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Testing the Role of Multicopy Plasmids in the Evolution of Antibiotic Resistance
Published on: May 2, 2018
Characterization of imipenem-resistant Serratia marcescens producing IMP-type and TEM-type beta-lactamases encoded on
Wei-Hua Zhao1, Zhi-Qing Hu, Gelin Chen
1Department of Medical Biology, Showa University School of Medicine, Tokyo, Japan. whzhao@med.showa-u.ac.jp
Abstract:
To evaluate the roles of blaIMP and blaTEM genes in the resistance of Serratia marcescens against beta-lactams and to find the spreading ways of these genes, 19 clinical isolates of imipenem-resistant Serratia marcescens were analyzed. Six strains bore blaIMP and blaTEM genes on a single plasmid, as confirmed by transferring resistance determinants via conjugation and transformation, and by detecting bla genes with PCR analysis. The six strains showed two different genomic patterns on pulsed-field gel electrophoresis. All the transconjugants and transformants gained high-level resistance to ampicillin, cephalexin, cefoxitin and cefotaxime, and showed a reduced susceptibility to imipenem, but maintained full susceptibility to aztreonam. In addition, the expressions of blaIMP and blaTEM genes were constitutive, either in Serratia marcescens clinical isolates or in their transconjugants and transformants. These findings may explain the rapid spread of the above resistance determinants among Enterobacteriaceae via transmissible plasmids in the clinical setting.
Insights
The blaIMP and blaTEM genes on a single plasmid contribute to Serratia marcescens resistance against beta-lactam antibiotics. These genes spread rapidly among Enterobacteriaceae via transmissible plasmids in clinical settings.
Area of Science:
- Microbiology
- Molecular Biology
- Genetics
Background:
- Serratia marcescens is an opportunistic pathogen.
- Beta-lactam antibiotics are crucial for treating bacterial infections.
- Antibiotic resistance, particularly to beta-lactams, is a growing global health concern.
Purpose of the Study:
- To investigate the role of blaIMP and blaTEM genes in Serratia marcescens resistance to beta-lactams.
- To determine the mechanisms of spread for these resistance genes.
Main Methods:
- Analysis of 19 imipenem-resistant Serratia marcescens clinical isolates.
- Plasmid transfer experiments (conjugation and transformation).
- Polymerase Chain Reaction (PCR) for bla gene detection.
- Pulsed-field gel electrophoresis (PFGE) for genomic analysis.
Main Results:
- Six isolates harbored both blaIMP and blaTEM genes on a single, transferable plasmid.
- Transconjugants and transformants exhibited high-level resistance to ampicillin, cephalexin, cefoxitin, and cefotaxime.
- Reduced susceptibility to imipenem was observed, while aztreonam susceptibility was maintained.
- blaIMP and blaTEM gene expression was constitutive in all tested strains.
Conclusions:
- The blaIMP and blaTEM genes, located on a single plasmid, confer significant beta-lactam resistance in Serratia marcescens.
- The presence of these genes on transferable plasmids facilitates their rapid dissemination within clinical environments.
- Understanding these resistance mechanisms is vital for controlling the spread of antibiotic resistance in Enterobacteriaceae.
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