Validation of the T86I mutation in the gyrA gene as a highly reliable real time PCR target to detect Fluoroquinolone-resistant Campylobacter jejuni

Abstract Background Campylobacter jejuni is a leading cause of bacterial diarrhea worldwide, and increasing rates of fluoroquinolone (FQ) resistance in C. jejuni are a major public health concern. The rapid detection and tracking of FQ resistance are critical needs in developing countries, as these...

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Main Authors: Nereyda Espinoza, Jesús Rojas, Simon Pollett, Rina Meza, Lilian Patiño, Manuel Leiva, Máximo Camiña, Manuela Bernal, Nathanael D. Reynolds, Ryan Maves, Drake H. Tilley, Matthew Kasper, Mark P. Simons
Format: Article
Language:English
Published: BMC 2020-07-01
Series:BMC Infectious Diseases
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12879-020-05202-4
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author Nereyda Espinoza
Jesús Rojas
Simon Pollett
Rina Meza
Lilian Patiño
Manuel Leiva
Máximo Camiña
Manuela Bernal
Nathanael D. Reynolds
Ryan Maves
Drake H. Tilley
Matthew Kasper
Mark P. Simons
author_facet Nereyda Espinoza
Jesús Rojas
Simon Pollett
Rina Meza
Lilian Patiño
Manuel Leiva
Máximo Camiña
Manuela Bernal
Nathanael D. Reynolds
Ryan Maves
Drake H. Tilley
Matthew Kasper
Mark P. Simons
author_sort Nereyda Espinoza
collection DOAJ
description Abstract Background Campylobacter jejuni is a leading cause of bacterial diarrhea worldwide, and increasing rates of fluoroquinolone (FQ) resistance in C. jejuni are a major public health concern. The rapid detection and tracking of FQ resistance are critical needs in developing countries, as these antimicrobials are widely used against C. jejuni infections. Detection of point mutations at T86I in the gyrA gene by real-time polymerase chain reaction (RT-PCR) is a rapid detection tool that may improve FQ resistance tracking. Methods C. jejuni isolates obtained from children with diarrhea in Peru were tested by RT-PCR to detect point mutations at T86I in gyrA. Further confirmation was performed by sequencing of the gyrA gene. Results We detected point mutations at T86I in the gyrA gene in 100% (141/141) of C. jejuni clinical isolates that were previously confirmed as ciprofloxacin-resistant by E-test. No mutations were detected at T86I in gyrA in any ciprofloxacin-sensitive isolates. Conclusions Detection of T86I mutations in C. jejuni is a rapid, sensitive, and specific method to identify fluoroquinolone resistance in Peru. This detection approach could be broadly employed in epidemiologic surveillance, therefore reducing time and cost in regions with limited resources.
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spelling doaj.art-58a3a70641724983815cfb07a56abe432022-12-22T00:41:53ZengBMCBMC Infectious Diseases1471-23342020-07-012011710.1186/s12879-020-05202-4Validation of the T86I mutation in the gyrA gene as a highly reliable real time PCR target to detect Fluoroquinolone-resistant Campylobacter jejuniNereyda Espinoza0Jesús Rojas1Simon Pollett2Rina Meza3Lilian Patiño4Manuel Leiva5Máximo Camiña6Manuela Bernal7Nathanael D. Reynolds8Ryan Maves9Drake H. Tilley10Matthew Kasper11Mark P. Simons12Bacteriology Department, U.S Naval Medical Research Unit-6 (NAMRU-6)Bacteriology Department, U.S Naval Medical Research Unit-6 (NAMRU-6)Bacteriology Department, U.S Naval Medical Research Unit-6 (NAMRU-6)Bacteriology Department, U.S Naval Medical Research Unit-6 (NAMRU-6)Instituto Nacional de Salud del NiñoHospital Nacional Docente Madre-Niño San BartoloméHospital de Emergencias PediátricasBacteriology Department, U.S Naval Medical Research Unit-6 (NAMRU-6)Naval Medical Research CenterNaval Medical Center San DiegoNaval Medical Center San DiegoBacteriology Department, U.S Naval Medical Research Unit-6 (NAMRU-6)Naval Medical Research CenterAbstract Background Campylobacter jejuni is a leading cause of bacterial diarrhea worldwide, and increasing rates of fluoroquinolone (FQ) resistance in C. jejuni are a major public health concern. The rapid detection and tracking of FQ resistance are critical needs in developing countries, as these antimicrobials are widely used against C. jejuni infections. Detection of point mutations at T86I in the gyrA gene by real-time polymerase chain reaction (RT-PCR) is a rapid detection tool that may improve FQ resistance tracking. Methods C. jejuni isolates obtained from children with diarrhea in Peru were tested by RT-PCR to detect point mutations at T86I in gyrA. Further confirmation was performed by sequencing of the gyrA gene. Results We detected point mutations at T86I in the gyrA gene in 100% (141/141) of C. jejuni clinical isolates that were previously confirmed as ciprofloxacin-resistant by E-test. No mutations were detected at T86I in gyrA in any ciprofloxacin-sensitive isolates. Conclusions Detection of T86I mutations in C. jejuni is a rapid, sensitive, and specific method to identify fluoroquinolone resistance in Peru. This detection approach could be broadly employed in epidemiologic surveillance, therefore reducing time and cost in regions with limited resources.http://link.springer.com/article/10.1186/s12879-020-05202-4Campylobacter jejuniT86IgyrACiprofloxacinAntimicrobial resistance
spellingShingle Nereyda Espinoza
Jesús Rojas
Simon Pollett
Rina Meza
Lilian Patiño
Manuel Leiva
Máximo Camiña
Manuela Bernal
Nathanael D. Reynolds
Ryan Maves
Drake H. Tilley
Matthew Kasper
Mark P. Simons
Validation of the T86I mutation in the gyrA gene as a highly reliable real time PCR target to detect Fluoroquinolone-resistant Campylobacter jejuni
BMC Infectious Diseases
Campylobacter jejuni
T86I
gyrA
Ciprofloxacin
Antimicrobial resistance
title Validation of the T86I mutation in the gyrA gene as a highly reliable real time PCR target to detect Fluoroquinolone-resistant Campylobacter jejuni
title_full Validation of the T86I mutation in the gyrA gene as a highly reliable real time PCR target to detect Fluoroquinolone-resistant Campylobacter jejuni
title_fullStr Validation of the T86I mutation in the gyrA gene as a highly reliable real time PCR target to detect Fluoroquinolone-resistant Campylobacter jejuni
title_full_unstemmed Validation of the T86I mutation in the gyrA gene as a highly reliable real time PCR target to detect Fluoroquinolone-resistant Campylobacter jejuni
title_short Validation of the T86I mutation in the gyrA gene as a highly reliable real time PCR target to detect Fluoroquinolone-resistant Campylobacter jejuni
title_sort validation of the t86i mutation in the gyra gene as a highly reliable real time pcr target to detect fluoroquinolone resistant campylobacter jejuni
topic Campylobacter jejuni
T86I
gyrA
Ciprofloxacin
Antimicrobial resistance
url http://link.springer.com/article/10.1186/s12879-020-05202-4
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