In vitro induction and selection of fluoroquinolone-resistant mutants of Streptococcus pyogenes strains with multiple

Dewan S Billal1, Daniel P Fedorko, S Steve Yan

  • 1Department of Otolaryngology-Head and Neck Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8510, Japan.

Abstract

Insights

Streptococcus pyogenes strains, regardless of emm type, develop fluoroquinolone resistance through mutations in gyrA and parC genes. All emm types showed similar inducibility to high-level resistance, including emm type 6.

Area of Science:

  • Microbiology
  • Genetics
  • Molecular Biology

Background:

  • Fluoroquinolone antibiotics are crucial for treating Streptococcus pyogenes infections.
  • Understanding resistance mechanisms is vital for effective treatment strategies.
  • emm typing is a key factor in differentiating S. pyogenes strains.

Purpose of the Study:

  • To analyze point mutations in quinolone resistance-determining regions (QRDRs) of DNA gyrase and topoisomerase genes.
  • To investigate resistance development in emm type 6 and other emm types of S. pyogenes after levofloxacin exposure.
  • To compare the susceptibility of different emm types to fluoroquinolone resistance.

Main Methods:

  • Twelve S. pyogenes strains with different emm types were exposed to increasing levofloxacin concentrations.
  • Resistant mutants were selected, and QRDRs of gyrA, gyrB, parC, and parE were analyzed for point mutations.
  • Minimum Inhibitory Concentrations (MICs) were determined for parent strains and resistant mutants.

Main Results:

  • Multiple resistant mutants with significantly increased MICs were generated from all tested strains.
  • Key amino acid substitutions occurred at serine-81 of gyrA and serine-79 of parC.
  • No mutations were observed in gyrB and parE QRDRs; resistance mechanisms were consistent across emm types.

Conclusions:

  • emm type 6 does not exhibit increased susceptibility to fluoroquinolone resistance compared to other emm types.
  • All emm types of S. pyogenes appear equally inducible to high-level fluoroquinolone resistance.
  • The study highlights conserved resistance mechanisms in S. pyogenes, irrespective of emm type.