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Published on: July 22, 2011
Molecular and Physiological Characterization of Fluoroquinolone-Highly Resistant Salmonella Enteritidis Strains
Sinisa Vidovic1, Ran An1, Aaron Rendahl1
1Department of Veterinary and Biomedical Sciences, University of Minnesota, Saint Paul, MN, United States.
Abstract:
Four clinical isolates of Salmonella Enteritidis, susceptible to ciprofloxacin, and their spontaneous ciprofloxacin resistant (MICs from 8 to 16 μg/mL) and highly resistant (MIC 2048 μg/mL) mutants were used to gain an insight into the dynamics of development of fluoroquinolone (FQs) resistance in S. Enteritidis serovar. The first two high-frequency (i.e., mutations that occurred in each tested strain) mutations occurred in the gyrA, resulting in amino acid substitutions S83Y and S83F as well as D87G. Amino acid substitution D87G was significantly associated with the highly resistant mutants. Another high-frequency mutation, deletion in the ramRA intergenic region, was determined among the same group of highly resistant mutants. More importantly, each of these deletion mutations affected the RamR binding site. The effect of one 41 bp deletion mutation was empirically tested. The results showed that the deletion was responsible for resistance to ceftiofur and amoxicillin/clavulanic acid and decreased susceptibility to azithromycin and tetracycline. Performing gene expression assays across all ciprofloxacin susceptible groups, we found a consistent and significant upregulation of the ramA, acrB, and tolC (efflux pump associated genes) and downregulation of ompF (porin), clearly illustrating the importance of not only efflux but also porin-mediated permeability in the development of FQs resistance. Our data also showed that S. Enteritidis could acquire multiple mutations in QRDR region, further resulting in no up regulation of the ramA, acrB and tolC genes. These QRDR mutations and no activation of the AcrAB efflux pump seem to preserve the fitness of this organism compared to the S. Enteritidis strains that did not acquire multiple QRDR mutations. This report describes the dynamics of FQ-associated mutations in the highly resistant in FQ mutants in S. Enteritidis. In addition, we characterized a deletion in the ramRA integenic region, demonstrating that this frequent mutation in the highly resistant FQ mutants provide resistance or reduce susceptibility to multiple families of antibiotics.
Insights
Salmonella Enteritidis develops fluoroquinolone resistance through high-frequency gyrA mutations and ramRA deletions. These genetic changes impact multiple antibiotic classes, highlighting complex resistance dynamics.
Area of Science:
- Microbiology
- Molecular Biology
- Antimicrobial Resistance
Background:
- Fluoroquinolones (FQs) are critical antibiotics for treating Salmonella Enteritidis infections.
- Understanding the genetic mechanisms of FQ resistance is crucial for effective treatment strategies.
- Salmonella Enteritidis exhibits varying levels of resistance, necessitating detailed investigation into resistance development.
Purpose of the Study:
- To investigate the dynamics of fluoroquinolone resistance development in Salmonella Enteritidis.
- To identify key genetic mutations associated with high-level ciprofloxacin resistance.
- To characterize the impact of specific mutations on the susceptibility to other antibiotic classes.
Main Methods:
- Isolation and characterization of spontaneous ciprofloxacin-resistant and highly resistant mutants from clinical Salmonella Enteritidis isolates.
- Sequencing of key genes (gyrA) and intergenic regions (ramRA) to identify mutations.
- Gene expression analysis of efflux pump and porin-associated genes (ramA, acrB, tolC, ompF).
- Phenotypic testing to determine antibiotic susceptibility profiles of resistant mutants.
Main Results:
- High-frequency mutations in gyrA (S83Y, S83F, D87G) and deletions in the ramRA intergenic region were observed in resistant mutants.
- The D87G substitution in gyrA was strongly associated with high-level resistance.
- A specific 41 bp deletion in ramRA conferred resistance to ceftiofur and amoxicillin/clavulanic acid, and reduced susceptibility to azithromycin and tetracycline.
- Upregulation of efflux pump genes (ramA, acrB, tolC) and downregulation of ompF were observed in susceptible strains, indicating the role of efflux and permeability.
- Multiple QRDR mutations without efflux pump activation appeared to preserve bacterial fitness.
Conclusions:
- Salmonella Enteritidis develops fluoroquinolone resistance through rapid acquisition of gyrA mutations and ramRA deletions.
- The ramRA deletion is a significant contributor to multidrug resistance, affecting susceptibility to various antibiotic classes.
- Understanding these resistance mechanisms is vital for monitoring and combating antimicrobial resistance in clinical settings.
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