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Endo S, Tada T, Oshiro S, Hishinuma T, Tohya M, Watanabe S, Sekiguchi JI, Abe M, Nakada K, Kirikae T. Evaluation of antimicrobial susceptibility tests for Acinetobacter and Pseudomonas species using disks containing a high dose of meropenem. Sci Rep 2024; 14:2749. [PMID: 38302510 PMCID: PMC10834437 DOI: 10.1038/s41598-024-52538-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Accepted: 01/19/2024] [Indexed: 02/03/2024] Open
Abstract
The emergence and dissemination of carbapenem-resistant species of Acinetobacter and Pseudomonas have become a serious health concern. Routine antimicrobial disk susceptibility tests in clinical laboratories cannot distinguish between isolates that are highly carbapenem-resistant and those that are moderately carbapenem-resistant. The present study describes antimicrobial susceptibility tests using disks containing high doses (1000 μg) of meropenem. The diameters of inhibition zones were significantly negatively correlated with the MICs of Pseudomonas and Acinetobacter species for meropenem (R2: 0.93 and 0.91, respectively) and imipenem (R2: 0.75 and 0.84, respectively). Double disk synergy tests using clavulanic acid or sodium mercaptoacetate can detect ESBL or MBL producers. Susceptibility tests using disks containing high doses of meropenem can easily detect highly carbapenem-resistant isolates in a quantitative manner. These disks may be useful in bacteriological laboratories because of their technical ease, stability, and relatively low cost.
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Affiliation(s)
- Shoichiro Endo
- Department of Microbiology, Juntendo University School of Medicine, Tokyo, Japan
- Department of Clinical Laboratory, The Jikei University Daisan Hospital, Tokyo, Japan
| | - Tatsuya Tada
- Department of Microbiology, Juntendo University School of Medicine, Tokyo, Japan
| | - Satoshi Oshiro
- Department of Microbiology, Juntendo University School of Medicine, Tokyo, Japan
| | - Tomomi Hishinuma
- Department of Microbiology, Juntendo University School of Medicine, Tokyo, Japan
| | - Mari Tohya
- Department of Microbiology, Juntendo University School of Medicine, Tokyo, Japan
| | - Shin Watanabe
- Department of Microbiome Research, Juntendo University School of Medicine, Tokyo, Japan
| | | | - Masaki Abe
- Department of Clinical Laboratory, The Jikei University Daisan Hospital, Tokyo, Japan
| | - Koji Nakada
- Department of Clinical Laboratory, The Jikei University Daisan Hospital, Tokyo, Japan
| | - Teruo Kirikae
- Department of Microbiology, Juntendo University School of Medicine, Tokyo, Japan.
- Department of Microbiome Research, Juntendo University School of Medicine, Tokyo, Japan.
- AMR Research Laboratory, Juntendo Advanced Research Institute for Health Science, Juntendo University, Tokyo, Japan.
