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Published on: October 23, 2013
Clonal spread of pediatric isolates of ciprofloxacin-resistant, emm type 6 Streptococcus pyogenes
Rodrigo Alonso1, Estibaliz Mateo, Marc Galimand
1Departamento de Inmunología, Microbiología y Parasitología, Facultad de Farmacia, Universidad del País Vasco, Paseo de la Universidad, 7 01006-Vitoria-Gasteiz, Spain. oipalmor@vc.ehu.es
Abstract:
Twenty-four community isolates of Streptococcus pyogenes resistant to ciprofloxacin and susceptible to levofloxacin, gatifloxacin, and moxifloxacin were studied. Sequence determination of the quinolone resistance-determining regions in the gyrA and parC genes revealed a T/G mutation in parC leading to a Ser79Ala substitution in ParC. All isolates were of the emm type 6, and 18 and 2 of them were indistinguishable or closely related, respectively, on the basis of pulsed-field gel electrophoresis.
Insights
Streptococcus pyogenes isolates resistant to ciprofloxacin showed a specific mutation in the parC gene. This finding is crucial for understanding fluoroquinolone resistance in this bacterium.
Area of Science:
- Microbiology
- Genetics
- Infectious Diseases
Background:
- Emerging fluoroquinolone resistance in Streptococcus pyogenes poses a significant public health threat.
- Understanding the genetic basis of this resistance is critical for effective treatment strategies.
Purpose of the Study:
- To investigate the molecular mechanisms of ciprofloxacin resistance in community-acquired Streptococcus pyogenes isolates.
- To identify specific genetic mutations associated with reduced susceptibility to fluoroquinolones.
Main Methods:
- Analysis of 24 Streptococcus pyogenes isolates exhibiting ciprofloxacin resistance.
- Sequencing of quinolone resistance-determining regions (QRDRs) in the gyrA and parC genes.
- Pulsed-field gel electrophoresis (PFGE) for strain typing.
Main Results:
- All 24 isolates were resistant to ciprofloxacin but susceptible to levofloxacin, gatifloxacin, and moxifloxacin.
- A T/G mutation in the parC gene, resulting in a Ser79Ala substitution in the ParC protein, was identified in all resistant isolates.
- The majority of isolates belonged to emm type 6, with 18 being indistinguishable and 2 closely related by PFGE.
Conclusions:
- The identified parC gene mutation (Ser79Ala) is strongly associated with ciprofloxacin resistance in Streptococcus pyogenes.
- This specific mutation may confer cross-resistance to certain fluoroquinolones while maintaining susceptibility to others.
- The genetic homogeneity of the emm type 6 isolates suggests a potential clonal spread of this resistant strain.
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