血清型K2和ST65高粘滞肺炎克雷伯菌blaNDM-1和blaSHV-12的分子和遗传特征

IF 4.6 2区 医学 Q1 MICROBIOLOGY
Yuting Kang, Qiujie Li, Wanting Ma, Chao Xu, Zhuoran Qiu, Wei Jia, Pengtao Wang
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引用次数: 0

摘要

目的:研究宁夏医科大学总医院分离的ST65 K2肺炎克雷伯菌(KP114) blaNDM-1和blaSHV-12的耐药表型、毒力表型及遗传特性。方法:采用Vitek 2 Compact系统进行药敏试验。采用多位点序列分型(MLST)、PCR和Sanger测序检测耐药和毒力基因。通过串试验、巨噬细胞吞噬试验、血清耐药试验和小鼠感染模型评价KP114的毒力。进行全基因组测序以进一步分析遗传信息。结果:KP114中blaNDM-1和blaSHV-12基因的存在使其对多种抗生素产生耐药性。通过各种体外实验和小鼠体内感染模型证实了KP114的高毒力。发现KP114含有两种不同的质粒:一种是耐药质粒(pKP114-NDM),分类为IncX3型,包含多种转移元件,包括IV型偶联蛋白(T4CP)和IV型分泌系统(T4SS);另一种是毒力质粒(pKP114-vir),与pLVPK具有高度的序列相似性。偶联实验结果表明,KP114成功地将抗性和毒力性状转移到大肠杆菌EC600和J53上。结论:我们报道了一株携带blaNDM-1和blaSHV-12的ST65 K2血清型耐碳青霉烯高毒力肺炎克雷伯菌(CR-hvKP),该菌株表现出高毒力和耐药性,具有传播潜力。这一发现可以改善对该克隆的临床监测和控制,从而对临床治疗具有相当大的价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Molecular and genetic features of a blaNDM-1 and blaSHV-12 coharboring hypermucoviscous Klebsiella pneumoniae of serotype K2 and ST65.

Purpose: This study aimed to assess the resistance phenotype, virulence phenotype, and genetic characteristics of a blaNDM-1 and blaSHV-12 co-harboring ST65 K2 Klebsiella pneumoniae (KP114), which was isolated from General hospital of Ningxia Medical University.

Methods: Antibiotic susceptibility test was determined by Vitek 2 Compact system. Multilocus Sequence typing (MLST), antimicrobial resistance and virulence genes were examined by PCR and Sanger sequencing. The virulence of KP114 was evaluated through string test, macrophage phagocytosis assay, serum resistance assay, and mouse infection model. Whole-genome sequencing was performed for further analysis of genetic information.

Results: The presence of the blaNDM-1 and blaSHV-12 genes in KP114 confered resistance to multi-antibiotics. The hypervirulence of KP114 was demonstrated through various in vitro experiments and in vivo mouse infection model. KP114 was found to harbor two distinct plasmids: a drug-resistant plasmid (pKP114-NDM), classified as the IncX3 type, which contained various transfer elements including type IV coupling protein (T4CP) and type IV secretion system (T4SS), and a virulence plasmid (pKP114-vir) that exhibited a high sequence similarity with pLVPK. The results of the conjugation experiment showed that resistance and virulence traits were successfully transferred from KP114 to Escherichia coli EC600 and J53.

Conclusions: We reported a Carbapenem-resistant hypervirulent Klebsiella pneumoniae (CR-hvKP) strain of ST65 K2 serotype carrying the blaNDM-1 and blaSHV-12, which exhibited hypervirulence and drug resistance with potential for transmission. This finding allows improved clinical surveillance and control of this clone, thereby holding considerable value for clinical treatment.

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来源期刊
CiteScore
8.60
自引率
0.00%
发文量
49
审稿时长
>12 weeks
期刊介绍: Annals of Clinical Microbiology and Antimicrobials considers good quality, novel and international research of more than regional relevance. Research must include epidemiological and/or clinical information about isolates, and the journal covers the clinical microbiology of bacteria, viruses and fungi, as well as antimicrobial treatment of infectious diseases. Annals of Clinical Microbiology and Antimicrobials is an open access, peer-reviewed journal focusing on information concerning clinical microbiology, infectious diseases and antimicrobials. The management of infectious disease is dependent on correct diagnosis and appropriate antimicrobial treatment, and with this in mind, the journal aims to improve the communication between laboratory and clinical science in the field of clinical microbiology and antimicrobial treatment. Furthermore, the journal has no restrictions on space or access; this ensures that the journal can reach the widest possible audience.
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