Increased Resistance to Carbapenems in Mediated by Amplification of the -Carrying and IS-Associated Class 1 Integron.

Microb Drug Resist

1 Medical and Molecular Microbiology Unit, Department of Medicine, Faculty of Science and Medicine, University of Fribourg, Fribourg, Switzerland.

Published: June 2019

AI Article Synopsis

  • The study focused on understanding how and why certain bacteria have become more resistant to carbapenems, a type of antibiotic, by examining their genetic makeup.
  • Researchers collected various clinical bacteria samples from patients at a military hospital in Sofia, Bulgaria, which displayed different levels of resistance to these antibiotics.
  • The results indicated that the heightened resistance was linked to a greater number of copies of a specific gene (carbapenemase VIM-1), suggesting that more gene copies lead to stronger expression and resistance.

Article Abstract

The aim of the study was to decipher the mechanisms and associated genetic determinants responsible for increased carbapenem resistance among clinical isolates. The entire genetic structure surrounding the β-lactam resistance genes was characterized by PCR, gene walking, and DNA sequencing. A series of clinical isolates were consecutively recovered from different patients at the Military hospital of Sofia, Bulgaria. They showed variable levels of resistance to carbapenems. All isolates produced the same carbapenemase VIM-1 that was chromosomally encoded. We showed that increased resistance to carbapenems was related to an increased number of gene copies. We showed here that increased carbapenem resistance in may result from increased expression of the carbapenemase gene through multiplication of its copy number.

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Source
http://dx.doi.org/10.1089/mdr.2018.0365DOI Listing

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