Characterisation of plasmids encoding CTX-M-3 extended-spectrum β-lactamase from Enterobacteriaceae isolated at a university hospital in Taiwan

Abstract CTX-M-3 is the most common extended-spectrum β-lactamase produced by Enterobacteriaceae in Taiwan. The present study was conducted to characterise the genetic environment surrounding blaCTX-M-3 . A total of 11 ceftriaxone-resistant isolates were studied: Escherichia coli ( n = 4), Klebsiell...

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Veröffentlicht in:International journal of antimicrobial agents 2007-04, Vol.29 (4), p.440-445
Hauptverfasser: Liu, S.Y, Su, L.H, Yeh, Y.L, Chu, C, Lai, J.C, Chiu, C.H
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container_end_page 445
container_issue 4
container_start_page 440
container_title International journal of antimicrobial agents
container_volume 29
creator Liu, S.Y
Su, L.H
Yeh, Y.L
Chu, C
Lai, J.C
Chiu, C.H
description Abstract CTX-M-3 is the most common extended-spectrum β-lactamase produced by Enterobacteriaceae in Taiwan. The present study was conducted to characterise the genetic environment surrounding blaCTX-M-3 . A total of 11 ceftriaxone-resistant isolates were studied: Escherichia coli ( n = 4), Klebsiella pneumoniae ( n = 5) and Salmonella enterica serotypes Anatum (SA831R) and Potsdam (SC72). Molecular methods used included polymerase chain reaction, sequencing, DNA–DNA hybridisation, conjugation, physical mapping and restriction fragment length polymorphism (RFLP) analysis. All isolates examined carried blaCTX-M-3 on large plasmids (>70 kb). The resistance plasmids of the two Salmonella and two K. pneumoniae strains (KP104 and KP116) were confirmed to be conjugative in vitro. RFLP analysis indicated that the plasmids were different. Physical mapping also revealed the difference between the two Salmonella plasmids, pSA831R (82 kb) and pSC72 (74 kb). An insertion sequence, IS Ecp1 , was found upstream of each blaCTX-M-3 gene. However, sequencing of downstream regions of the bla genes showed two different patterns: the presence of orf477 in pSA831R and of orf1 - mucA in pSC72, pKP104 and pKP116. IncI1-type oriT and nikA sequences were present in the plasmids of all the clinical isolates tested, except S. Anatum. Different blaCTX-M-3 -carrying plasmids were identified among the enterobacteria studied. The presence of IS Ecp1 in all isolates may be associated with the widespread resistance among Enterobacteriaceae. Although the plasmids were not identical, they appeared to belong to the same incompatibility group (IncI1-like plasmids), suggesting that they are genetically related but may have evolved divergently over time.
doi_str_mv 10.1016/j.ijantimicag.2006.11.013
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The present study was conducted to characterise the genetic environment surrounding blaCTX-M-3 . A total of 11 ceftriaxone-resistant isolates were studied: Escherichia coli ( n = 4), Klebsiella pneumoniae ( n = 5) and Salmonella enterica serotypes Anatum (SA831R) and Potsdam (SC72). Molecular methods used included polymerase chain reaction, sequencing, DNA–DNA hybridisation, conjugation, physical mapping and restriction fragment length polymorphism (RFLP) analysis. All isolates examined carried blaCTX-M-3 on large plasmids (&gt;70 kb). The resistance plasmids of the two Salmonella and two K. pneumoniae strains (KP104 and KP116) were confirmed to be conjugative in vitro. RFLP analysis indicated that the plasmids were different. Physical mapping also revealed the difference between the two Salmonella plasmids, pSA831R (82 kb) and pSC72 (74 kb). An insertion sequence, IS Ecp1 , was found upstream of each blaCTX-M-3 gene. However, sequencing of downstream regions of the bla genes showed two different patterns: the presence of orf477 in pSA831R and of orf1 - mucA in pSC72, pKP104 and pKP116. IncI1-type oriT and nikA sequences were present in the plasmids of all the clinical isolates tested, except S. Anatum. Different blaCTX-M-3 -carrying plasmids were identified among the enterobacteria studied. The presence of IS Ecp1 in all isolates may be associated with the widespread resistance among Enterobacteriaceae. Although the plasmids were not identical, they appeared to belong to the same incompatibility group (IncI1-like plasmids), suggesting that they are genetically related but may have evolved divergently over time.</description><identifier>ISSN: 0924-8579</identifier><identifier>EISSN: 1872-7913</identifier><identifier>DOI: 10.1016/j.ijantimicag.2006.11.013</identifier><identifier>PMID: 17275265</identifier><language>eng</language><publisher>London: Elsevier B.V</publisher><subject>Antibiotics. 