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Macrolide resistance in Peptostreptococcus spp. mediated by ermTR: possible source of
1Department of Microbiology, Ramón y Cajal Hospital, National Institute of Health (INSALUD), 28034 Madrid, Spain. mreig@hrc.insalud.es
Abstract:
Eighty percent (21 of 26) of macrolide-resistant Peptostreptococcus strains studied harbored the ermTR gene. This methyltransferase gene is also the most frequently found gene among macrolide-lincosamide-streptogramin B-resistant Streptococcus pyogenes strains. Transfer of the ermTR gene from Peptostreptococcus magnus to macrolide-susceptible S. pyogenes strains indicates that this resistance determinant may circulate among gram-positive aerobic and anaerobic species of the oropharyngeal bacterial flora.
Insights
The ermTR gene, a key factor in macrolide resistance, was found in 80% of resistant Peptostreptococcus strains. This gene may transfer between different bacterial species in the throat, contributing to antibiotic resistance spread.
Area of Science:
- Microbiology
- Molecular Biology
- Antimicrobial Resistance
Background:
- Macrolide resistance is a growing concern in bacterial infections.
- The ermTR gene is frequently associated with macrolide resistance in Streptococcus pyogenes.
Purpose of the Study:
- To investigate the prevalence of the ermTR gene in macrolide-resistant Peptostreptococcus strains.
- To explore the potential for ermTR gene transfer among oropharyngeal bacteria.
Main Methods:
- Analysis of 26 Peptostreptococcus strains for macrolide resistance.
- Detection of the ermTR gene in resistant strains.
- Gene transfer experiments from Peptostreptococcus magnus to Streptococcus pyogenes.
Main Results:
- Eighty percent (21 of 26) of macrolide-resistant Peptostreptococcus strains harbored the ermTR gene.
- The ermTR gene was confirmed as a significant macrolide resistance determinant in Peptostreptococcus.
- Successful transfer of the ermTR gene to susceptible Streptococcus pyogenes was demonstrated.
Conclusions:
- The ermTR gene is prevalent in macrolide-resistant Peptostreptococcus.
- This resistance gene has the potential to circulate among diverse gram-positive bacteria in the oropharynx.
- Understanding gene transfer mechanisms is crucial for combating antibiotic resistance.