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Published on: February 23, 2014
The indirect pathogenicity of Stenotrophomonas maltophilia
Daisuke Kataoka1, Hiromitsu Fujiwara, Tomoko Kawakami
1Department of Microbiology and Pathology, Faculty of Medicine, Tottori University, 86 Nishi-cho, Yonago 683-8503, Japan. dkataoka@grape.med.tottori-u.ac.jp
Abstract:
Stenotrophomonas maltophilia has at least two inducible beta-lactamases, L1 and L2, which can hydrolyze almost all classes of beta-lactam antimicrobial agents. This study was done to verify the indirect pathogenicity of S. maltophilia that could promote the growth of other beta-lactam agent-susceptible bacteria in a mixed culture. We counted CFU of beta-lactam agent-susceptible bacteria under the presence of imipenem or ceftazidime in a pure culture and mixed culture with S. maltophilia. Our results showed that beta-lactamase leaking from S. maltophilia can encourage the growth of Serratia marcescens and Pseudomonas aeruginosa even if imipenem or ceftazidime was supplemented. This study discovered a blind spot in chemotherapy against an indirect pathogen such as S. maltophilia.
Insights
Stenotrophomonas maltophilia releases beta-lactamases that promote the growth of other bacteria, even with antibiotics. This highlights a critical gap in chemotherapy against this indirect pathogen.
Area of Science:
- Microbiology
- Antimicrobial Resistance
- Pathogenesis
Background:
- Stenotrophomonas maltophilia possesses inducible beta-lactamases (L1 and L2) capable of hydrolyzing most beta-lactam antimicrobials.
- The indirect pathogenic potential of S. maltophilia in co-infections remains incompletely understood.
Purpose of the Study:
- To investigate the indirect pathogenicity of S. maltophilia.
- To determine if S. maltophilia promotes the growth of susceptible bacteria in mixed cultures under antibiotic pressure.
Main Methods:
- Bacterial growth was assessed by counting colony-forming units (CFU).
- Cultures included pure and mixed setups with S. maltophilia and beta-lactam-susceptible bacteria (Serratia marcescens, Pseudomonas aeruginosa).
- Antibiotic agents imipenem and ceftazidime were supplemented to assess their efficacy in preventing growth.
Main Results:
- Beta-lactamase leakage from S. maltophilia was observed.
- This leakage facilitated the growth of Serratia marcescens and Pseudomonas aeruginosa.
- Growth promotion occurred even when imipenem or ceftazidime was present.
Conclusions:
- S. maltophilia exhibits indirect pathogenicity by enabling the survival and growth of other bacteria.
- Beta-lactamase activity is a key mechanism for this indirect effect.
- This finding reveals a significant limitation in current chemotherapy strategies against S. maltophilia infections.
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