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Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
Published on: December 9, 2015
Study of Some Resistance Genes in Clinical
E Abed Gumar1, A Salim Hamzah2, W Fadhil Hamad1
1Department of Medical Laboratory Techniques, College of Health and Medical Technology, Middle Technical University, Baghdad, Iraq.
Abstract:
Proteus mirabilis belongs to the family Enterobacteriaceae and is capable of transforming in shape from rod to elongated and swarming motility by flagella. It is an opportunity for bacteria and can cause different clinical diseases. Therefore, this study aimed to assay and detect a sequence of genes that encode for antibiotic resistance in multidrug resistance clinical isolates of Proteus mirabilis, including blaTEM, aac(6')-Ib, qnrA, IntI2, IntI1 and secondly to investigate the relationship in the phylogenetic tree among these genes in Iraq comparison with global strains in NCBI. The study included the identifying of 500 clinical samples depending on morphological and biochemical tests and confirming Proteus mirabilis diagnosis by the VITEK-2 Compact system. The confirmed isolates of Proteus mirabilis were 95 clinical isolates (19%). Antibiotic susceptibility test of all these isolates was done using twelve antibiotics tested using Amoxicillin, Aztreonam, Imipenem, Cefoxitin, Amikacin, Ceftazidem, Ciprofloxacin, Nalidixic acid, Gentamicin, Sulphamethazol-trimethoprim, Cefotaxime, Amoxicillin-clavulanic acid. The results showed that multidrug resistance Proteus mirabilis isolates contained the genes in different levels as follow blaTEM gene (90%), aac(6')-Ib gene (80%) ,IntI1 gene (100%), IntI2 gene (80%). These genes were sequenced and detected phylogenetic relationships among these genes and global genes were documented in NCBI. The results showed that some Iraqi isolates contain genetic variation compared to global strains. Therefore, this variation was detected and registered in NCBI of all five antibiotic resistance genes mentioned above and accepted under accession numbers of aacIb gene (LC613168.1), blaTEM gene (LC613166.1), IntI1 gene (LC613169.1), IntI2 gene (LC613170.1).
Insights
This study identified antibiotic resistance genes in multidrug-resistant Proteus mirabilis from Iraq. Iraqi strains showed genetic variations compared to global strains, with IntI1 and blaTEM genes being highly prevalent.
Area of Science:
- Microbiology
- Genetics
- Infectious Diseases
Background:
- Proteus mirabilis is an opportunistic bacterium causing clinical diseases.
- Multidrug resistance (MDR) in P. mirabilis poses a significant public health threat.
Purpose of the Study:
- To detect antibiotic resistance genes (blaTEM, aac(6')-Ib, qnrA, IntI2, IntI1) in MDR P. mirabilis clinical isolates from Iraq.
- To investigate the phylogenetic relationships of these resistance genes among Iraqi and global strains.
Main Methods:
- Identification of 95 P. mirabilis isolates from 500 clinical samples using VITEK-2 Compact system.
- Antibiotic susceptibility testing against twelve antibiotics.
- Gene sequencing and phylogenetic analysis using NCBI database.
Main Results:
- High prevalence of resistance genes: IntI1 (100%), blaTEM (90%), aac(6')-Ib (80%), IntI2 (80%).
- Phylogenetic analysis revealed genetic variations in Iraqi isolates compared to global strains.
- Sequenced genes registered in NCBI with accession numbers.
Conclusions:
- MDR P. mirabilis in Iraq harbors key antibiotic resistance genes.
- Genetic variations in resistance genes may influence treatment strategies.
- Genomic surveillance is crucial for tracking antibiotic resistance patterns.
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