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Published on: January 22, 2021
Preferential selection of IMP and VIM metallo-beta-lactamases by imipenem in Pseudomonas aeruginosa
Fiona Walsh1, Simon Bracher, Phil Turner
1University of Edinburgh, Edinburgh, UK.
Abstract:
Mixed populations of Pseudomonas aeruginosa, comprising a carbapenem-susceptible and a carbapenem-resistant strain, containing either the IMP or VIM beta-lactamases, were exposed to imipenem. They developed resistance to both imipenem and meropenem. When the same mixed populations were exposed to meropenem, only the mixture containing the VIM beta-lactamases became resistant to both carbapenems.
Insights
Exposure to imipenem rapidly induced carbapenem resistance in mixed Pseudomonas aeruginosa populations. However, meropenem exposure only selected for resistance in strains harboring VIM beta-lactamases.
Area of Science:
- Microbiology
- Antimicrobial Resistance
- Molecular Biology
Background:
- Pseudomonas aeruginosa is an opportunistic pathogen.
- Carbapenem resistance is a growing global health threat.
- Beta-lactamases, such as IMP and VIM, are key mechanisms of carbapenem resistance.
Purpose of the Study:
- To investigate the emergence of carbapenem resistance in mixed Pseudomonas aeruginosa populations.
- To compare the effects of imipenem and meropenem exposure on resistance development.
Main Methods:
- Culturing mixed populations of carbapenem-susceptible and resistant Pseudomonas aeruginosa strains.
- Exposure to imipenem and meropenem.
- Assessing resistance profiles to both carbapenems.
Main Results:
- Exposure to imipenem led to the development of resistance to both imipenem and meropenem in mixed populations, irrespective of the beta-lactamase type (IMP or VIM).
- Exposure to meropenem resulted in cross-resistance to both carbapenems only in mixed populations containing the VIM beta-lactamase-producing strains.
Conclusions:
- Imipenem is a potent selective agent for carbapenem resistance in mixed Pseudomonas aeruginosa populations.
- The type of beta-lactamase present influences the development of cross-resistance to other carbapenems.
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