Genetic Variability of AdeRS Two-Component System Associated with Tigecycline Resistance in XDR-Acinetobacter baumannii Isolates

被引:31
作者
Montana, S. [1 ]
Vilacoba, E. [1 ]
Traglia, G. M. [1 ]
Almuzara, M. [2 ]
Pennini, M. [3 ]
Fernandez, A. [4 ]
Sucari, A. [3 ]
Centron, D. [1 ]
Ramirez, M. S. [1 ,5 ]
机构
[1] Univ Buenos Aires, Fac Med, Inst Microbiol & Parasitol Med, CONICET, Buenos Aires, DF, Argentina
[2] Hosp Interzonal Agudos Eva Peron, Lab Bacteriol, San Martin, Pcia Buenos Air, Argentina
[3] Stamboulian Lab, Unidad Microbiol, Buenos Aires, DF, Argentina
[4] Hosp Univ Fdn Favaloro, Lab Microbiol, Buenos Aires, DF, Argentina
[5] Calif State Univ Fullerton, Dept Biol Sci, Fullerton, CA 92831 USA
关键词
COMBINATION; COLISTIN; EFFICACY;
D O I
10.1007/s00284-015-0829-3
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
The emergence of tigecycline resistance has increased in the last years. Although tigecycline-resistant Acinetobacter baumannii isolates were described all over the world, few reports regarding the molecular basis of this resistance are available. It has been recognized that the overexpression of AdeABC efflux pump is related to the tigecycline-resistant phenotype. In 37 clinical A. baumannii isolates we first determined the tigecycline-resistant phenotype and then, within a selected group, we analyzed the sequence of the adeRS operon, which is involved in the expression of the AdeABC efflux pump. Nucleotide sequence analysis of adeR and adeS showed the presence of 5 and 16 alleles, respectively. These results expose a high genetic variability in both genes, the adeS gene being more susceptible to genetic variation. The presence of 2 AdeR and 2 AdeS new variants were reported. Two of the new AdeRS variants were present in the intermediate and the resistant tigecycline A. baumannii isolates, suggesting a putative role in the development of the observed phenotype. More studies need to be addressed to determine the role of the genetic variability observed in the adeRS operon.
引用
收藏
页码:76 / 82
页数:7
相关论文
共 23 条
[1]  
Bonnin RA, 2013, EXPERT REV ANTI-INFE, V11, P571, DOI [10.1586/ERI.13.38, 10.1586/eri.13.38]
[2]   Emerging resistance problems and future perspectives in pharmacotherapy for complicated urinary tract infections [J].
Chen, Yen-Hsu ;
Ko, Wen-Chien ;
Hsueh, Po-Ren .
EXPERT OPINION ON PHARMACOTHERAPY, 2013, 14 (05) :587-596
[3]   Efflux-Mediated Antibiotic Resistance in Acinetobacter spp. [J].
Coyne, Sebastien ;
Courvalin, Patrice ;
Perichon, Bruno .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2011, 55 (03) :947-953
[4]   High dose tigecycline in critically ill patients with severe infections due to multidrug-resistant bacteria [J].
De Pascale, Gennaro ;
Montini, Luca ;
Pennisi, Mariano Alberto ;
Bernini, Valentina ;
Maviglia, Riccardo ;
Bello, Giuseppe ;
Spanu, Teresa ;
Tumbarello, Mario ;
Antonelli, Massimo .
CRITICAL CARE, 2014, 18 (03)
[5]   Molecular Epidemiology and Mechanisms of Tigecycline Resistance in Clinical Isolates of Acinetobacter baumannii from a Chinese University Hospital [J].
Deng, Mei ;
Zhu, Man-Hua ;
Li, Jun-Jie ;
Bi, Sheng ;
Sheng, Zi-Ke ;
Hu, Fei-Shu ;
Zhang, Jia-Jie ;
Chen, Wei ;
Xue, Xiao-Wei ;
Sheng, Ji-Fang ;
Li, Lan-Juan .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2014, 58 (01) :297-303
[6]   Efficacy of Sulbactam and Its Combination with Imipenem, Colistin and Tigecycline in an Experimental Model of Carbapenem-Resistant Acinetobacter baumannii Sepsis [J].
Dinc, Gokcen ;
Demiraslan, Hayati ;
Elmali, Ferhan ;
Ahmed, Salman Shaheer ;
Metan, Gokhan ;
Alp, Emine ;
Doganay, Mehmet .
CHEMOTHERAPY, 2013, 59 (05) :325-329
[7]   Toxicity of polymyxins: a systematic review of the evidence from old and recent studies [J].
Falagas, Matthew E. ;
Kasiakou, Sofia K. .
CRITICAL CARE, 2006, 10 (01)
[8]   In Vitro Pharmacodynamics of Polymyxin B and Tigecycline Alone and in Combination against Carbapenem-Resistant Acinetobacter baumannii [J].
Hagihara, Mao ;
Housman, Seth T. ;
Nicolau, David P. ;
Kuti, Joseph L. .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2014, 58 (02) :874-879
[9]   Spread of imipenem-resistant Acinetobacter baumannii of European clone II in Western China [J].
He, Chao ;
Xie, Yi ;
Fan, Hong ;
Kang, Mei ;
Tao, Chuanmin ;
Zhang, Rong ;
Hu, Yunjian ;
Chen, Zhixing ;
Wang, Lanlan .
INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS, 2011, 38 (03) :257-260
[10]   In Vivo Selection of a Missense Mutation in adeR and Conversion of the Novel blaOXA-164 Gene into blaOXA-58 in Carbapenem-Resistant Acinetobacter baumannii Isolates from a Hospitalized Patient [J].
Higgins, Paul G. ;
Schneiders, Thamarai ;
Hamprecht, Axel ;
Seifert, Harald .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2010, 54 (12) :5021-5027