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The pyelonephritis-associated fimbria (P fimbria) is one of the most recognized adhesion determinants of extraintestinal pathogenic Escherichia coli strains (ExPECs). Twelve variants have been described for the gene encoding the P fimbria major structural subunit PapA and three variants for the gene encoding the adhesin subunit PapG. However, their distribution among the ExPEC diversity has not been comprehensively addressed. A complete landscape of that distribution might be valuable for delineating basic studies about the pathogenicity mechanisms of ExPECs and following up on the evolution of ExPEC lineages, particularly those most epidemiologically relevant. Therefore, we performed a massive descriptive study to detect the papA and papG variants along different E. coli genotypes represented by genomic sequences contained in the NCBI Assembly Refseq database. The most common papA variants were F11, F10, F48, F16, F12, and F7-2, which were found in significant association with the most relevant ExPEC genotypes, the phylogroups B2 and D, and the sequence types ST95, ST131, ST127, ST69, ST12, and ST73. On the other hand, the papGII variant was by far the most common followed by papGIII, and both were also found to have a significant association with common ExPEC genotypes. We noticed the presence of genomes, mainly belonging to the sequence type ST12, harboring two or three papA variants and two papG variants. Furthermore, the most common papA and papG variants were also detected in records representing strains isolated from humans and animals such as poultry, bovine, and dogs, supporting previous hypotheses of potential cross-transmission. Finally, we characterized a set of 17 genomes from Chilean uropathogenic E. coli strains and found that ST12 and ST73 were the predominant sequence types. Variants F7-1, F7-2, F8, F9, F11, F13, F14, F16, and F48 were detected for papA, and papGII and papGIII variants were detected for papG. Significant associations with the sequence types observed in the analysis of genomes contained in the NCBI Assembly Refseq database were also found in this collection in 16 of 19 cases for papA variants and 7 of 9 cases for the papG variants. This comprehensive characterization might support future basic studies about P fimbria-mediated ExPEC adherence and future typing or epidemiological studies to monitor the evolution of ExPECs producing P fimbria.

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Background: The dissemination of polymyxin resistance represents a significant threat to public health. Materials & methods: Sequence-based typing was performed by 53 mcr-1 Escherichia coli isolates using fumC/fimH (CH) genes to characterize clones spreading from pig farming. Furthermore, 12 isolates had their whole genome sequenced for phylogenetic study. Results: The isolates were classified into 22 distinct CH types, and two novel CH types (CH41-1578 and CH4-1579) and one sequence type (ST12652) was also described. According to phylogenetic study, both multilocus sequence typing and CH methods grouped the isolates similarly. Conclusion: Our findings suggest that the dissemination of the mcr-1 gene in pig farming has occurred mainly by horizontal gene transfer, and CH typing proved to be a good tool to characterize E. coli clones.

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Typical enteroaggregative Escherichia coli (tEAEC) is a diarrheagenic E. coli pathotype associated with pediatric and traveler's diarrhea. Even without diarrhea, EAEC infections in children also lead to increased gut inflammation and growth shortfalls. EAEC strain's defining phenotype is the aggregative adherence pattern on epithelial cells attributable to the aggregative adherence fimbriae (AAF). EAEC only causes diarrhea in humans; therefore, not much is known of the exact intestinal region of infection and damage or its interactions with intestinal enterocytes in vivo and in situ. This study aimed to develop a new tEAEC mouse model of infection, characterize the microbiota of infected mice, and evaluate in situ the expression of host adherence and surface molecules triggering EAEC infection and the role of the EAEC AAF-II in adherence. Six-week-old C57BL/6 mice, without previous antibiotic treatment, were orally challenged with EAEC 042 strain or EAEC 042 AAF-II mutant (ΔAAF/II) strain, or DAEC-MXR strain (diffusely adherent E. coli clinical isolate), and with saline solution (control group). Paraffin sections of the colon and ileum were stained with H&E and periodic acid-Schiff. ZO-1, ß-catenin, MUC1, and bacteria were analyzed by immunofluorescence. EAEC-infected mice, in comparison with DAEC-MXR-infected and control mice, significantly lost weight during the first 3 days. After 7 days post-infection, mucus production was increased in the colon and ileum, ZO-1 localization remained unaltered, and morphological alterations were more pronounced in the ileum since increased expression and apical localization of ß-catenin in ileal enterocytes were observed. EAEC-infected mice developed dysbiosis 21 days post-infection. At 4 days post-infection, EAEC strain 042 formed a biofilm on ileal villi and increased the expression and apical localization of ß-catenin in ileal enterocytes; these effects were not seen in animals infected with the 042 ΔAAF/II strain. At 3 days post-infection, MUC1 expression on ileal enterocytes was mainly detectable among infected mice and colocalized with 042 strains on the enterocyte surface. We developed a novel mouse model of EAEC infection, which mimics human infection, not an illness, revealing that EAEC 042 exerts its pathogenic effects in the mouse ileum and causes dysbiosis. This model is a unique tool to unveil early molecular mechanisms of EAEC infection in vivo and in situ.

