This research investigates the transferability of plasmid-mediated quinolone resistance (PMQR) genes among enteric bacteria isolates in human and animal samples, as well as its implication on resistance of recipient cells. A total of 1,964 strains of five different enteric bacteria species (Escherichia coli, Salmonella sp., Shigella sp., Klebsiella sp. and Aeromonas sp.) were screened for plasmid-mediated quinolone resistance (PMQR) genes from a population of quinolone resistant (Q-r) isolates. Screening for PMQR isolates was achieved by plasmid curing using sub-lethal concentration of Sodium Dodecyl Sulphate and PMQR genes (qnrA, qnrB, qnrS, Aac(6′)-Ib-crand Qep A) were detected by polymerase chain reaction (PCR). Conjugation and transformation experiments were attempted to ascertain transfer of genes from the Q-r isolates to a susceptible, standard recipient, E. coli J53-2. The minimum inhibitory concentration (MIC) was determined before and after gene transfer, using E-test strips. Results indicate that percentage resistance to the quinolones (Qs): Nalidixic acid, Ciprofloxacin, Pefloxacin and Ofloxacin determined by agar plate diffusion technique stood at 52.6, 47.3, 50.5, 70.6 and 46.0% for Escherichia coli, Salmonella sp., Shigellasp., Klebsiella sp. and Aeromonas sp. respectively. Analysis of variance indicated the occurrence of significant differences (F, 46.77–613.30; 0.00) in the resistance to each tested Qs. Generally, Human isolates showed greater resistance than Animal isolates (57.4 vs 47.2%). Investigation with specific primers indicated 11, 15, 7, 1 and 0 for qnrA, qnrB, qnrS, qepA and Aac(6′)-Ib-cr genes respectively, out of 1018 Q-r and 29 PMQR isolates. Gene transfer experiments indicated the transfer of all genes except qepA either by conjugation or transformation. The MIC of tested Qs on recipient bacterium before gene transfer greatly increased from 0.0625 to 0.25 µg/mL, after transfer. This study demonstrates that PMQR genes amongst enteric bacteria in the Niger delta of Nigeria were transferable and transfer conferred a higher Q- resistance on recipient bacterium.
Citation: EHWARIEME Daniel Ayobola, WHILIKI Onoriadjeren Oscar, EJUKONEMU Francis Ejovwokoghene. Plasmid-mediated quinolone resistance genes transfer among enteric bacteria isolated from human and animal sources[J]. AIMS Microbiology, 2021, 7(2): 200-215. doi: 10.3934/microbiol.2021013
This research investigates the transferability of plasmid-mediated quinolone resistance (PMQR) genes among enteric bacteria isolates in human and animal samples, as well as its implication on resistance of recipient cells. A total of 1,964 strains of five different enteric bacteria species (Escherichia coli, Salmonella sp., Shigella sp., Klebsiella sp. and Aeromonas sp.) were screened for plasmid-mediated quinolone resistance (PMQR) genes from a population of quinolone resistant (Q-r) isolates. Screening for PMQR isolates was achieved by plasmid curing using sub-lethal concentration of Sodium Dodecyl Sulphate and PMQR genes (qnrA, qnrB, qnrS, Aac(6′)-Ib-crand Qep A) were detected by polymerase chain reaction (PCR). Conjugation and transformation experiments were attempted to ascertain transfer of genes from the Q-r isolates to a susceptible, standard recipient, E. coli J53-2. The minimum inhibitory concentration (MIC) was determined before and after gene transfer, using E-test strips. Results indicate that percentage resistance to the quinolones (Qs): Nalidixic acid, Ciprofloxacin, Pefloxacin and Ofloxacin determined by agar plate diffusion technique stood at 52.6, 47.3, 50.5, 70.6 and 46.0% for Escherichia coli, Salmonella sp., Shigellasp., Klebsiella sp. and Aeromonas sp. respectively. Analysis of variance indicated the occurrence of significant differences (F, 46.77–613.30; 0.00) in the resistance to each tested Qs. Generally, Human isolates showed greater resistance than Animal isolates (57.4 vs 47.2%). Investigation with specific primers indicated 11, 15, 7, 1 and 0 for qnrA, qnrB, qnrS, qepA and Aac(6′)-Ib-cr genes respectively, out of 1018 Q-r and 29 PMQR isolates. Gene transfer experiments indicated the transfer of all genes except qepA either by conjugation or transformation. The MIC of tested Qs on recipient bacterium before gene transfer greatly increased from 0.0625 to 0.25 µg/mL, after transfer. This study demonstrates that PMQR genes amongst enteric bacteria in the Niger delta of Nigeria were transferable and transfer conferred a higher Q- resistance on recipient bacterium.
