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    Molecular investigation of heteroresistance in a multi-resistant clinical Enterobacter cloacae complex strain (2021)

    Art
    Poster
    Autoren
    Kupke, Johannes (WE 7)
    Brombach, Julian (WE 7)
    Semmler, Torsten
    Hanke, Dennis (WE 7)
    Ghazisaeedi, Fereshteh (WE 7)
    Lübke-Becker, Antina (WE 7)
    Fulde, Marcus (WE 7)
    Kongress
    Zoonoses 2021
    online, 13. – 15.10.2021
    Quelle
    Zoonoses 2021 - International Symposium on Zoonoses Research : joint meeting of the German Research Platform for Zoonoses and the Research Network Zoonotic Diseases : program and abstracts — Forschungsnetz zoonotische Infektionskrankheiten, German Research Platform for Zoonoses (Hrsg.)
    — S. 26
    Sprache
    Englisch
    Verweise
    URL (Volltext): https://evis.events/event/170/attachments/90/194/Zoonoses%202021%20-%20BoA_13.10.2021-2.pdf
    Kontakt
    Institut für Mikrobiologie und Tierseuchen

    Robert-von-Ostertag-Str. 7-13
    14163 Berlin
    +49 30 838 51843 / 66949
    mikrobiologie@vetmed.fu-berlin.de

    Abstract / Zusammenfassung

    Introduction:
    Heteroresistance (HR) describes a growing subpopulation in presence of bactericidal antibiotic concentrations that kill most of the bacterial population. We investigated HR in a clinical Enterobacter cloacae complex (ECC) strain (IMT49658).

    Materials & Methods:
    Population analysis profiles (PAPs) were conducted on Mueller-Hinton II agar with 0, 0.125, 0.25, 0.5, 1, 2, 4, 8 and 16 x breakpoint-concentration (16 µg/ml) of ceftazidime (CAZ) in accordance with CLSI standard to confirm a resistant subpopulation. The latter we investigated by continuous subcultivation on non-selective media without CAZ.

    Results:
    Subcultivation-steps revealed the increased CAZ resistant phenotype as unstable as cells reverted to a less resistant population. PAPs underlined the observation of HR with growth at up to 16-fold breakpointconcentration. WGS showed identical genomes of resistant and susceptible colonies. Nonetheless qRTPCR shed light on an increased expression of blaDHA-1 and its corresponding regulator ampR in resistant bacterial entities. Furthermore, proteomic analysis confirmed an upregulated arginin-deiminase-system (ADS) in the resistant subpopulation.

    Conclusion:
    Research on HR constitutes an urgent contribution to treatment-pitfall against bacterial zoonotic infections. Our results identified DHA-1/AmpR as a potential mediator of HR in the studied clinical ECCstrain. Association of the ADS with β-lactamase may provide a fitness-advantage.