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.

Chemotherapy
|October 16, 2007
PubMed

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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