Abstract
Twenty-five strains of ciprofloxacin-resistant lactic acid bacteria (LAB; 14 Lactobacillus spp. and 11 Streptococcus thermophiles spp.) isolated from commercial yogurts in China were analyzed in this study. For each of these strains, amino acid changes associated with quinolone resistance-determining regions (QRDRs) were investigated using PCR-based detection methods. The same methodology was used to identify the presence of plasmid-mediated quinolone resistance (PMQR) genes in LAB. Sequencing analyses and an efflux pump inhibition test (using reserpine) were also performed as part of the analysis. Our results showed that typical mutations corresponding to quinolone resistance were found in the QRDRs of LAB strains. Detected mutations included Ser80Leu in parC, and Ser83Leu and Glu87Asp in gyrA. In addition, a Tyr74Phe substitution in parC, which had not previously been reported to be associated with quinolone resistance, was observed in two Lactobacillus delbrueckii subsp. bulgaricus strains. For each of the tested strains, the presence of the efflux pump inhibitor, reserpine, resulted in a two- to eightfold reduction in the minimum inhibitory concentrations (MICs) of ciprofloxacin. However, PMQR genes were not observed in any of the strains analyzed. Our results suggest that mutations in the QRDRs or efflux pump could be involved in ciprofloxacin resistance, and that a combination of these mechanisms may lead to increased ciprofloxacin resistance in LAB strains.
Similar content being viewed by others
References
Arioli S, Elli M, Ricci G, Mora D (2013) Assessment of the susceptibility of lactic acid bacteria to biocides. Int J Food Microbiol 163:1–5
Betanzos-Cabrera G, Juárez-Verdayes MA, González-González G, Cancino-Díaz ME, Cancino-Díaz JC (2009) Gatifloxacin, moxifloxacin, balofloxacin resistance due to mutations in the gyrA and parC genes of Staphylococcus epidermidis strains isolated from patients with endophthalmitis, corneal ulcers and conjunctivitis. Ophthalmic Res 42:43–48
Bourdichon F, Casaregola S, Forrokh C, Frisva JC, Gerds ML, Hammes WP, Harnett J, Huys G, Laulund S, Ouwehand A, Powell IB, Prajapati JB, Seto Y, Schure ET, Van Boven A, Vankerckhoven V, Zgoda A, Tuijtelaars S, Hansen EB (2012) Food fermentations: microorganisms with technological beneficial use. Int J Food Microbiol 154:87–97
Cattoir V, Poirel L, Aubert C, Soussy CJ, Nordmann P (2008) Unexpected occurrence of plasmid-mediated quinolone resistance determinants in environmental Aeromonas spp. Emerg Infect Dis 14:231–237
Cavaco LM, Hasman H, Xia S, Aarestrup FM (2009) qnrD, a novel gene conferring transferable quinolone resistance in Salmonella enterica serovar Kentucky and Bovis morbificans strains of human origin. Antimicrob Agents Chemother 53:603–608
Chen CR, Malik M, Snyder M, Drlica K (1996) DNA gyrase and topoisomerase IV on the bacterial chromosome: quinolone-induced DNA cleavage. J Mol Biol 258:627–637
D’Aimmo MR, Modesto M, Biavati B (2007) Antibiotic resistance of lactic acid bacteria and Bifidobacterium spp. isolated from dairy and pharmaceutical products. Int J Food Microbiol 115:35–42
Danielsen M, Wind A (2003) Susceptibility of Lactobacillus spp. to antimicrobial agents. Int J Food Microbiol 82:1–11
Davies D (2003) Understanding biofilm resistance to antibacterial agents. Nat Rev Drug Discov 2:114–122
European Commission (2001) Opinion of the Scientific Committee on Animal Nutrition on the criteria for assessing the safety of micro-organisms resistant to antibiotics of human clinical and veterinary importance. Accessed Jan. 24, 2003. http://ec.europa.eu/food/fs/sc/scan/out108_en.pdf
Frempong-Manso E, Raygada JL, DeMarco CE, Seo SM, Kaatz GW (2009) Inability of a reserpine-based screen to identify strains overexpressing efflux pump genes in clinical isolates of Staphylococcus aureus. Int J Antimicrob Agents 33:360–363
