Acquired macrolide resistance genes in pathogenic Neisseria spp. isolated between 1940 and 1987

Sydney Cousin1, William L H Whittington, Marilyn C Roberts

  • 1Department of Pathobiology, University of Washington, Seattle, Washington 98195, USA.

Insights

This study identified ancient antimicrobial resistance genes, including mef(A) and erm genes, in Neisseria gonorrhoeae and Neisseria meningitidis isolates dating back to the mid-20th century. These findings reveal early acquisition and potential transfer of resistance mechanisms in these bacteria.

Area of Science:

  • Microbiology and Infectious Diseases
  • Antimicrobial Resistance
  • Molecular Genetics

Background:

  • Antimicrobial resistance poses a significant global health threat.
  • Understanding the historical emergence and spread of resistance genes is crucial.
  • Neisseria gonorrhoeae and Neisseria meningitidis are important human pathogens.

Purpose of the Study:

  • To investigate the presence and historical prevalence of acquired antimicrobial resistance genes (mef(A), erm(B), erm(C), erm(F)) in early isolates of Neisseria gonorrhoeae and Neisseria meningitidis.
  • To determine the oldest known isolates carrying these specific resistance genes.
  • To explore the potential mechanisms of gene transfer for these resistance determinants.

Main Methods:

  • Screening of 76 Neisseria gonorrhoeae and 7 Neisseria meningitidis isolates (1940-1987) for specific resistance genes.
  • Utilized DNA-DNA hybridization, Polymerase Chain Reaction (PCR) analysis, and DNA sequencing.
  • Conjugation experiments with Enterococcus faecalis to assess gene transferability.

Main Results:

  • Identified mef(A), erm(B), and erm(F) genes in a 1955 Neisseria gonorrhoeae isolate and erm(C) in a 1963 isolate.
  • Detected mef(A) and erm(F) in a 1963 Neisseria meningitidis isolate; all four genes found in later isolates.
  • The mef(A) gene sequence showed 100% identity to a 1990s Streptococcus pneumoniae isolate; gene transfer to Enterococcus faecalis was observed, suggesting association with conjugative transposons.

Conclusions:

  • These findings represent the oldest documented isolates of any species carrying the mef(A) gene and among the oldest for these erm genes.
  • The presence of these genes in mid-20th-century isolates indicates early acquisition of significant antimicrobial resistance mechanisms in Neisseria species.
  • Evidence suggests that these acquired resistance genes are mobile and transferable, likely via conjugative transposons.

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