qnrA6 genetic environment and quinolone resistance conferred on Proteus mirabilis

Aurélie Jayol1, Frédéric Janvier2, Thomas Guillard3

  • 1Univ. Paris Diderot, Sorbonne Paris Cité, Inserm IAME, UMR 1137, F-75018 Paris, France AP-HP, Lariboisière-Fernand Widal, Bacteriology, F-75010 Paris, France.

Abstract

Insights

The qnrA6 gene in Proteus mirabilis is chromosomally located and confers quinolone resistance. Its expression and resistance levels depend on promoter proximity and host strain.

Area of Science:

  • Microbiology
  • Genetics
  • Molecular Biology

Background:

  • The qnrA gene family confers resistance to quinolone antibiotics.
  • Understanding the genetic basis of antibiotic resistance is crucial for public health.
  • Proteus mirabilis is an opportunistic pathogen where novel resistance mechanisms may emerge.

Purpose of the Study:

  • To determine the genetic location and environment of the qnrA6 gene in Proteus mirabilis.
  • To characterize the quinolone resistance conferred by the qnrA6 gene.
  • To investigate the role of promoter elements and host factors in qnrA6-mediated resistance.

Main Methods:

  • Southern blotting and transformation experiments to locate the qnrA6 gene.
  • Combinatorial PCR to determine the genetic environment surrounding qnrA6.
  • Cloning of qnrA6 with and without its promoter into expression vectors.
  • Determination of minimum inhibitory concentrations (MICs) of six quinolones in transformant strains.

Main Results:

  • The qnrA6 gene was found to be chromosomally encoded in Proteus mirabilis PS16.
  • The genetic environment of qnrA6 showed similarity to qnrA2, with ISCR1 elements potentially providing a promoter.
  • Cloned qnrA6 conferred increased fluoroquinolone MICs in Escherichia coli and Proteus mirabilis, with higher levels when the promoter was included.
  • Resistance levels exceeded clinical breakpoints in Proteus mirabilis when the promoter was present.

Conclusions:

  • qnrA6 is the first chromosomally located qnrA gene identified in Enterobacteriaceae.
  • The level of quinolone resistance conferred by qnrA6 is influenced by the proximity of an effective promoter.
  • Host strain background significantly impacts the expression and effectiveness of qnrA6-mediated quinolone resistance.

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