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

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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