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Bronchiectasis, which is an abnormal and irreversible dilation of one or several bronchial segments, causes significant morbidity and impaired quality of life to patients, mainly as the result of recurrent and chronic respiratory infections. Staphylococcus aureus is a microorganism known for its high infectious potential related to the production of molecules with great pathogenic power, such as enzymes, toxins, adhesins, and biofilm, which determine the degree of severity of systemic symptoms and can induce exacerbated immune response. This review highlighted the clinical significance of S. aureus colonization/infection in bronchiectasis patients, since little is known about it, despite its increasing frequency of isolation and potential serious morbidity.

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Descriptive study conducted in order to determine the presence of the fimH and afa genes in urinary isolates of extended-spectrum beta-lactamases (ESBL) producing Escherichia coli. Isolates from project TO-06/09 of the Instituto Nacional de Salud del Niño in Lima, Peru were used. A total of 75 urinary isolates of Escherichia coli were included. Gene identification was performed by polymerase chain reaction. From the 75 isolates, 74 (98.7%) were positive for the fimH gene and 6 (8.0%) were positive for the afa gene. Virulence factors produced by the fimH and afa genes were evident in urinary isolates of ESBL producing Escherichia coli.

Con el objetivo de determinar la presencia de los genes fimH y afa en aislamientos urinarios de Escherichia coli productoras de betalactamasas de espectro extendido (BLEE), se realizó un estudio descriptivo, con aislamientos del cepario del proyecto TO-06/09 del Instituto Nacional de Salud del Niño en Lima, Perú. Se incluyeron 75 aislamientos urinarios de Escherichia coli. La identificación de genes se realizó por reacción en cadena de la polimerasa. De los 75 aislamientos, 74 (98,7%) fueron positivos para el gen fimH y 6 (8,0%) fueron positivos para el gen afa. Se evidenció la presencia de los factores de virulencia producidos por los genes fimH y afa en aislamientos urinarios de Escherichia coli productoras de BLEE.

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BACKGROUND: Crohn's disease (CD) is characterized by chronic inflammation of the human intestine. Several studies have demonstrated that the intestinal mucosa of CD patients in Western countries is abnormally colonized by adherent-invasive Escherichia coli (AIEC) strains. However, no studies to date have focused on the involvement of such E. coli strains in CD patients in Brazil. Here, we characterized E. coli strains associated with the ileal mucosa of Brazilian CD patients (ileal biopsies from 35 subjects, 24 CD patients and 11 controls). RESULTS: The colonization level of adherent Enterobacteriaceae associated with the ileal mucosa of CD patients was significantly higher than that of the controls. The proportions of E. coli strains belonging to phylogroups B1 and B2 were two-fold higher in strains isolated from CD patients than in those isolated from controls. CD patients in the active phase harbored 10-fold more E. coli belonging to group B2 than CD patients in remission. Only a few E. coli isolates had invasive properties and the ability to survive within macrophages, but 25% of CD patients in Brazil (6/24) harbored at least one E. coli strain belonging to the AIEC pathobiont. However, fimH sequence analysis showed only a few polymorphisms in the FimH adhesin of strains isolated in this study compared to the FimH adhesin of AIEC collections isolated from European patients. CONCLUSIONS: Mucosa-associated E. coli strains colonize the intestinal mucosa of Brazilian CD patients. However, the strains isolated from Brazilian CD patients have probably not yet co-evolved with their hosts and therefore have not fully developed a strong adherent-invasive phenotype. Thus, it will be crucial to follow in the future the emergence and evolution of AIEC pathobionts in the Brazilian population.

