Detection of the macrolide-efflux protein A gene mef(A) in Enterococcus faecalis
Karin Schwaiger1, Christina Hölzel, Johann Bauer
1Chair of Animal Hygiene, Technische Universität München, Freising-Weihenstephan, Germany. karin.schwaiger@wzw.tum.de
Abstract:
The mef(A) gene codes for an efflux protein that conveys resistance to 14- and 15-membered macrolides. Enterococci are emerging pathogens, as well as indicator and reservoir bacteria that are known to have a strong tendency to acquire resistance genes. A total of 485 Enterococcus faecalis strains of porcine (n = 239) and human origin (n = 246) were screened for the presence of the mef(A) gene by using polymerase chain reaction. In total, 29 E. faecalis of porcine (n = 10) and human (n = 19) origin were positive for the presence of the mef(A) gene. Most of the mef(A)-containing strains were isolated from fecal samples of healthy individuals; only one strain originated from a stool sample of a diseased pig. To our knowledge, this is the first report on the occurrence of the mef(A) gene in E. faecalis apart from mating experiments. The main clinical relevance of this study is that donor E. faecalis might transfer the mef(A) gene to recipients that are usually combated with macrolides. Hence, the role of E. faecalis as a resistance reservoir with respect to limited treatment options are a cause for concern.
Insights
The mef(A) gene, conferring macrolide resistance, was found in Enterococcus faecalis from human and porcine sources. This highlights E. faecalis as a potential reservoir for antibiotic resistance genes.
Area of Science:
- Microbiology
- Molecular Biology
- Antimicrobial Resistance
Background:
- Enterococci are significant pathogens and reservoirs for antibiotic resistance genes.
- The mef(A) gene confers resistance to macrolide antibiotics.
- Enterococcus faecalis exhibits a propensity for acquiring resistance genes.
Purpose of the Study:
- To investigate the prevalence of the mef(A) gene in Enterococcus faecalis strains of porcine and human origin.
- To determine if E. faecalis acts as a reservoir for macrolide resistance genes in these populations.
Main Methods:
- Screening of 485 Enterococcus faecalis strains (239 porcine, 246 human) using polymerase chain reaction (PCR) for the mef(A) gene.
- Isolation of strains from fecal samples of healthy individuals and a diseased pig.
Main Results:
- The mef(A) gene was detected in 29 E. faecalis strains (10 porcine, 19 human).
- Most mef(A)-positive strains were isolated from healthy individuals' fecal samples.
- This is the first report of the mef(A) gene in E. faecalis outside of mating experiments.
Conclusions:
- Enterococcus faecalis harbors the mef(A) gene, contributing to macrolide resistance.
- E. faecalis serves as a potential reservoir for macrolide resistance, posing a clinical concern due to potential gene transfer.
- The findings underscore the importance of monitoring E. faecalis for antibiotic resistance genes, given limited treatment options.
Related Concept Videos
Clinical Significance of Antibiotic Resistance
Mechanism of Antibiotic Resistance in MRSA