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Ono E, Tohya M, Watanabe S, Tada T, Kuwahara-Arai K, Oshiba A, Izumi N, Kirikae T. Pseudomonas paralcaligenes sp. nov., isolated from a hospitalized patient. Int J Syst Evol Microbiol 2023; 73. [PMID: 36748583 DOI: 10.1099/ijsem.0.005649] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
A Gram-stain-negative, aerobic, rod-shaped, non-endospore-forming bacterium, designated as strain MRCP1333T, was isolated from a faecal sample from a hospital patient in Japan. MRCP1333T grew at temperatures of 15-40 °C (optimum 25-35 °C), with 1.0-3.0 % (w/v, 171-513 mM) NaCl [optimum 1-2 % (w/v), 171-342 mM], and at pH 6.0-9.5 (optimum pH 7.0-8.0). The results of phylogenetic analysis based on the sequences of the 16S rRNA gene and the 53 genes encoding the bacterial ribosome protein subunits indicated that MRCP1333T represented a member of the Pseudomonas aeruginosa group, most closely related to Pseudomonas alcaligenes. Whole-genome comparisons, using average nucleotide identity, digital DNA-DNA hybridization and average amino acid identity, confirmed that MRCP1333T represented a distinct species in the P. aeruginosa group. Phenotypic characterization tests demonstrated utilization by this strain of citrate, glycerol, and d-malic acid, the ability to reduce nitrite to nitrogen and the ability of this strain to grow in the presence of minocycline and tetrazolium blue, distinguishing this strain from P. alcaligenes and other closely related species of the P. aeruginosa group. The major fatty acids of MRCP1333T were summed feature 8 (C18 : 1ω7c/C18 : 1ω6c; 38.4 %), summed feature 3 (C16 : 1ω7c/C16 : 1ω6c; 21.1 %) and C16 : 0 (20.6 %). The DNA G+C content of MRCP1333T was 66.5 mol%. Genetic and phenotypic evidence indicated that MRCP1333T should be classified as representing a novel species, for which the name Pseudomonas paralcaligenes sp. nov. is proposed. The type strain is MRCP1333T (=LMG 32254T,=JCM 34250T).
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Affiliation(s)
- Emi Ono
- Department of Microbiology, Juntendo University School of Medicine, Tokyo, Japan.,Department of Clinical Laboratory, Japanese Red Cross Musashino Hospital, Tokyo, Japan
| | - Mari Tohya
- Department of Microbiology, Juntendo University School of Medicine, Tokyo, Japan.,Department of Microbiome Research, Juntendo University School of Medicine, Tokyo, Japan
| | - Shin Watanabe
- Department of Microbiome Research, Juntendo University School of Medicine, Tokyo, Japan
| | - Tatsuya Tada
- Department of Microbiology, Juntendo University School of Medicine, Tokyo, Japan
| | - Kyoko Kuwahara-Arai
- Department of Microbiology, Juntendo University School of Medicine, Tokyo, Japan
| | - Akihiro Oshiba
- Department of Pediatrics, Japanese Red Cross Musashino Hospital, Tokyo, Japan
| | - Namiki Izumi
- Department of Gastroenterology and Hepatology, Japanese Red Cross Musashino Hospital, Tokyo, Japan
| | - Teruo Kirikae
- Department of Microbiology, Juntendo University School of Medicine, Tokyo, Japan
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Li Q, Chen Q, Liang S, Wang W, Zhang B, Martín-Rodríguez AJ, Liang Q, Zhang F, Guo L, Xiong X, Hu R, Xiang L, Zhou Y. Coexistence of tmexCD3-toprJ1b tigecycline resistance genes with two novel bla VIM-2-carrying and bla OXA-10-carrying transposons in a Pseudomononas asiatica plasmid. Front Cell Infect Microbiol 2023; 13:1130333. [PMID: 36936768 PMCID: PMC10015498 DOI: 10.3389/fcimb.2023.1130333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Accepted: 02/06/2023] [Indexed: 03/05/2023] Open
Abstract
Introduction Tigecycline and carbapenems are considered the last line of defense against microbial infections. The co-occurrence of resistance genes conferring resistance to both tigecycline and carbapenems in Pseudomononas asiatica was not investigated. Methods P. asiatica A28 was isolated from hospital sewage. Antibiotic susceptibility testing showed resistance to carbapenem and tigecycline. WGS was performed to analyze the antimicrobial resistance genes and genetic characteristics. Plasmid transfer by conjugation was investigated. Plasmid fitness costs were evaluated in Pseudomonas aeruginosa transconjugants including a Galleria mellonella infection model. Results Meropenem and tigecycline resistant P. asiatica A28 carries a 199, 972 bp long plasmid PLA28.4 which harbors seven resistance genes. Sequence analysis showed that the 7113 bp transposon Tn7389 is made up of a class I integron without a 5'CS terminal and a complete tni module flanked by a pair of 25bp insertion repeats. Additionally, the Tn7493 transposon, 20.24 kp long, with a complete 38-bp Tn1403 IR and an incomplete 30-bp Tn1403 IR, is made up of partial skeleton of Tn1403, a class I integron harboring bla OXA-10, and a Tn5563a transposon. Moreover, one tnfxB3-tmexC3.2-tmexD3b-toprJ1b cluster was found in the plasmid and another one in the the chromosome. Furthermore, plasmid PLA28.4 could be conjugated to P. aeruginosa PAO1, with high fitness cost. Discussion A multidrug-resistant plasmid carrying tmexCD3-toprJ1b and two novel transposons carrying bla VIM-2 and bla OXA-10 -resistant genes was found in hospital sewage, increasing the risk of transmission of antibiotic-resistant genes. These finding highlight the necessary of controlling the development and spread of medication resistance requires continuous monitoring and management of resistant microorganisms in hospital sewage.
