Investigation of Association Between adeA, adeB ,adeI Genes and Phenotypic Activity of Efflux Pump in Multiple Drug Resistant Acinetobacter baumannii Isolates

Background and Aims: Acinetobacter baumannii  is a major cause of nosocomial infections and is resistant to many antibiotics. Over expression of AdeABC and AdeIJK efflux pumps in Acinetobacter causes resistance to aminoglycosides and decreases the sensitivity of fluoroquinolones. The aim of this stu...

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Main Authors: Negin Sedighian Kashi, Sahar Honarmand, Fahimeh Baghbani Arani
Format: Article
Language:English
Published: Farname 2019-01-01
Series:Iranian Journal of Medical Microbiology
Subjects:
Online Access:http://ijmm.ir/article-1-868-en.html
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author Negin Sedighian Kashi
Sahar Honarmand
Fahimeh Baghbani Arani
author_facet Negin Sedighian Kashi
Sahar Honarmand
Fahimeh Baghbani Arani
author_sort Negin Sedighian Kashi
collection DOAJ
description Background and Aims: Acinetobacter baumannii  is a major cause of nosocomial infections and is resistant to many antibiotics. Over expression of AdeABC and AdeIJK efflux pumps in Acinetobacter causes resistance to aminoglycosides and decreases the sensitivity of fluoroquinolones. The aim of this study was to investigate the phenotypic activity of the Acinetobacter baumanni  isolates associated with  presence of adeA, adeB, and adeI genes. Materials and Methods: The study was performed on 55 strains of A. baumannii isolated collected from specimens of patients hospitalized in Milad Hospital , Tehran. The isolates were diagnosed using biochemical tests and antibiotic susceptibility testing was done by disk diffusion method based on CLSI guidelines. Cartwheel method was used to study phenotypic activity of efflux pump. Multiplex PCR was used to determine the presence of genes. Results: The prevalence of multiple drug resistant isolates was 98%. In terms of efflux pump activity 3.63% isolates were strong, 67.27% moderate and 29.09% were non-active.  The frequency of adeA, adeB, adeI genes was 87.2%, 85.4% and 94.5%, respectively. There was significant association between adeA and adeB genes among isolates with actively and non-actively efflux pump.  Conclusions: Determination of actively phenotype of efflux pump can determine the multiple drug resistance among A. baumannii isolates. The results confirms the role of main genes encoding AdeABC operon,adeA and adeB  in activity of A. baumannii efflux pump.
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spelling doaj.art-4b29adf4c35f4c0d8b421135b272e7912022-12-21T22:06:29ZengFarnameIranian Journal of Medical Microbiology1735-86122345-43422019-01-01125301310Investigation of Association Between adeA, adeB ,adeI Genes and Phenotypic Activity of Efflux Pump in Multiple Drug Resistant Acinetobacter baumannii IsolatesNegin Sedighian Kashi0Sahar Honarmand1Fahimeh Baghbani Arani2 Department of Microbiology, Faculty of Biological Sciences, Varamin- Pishva Branch, Islamic Azad University, Varamin, Iran Department of Microbiology, Faculty of Biological Sciences, Varamin- Pishva Branch, Islamic Azad University, Varamin, Iran Department of Genetics and Biotechnology, Faculty of Biological Sciences, Varamin- Pishva Branch, Islamic Azad University, Varamin, Iran Background and Aims: Acinetobacter baumannii  is a major cause of nosocomial infections and is resistant to many antibiotics. Over expression of AdeABC and AdeIJK efflux pumps in Acinetobacter causes resistance to aminoglycosides and decreases the sensitivity of fluoroquinolones. The aim of this study was to investigate the phenotypic activity of the Acinetobacter baumanni  isolates associated with  presence of adeA, adeB, and adeI genes. Materials and Methods: The study was performed on 55 strains of A. baumannii isolated collected from specimens of patients hospitalized in Milad Hospital , Tehran. The isolates were diagnosed using biochemical tests and antibiotic susceptibility testing was done by disk diffusion method based on CLSI guidelines. Cartwheel method was used to study phenotypic activity of efflux pump. Multiplex PCR was used to determine the presence of genes. Results: The prevalence of multiple drug resistant isolates was 98%. In terms of efflux pump activity 3.63% isolates were strong, 67.27% moderate and 29.09% were non-active.  The frequency of adeA, adeB, adeI genes was 87.2%, 85.4% and 94.5%, respectively. There was significant association between adeA and adeB genes among isolates with actively and non-actively efflux pump.  Conclusions: Determination of actively phenotype of efflux pump can determine the multiple drug resistance among A. baumannii isolates. The results confirms the role of main genes encoding AdeABC operon,adeA and adeB  in activity of A. baumannii efflux pump.http://ijmm.ir/article-1-868-en.htmlAcinetobacter baumanniEfflux pumpadeAadeBadeI genesMultiplex PCR
spellingShingle Negin Sedighian Kashi
Sahar Honarmand
Fahimeh Baghbani Arani
Investigation of Association Between adeA, adeB ,adeI Genes and Phenotypic Activity of Efflux Pump in Multiple Drug Resistant Acinetobacter baumannii Isolates
Iranian Journal of Medical Microbiology
Acinetobacter baumanni
Efflux pump
adeA
adeB
adeI genes
Multiplex PCR
title Investigation of Association Between adeA, adeB ,adeI Genes and Phenotypic Activity of Efflux Pump in Multiple Drug Resistant Acinetobacter baumannii Isolates
title_full Investigation of Association Between adeA, adeB ,adeI Genes and Phenotypic Activity of Efflux Pump in Multiple Drug Resistant Acinetobacter baumannii Isolates
title_fullStr Investigation of Association Between adeA, adeB ,adeI Genes and Phenotypic Activity of Efflux Pump in Multiple Drug Resistant Acinetobacter baumannii Isolates
title_full_unstemmed Investigation of Association Between adeA, adeB ,adeI Genes and Phenotypic Activity of Efflux Pump in Multiple Drug Resistant Acinetobacter baumannii Isolates
title_short Investigation of Association Between adeA, adeB ,adeI Genes and Phenotypic Activity of Efflux Pump in Multiple Drug Resistant Acinetobacter baumannii Isolates
title_sort investigation of association between adea adeb adei genes and phenotypic activity of efflux pump in multiple drug resistant acinetobacter baumannii isolates
topic Acinetobacter baumanni
Efflux pump
adeA
adeB
adeI genes
Multiplex PCR
url http://ijmm.ir/article-1-868-en.html
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