Garvey MI, Piddock LJ (2008) The efflux pump inhibitor reserpine selects multidrug-resistant Streptococcus pneumoniae strains that overexpress the ABC transporters PatA and PatB. Antimicrob Agents Chemother 52:1677–1685
Godreuil S, Galimand M, Gerbaud G, Jacquet C, Courvalin P (2003) Efflux pump Lde is associated with fluoroquinolone resistance in Listeria monocytogenes. Antimicrob Agents Chemother 47:704–708
Grkovic S, Brown MH, Skurray RA (2002) Regulation of bacterial drug export systems. Microbiol Mol Biol Rev 66:671–701
Hernández A, Sánchez MB, Martínez JL (2011) Quinolone resistance: much more than predicated. Front Microbiol 2:22
Hooper DC (1999) Mechanisms of fluoroquinolone resistance. Drug Resist Update 2:38–55
Hummel AS, Hertel C, Holzaptel WH, Franz CMAP (2007) Antibiotic resistances of starter and probiotic strains of lactic acid bacteria. Appl Environ Microbiol 73:730–739
Ito H, Yoshida H, Bogaki-Shonai M, Niga T, Hattori H, Nakamura S (1994) Quinolone resistance mutations in the DNA gyrase gyrA and gyrB genes of Staphylococcus aureus. Antimicrob Agents Chemother 38:2014–2023
Jacobsen L, Wilcks A, Hammer K, Huys G, Gevers D, Andersen SR (2007) Horizontal transfer of tet(M) and erm(B) resistance plasmids from food strains of Lactobacillus plantarum to Enterococcus faecalis JH2–2 in the gastrointestinal tract of gnotobiotic rats. FEMS Microbiol Ecol 59:158–166
Jacoby GA (2005) Mechanisms of resistance to quinolones. Clin Infect Dis 41:S120–S126
Jiang X, Zhou L, Gao D, Wang Y, Wang D, Zhang Z, Chen M, Su Y, Li L, Yan H, Shi L (2012) Expression of efflux pump gene lde in ciprofloxacin-resistant foodborne isolates of Listeria monocytogenes. Microbiol Immunol 56:843–846
Jiang X, Yu T, Wu N, Meng H, Shi L (2014a) Detection of qnr, aac(6')-Ib-cr and qepA genes in Escherichia coli isolated from cooked meat products in Henan, China. Int J Food Microbiol 187:22–25
Jiang X, Yu T, Jiang X, Zhang W, Zhang L, Ma J (2014b) Emergence of plasmid-mediated quinolone resistance genes in clinical isolates of Acinetobacter baumannii and Pseudomonas aeruginosa in Henan, China. Diagn Microbiol Infect Dis 79:381–383
Jiang Y, Zhou Z, Qian Y, Wei Z, Yu Y, Hu S, Li L (2008) Plasmid-mediated quinolone resistance determinants qnr and aac(6’)-Ib-cr in extended-spectrum β-lactamase-producing Escherichia coli and Klebsiella pneumoniae in China. J Antimicrob Chemother 61:1003–1006
Katla A-K, Kruse H, Johnsen G, Herikstad H (2001) Antimicrobial susceptibility of starter culture bacteria used in Norwegian dairy products. Int J Food Microbiol 67:147–152
Kim K, Park J, Kwak H, Woo G (2011) Characterization of the quinolone resistance mechanism in foodborne Salmonella isolates with high nalidixic acid resistance. Int J Food Microbiol 146:52–56
Klaenhammer TR, Barrangou R, Buck BL, Azcarate-Peril MA, Altermann E (2005) Genomic features of lactic acid bacteria effecting bioprocessing and health. FEMS Microbiol Rev 29:393–409
Klare I, Konstabel C, Müller-Bertling S, Reissbrodt R, Huys G, Vancanneyt M, Swings J, Goossens H (2005) Evaluation of new broth media for microdilution antibiotic susceptibility testing of Lactobacilli, Pediococci, Lactococci, and Bifidobacteria. Appl Environ Microbiol 71:8982–8986
Li X, Nikaido H (2009) Efflux-mediated drug resistance in bacteria: an update. Drugs 69:1555–1623
Martínez-Martínez L, Pascual A, Jacoby GA (1998) Quinolone resistance from a transferable plasmid. Lancet 351:797–799
Martins M, Mccusker M, Amaral L, Fanning S (2011) Mechanisms of antibiotic resistance in Salmonella: efflux pumps, genetics, quorum sensing and biofilm formation. Lett. Drug Des Discov 8:114–123
Masuda N, Sakagawa E, Ohya S, Gotoh N, Tsujimoto H, Nishino T (2000) Substrate specificities of MexAB-OprM, MexCD-OprJ, and MexXY-OprM efflux pumps in Pseudomonas aeruginosa. Antimicrob Agents Chemother 44:3322–3327
Moreno C, Romero J, Espejo RT (2002) Polymorphism in repeated 16S rRNA genes is a common property of type strains and environmental isolates of the genus Vibrio. Microbiology 148:1233–1239
