Статья

Integrated detection of extended-spectrum-beta-lactam resistance by DNA microarray-based genotyping of TEM, SHV, and CTX-M genes

D. Leinberger, V. Grimm, M. Rubtsova, J. Weile, K. Schröppel, T. Wichelhaus, C. Knabbe, R. Schmid, T. Bachmann,
2021

Extended-spectrum beta-lactamases (ESBL) of the TEM, SHV, or CTX-M type confer resistance to beta-lactam antibiotics in Gram-negative bacteria. The activity of these enzymes against beta-lactam antibiotics and their resistance against inhibitors can be influenced by genetic variation at the single-nucleotide level. Here, we describe the development and validation of an oligonucleotide microarray for the rapid identification of ESBLs in Gram-negative bacteria by simultaneously genotyping blaTEM, bla SHV, and blaCTX-M. The array consists of 618 probes that cover mutations responsible for 156 amino acid substitutions. As this comprises unprecedented genotyping coverage, the ESBL array has a high potential for epidemiological studies and infection control. With an assay time of 5 h, the ESBL microarray also could be an attractive option for the development of rapid antimicrobial resistance tests in the future. The validity of the DNA microarray was demonstrated with 60 blinded clinical isolates, which were collected during clinical routines. Fifty-eight of them were characterized phenotypically as ESBL producers. The chip was characterized with regard to its resolution, phenotype-genotype correlation, and ability to resolve mixed genotypes. ESBL phenotypes could be correctly ascribed to ESBL variants of blaCTX-M (76%), blaSHV (22%), or both (2%), whereas no ESBL variant of blaTEM was found. The most prevalent ESBLs identified were CTX-M-15 (57%) and SHV-12 (18%). Copyright © 2010, American Society for Microbiology. All Rights Reserved.

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  • 1. Version of Record от 2021-04-27

Метаданные

Об авторах
  • D. Leinberger
    Division of Pathway Medicine, University of Edinburgh, Chancellor's Bldg., 49 Little France Crescent, Edinburgh EH16 4SB, United Kingdom
  • V. Grimm
    Institute of Technical Biochemistry, University of Stuttgart, Stuttgart, Germany
  • M. Rubtsova
    Chemistry Faculty, M. V. Lomonosov Moscow State University, Moscow, Russian Federation
  • J. Weile
    Department of Clinical Chemistry and Laboratory Medicine, Robert Bosch Hospital, Stuttgart, Germany
  • K. Schröppel
    Institute of Medical Microbiology and Hygiene, Eberhard-Karls-University, Tübingen, Germany
  • T. Wichelhaus
    Institute of Medical Microbiology and Infection Control, J. W. Goethe-Universität, Frankfurt am Main, Germany
  • C. Knabbe
  • R. Schmid
  • T. Bachmann
Название журнала
  • Journal of Clinical Microbiology
Том
  • 48
Выпуск
  • 2
Страницы
  • 460-471
Ключевые слова
  • amikacin; amoxicillin plus clavulanic acid; ampicillin; aztreonam; beta lactamase; beta lactamase CTX M; beta lactamase SHV; beta lactamase TEM; cefaclor; cefazolin; cefepime; cefotaxime; cefoxitin; cefpodoxime; ceftazidime; ceftriaxone; cefuroxime; ciprofloxacin; colistin; doxycycline; extended spectrum beta lactamase; fosfomycin; gentamicin; imipenem; levofloxacin; meropenem; mezlocillin; moxifloxacin; sultamicillin; unclassified drug; unindexed drug; amino acid substitution; antibiotic resistance; antibiotic sensitivity; article; DNA microarray; enzyme activity; fluorescence in situ hybridization; genetic variability; genotype; genotype phenotype correlation; Gram negative bacterium; nonhuman; priority journal; Bacteria; beta-Lactam Resistance; beta-Lactamases; DNA, Bacterial; Genes, Bacterial; Humans; Microarray Analysis; Microbial Sensitivity Tests; Molecular Sequence Data; Oligonucleotide Array Sequence Analysis; Sensitivity and Specificity; Sequence Analysis, DNA; Negibacteria
Тип документа
  • journal article
Источник
  • scopus