[1] | Andriole VT (2005) The Quinolones: Past, Present and Future. Clin Infect Dis 41: 113-119. doi: 10.1086/428051 |
[2] | Gagliotti C, Buttazzi R, Sforza S, et al. (2008) Resistance to fluoroquinolones and treatment failure, short-term relapse of community-acquired urinary tract infections caused by Escherichia coli. J Infect 57: 179-184. doi: 10.1016/j.jinf.2008.07.004 |
[3] | Yang H, Dang G, Zhu J, et al. (2013) Prevalence and characterization of plasmid-mediated quinolone resistance and mutations in the gyrase and topoisomerase IV genes among Shigella isolates from Henan, China between 2001 and 2008. Int J Anticrob Agents 42: 173-177. doi: 10.1016/j.ijantimicag.2013.04.026 |
[4] | Jacoby GA, Strahilevitz J, Hooper DC (2014) Plasmid–mediated quinolone resistance. Microbiol Spect 2. |
[5] | ECDC/EFSA/EMA First joint report on the integrated analysis of the consumption of antimicrobial agents and occurrence of antimicrobial resistance in bacteria from humans and food- producing animals (2015) . |
[6] | Forsberg KJ, Reyes A, Wang B, et al. (2012) The shared antibiotic resistone of soil bacteria and human pathogens. Science 337: 1107-1111. doi: 10.1126/science.1220761 |
[7] | Von winterdorff CJ, Penders J, Van Niekerk JM, et al. (2016) Dissemination of antimicrobial resistance in microbial ecosystems through horizontal gene transfer. Front Microbiol 7: 173. |
[8] | Hooper DC (2000) Molecular mechanisms of antibiotic resistance in Gram negative pathogens. Clin Infect Dis 31: 524-528. doi: 10.1086/314056 |
[9] | Tenover FC (2006) Mechanism of antimicrobial resistance in bacteria. Am J Med 119: S3-S10. doi: 10.1016/j.amjmed.2006.03.011 |
[10] | Aliyu HS, Akortha EE (2002) Transfer of Ampicillin resistance gene (amp) from some enteric bacteria of diarrhoeal origin to Escherichia coli (UBE 201). J Med Lab Sci 11: 39-41. |
[11] | Shoemaker NB, Vlamakis H, Hayes K, et al. (2001) Evidence for extensive resistance gene transfer among Bacteriodes sp and among Bacteriodes and other genera in the human colon. Appl Environ Microbiol 67: 561-568. doi: 10.1128/AEM.67.2.561-568.2001 |
[12] | Clinical and laboratory standard institute (CLSI) (2014) Performance Standards for Antimicrobial Disc Susceptibility Test, Twenty-third information supplement. CLSI, 2014 Document 33: M100-S23. |
[13] | Ewharieme DA, Whiliki OO, Ejukonemu FE (2021) Occurrence of plasmid-mediated fluoroquinolone resistant genes amongst enteric bacteria isolated from human and animal sources in Delta State, Nigeria. AIMS Microbiol 7: 75-95. doi: 10.3934/microbiol.2021006 |
[14] | Sambrook J, Fritschi EF, Maniatis T (1989) Molecular cloning : A laboratory manual New York: Cold Spring Harbor Laboratory Press. |
[15] | Robicsek A, Strahilevitz J, Sham DF, et al. (2006) qnr prevalence in Ceftazidime-resistant Enterobacteriaceae isolated from the United States. Antimicrob Agents Chemother 50: 2872-2874. doi: 10.1128/AAC.01647-05 |
[16] | Hata M, Suzuki M, Matsumoto M, et al. (2020) Cloning of a novel gene for quinolone resistancce from transferable plasmids in Shigella flexneri 2b. Antimicro Agents Chemother 49: 801-803. doi: 10.1128/AAC.49.2.801-803.2005 |
[17] | Hu FP, Xu XG, Zhu DM, et al. (2008) Coexistence of qnrB4 and qnrS1 in a clinical strain of Klebsiella pneumonia. Acta Pharmacol Sin 29: 320-324. doi: 10.1111/j.1745-7254.2008.00757.x |
