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Genetic basis of trimethoprim and O/129 resistance in Vibrio cholerae

Insights

Genetic elements like plasmids and transposons spread trimethoprim and O/129 resistance in Vibrio cholerae O1 strains. This study identified two classes of resistant bacteria, impacting cholera treatment and identification.

Area of Science:

  • Microbiology
  • Genetics
  • Molecular Biology

Background:

  • Antimicrobial resistance in Vibrio cholerae O1 is a significant public health concern, affecting cholera prophylaxis, therapy, and bacterial identification.
  • Cross-resistance to trimethoprim and O/129 (a V. cholerae O1 specific agent) has important implications for treatment strategies.

Purpose of the Study:

  • To investigate the genetic basis of trimethoprim and O/129 cross-resistance in Vibrio cholerae O1 strains isolated in Africa.
  • To characterize the mechanisms and genetic elements responsible for the dissemination of these resistance traits.

Main Methods:

  • Phenotypic characterization of resistance profiles (trimethoprim, O/129, ampicillin, kanamycin, streptomycin, spectinomycin).
  • Enzymatic assays to identify resistance mechanisms (aminoglycoside phosphotransferase, adenylyltransferase).
  • Genetic analysis including hybridization with Tn7 probe and intergeneric conjugation experiments with Escherichia coli.

Main Results:

  • Two distinct classes of resistant Vibrio cholerae O1 strains were identified.
  • Class 1 strains exhibited resistance to ampicillin, kanamycin, and high-level streptomycin via aminoglycoside phosphotransferase synthesis, with resistance transferable via plasmids and weak Tn7 hybridization.
  • Class 2 strains showed resistance to moderate streptomycin and spectinomycin via adenylyltransferase production, with non-transferable resistance and strong Tn7 hybridization, suggesting transposon involvement.

Conclusions:

  • Both plasmids and transposons play a role in the dissemination of trimethoprim and O/129 resistance in Vibrio.
  • Understanding these genetic mechanisms is crucial for effective cholera control and antimicrobial stewardship.

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