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The present study was conducted to characterise the genetic environment surrounding blaCTX-M-3 . A total of 11 ceftriaxone-resistant isolates were studied: Escherichia coli ( n = 4), Klebsiella pneumoniae ( n = 5) and Salmonella enterica serotypes Anatum (SA831R) and Potsdam (SC72). Molecular methods used included polymerase chain reaction, sequencing, DNA–DNA hybridisation, conjugation, physical mapping and restriction fragment length polymorphism (RFLP) analysis. All isolates examined carried blaCTX-M-3 on large plasmids (&gt;70 kb). The resistance plasmids of the two Salmonella and two K. pneumoniae strains (KP104 and KP116) were confirmed to be conjugative in vitro. RFLP analysis indicated that the plasmids were different. Physical mapping also revealed the difference between the two Salmonella plasmids, pSA831R (82 kb) and pSC72 (74 kb). An insertion sequence, IS Ecp1 , was found upstream of each blaCTX-M-3 gene. 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Antiparasitic agents</subject><subject>Antimicrobial resistance</subject><subject>beta-Lactamases - genetics</subject><subject>beta-Lactamases - metabolism</subject><subject>Biological and medical sciences</subject><subject>Ceftriaxone - pharmacology</subject><subject>Conjugation</subject><subject>Conjugation, Genetic</subject><subject>DNA Transposable Elements</subject><subject>Drug Resistance, Bacterial - genetics</subject><subject>Enterobacteriaceae</subject><subject>Enterobacteriaceae - drug effects</subject><subject>Enterobacteriaceae - genetics</subject><subject>Enterobacteriaceae - isolation &amp; purification</subject><subject>Enterobacteriaceae Infections - microbiology</subject><subject>Escherichia coli</subject><subject>Hospitals, University</subject><subject>Humans</subject><subject>Infectious Disease</subject><subject>Klebsiella pneumoniae</subject><subject>Medical sciences</subject><subject>Pharmacology. 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Drug treatments</topic><topic>Plasmids - genetics</topic><topic>Restriction Mapping</topic><topic>Salmonella enterica</topic><topic>Taiwan</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, S.Y</creatorcontrib><creatorcontrib>Su, L.H</creatorcontrib><creatorcontrib>Yeh, Y.L</creatorcontrib><creatorcontrib>Chu, C</creatorcontrib><creatorcontrib>Lai, J.C</creatorcontrib><creatorcontrib>Chiu, C.H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of antimicrobial agents</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, S.Y</au><au>Su, L.H</au><au>Yeh, Y.L</au><au>Chu, C</au><au>Lai, J.C</au><au>Chiu, C.H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Characterisation of plasmids encoding CTX-M-3 extended-spectrum β-lactamase from Enterobacteriaceae isolated at a university hospital in Taiwan</atitle><jtitle>International journal of antimicrobial agents</jtitle><addtitle>Int J Antimicrob Agents</addtitle><date>2007-04-01</date><risdate>2007</risdate><volume>29</volume><issue>4</issue><spage>440</spage><epage>445</epage><pages>440-445</pages><issn>0924-8579</issn><eissn>1872-7913</eissn><abstract>Abstract CTX-M-3 is the most common extended-spectrum β-lactamase produced by Enterobacteriaceae in Taiwan. The present study was conducted to characterise the genetic environment surrounding blaCTX-M-3 . A total of 11 ceftriaxone-resistant isolates were studied: Escherichia coli ( n = 4), Klebsiella pneumoniae ( n = 5) and Salmonella enterica serotypes Anatum (SA831R) and Potsdam (SC72). Molecular methods used included polymerase chain reaction, sequencing, DNA–DNA hybridisation, conjugation, physical mapping and restriction fragment length polymorphism (RFLP) analysis. All isolates examined carried blaCTX-M-3 on large plasmids (&gt;70 kb). The resistance plasmids of the two Salmonella and two K. pneumoniae strains (KP104 and KP116) were confirmed to be conjugative in vitro. RFLP analysis indicated that the plasmids were different. Physical mapping also revealed the difference between the two Salmonella plasmids, pSA831R (82 kb) and pSC72 (74 kb). An insertion sequence, IS Ecp1 , was found upstream of each blaCTX-M-3 gene. 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subjects Antibiotics. Antiinfectious agents. Antiparasitic agents
Antimicrobial resistance
beta-Lactamases - genetics
beta-Lactamases - metabolism
Biological and medical sciences
Ceftriaxone - pharmacology
Conjugation
Conjugation, Genetic
DNA Transposable Elements
Drug Resistance, Bacterial - genetics
Enterobacteriaceae
Enterobacteriaceae - drug effects
Enterobacteriaceae - genetics
Enterobacteriaceae - isolation & purification
Enterobacteriaceae Infections - microbiology
Escherichia coli
Hospitals, University
Humans
Infectious Disease
Klebsiella pneumoniae
Medical sciences
Pharmacology. Drug treatments
Plasmids - genetics
Restriction Mapping
Salmonella enterica
Taiwan
title Characterisation of plasmids encoding CTX-M-3 extended-spectrum β-lactamase from Enterobacteriaceae isolated at a university hospital in Taiwan
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