Plasmid-mediated quinolone resistance in non-Typhi serotypes of Salmonella enterica

Kathryn Gay1, Ari Robicsek, Jacob Strahilevitz

  • 1Atlanta Research and Education Foundation, Atlanta, GA, USA. kgay@cdc.gov

Abstract

Insights

Plasmid-mediated quinolone resistance genes (qnr) were found in non-Typhi Salmonella human isolates in the US. This finding highlights the potential for spread through the food supply, posing a public health concern.

Area of Science:

  • Microbiology
  • Genetics
  • Public Health

Background:

  • Serious Salmonella infections are treated with fluoroquinolones or extended-spectrum beta-lactams.
  • Plasmid-mediated quinolone resistance, encoded by qnr genes, is increasingly recognized in Enterobacteriaceae.
  • This study investigated qnr variants in human non-Typhi Salmonella enterica isolates from the US.

Purpose of the Study:

  • To identify and characterize qnr genes in non-Typhi Salmonella isolates from the United States National Antimicrobial Resistance Monitoring System for Enteric Bacteria.
  • To assess the prevalence and distribution of plasmid-mediated quinolone resistance in these isolates.

Main Methods:

  • Screening of 233 non-Typhi Salmonella isolates with elevated ciprofloxacin MICs and 102 susceptible isolates for qnr genes (A, B, S) using PCR.
  • Sequencing of qnr and quinolone resistance-determining regions for positive isolates.
  • Characterization of plasmids carrying qnr genes via conjugation or transformation.

Main Results:

  • Conjugative plasmids with qnrB variants were found in Salmonella enterica serotypes Berta and Mbandaka.
  • The S. Mbandaka isolate also harbored an extended-spectrum beta-lactamase.
  • Nonconjugative plasmids with qnrS variants were detected in Salmonella enterica serotypes Anatum and Bovismorbificans.

Conclusions:

  • Plasmid-mediated quinolone resistance is present, though uncommon, in US non-Typhi Salmonella isolates, even susceptible ones.
  • The detection of qnr genes in human non-Typhi Salmonella suggests potential transmission via the food supply.
  • This represents a significant public health concern requiring ongoing surveillance.

Related Concept Videos

Inhibitors of Bacterial DNA Synthesis01:28

Inhibitors of Bacterial DNA Synthesis

Bacterial pathogens depend on precise and efficient DNA replication to sustain infection. Two type II topoisomerases—DNA gyrase and topoisomerase IV—are critical to this process, as they resolve DNA supercoiling and unlink chromosomes during replication. Fluoroquinolones, synthetic derivatives of quinolones, exploit this mechanism by stabilizing the transient DNA–enzyme cleavage complex, preventing strand religation, and causing lethal double-strand breaks. These antibiotics are selectively...
Gene Regulation in Microbial Communities: Quorum Sensing01:28

Gene Regulation in Microbial Communities: Quorum Sensing

Quorum sensing is a mechanism of bacterial communication that enables coordinated gene expression in response to changes in population density. This facilitates collective behaviors that enhance survival, resource acquisition, and ecological adaptation. This process relies on small signaling molecules called autoinducers that accumulate as bacterial populations grow. When a critical threshold concentration of autoinducers is reached, bacterial cells collectively modify gene expression,...
Plasmids01:28

Plasmids

Plasmids are extrachromosomal DNA molecules found in bacteria, archaea, and some eukaryotic microbes like yeast. These small, circular DNA structures typically contain fewer than 30 genes, although some may exist linearly. Plasmids vary in their number within a cell, known as copy number. Single-copy plasmids are present in one copy per cell and multi-copy plasmids are present in multiple copies, reaching over 100 copies per cell.Plasmids usually replicate independently of the chromosomal DNA...
Development of Antibiotic Resistance01:30

Development of Antibiotic Resistance

Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
Mechanism of Antibiotic Resistance in MRSA01:25

Mechanism of Antibiotic Resistance in MRSA

Antibiotic resistance in bacteria arises when microorganisms evolve the ability to withstand drugs designed to kill them or inhibit their growth, rendering once-effective treatments useless. This phenomenon, driven by genetic change and selection under antibiotic exposure, poses a profound threat to modern medicine. Mechanisms include drug-inactivating enzymes (e.g., β-lactamases), efflux pumps that eject antibiotics, mutations altering antibiotic targets, decreased drug uptake, and acquisition...
Antibiotic Selection00:57

Antibiotic Selection

Overview