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Published on: January 17, 2014
Characterization of recombinant fluoroquinolone-resistant pneumococcus-like isolates
Luz Balsalobre1, Montserrat Ortega, Adela G de la Campa
1Unidad de Genética Bacteriana, Centro Nacional de Microbiología, Instituto de Salud Carlos III and CIBER de Enfermedades Respiratorias, Majadahonda. luzbal@isciii.es
Abstract:
Fourteen fluoroquinolone-resistant streptococcal isolates with recombinant DNA topoisomerase genes, preliminarily identified as pneumococci, were further characterized using phenotypic and genotypic approaches. Phenotypic tests classified them as atypical pneumococci. Phylogenetic relationships were analyzed by using the sequences of seven housekeeping alleles from these isolates and from isolates of Streptococcus pneumoniae, Streptococcus mitis, Streptococcus oralis, and Streptococcus pseudopneumoniae. Four isolates grouped with S. pneumoniae, seven grouped with S. pseudopneumoniae, and three grouped with S. mitis. These results generally agreed with those obtained with an optochin susceptibility test and with the organization of the atp operon chromosomal region, encoding the F(o)F(1) H(+)-ATPase (the target of optochin). All seven isolates grouping with S. pseudopneumoniae share the same spr1368-atpC-atpA gene order; all four grouping with S. pneumoniae share the spr1368-IS1239-atpC-atpA order, and two out of the three grouping with S. mitis share the spr1284-atpC-atpA order. In addition, evidence for recombination within the seven housekeeping alleles of the S. pseudopneumoniae population was provided by several methods: the index of association (0.4598, P < 0.001), the pairwise homoplasy index, and the split-decomposition method. This study confirms the existence of pneumococci among the alpha-hemolytic streptococci with DNA topoisomerase genes showing a mosaic structure and reveals a close relationship between atypical pneumococci and S. pseudopneumoniae.
Insights
Fluoroquinolone-resistant streptococci were identified as atypical pneumococci. Genetic analysis revealed mosaic DNA topoisomerase genes and a close relationship between these atypical pneumococci and Streptococcus pseudopneumoniae.
Area of Science:
- Microbiology
- Genetics
- Molecular Biology
Background:
- Fluoroquinolone resistance is a growing concern in streptococcal infections.
- Streptococcus pneumoniae (pneumococci) are significant human pathogens.
- Atypical pneumococci with recombinant DNA topoisomerase genes require further characterization.
Purpose of the Study:
- To characterize fluoroquinolone-resistant streptococcal isolates with recombinant DNA topoisomerase genes.
- To determine the phylogenetic relationships of these isolates.
- To investigate the genetic basis of their resistance and atypical phenotype.
Main Methods:
- Phenotypic and genotypic analyses were performed on fourteen resistant streptococcal isolates.
- Phylogenetic analysis utilized sequences of seven housekeeping alleles.
- Gene order of the atp operon and recombination evidence were assessed.
Main Results:
- Phenotypic tests classified the isolates as atypical pneumococci.
- Phylogenetic analysis placed isolates with Streptococcus pneumoniae, Streptococcus pseudopneumoniae, and Streptococcus mitis.
- Recombination within housekeeping alleles of the S. pseudopneumoniae population was evident.
Conclusions:
- Confirms the existence of pneumococci among alpha-hemolytic streptococci with mosaic DNA topoisomerase genes.
- Reveals a close evolutionary relationship between atypical pneumococci and S. pseudopneumoniae.
- Highlights the genetic complexity contributing to fluoroquinolone resistance in streptococci.
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