舒伯特气单胞菌)作为参考,4株菌株理化特性基本相同,gyrB和16SrRNA基因一致性分别为99.57%和100%,聚类分析聚为一簇;不同的舒伯特气单胞菌(ATCC43700、WL-4、ZL-1、ZL-13、D075)均具有溶血性、蛋白酶活性和脂肪酶活性;但人源菌株(ATCC43700)与杂交鳢源舒伯特气单胞菌携带的毒力基因存在差异,其中人源菌株携带了hlyA、ela、lip、ahal、act,而杂交鳢源菌株(WL-4、ZL-1、ZL-13、D075)携带hlyA、ela、lip、ahal、aer;4株杂交鳢源舒伯特气单胞菌对杂交鳢致病性存在差异,1.2×10~5CFU/mL浓度腹腔注射感染健康杂交鳢,WL-4、ZL-1、ZL-13、D075对杂交鳢的感染致死率依次为30%、40%、70%和80%;不同菌株(ATCC43700、WL-4、ZL-1、ZL-13、D075)的药物敏感性以及携带的耐药基因也存在差异。【结论】4株杂交鳢源舒伯特气单胞菌在致病性、药物敏感性等方面存在差异,研究结果有助于进一步开展舒伯特气单胞菌病发病机制和防控技术研究。     

Decreased virulence of a strain of Pseudomonas aeruginosa O12 overexpressing a chromosomal type 1 beta-lactamase could be due to reduced expression of cell-to-cell signaling dependent virulence factors

Pseudomonas aeruginosa produces a large variety of virulence factors and is characterized by its capacity to rapidly develop resistance when exposed to antibiotics. In order to evaluate a possible correlation between acquired resistance to antibiotics and virulence, we examined the virulence of four isogenic variants of P. aeruginosa O12 that differ in their resistance phenotypes to various beta-lactam antibiotics in a mouse model of acute pneumonia. Strains overproducing a chromosomal type 1 beta-lactamase were less virulent in both immunocompetent and immunosuppressed animals. Whereas the production of the exopolysaccharide alginate was similar between the four strains, extracellular virulence factors (elastase, rhamnolipid) that are controlled by the cell-to-cell signaling system circuit were detected in reduced amounts in the supernatant of the two isolates overproducing type 1 beta-lactamase. These results suggest that strains overexpressing the chromosomal type 1 beta-lactamase could be less virulent because of a reduction of cell-to-cell signaling dependent virulence factor production.     

医院感染重要革兰氏阴性菌的耐药谱分析

应用Ｋ－Ｂ氏纸片扩散法测定了５年间本院分离的４种２４５１株革兰氏阴性菌大肠埃希氏菌、沙雷氏菌、铜绿假单胞菌、醋酸钙不动杆菌对临床常用１１～１４种抗生素的敏感性,４种菌对受试抗菌素均有不同程度的耐药性,且对多种抗菌素的耐药率有逐年增加的趋势,表明细菌耐药性在医院内感染中有着越来越重要的作用。     

The high resolution structure of tyrocidine A reveals an amphipathic dimer

Tyrocidine A, one of the first antibiotics ever to be discovered, is a cyclic decapeptide that binds to membranes of target bacteria, disrupting their integrity. It is active against a broad spectrum of Gram-positive organisms, and has recently engendered interest as a potential scaffold for the development of new drugs to combat antibiotic-resistant pathogens. We present here the X-ray crystal structure of tyrocidine A at a resolution of 0.95 Å. The structure reveals that tyrocidine forms an intimate and highly amphipathic homodimer made up of four beta strands that associate into a single, highly curved antiparallel beta sheet. We used surface plasmon resonance and potassium efflux assays to demonstrate that tyrocidine binds tightly to mimetics of bacterial membranes with an apparent dissociation constant (K_D) of 10 μM, and efficiently permeabilizes bacterial cells at concentrations equal to and below the K_D. Using variant forms of tyrocidine in which the fluorescent probe p-cyano-phenylalanine had been inserted on either the polar or apolar face of the molecule, we performed fluorescence quenching experiments, using both water-soluble and membrane-embedded quenchers. The quenching results, together with the structure, strongly support a membrane association model in which the convex, apolar face of tyrocidine's beta sheet is oriented toward the membrane interior, while the concave, polar face is presented to the aqueous phase.