The blaOXA-23-associated transposons in the genome of Acinetobacter spp. represent an epidemiological situation of the species encountering carbapenems
Autor: | Jungok Kim, Kyungwon Lee, Ji Woo Yang, Hwa Su Kim, Kwang Jun Lee, Eun Jeong Yoon, Seok Jeong, Hyukmin Lee |
---|---|
Rok vydání: | 2017 |
Předmět: |
0301 basic medicine
Microbiology (medical) Acinetobacter baumannii DNA Bacterial Carbapenem 030106 microbiology Drug resistance Microbial Sensitivity Tests Polymerase Chain Reaction beta-Lactamases Microbiology Bacterial genetics 03 medical and health sciences Bacterial Proteins Drug Resistance Bacterial Republic of Korea medicine Humans Pharmacology (medical) Copy-number variation Pharmacology Genetics biology Molecular epidemiology biochemical phenomena metabolism and nutrition Acinetobacter bacterial infections and mycoses biology.organism_classification Electrophoresis Gel Pulsed-Field Infectious Diseases Carbapenems DNA Transposable Elements bacteria Multilocus sequence typing Genome Bacterial medicine.drug Acinetobacter Infections |
Zdroj: | The Journal of antimicrobial chemotherapy. 72(10) |
ISSN: | 1460-2091 |
Popis: | Objectives High rates of carbapenem resistance in the human pathogen Acinetobacter baumannii threaten public health and need to be scrutinized. Methods A total of 356 A. baumannii and 50 non-baumannii Acinetobacter spp. (NBA) strains collected in 2013 throughout South Korea were studied. The type of blaOXA-23 transposon was determined by PCR mapping and molecular epidemiology was assessed by MLST. Twelve representative strains and two comparative A. baumannii were entirely sequenced by single-molecule real-time sequencing. Results The carbapenem resistance rate was 88% in A. baumannii, mainly due to blaOXA-23, with five exceptional cases associated with ISAba1-blaOXA-51-like. The blaOXA-23 gene in A. baumannii was carried either by Tn2006 (44%) or Tn2009 (54%), with a few exceptions carried by Tn2008 (1.6%). Of the NBA strains, 14% were resistant to carbapenems, two with blaOXA-58 and five with blaOXA-23 associated with Tn2006. The Tn2006-possessing strains belonged to various STs, whereas Tn2008- and Tn2009-possessing strains were limited to ST208 and ST191, respectively. The three transposons were often multiplied in the chromosome, and the gene copy number and the carbapenem MICs presented linear relationships either very strongly for Tn2008 or moderately for Tn2006 and Tn2009. Conclusions The dissemination of Tn2006 was facilitated by its capability for intercellular transfer and that of Tn2009 was attributable to successful dissemination of the ST191 bacterial host carrying the transposon. Tn2008 was infrequent because of its insufficient ability to undergo intercellular transfer and the scarce bacterial host A. baumannii ST208. Gene amplification is an adaptive mechanism for bacteria that encounter antimicrobial drugs. |
Databáze: | OpenAIRE |
Externí odkaz: |