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Affiliation(s)
- Qin Li
- Department of Pathogen Biology, School of Basic Medicine, Southwest Medical University, Luzhou, China
| | - Qiao Chen
- Department of Pathogen Biology, School of Basic Medicine, Southwest Medical University, Luzhou, China
| | - Shuang Liang
- Department of Oral prosthodontics, The Affiliated Stomatological Hospital of Southwest Medical University, Luzhou, China
| | - Wei Wang
- Department of Pathogen Biology, School of Basic Medicine, Southwest Medical University, Luzhou, China
| | - Bingying Zhang
- Department of Pathogen Biology, School of Basic Medicine, Southwest Medical University, Luzhou, China
| | | | - Qinghua Liang
- Department of Pathogen Biology, School of Basic Medicine, Southwest Medical University, Luzhou, China
| | - Feiyang Zhang
- Department of Pathogen Biology, School of Basic Medicine, Southwest Medical University, Luzhou, China
| | - Ling Guo
- Department of Oral prosthodontics, The Affiliated Stomatological Hospital of Southwest Medical University, Luzhou, China
| | - Xia Xiong
- Department of Dermatology, The First Affiliated Hospital of Southwest Medical University, Luzhou, China
| | - Renjing Hu
- Department of Laboratory Medicine, Jiangnan University Medical Center, Wuxi, China
- *Correspondence: Yingshun Zhou, ; Renjing Hu, ; Li Xiang,
| | - Li Xiang
- Department of Pathogen Biology, School of Basic Medicine, Southwest Medical University, Luzhou, China
- *Correspondence: Yingshun Zhou, ; Renjing Hu, ; Li Xiang,
| | - Yingshun Zhou
- Department of Pathogen Biology, School of Basic Medicine, Southwest Medical University, Luzhou, China
- Public Center of Experimental of Pathogen Biology Platform, Southwest Medical University, Luzhou, China
- *Correspondence: Yingshun Zhou, ; Renjing Hu, ; Li Xiang,
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Genomic Analysis of Pseudomonas asiatica JP233: An Efficient Phosphate-Solubilizing Bacterium. Genes (Basel) 2022; 13:genes13122290. [PMID: 36553557 PMCID: PMC9777792 DOI: 10.3390/genes13122290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 12/02/2022] [Accepted: 12/02/2022] [Indexed: 12/12/2022] Open
Abstract
The bacterium Pseudomonas sp. strain JP233 has been reported to efficiently solubilize sparingly soluble inorganic phosphate, promote plant growth and significantly reduce phosphorus (P) leaching loss from soil. The production of 2-keto gluconic acid (2KGA) by strain JP233 was identified as the main active metabolite responsible for phosphate solubilization. However, the genetic basis of phosphate solubilization and plant-growth promotion remained unclear. As a result, the genome of JP233 was sequenced and analyzed in this study. The JP233 genome consists of a circular chromosome with a size of 5,617,746 bp and a GC content of 62.86%. No plasmids were detected in the genome. There were 5097 protein-coding sequences (CDSs) predicted in the genome. Phylogenetic analyses based on genomes of related Pseudomonas spp. identified strain JP233 as Pseudomonas asiatica. Comparative pangenomic analysis among 9 P. asiatica strains identified 4080 core gene clusters and 111 singleton genes present only in JP233. Genes associated with 2KGA production detected in strain JP233, included those encoding glucose dehydrogenase, pyrroloquinoline quinone and gluoconate dehydrogenase. Genes associated with mechanisms of plant-growth promotion and nutrient acquisition detected in JP233 included those involved in IAA biosynthesis, ethylene catabolism and siderophore production. Numerous genes associated with other properties beneficial to plant growth were also detected in JP233, included those involved in production of acetoin, 2,3-butanediol, trehalose, and resistance to heavy metals. This study provides the genetic basis to elucidate the plant-growth promoting and bio-remediation properties of strain JP233 and its potential applications in agriculture and industry.