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RESUMEN Con el objetivo de determinar la presencia de los genes fimH y afa en aislamientos urinarios de Escherichia coli productoras de betalactamasas de espectro extendido (BLEE), se realizó un estudio descriptivo, con aislamientos del cepario del proyecto TO-06/09 del Instituto Nacional de Salud del Niño en Lima, Perú. Se incluyeron 75 aislamientos urinarios de Escherichia coli. La identificación de genes se realizó por reacción en cadena de la polimerasa. De los 75 aislamientos, 74 (98,7%) fueron positivos para el gen fimH y 6 (8,0%) fueron positivos para el gen afa. Se evidenció la presencia de los factores de virulencia producidos por los genes fimH y afa en aislamientos urinarios de Escherichia coli productoras de BLEE.

ABSTRACT Descriptive study conducted in order to determine the presence of the fimH and afa genes in urinary isolates of extended-spectrum beta-lactamases (ESBL) producing Escherichia coli. Isolates from project TO-06/09 of the Instituto Nacional de Salud del Niño in Lima, Peru were used. A total of 75 urinary isolates of Escherichia coli were included. Gene identification was performed by polymerase chain reaction. From the 75 isolates, 74 (98.7%) were positive for the fimH gene and 6 (8.0%) were positive for the afa gene. Virulence factors produced by the fimH and afa genes were evident in urinary isolates of ESBL producing Escherichia coli.

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This study aimed to investigate the presence of genes encoding the enterotoxins STa and Stx1 and the adhesins K99 and Intimin in E. coli strains isolated from feces of dogs who appeared to be healthy. Rectal swab samples were collected from 50 dogs who visited the Veterinary Hospital of the University of Brasilia and 48 E. coli isolates were obtained. No positive isolates were found for STa and K99. However, positive results were found in 21 isolates (43.7%) for Stx1 and 14 isolates (29%) for the Intimin gene (eae). The antimicrobial sensitivity profile was also assessed for the following antibiotics: sulfazothrim, azithromycin, enrofloxacin, ceftiofur, amoxicillin + clavulanate, doxycycline, ampicillin, and cephalexin. The antibiotics on which the isolates showed the highest resistance were ampicillin (25%), doxycycline (22.9%) and cephalexin (20.8%). As for sensitivity, the isolates were most sensitive to sulfazothrim (87.5%), azithromycin (85.41%) and enrofloxacin (77%). Healthy dogs can carry multidrug-resistant E. coli strains that can also carry enterotoxin and adhesin genes, thus indicating that, the proximity between dogs and humans may contribute to possible zoonotic transmission of these microorganisms.

Este estudo teve como objetivo investigar a presença de genes que codificam as enterotoxinas STa e Stx1 e as adesinas K99 e Intiminaem cepas de E. coliisoladas de fezes de cãesaparentementesaudáveis. Amostras de swab retal foram coletadas de 50 cães que visitaram o Hospital Veterinário da Universidade de Brasília e 48 isolados de E. coliforam obtidos. Não foram encontrados isolados positivos para STa e K99. No entanto, resultados positivos foram encontrados em 21 isolados (43,7%) para Stx1 e 14 isolados (29%) para o gene Intimina(eae). O perfil de sensibilidade antimicrobiana também foi avaliado para os seguintes antibióticos: sulfazotrim, azitromicina, enrofloxacina, ceftiofur, amoxicilina + clavulanato, doxiciclina, ampicilina,e cefalexina. Os antibióticos nos quais os isolados apresentaram maior resistência foramaampicilina (25%), doxiciclina (22,9%) e cefalexina (20,8%). Quanto à sensibilidade, os isolados foram mais sensíveis ao sulfazotrim (87,5%), azitromicina (85,41%) e enrofloxacina (77%). Cães saudáveis podem carrearcepas de E. colimultirresistentes que por sua vez também podem carreargenes codificadores de enterotoxina e adesina, indicando assim que a proximidade entre cães e humanos pode contribuir para a possível transmissão zoonótica desses microrganismos.

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This study aimed to investigate the presence of genes encoding the enterotoxins STa and Stx1 and the adhesins K99 and Intimin in E. coli strains isolated from feces of dogs who appeared to be healthy. Rectal swab samples were collected from 50 dogs who visited the Veterinary Hospital of the University of Brasilia and 48 E. coli isolates were obtained. No positive isolates were found for STa and K99. However, positive results were found in 21 isolates (43.7%) for Stx1 and 14 isolates (29%) for the Intimin gene (eae). The antimicrobial sensitivity profile was also assessed for the following antibiotics: sulfazothrim, azithromycin, enrofloxacin, ceftiofur, amoxicillin + clavulanate, doxycycline, ampicillin, and cephalexin. The antibiotics on which the isolates showed the highest resistance were ampicillin (25%), doxycycline (22.9%) and cephalexin (20.8%). As for sensitivity, the isolates were most sensitive to sulfazothrim (87.5%), azithromycin (85.41%) and enrofloxacin (77%). Healthy dogs can carry multidrug-resistant E. coli strains that can also carry enterotoxin and adhesin genes, thus indicating that, the proximity between dogs and humans may contribute to possible zoonotic transmission of these microorganisms.(AU)

