Detection of Heavy Metal Tolerance among different MLSB Resistance Phenotypes of Methicillin-Resistant S. aureus (MRSA)

Methicillin-resistant Staphylococcus aureus (MRSA) strains are widespread globally. Besides their virulence factors, the co-occurrence of antimicrobial and metal resistance has been reported. This study was designed to evaluate the antibiotic resistance and resistance phenotypes, investigate the occ...

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Main Authors: Sara H. Mohamed, Maram M.S. Elshahed, Yasmine M. Saied, Mahmoud S.M. Mohamed, Gamal H. Osman
Format: Article
Language:English
Published: Journal of Pure and Applied Microbiology 2020-09-01
Series:Journal of Pure and Applied Microbiology
Subjects:
Online Access:https://microbiologyjournal.org/detection-of-heavy-metal-tolerance-among-different-mlsb-resistance-phenotypes-of-methicillin-resistant-s-aureus-mrsa/
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author Sara H. Mohamed
Maram M.S. Elshahed
Yasmine M. Saied
Mahmoud S.M. Mohamed
Gamal H. Osman
author_facet Sara H. Mohamed
Maram M.S. Elshahed
Yasmine M. Saied
Mahmoud S.M. Mohamed
Gamal H. Osman
author_sort Sara H. Mohamed
collection DOAJ
description Methicillin-resistant Staphylococcus aureus (MRSA) strains are widespread globally. Besides their virulence factors, the co-occurrence of antimicrobial and metal resistance has been reported. This study was designed to evaluate the antibiotic resistance and resistance phenotypes, investigate the occurrence of virulence factors, and detect heavy metal tolerance among MRSA strains. Antibiogram profiling was done as recommended by CLSI instructions. Resistance phenotypes were detected by D test, followed by characterization of enzymatic activities and biofilm formation assay. Antibacterial activity of different heavy metals was tested, and predictable synergistic assay was performed. Among MRSA strains collected, high resistance to ampicillin and amoxicillin/clavulanate (100%) and high susceptibility to clindamycin (70%) were obtained. Resistance phenotypes were detected as S, constitutive MLSB, inducible MLSB, and MS by percentages of 10%, 30%, 30% and 30% respectively. Virulence factors like lipolytic (50%) and hemolytic (70%) activity, and biofilm formation ability (100%) were detected. High resistance towards potassium and magnesium was observed. MTC of 500 ppm was detected for all isolates in case of cobalt and iron. In case of zinc and copper, MTC was detected as 500 ppm except for one isolate which was highly resistant, and 500 ppm for all isolates except for two isolates which were highly sensitive respectively. Magnesium in different concentrations (500 and 2000 ppm) showed synergistic activity with erythromycin and clindamycin. Results reveal high heavy metal tolerance among antibiotic resistant MRSA strains, in addition to the presence of virulence factors. Upcoming studies must be focused on the combination of sub-inhibitory concentration of different heavy metals with the available antibiotics.
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spelling doaj.art-36e5b9c05b48433c959ab9742c63c4f62022-12-21T21:31:03ZengJournal of Pure and Applied MicrobiologyJournal of Pure and Applied Microbiology0973-75102581-690X2020-09-011431905191610.22207/JPAM.14.3.29Detection of Heavy Metal Tolerance among different MLSB Resistance Phenotypes of Methicillin-Resistant S. aureus (MRSA)Sara H. Mohamedhttps://orcid.org/0000-0003-1379-6493Maram M.S. Elshahedhttps://orcid.org/0000-0003-2633-2444Yasmine M. Saiedhttps://orcid.org/0000-0002-3106-0415Mahmoud S.M. Mohamedhttps://orcid.org/0000-0003-2218-3947Gamal H. OsmanMethicillin-resistant Staphylococcus aureus (MRSA) strains are widespread globally. Besides their virulence factors, the co-occurrence of antimicrobial and metal resistance has been reported. This study was designed to evaluate the antibiotic resistance and resistance phenotypes, investigate the occurrence of virulence factors, and detect heavy metal tolerance among MRSA strains. Antibiogram profiling was done as recommended by CLSI instructions. Resistance phenotypes were detected by D test, followed by characterization of enzymatic activities and biofilm formation assay. Antibacterial activity of different heavy metals was tested, and predictable synergistic assay was performed. Among MRSA strains collected, high resistance to ampicillin and amoxicillin/clavulanate (100%) and high susceptibility to clindamycin (70%) were obtained. Resistance phenotypes were detected as S, constitutive MLSB, inducible MLSB, and MS by percentages of 10%, 30%, 30% and 30% respectively. Virulence factors like lipolytic (50%) and hemolytic (70%) activity, and biofilm formation ability (100%) were detected. High resistance towards potassium and magnesium was observed. MTC of 500 ppm was detected for all isolates in case of cobalt and iron. In case of zinc and copper, MTC was detected as 500 ppm except for one isolate which was highly resistant, and 500 ppm for all isolates except for two isolates which were highly sensitive respectively. Magnesium in different concentrations (500 and 2000 ppm) showed synergistic activity with erythromycin and clindamycin. Results reveal high heavy metal tolerance among antibiotic resistant MRSA strains, in addition to the presence of virulence factors. Upcoming studies must be focused on the combination of sub-inhibitory concentration of different heavy metals with the available antibiotics.https://microbiologyjournal.org/detection-of-heavy-metal-tolerance-among-different-mlsb-resistance-phenotypes-of-methicillin-resistant-s-aureus-mrsa/mrsabiofilmmlsbheavy metalss. aureus
spellingShingle Sara H. Mohamed
Maram M.S. Elshahed
Yasmine M. Saied
Mahmoud S.M. Mohamed
Gamal H. Osman
Detection of Heavy Metal Tolerance among different MLSB Resistance Phenotypes of Methicillin-Resistant S. aureus (MRSA)
Journal of Pure and Applied Microbiology
mrsa
biofilm
mlsb
heavy metals
s. aureus
title Detection of Heavy Metal Tolerance among different MLSB Resistance Phenotypes of Methicillin-Resistant S. aureus (MRSA)
title_full Detection of Heavy Metal Tolerance among different MLSB Resistance Phenotypes of Methicillin-Resistant S. aureus (MRSA)
title_fullStr Detection of Heavy Metal Tolerance among different MLSB Resistance Phenotypes of Methicillin-Resistant S. aureus (MRSA)
title_full_unstemmed Detection of Heavy Metal Tolerance among different MLSB Resistance Phenotypes of Methicillin-Resistant S. aureus (MRSA)
title_short Detection of Heavy Metal Tolerance among different MLSB Resistance Phenotypes of Methicillin-Resistant S. aureus (MRSA)
title_sort detection of heavy metal tolerance among different mlsb resistance phenotypes of methicillin resistant s aureus mrsa
topic mrsa
biofilm
mlsb
heavy metals
s. aureus
url https://microbiologyjournal.org/detection-of-heavy-metal-tolerance-among-different-mlsb-resistance-phenotypes-of-methicillin-resistant-s-aureus-mrsa/
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AT yasminemsaied detectionofheavymetaltoleranceamongdifferentmlsbresistancephenotypesofmethicillinresistantsaureusmrsa
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