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Yamada AY, de Souza AR, Lima MDJDC, Reis AD, Campos KR, Bertani AMDJ, de Araujo LJT, Sacchi CT, Tiba-Casas MR, Camargo CH. Co-production of Classes A and B Carbapenemases BKC-1 and VIM-2 in a Clinical Pseudomonas Putida Group Isolate from Brazil. Curr Microbiol 2022; 79:250. [PMID: 35834136 DOI: 10.1007/s00284-022-02945-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Accepted: 06/21/2022] [Indexed: 11/03/2022]
Abstract
Emergence of resistance to classical antimicrobial agents is a public health issue, especially in countries with high antimicrobial consumption rates. Carbapenems have been employed as first-choice option for empirical treatment complicated infections. However, in the last decades, frequency of carbapenemase-producing Gram-negative bacteria has rising, demanding the use of alternative antimicrobial agents. By sequencing the entire genomes with short and long reads technologies, we report the isolation and genomic characterization of a carbapenem-resistant Pseudomonas clinical isolate. The identification based on average nucleotide identity indicates a putative new species into the Pseudomonas putida Group, which carries both the blaBKC-1 and blaVIM-2 carbapenemase genes. The blaBKC-1 was found to be on a transferable IncQ plasmid backbone, whereas blaVIM-2 was found in a new integron, In2126 (intl1∆-blaVIM-2-aacA7-blaVIM-2∆-aacA27-3'CS), described in this study. Our findings indicate that co-occurrence of classes A and B carbapenemase enzymes underscores the evolving emergence of more complex antimicrobial resistance in opportunistic pathogens.
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Affiliation(s)
- Amanda Yaeko Yamada
- Bacteriology Division, Instituto Adolfo Lutz, Doutor Arnaldo Avenue, 351, 9º floor, Sao Paulo, 01246-902, Brazil.,Faculdade de Medicina, Universidade de São Paulo, Doutor Arnaldo Avenue, 455, São Paulo, 01246-000, Brazil
| | - Andreia Rodrigues de Souza
- Bacteriology Division, Instituto Adolfo Lutz, Doutor Arnaldo Avenue, 351, 9º floor, Sao Paulo, 01246-902, Brazil
| | | | - Alex Domingos Reis
- Strategic Laboratory, Rapid Response Center, Instituto Adolfo Lutz, Doutor Arnaldo Avenue, 351, 10º floor, Sao Paulo, 01246-902, Brazil
| | - Karoline Rodrigues Campos
- Strategic Laboratory, Rapid Response Center, Instituto Adolfo Lutz, Doutor Arnaldo Avenue, 351, 10º floor, Sao Paulo, 01246-902, Brazil
| | | | - Leonardo Jose Tadeu de Araujo
- Strategic Laboratory, Rapid Response Center, Instituto Adolfo Lutz, Doutor Arnaldo Avenue, 351, 10º floor, Sao Paulo, 01246-902, Brazil
| | - Claudio Tavares Sacchi
- Strategic Laboratory, Rapid Response Center, Instituto Adolfo Lutz, Doutor Arnaldo Avenue, 351, 10º floor, Sao Paulo, 01246-902, Brazil
| | - Monique Ribeiro Tiba-Casas
- Bacteriology Division, Instituto Adolfo Lutz, Doutor Arnaldo Avenue, 351, 9º floor, Sao Paulo, 01246-902, Brazil
| | - Carlos Henrique Camargo
- Bacteriology Division, Instituto Adolfo Lutz, Doutor Arnaldo Avenue, 351, 9º floor, Sao Paulo, 01246-902, Brazil. .,Faculdade de Medicina, Universidade de São Paulo, Doutor Arnaldo Avenue, 455, São Paulo, 01246-000, Brazil.