Este estudo teve como objetivo investigar a presença de genes que codificam as enterotoxinas STa e Stx1 e as adesinas K99 e Intiminaem cepas de E. coliisoladas de fezes de cãesaparentementesaudáveis. Amostras de swab retal foram coletadas de 50 cães que visitaram o Hospital Veterinário da Universidade de Brasília e 48 isolados de E. coliforam obtidos. Não foram encontrados isolados positivos para STa e K99. No entanto, resultados positivos foram encontrados em 21 isolados (43,7%) para Stx1 e 14 isolados (29%) para o gene Intimina(eae). O perfil de sensibilidade antimicrobiana também foi avaliado para os seguintes antibióticos: sulfazotrim, azitromicina, enrofloxacina, ceftiofur, amoxicilina + clavulanato, doxiciclina, ampicilina,e cefalexina. Os antibióticos nos quais os isolados apresentaram maior resistência foramaampicilina (25%), doxiciclina (22,9%) e cefalexina (20,8%). Quanto à sensibilidade, os isolados foram mais sensíveis ao sulfazotrim (87,5%), azitromicina (85,41%) e enrofloxacina (77%). Cães saudáveis podem carrearcepas de E. colimultirresistentes que por sua vez também podem carreargenes codificadores de enterotoxina e adesina, indicando assim que a proximidade entre cães e humanos pode contribuir para a possível transmissão zoonótica desses microrganismos.(AU)

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This study aimed to evaluate the in vitro efficacy of commercial disinfectants on Staphylococcus spp., isolated from mastitis cases in goats, and to associate the observed resistance with the presence of the icaD gene. Broth microdilution was employed to evaluate the in vitro antimicrobial activity of the disinfectants, whereas the Congo Red technique was used for the evaluation of biofilm production and amplification of the icaD gene. All evaluated samples were sensitive to disinfectants, with the following ranges of activity: quaternary ammonium (0.13 - 21.33 µg/ml), chlorhexidine (4.00 - 313.00 µg/ml) and iodine (190.00 - 12500.00 µg/ml); however, the sodium hypochlorite-based disinfectant showed no bactericidal activity in the concentration range from 15.0 to 0.03 µg/ml. The icaD gene presented a frequency of 14.7% in the isolate samples. Fishers exact test showed a significant effect of the relation between the minimum bactericidal concentration value of the quaternary ammonium-based disinfectant and the presence/absence of the icaD gene (P <0.01). Commercial disinfectants with quaternary ammonium, chlorhexidine and iodine active ingredients presented in vitro activity even at concentrations lower than those recommended by the manufacturers. Therefore, the periodic evaluation of the sensitivity profile of the disinfectants must be performed.(AU)

O presente trabalho objetivou avaliar a eficácia in vitro de desinfetantes comerciais frente à Staphylococcus spp. isolados de casos de mastite em cabras e, relacionar a resistência observada com a presença do gene icaD. A microdiluição em caldo foi utilizada para avaliar a atividade antimicrobiana in vitro dos desinfetantes, enquanto a técnica de vermelho congo para a avaliação da produção de biofilme e amplificação do gene icaD. Todas as amostras avaliadas foram sensíveis aos desinfetantes, com as seguintes faixas de atividade: amônia quaternária (0,13 - 21,33 µg/ml), clorexidina (4,00 - 313,00 µg/ml) e iodo (190,00 - 12500,00 µg/ml), no entanto o desinfetante a base de hipoclorito de sódio não apresentou atividade bactericida na faixa de concentração 15,0 a 0,03 µg/ml. O gene icaD apresentou frequência de 14,7% nos isolados. O teste exato de Fisher apontou efeito significativo da relação entre o valor da concentração bactericida mínima do desinfetante à base de amônia quaternária e a presença/ausência do gene icaD (P<0,01). Os desinfetantes comerciais com os princípios ativos amônia quaternária, clorexidina e iodo, apresentaram atividade in vitro até mesmo em concentrações inferiores às preconizadas pelos fabricantes o que torna necessária a realização periódica da avaliação do perfil de sensibilidade dos desinfetantes.(AU)

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