Novel bla(TEM)-positive ampicillin-susceptible strains of Haemophilus influenzae

Stephen G Tristram1

  • 1School of Human Life Sciences, University of Tasmania, Newnham Drive, Launceston, Tasmania 7250, Australia. Stephen.Tristram@utas.edu.au

Insights

Two ampicillin-susceptible Haemophilus influenzae strains carrying blaTEM genes showed resistance due to a weak promoter mutation and an inactive TEM enzyme. This highlights novel mechanisms of ampicillin resistance in bacteria.

Area of Science:

  • Microbiology
  • Molecular Biology
  • Genetics

Background:

  • Haemophilus influenzae is a significant human pathogen.
  • Antibiotic resistance, particularly to ampicillin, is a growing public health concern.
  • The blaTEM gene is a common source of beta-lactamase-mediated resistance.

Purpose of the Study:

  • To investigate the molecular mechanisms underlying ampicillin susceptibility in Haemophilus influenzae strains carrying blaTEM genes.
  • To identify genetic alterations responsible for the expression or function of TEM enzymes.

Main Methods:

  • Genomic DNA extraction and sequencing.
  • Promoter region analysis.
  • Enzyme activity assays.
  • Bacterial strain characterization.

Main Results:

  • Two ampicillin-susceptible Haemophilus influenzae strains were identified with blaTEM genes.
  • One strain exhibited ampicillin susceptibility due to poor expression of a functional TEM-1 enzyme, linked to a promoter mutation.
  • The second strain showed susceptibility because of the production of an inactive mutant TEM enzyme.

Conclusions:

  • Ampicillin susceptibility in H. influenzae with blaTEM genes can arise from mechanisms other than complete gene absence.
  • Mutations affecting promoter activity or enzyme integrity are key factors in bacterial antibiotic resistance.
  • Understanding these resistance mechanisms is crucial for effective antimicrobial stewardship.

Related Concept Videos

Atypical Pneumonia01:14

Atypical Pneumonia

Atypical pneumonia, often caused by Mycoplasma pneumoniae, is a form of pulmonary infection that differs from the classical presentation of bacterial pneumonia in both its cause and clinical symptoms. Mycoplasma pneumoniae is a pleomorphic bacterium notable for its lack of a rigid cell wall. This structural characteristic imparts resistance to beta-lactam antibiotics and significantly influences the bacterium’s behavior within the human host.Other pathogens responsible for the disease include...
Bacterial Meningitis I: Introduction01:22

Bacterial Meningitis I: Introduction

Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...
Influenza01:27

Influenza

Influenza is an acute, highly communicable viral disease that affects the respiratory tract and is responsible for seasonal epidemics worldwide. Influenza A is the most prevalent type associated with widespread outbreaks and is subtyped based on two surface glycoproteins: hemagglutinin (H) and neuraminidase (N), as in H1N1. These glycoproteins are essential for viral infectivity, transmission, and immune recognition. Transmission occurs primarily through respiratory droplets and contaminated...
Bacterial Meningitis01:24

Bacterial Meningitis

Bacterial meningitis is a severe infectious disease involving inflammation of the meninges, the protective membranes surrounding the brain and spinal cord. It occurs when pathogenic bacteria cross the blood–brain barrier and enter the cerebrospinal fluid. Common causative organisms include Neisseria meningitidis, Streptococcus pneumoniae, Haemophilus influenzae type b, Listeria monocytogenes, and Escherichia coli K1. The exact route of entry varies by pathogen and host condition.Routes of Entry...
Clinical Significance of Antibiotic Resistance01:25

Clinical Significance of Antibiotic Resistance

Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within the One...
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...