<i>Acinetobacter baumannii</i> IC2 and IC5 Isolates with Co-Existing <i>bla</i><sub>OXA-143-like</sub> and <i>bla</i><sub>OXA-72</sub> and Exhibiting Strong Biofilm Formation in a Mexican Hospital

<i>Acinetobacter baumannii</i> is an opportunistic pathogen responsible for healthcare-associated infections (HAIs) and outbreaks. Antimicrobial resistance mechanisms and virulence factors allow it to survive and spread in the hospital environment. However, the molecular mechanisms of th...

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Main Authors: Julia Moreno-Manjón, Santiago Castillo-Ramírez, Keith A. Jolley, Martin C. J. Maiden, Catalina Gayosso-Vázquez, José Luis Fernández-Vázquez, Valeria Mateo-Estrada, Silvia Giono-Cerezo, María Dolores Alcántar-Curiel
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Microorganisms
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Online Access:https://www.mdpi.com/2076-2607/11/9/2316
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author Julia Moreno-Manjón
Santiago Castillo-Ramírez
Keith A. Jolley
Martin C. J. Maiden
Catalina Gayosso-Vázquez
José Luis Fernández-Vázquez
Valeria Mateo-Estrada
Silvia Giono-Cerezo
María Dolores Alcántar-Curiel
author_facet Julia Moreno-Manjón
Santiago Castillo-Ramírez
Keith A. Jolley
Martin C. J. Maiden
Catalina Gayosso-Vázquez
José Luis Fernández-Vázquez
Valeria Mateo-Estrada
Silvia Giono-Cerezo
María Dolores Alcántar-Curiel
author_sort Julia Moreno-Manjón
collection DOAJ
description <i>Acinetobacter baumannii</i> is an opportunistic pathogen responsible for healthcare-associated infections (HAIs) and outbreaks. Antimicrobial resistance mechanisms and virulence factors allow it to survive and spread in the hospital environment. However, the molecular mechanisms of these traits and their association with international clones are frequently unknown in low- and middle-income countries. Here, we analyze the phenotype and genotype of seventy-six HAIs and outbreak-causing <i>A. baumannii</i> isolates from a Mexican hospital over ten years, with special attention to the carbapenem resistome and biofilm formation. The isolates belonged to the global international clone (IC) 2 and the Latin America endemic IC5 and were predominantly extensively drug-resistant (XDR). Oxacillinases were identified as a common source of carbapenem resistance. We noted the presence of the <i>bla</i><sub>OXA-143-like</sub> family (not previously described in Mexico), the <i>bla</i><sub>OXA-72</sub> and the <i>bla</i><sub>OXA-398</sub> found in both ICs. A low prevalence of efflux pump overexpression activity associated with carbapenem resistance was observed. Finally, strong biofilm formation was found, and significant biofilm-related genes were identified, including <i>bfmRS</i>, <i>csuA/BABCDE</i>, <i>pgaABCD</i> and <i>ompA.</i> This study provides a comprehensive profile of the carbapenem resistome of <i>A. baumannii</i> isolates belonging to the same pulse type, along with their significant biofilm formation capacity. Furthermore, it contributes to a better understanding of their role in the recurrence of infection and the endemicity of these isolates in a Mexican hospital.
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spelling doaj.art-227b49f9557847d0a121202a8879b8e22023-11-19T12:03:38ZengMDPI AGMicroorganisms2076-26072023-09-01119231610.3390/microorganisms11092316<i>Acinetobacter baumannii</i> IC2 and IC5 Isolates with Co-Existing <i>bla</i><sub>OXA-143-like</sub> and <i>bla</i><sub>OXA-72</sub> and Exhibiting Strong Biofilm Formation in a Mexican HospitalJulia Moreno-Manjón0Santiago Castillo-Ramírez1Keith A. Jolley2Martin C. J. Maiden3Catalina Gayosso-Vázquez4José Luis Fernández-Vázquez5Valeria Mateo-Estrada6Silvia Giono-Cerezo7María Dolores Alcántar-Curiel8Laboratorio de Infectología, Microbiología e Inmunología Clínica, Unidad de Investigación en Medicina Experimental, Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México 06720, MexicoPrograma de Genómica Evolutiva, Centro de Ciencias Genómicas, Universidad Nacional Autónoma de México, Cuernavaca 62209, MexicoDepartment of Biology, University of Oxford, Oxford OX1 3SZ, UKDepartment of Biology, University of Oxford, Oxford OX1 3SZ, UKLaboratorio de Infectología, Microbiología e Inmunología Clínica, Unidad de Investigación en Medicina Experimental, Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México 06720, MexicoLaboratorio de Infectología, Microbiología e Inmunología