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Urbanowicz P, Izdebski R, Biedrzycka M, Literacka E, Hryniewicz W, Gniadkowski M. Genomic Epidemiology of MBL-Producing Pseudomonas putida Group Isolates in Poland. Infect Dis Ther 2022; 11:1725-1740. [PMID: 35689153 PMCID: PMC9334476 DOI: 10.1007/s40121-022-00659-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Accepted: 05/12/2022] [Indexed: 11/28/2022] Open
Abstract
Introduction Pseudomonas putida group are described as low-incidence opportunistic pathogens, but also as a significant reservoir of antimicrobial resistance (AMR) genes, including those of metallo-β-lactamases (MBLs). Our objective was the molecular and genomic characterization of MBL-producing P. putida (MPPP) group isolates from Poland, focusing on population structures, successful genotypes and MBL-encoding integrons. Methods During a country-wide MBL surveillance in Pseudomonas spp., 59 non-duplicate MPPP isolates were collected from 36 hospitals in 23 towns from 2003 to 2016. All of the isolates were subjected to whole-genome sequencing (WGS), followed by species identification, multi-locus sequence typing (MLST), single-nucleotide polymorphism (SNP)-based phylogenetic/clonality analysis, resistome determination, and susceptibility testing. Results The study collection comprised 12 species, of which P. alloputida (n = 19), P. monteilii (n = 15), and P. asiatica (n = 11) prevailed, while the others were P. kurunegalensis, P. putida, P. soli, P. mosselii, P. juntendi, and four potentially new species. MLST classified the isolates into 23 sequence types (STs) of which 21 were new, with three main clones, namely P. alloputida ST69, P.monteilii ST95 and P. asiatica ST15. The isolates produced VIM-like MBLs only, largely VIM-2 (n = 40), encoded by 24 different class 1 integrons (ten new), a number of which occurred also in P. aeruginosa and/or Enterobacterales in Poland. The plasmid pool was dominated by IncP-9, IncP-2, and pMOS94-like types. Multiple isolates were extensively drug-resistant. Conclusions This study, being one of the most comprehensive analyses of MPPP so far, has shown high diversity of the isolates in general, with three apparently international lineages, each internally diversified by MBL-encoding structures. Supplementary Information The online version contains supplementary material available at 10.1007/s40121-022-00659-z.
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Affiliation(s)
- Paweł Urbanowicz
- Department of Molecular Microbiology, National Medicines Institute, ul. Chełmska 30/34, 00-725, Warsaw, Poland.
| | - Radosław Izdebski
- Department of Molecular Microbiology, National Medicines Institute, ul. Chełmska 30/34, 00-725, Warsaw, Poland
| | - Marta Biedrzycka
- Department of Molecular Microbiology, National Medicines Institute, ul. Chełmska 30/34, 00-725, Warsaw, Poland
| | - Elżbieta Literacka
- Department of Epidemiology and Clinical Microbiology, The National Reference Centre for Susceptibility Testing, National Medicines Institute, 00-725, Warsaw, Poland
| | - Waleria Hryniewicz
- Department of Epidemiology and Clinical Microbiology, The National Reference Centre for Susceptibility Testing, National Medicines Institute, 00-725, Warsaw, Poland
| | - Marek Gniadkowski
- Department of Molecular Microbiology, National Medicines Institute, ul. Chełmska 30/34, 00-725, Warsaw, Poland
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