Colistin Resistance and Extensive Genetic Variations in PmrAB and PhoPQ in Klebsiella Pneumoniae Isolates from South Korea.


Journal

Current microbiology
ISSN: 1432-0991
Titre abrégé: Curr Microbiol
Pays: United States
ID NLM: 7808448

Informations de publication

Date de publication:
Sep 2020
Historique:
received: 27 11 2019
accepted: 03 06 2020
pubmed: 12 6 2020
medline: 15 5 2021
entrez: 12 6 2020
Statut: ppublish

Résumé

We investigated the colistin resistance of Klebsiella pneumoniae blood isolates from South Korea. Among 252 K. pneumoniae isolates, only 11 (4.4%) demonstrated colistin resistance, of which, one was resistant to all antibiotics but tigecycline. Multilocus sequence typing analysis revealed ten sequence types among the 11 colistin-resistant isolates, indicating independent occurrence of colistin resistance in K. pneumoniae. To understand the mechanism of colistin resistance, amino acid variations in PmrAB, PmrD, PhoPQ, and MgrB were investigated. Amino acid substitutions were identified in all the colistin-resistant K. pneumoniae isolates. Particularly, extensive alterations in the genes associated with colistin resistance were shared in four colistin-resistant isolates, suggesting recombination between these genes of unrelated isolates. Our results suggest that genetic recombination is responsible for colistin resistance in some K. pneumoniae isolates.

Identifiants

pubmed: 32524274
doi: 10.1007/s00284-020-02074-4
pii: 10.1007/s00284-020-02074-4
doi:

Substances chimiques

Anti-Bacterial Agents 0
Bacterial Proteins 0
Colistin Z67X93HJG1

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2307-2311

Subventions

Organisme : National Research Foundation of Korea
ID : NRF-2019R1A2C2004879

Auteurs

Hae Suk Cheong (HS)

Division of Infectious Disease, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, 03181, Republic of Korea.

So Yeon Kim (SY)

Division of Bacterial Disease Research, Center for Infectious Diseases Research, Centers for Control and Prevention, Korea National Institute of Health, Cheongju, 28159, Republic of Korea.

Jungyu Seo (J)

Department of Microbiology, Sungkyunkwan University School of Medicine, Suwon, 16419, Republic of Korea.

Yu Mi Wi (YM)

Division of Infectious Diseases, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, 51353, Republic of Korea.

Kyong Ran Peck (KR)

Division of Infectious Diseases, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, 06351, Republic of Korea.

Kwan Soo Ko (KS)

Department of Microbiology, Sungkyunkwan University School of Medicine, Suwon, 16419, Republic of Korea. ksko@skku.edu.

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Classifications MeSH