Clínica, Unidad de Investigación en Medicina Experimental, Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México 06720, MexicoPrograma de Genómica Evolutiva, Centro de Ciencias Genómicas, Universidad Nacional Autónoma de México, Cuernavaca 62209, MexicoLaboratorio de Bacteriología Médica, Posgrado en Ciencias Quimicobiológicas, Escuela Nacional de Ciencias Biológicas, Instituto Politécnico Nacional, Ciudad de México 11350, MexicoLaboratorio de Infectología, Microbiología e Inmunología Clínica, Unidad de Investigación en Medicina Experimental, Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México 06720, Mexico<i>Acinetobacter baumannii</i> is an opportunistic pathogen responsible for healthcare-associated infections (HAIs) and outbreaks. Antimicrobial resistance mechanisms and virulence factors allow it to survive and spread in the hospital environment. However, the molecular mechanisms of these traits and their association with international clones are frequently unknown in low- and middle-income countries. Here, we analyze the phenotype and genotype of seventy-six HAIs and outbreak-causing <i>A. baumannii</i> isolates from a Mexican hospital over ten years, with special attention to the carbapenem resistome and biofilm formation. The isolates belonged to the global international clone (IC) 2 and the Latin America endemic IC5 and were predominantly extensively drug-resistant (XDR). Oxacillinases were identified as a common source of carbapenem resistance. We noted the presence of the <i>bla</i><sub>OXA-143-like</sub> family (not previously described in Mexico), the <i>bla</i><sub>OXA-72</sub> and the <i>bla</i><sub>OXA-398</sub> found in both ICs. A low prevalence of efflux pump overexpression activity associated with carbapenem resistance was observed. Finally, strong biofilm formation was found, and significant biofilm-related genes were identified, including <i>bfmRS</i>, <i>csuA/BABCDE</i>, <i>pgaABCD</i> and <i>ompA.</i> This study provides a comprehensive profile of the carbapenem resistome of <i>A. baumannii</i> isolates belonging to the same pulse type, along with their significant biofilm formation capacity. Furthermore, it contributes to a better understanding of their role in the recurrence of infection and the endemicity of these isolates in a Mexican hospital.https://www.mdpi.com/2076-2607/11/9/2316resistomebiofilm formationantimicrobial resistancehealthcare-associated infectionsoutbreakgenomic epidemiology
spellingShingle Julia Moreno-Manjón
Santiago Castillo-Ramírez
Keith A. Jolley
Martin C. J. Maiden
Catalina Gayosso-Vázquez
José Luis Fernández-Vázquez
Valeria Mateo-Estrada
Silvia Giono-Cerezo
María Dolores Alcántar-Curiel
<i>Acinetobacter baumannii</i> IC2 and IC5 Isolates with Co-Existing <i>bla</i><sub>OXA-143-like</sub> and <i>bla</i><sub>OXA-72</sub> and Exhibiting Strong Biofilm Formation in a Mexican Hospital
Microorganisms
resistome
biofilm formation
antimicrobial resistance
healthcare-associated infections
outbreak
genomic epidemiology
title <i>Acinetobacter baumannii</i> IC2 and IC5 Isolates with Co-Existing <i>bla</i><sub>OXA-143-like</sub> and <i>bla</i><sub>OXA-72</sub> and Exhibiting Strong Biofilm Formation in a Mexican Hospital
title_full <i>Acinetobacter baumannii</i> IC2 and IC5 Isolates with Co-Existing <i>bla</i><sub>OXA-143-like</sub> and <i>bla</i><sub>OXA-72</sub> and Exhibiting Strong Biofilm Formation in a Mexican Hospital
title_fullStr <i>Acinetobacter baumannii</i> IC2 and IC5 Isolates with Co-Existing <i>bla</i><sub>OXA-143-like</sub> and <i>bla</i><sub>OXA-72</sub> and Exhibiting Strong Biofilm Formation in a Mexican Hospital
title_full_unstemmed <i>Acinetobacter baumannii</i> IC2 and IC5 Isolates with Co-Existing <i>bla</i><sub>OXA-143-like</sub> and <i>bla</i><sub>OXA-72</sub> and Exhibiting Strong Biofilm Formation in a Mexican Hospital
title_short <i>Acinetobacter baumannii</i> IC2 and IC5 Isolates with Co-Existing <i>bla</i><sub>OXA-143-like</sub> and <i>bla</i><sub>OXA-72</sub> and Exhibiting Strong Biofilm Formation in a Mexican Hospital
title_sort i acinetobacter baumannii i ic2 and ic5 isolates with co existing i bla i sub oxa 143 like sub and i bla i sub oxa 72 sub and exhibiting strong biofilm formation in a mexican hospital
topic resistome
biofilm formation
antimicrobial resistance
healthcare-associated infections
outbreak
genomic epidemiology
url https://www.mdpi.com/2076-2607/11/9/2316
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