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    From heteroresistance to resistance:
    a single nucleotide polymorphism (SNP) homogenizes population plasticity of gene amplification based heteroresistance (2023)

    Art
    Vortrag
    Autoren
    Kupke, Johannes (WE 7)
    Brombach, Julian (WE 7)
    Wolf, Silver Anthony
    Thrukonda, Lakshmipriya
    Ghazisaeedi, Fereshteh (WE 7)
    Hanke, Dennis (WE 7)
    Semmler, Torsten
    Tedin, Karsten (WE 7)
    Schreiber, Frank
    Nordholt, Niclas
    Lübke-Becker, Antina (WE 7)
    Fulde, Marcus (WE 7)
    Kongress
    Zoonoses 2023 - International Symposium on Zoonoses Research
    Berlin, 09. – 11.10.2023
    Quelle
    Zoonoses 2023 - International Symposium on Zoonoses Research : benefits and chances of one health research : program and abstracts — German Research Platform for Zoonoses (Hrsg.)
    — S. 99
    Sprache
    Englisch
    Verweise
    URL (Volltext): https://evis.events/event/260/attachments/99/255/Zoonoses%202023%20-%20Book%20of%20Abstracts.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 the ability of a subpopulation to grow in the presence of inhibitory
    antibiotic concentrations. We found HR to ceftazidime (CAZ) in a clinical Enterobacter cloacae complex
    (ECC) strain (IMT49658).
    Material & Methods
    We performed extensive phenotypic (population analysis profiles, stability analysis of resistance, Scan-
    Lag) and molecular microbiological techniques (qRT-PCR, whole genome sequencing, raw read analysis)
    in order to show the plasticity and mechanism of HR in this ECC strain. We re-investigated the genome
    and phenotype of IMT 49658 after long-term evolution in 32 g/ml CAZ.
    Results
    WGS detected a plasmidal gene amplification with β-lactamase ampC blaDHA-1. qRT-PCR showed a
    high genomic copy number of blaDHA 1 in resistant subpopulations, decreasing when they reverted
    to susceptibility. Gene amplifications varied in single cells of one colony (raw read analysis). Resistant
    subpopulations showed heterogeneous lag times in ScanLag. After evolving ECC for 21 days in CAZ,
    we discovered a SNP in dacB, encoding for a stop codon. This mutant displayed low amplification levels
    but resistance in disk diffusion and homogenous lag times.
    Conclusion
    Long-term evolution in antibiotic niches drives the emergence of new resistant mutants, balancing the
    fitness costs of e.g., gene amplifications. Comprehension of the transition from HR to resistance is
    inevitable for successful treatment of infections from zoonotic bacteria.