Type II topoisomerase mutations in clinical isolates of Enterobacter cloacae and other enterobacterial species harbouring the qnrA gene

Autor: J.-D. Cavallo, Emmanuelle Cambau, Claude-James Soussy, Jérôme Robert, Isabelle Podglajen, Marie-Cécile Ploy, Vincent Cattoir, Richard Bonnet, C. Lascols, Cécile Bébéar
Přispěvatelé: Biologie moléculaire et cellulaire des microorganismes (EA3175), Université de Limoges (UNILIM)-Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST FR CNRS 3503)-Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Limoges (UNILIM)
Rok vydání: 2007
Předmět:
MESH: Sequence Analysis
DNA

Nalidixic acid
MESH: DNA Topoisomerases
Type II

Quinolones
medicine.disease_cause
DNA gyrase
MESH: Enterobacter cloacae
[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases
heterocyclic compounds
Pharmacology (medical)
MESH: Phylogeny
MESH: Enterobacteriaceae Infections
Phylogeny
Antibacterial agent
Genetics
MESH: Microbial Sensitivity Tests
0303 health sciences
Mutation
biology
Enterobacteriaceae Infections
General Medicine
Infectious Diseases
DNA Gyrase
[SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology
MESH: Genes
Bacterial

MESH: DNA Gyrase
medicine.drug
DNA Topoisomerase IV
Microbiology (medical)
MESH: Mutation
Topoisomerase IV
Enterobacter
Microbial Sensitivity Tests
Microbiology
03 medical and health sciences
Drug Resistance
Bacterial

Enterobacter cloacae
MESH: Drug Resistance
Bacterial

medicine
Humans
030304 developmental biology
MESH: Quinolones
MESH: Humans
030306 microbiology
Topoisomerase
Sequence Analysis
DNA

MESH: DNA Topoisomerase IV
biochemical phenomena
metabolism
and nutrition

bacterial infections and mycoses
biology.organism_classification
[SDV.MP.BAC]Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology
DNA Topoisomerases
Type II

Genes
Bacterial

biology.protein
MESH: Enterobacter
Type II topoisomerase
Zdroj: International Journal of Antimicrobial Agents
International Journal of Antimicrobial Agents, Elsevier, 2007, 29 (4), pp.402-409. ⟨10.1016/j.ijantimicag.2006.11.008⟩
ISSN: 0924-8579
DOI: 10.1016/j.ijantimicag.2006.11.008
Popis: International audience; The qnr genes are transferable genes that confer low-level quinolone resistance by protection of topoisomerase. The occurrence of mutations in DNA gyrase (gyrA, gyrB) and topoisomerase IV (parC, parE) genes in strains harbouring qnr was investigated in 28 qnrA-positive clinical isolates, among which 7 strains also harboured qnrS. Topoisomerase mutations were found in 25 (89%) of the 28 strains, with at least two mutations (gyrA and parC) in 13 strains and one mutation in 12 strains. Isolates of the Enterobacter cloacae complex were compared with reference strains of the new Enterobacter species. gyrA mutations were found at position 83 (Ser or Thr for Ile, Tyr, Leu or Phe depending on the species), and new gyrB mutations were described (S463A, S464F). qnrA had an additive effect of a 10-fold increase in the minimum inhibitory concentration (MIC) whatever the number of topoisomerase mutations, and qnrS was additive to qnrA with a further 2- to 10-fold increase in the MIC. Comparison of MICs with susceptibility breakpoints showed that strains combining qnrA and topoisomerase mutations were resistant to fluoroquinolones, but the three strains lacking a topoisomerase mutation were susceptible using ciprofloxacin and levofloxacin but not using nalidixic acid or moxifloxacin testing.
Databáze: OpenAIRE