Muñoz R, de la Campa AG (1996) ParC subunit of DNA topoisomerase IV of Streptococcus pneumoniae is a primary target of fluoroquinolones and cooperates with DNA gyrase A subunit in forming resistance phenotype. Antimicrob Agents Chemother 40:2252–2257
Nawaz M, Wang J, Zhou A, Ma C, Wu X, Moore JE, Millar BC, Xu J (2011) Characterization and transfer of antibiotic resistance in lactic acid bacteria from fermented food products. Curr Microbiol 62:1081–1089
Neyfakh AA, Borsch CM, Kaatz GW (1993) Fluoroquinolone resistance protein NorA of Staphylococcus aureus is a multidrug efflux transporter. Antimicrob Agents Chemother 37:128–129
Noquchi N, Okada H, Narur K, Sasatsu M (2004) Comparison of the nucleotide sequence and expression of norA genes and microbial susceptibility in 21 strains of Staphylococcus aureus. Microb Drug Resist 10:197–203
Onodera Y, Okuda J, Tanaka M, Sato K (2002) Inhibitory activities of quinolones against DNA gyrase and topoisomerase IV of Enterococcus faecalis. Antimicrob Agents Chemother 46:1800–1804
Petersen A, Jensen LB (2004) Analysis of gyrA and parC mutations in enterococci from environmental samples with reduced susceptibility to ciprofloxacin. FEMS Microbiol Lett 231:73–76
Poirel L, Cattoir V, Nordmann P (2012) Plasmid-mediated quinolone resistance; interactions between human, animal, and environmental ecologies. Front Microbiol 3:24
Rodriquez-Alonso P, Femández-Otero C, Centeno JA, Garabal JI (2009) Antibiotic resistance in lactic acid bacteria and Micrococcaceae/Staphylococcaceae isolates from artisanal raw milk cheeses, and potential implications on cheese making. J Food Sci 74:M284–M293
Stavri M, Piddock LJ, Gibbons S (2007) Bacterial efflux pump inhibitors from natural sources. J Antimicrob Chemother 59:1247–1260
Tanaka M, Wang T, Onodera Y, Uchida Y, Sato K (2000) Mechanism of quinolone resistance in Staphylococcus aureus. J Infect Chemother 6:131–139
Toomey N, Bolton D, Fanning S (2010) Characterisation and transferability of antibiotic resistance genes from lactic acid bacteria isolated from Irish pork and beef abattoirs. Res Microbiol 161:127–135
Wang M, Tran JH, Jacoby GA, Zhang Y, Wang F, Hooper DC (2003) Plasmid-mediated quinolone resistance in clinical isolates of Escherichia coli from Shanghai, China. Antimicrob Agents Chemother 47:2242–2248
Wang M, Guo Q, Xu X, Wang X, Ye X, Wu S, Hooper DC, Wang M (2009) New plasmid-mediated quinolone resistance gene, qnrC, found in a clinical isolate of Proteus mirabilis. Antimicrob Agents Chemother 53:1892–1897
Xia J, He L, Chen J (2011) Expression level of MexAB-OprM in multi-drug resistant Pseudomonas aeruginosa. Chin J Nosocomiol 21:221–223 (in Chinese)
Zarazaga M, Sáenz Y, Portillo A, Tenorio C, Ruiz-Larrea F, Del Campo R, Baquero F, Torres C (1999) In vitro activities of ketolide HMR3647, macrolides, and other antibiotics against Lactobacillus, Leuconostoc, and Pediococcus isolates. Antimicrob Agents Chemother 43:3039–3041
Zhang H, Xie L, Zhang W, Zhou W, Su J, Liu J (2013) The association of biofilm formation with antibiotic resistance in lactic acid bacteria from fermented foods. J Food Safety 33:114–120
Zhou N, Zhang JX, Fan MT, Wang J, Guo G, Wei XY (2012) Antibiotic resistance of lactic acid bacteria isolated from Chinese yogurts. J Dairy Sci 95:4775–4783
Acknowledgments
This work was supported by the Key Project of Natural Science of the Education Department of Henan Province, China (15A180006), the Key Scientific and Technological Project of Xinxiang (ZG15007), the Youth Science Foundation of Henan Normal University, and the Doctoral Scientific Research Foundation of Henan Normal University.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Jiang, X., Yu, T., Zhou, D. et al. Characterization of quinolone resistance mechanisms in lactic acid bacteria isolated from yogurts in China. Ann Microbiol 66, 1249–1256 (2016). https://doi.org/10.1007/s13213-016-1214-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13213-016-1214-6