[18] | Lavilla S, Gonzalez–Lopez JJ, Sabate M, et al. (2008) Prevalence of qnr genes among extended–spectrum β-lactamase–producing enterobacterial isolates in Barcelonia, Spain. J Antimicrob Chemother 61: 291-295. doi: 10.1093/jac/dkm448 |
[19] | Cavaco LM, Hasman H, Xia S, et al. (2007) qnrD, a novel geneconferring transferablequinolone resistance in Salmonella enterica Serovar Kentucky and Bovismorbificans strains of human origin. Antimicrob Agents Chemother 53: 603-608. doi: 10.1128/AAC.00997-08 |
[20] | Cattoir V, Poirel L, Nordmann P (2007) Plasmid-mediated quinolone resistance determinanat qnrB4 in France from an Enterobacter cloacae clinical isolate coexpressing a qnrS1 determinanat. Antimicrob Agents Chemother 51: 2652-2653. doi: 10.1128/AAC.01616-06 |
[21] | Jiang Y, Zhou Z, Qian Y, et al. (2008) Plasmid-mediated quinolone resistance determinants qnr and aac(6′)-Ib-cr in extended spectrum β-lactamase producing Escherichia coli and Klebsiella pneumonia in China. J Antimicrob Chemother 61: 1003-1006. doi: 10.1093/jac/dkn063 |
[22] | Yamane K, Wachino J, Suzuki S, et al. (2008) PlasmidmediatedqepA gene among Escherichia coli clinical isolates from Japan. Antimicrob Agents Chemother 52: 1564-1566. doi: 10.1128/AAC.01137-07 |
[23] | Rodriguez-Martinez JM, Poirel I, Pascual A, et al. (2006) Plasmid-mediated quinolone resistance in Australia. Microbiol Drug Resistance 50: 2544-2546. |
[24] | Charpentier X, Elisabeth K, Schneider D, et al. (2011) Antibiotics and UV radiationinduce competence for natural transformation in Legionella pnuemophila. J Bacteriol 193: 1114-1121. doi: 10.1128/JB.01146-10 |
[25] | Wang M, Tran JH, Jacoby GA, et al. (2003) Plasmid-mediated quinolone resistance in clinical isolates of Escherichia coli from Shangai, China. Antimicrobial Agents Chemother 47: 2242-2248. doi: 10.1128/AAC.47.7.2242-2248.2003 |
[26] | Wang M, Sahm DF, Jacoby GA, et al. (2004) Activities of newer quinolones against Escherichia coli and Klebsiella pneumonia containing the plasmid-mediated. Chemotherapy 48: 1400-1401. |
[27] | Hopkins KL, Wootton L, Day MR, et al. (2007) Plasmid-mediated quinolone resistance determinants qnrS1 found in Salmonella enteric strains isolated in the UK. J Antimicro Chemother 59: 1071-1075. doi: 10.1093/jac/dkm081 |
[28] | Hopkins KL, Daym M, Threlfall EJ (2008) Plasmid-mediated quinolone resistance in Salmonella enteroica, United Kingdom. Emerg Infect Dis 14: 340-342. doi: 10.3201/eid1402.070573 |
[29] | Xu W, Zhang G, Li X, et al. (2007) Occurrence and elimination of Antibiotics of four sewage treatment plants in the Pearl River Delta (PRD), South China. Water Res 41: 4526-4534. doi: 10.1016/j.watres.2007.06.023 |
[30] | Quiroga MP, Andres P, Petroni A, et al. (2007) Complex class 1 integrons with diverse variable regions, including aac(6′)-Ib-cr, and a novel allele qnrB10, associated with ISCR1 in clinical Enterobacterial isolates from Argentina. Antimicrobial Agents Chemother 1: 4466-4470. doi: 10.1128/AAC.00726-07 |
[31] | Minarini LA, Poirel L, Cattoir V, et al. (2008) Plasmid-mediate quinolone resistance determinants among enterobacterial isolates fromout patients in Brazil. J Antimicrob Chemother 62: 474-478. doi: 10.1093/jac/dkn237 |