The antimicrobial activity of cethromycin against Staphylococcus aureus and compared with erythromycin and telithromycin

Abstract Background This study aims to explore the antibacterial activity of cethromycin against Staphylococcus aureus (S. aureus), and its relationship with multilocus sequence typing (MLST), erythromycin ribosomal methylase (erm) genes and macrolide-lincosamide-streptogramin B (MLSB) phenotypes of...

Full description

Bibliographic Details
Main Authors: Yuechen Hu, Lili Ouyang, Duoyun Li, Xiangbin Deng, Hongbo Xu, Zhijian Yu, Yeqing Fang, Jinxin Zheng, Zhong Chen, Haigang Zhang
Format: Article
Language:English
Published: BMC 2023-04-01
Series:BMC Microbiology
Subjects:
Online Access:https://doi.org/10.1186/s12866-023-02858-1
_version_ 1827961414389596160
author Yuechen Hu
Lili Ouyang
Duoyun Li
Xiangbin Deng
Hongbo Xu
Zhijian Yu
Yeqing Fang
Jinxin Zheng
Zhong Chen
Haigang Zhang
author_facet Yuechen Hu
Lili Ouyang
Duoyun Li
Xiangbin Deng
Hongbo Xu
Zhijian Yu
Yeqing Fang
Jinxin Zheng
Zhong Chen
Haigang Zhang
author_sort Yuechen Hu
collection DOAJ
description Abstract Background This study aims to explore the antibacterial activity of cethromycin against Staphylococcus aureus (S. aureus), and its relationship with multilocus sequence typing (MLST), erythromycin ribosomal methylase (erm) genes and macrolide-lincosamide-streptogramin B (MLSB) phenotypes of S. aureus. Results The minimum inhibitory concentrations (MICs) of cethromycin against 245 S. aureus clinical isolates ranged from 0.03125 to ≥ 8 mg/L, with the resistance of 38.8% in 121 methicillin-resistant S. aureus (MRSA). This study also found that cethromycin had strong antibacterial activity against S. aureus, with the MIC ≤ 0.5 mg/L in 55.4% of MRSA and 60.5% of methicillin-sensitive S. aureus (MSSA), respectively. The main MLSTs of 121 MRSA were ST239 and ST59, and the resistance of ST239 isolates to cethromycin was higher than that in ST59 isolates (P = 0.034). The top five MLSTs of 124 MSSA were ST7, ST59, ST398, ST88 and ST120, but there was no difference in the resistance of MSSA to cethromycin between these STs. The resistance of ermA isolates to cethromycin was higher than that of ermB or ermC isolates in MRSA (P = 0.016 and 0.041, respectively), but the resistance of ermB or ermC isolates to cethromycin was higher than that of ermA isolates in MSSA (P = 0.019 and 0.026, respectively). The resistance of constitutive MLSB (cMLSB) phenotype isolates to cethromycin was higher than that of inducible MLSB (iMLSB) phenotype isolates in MRSA (P < 0.001) or MSSA (P = 0.036). The ermA, ermB and ermC genes was mainly found in ST239, ST59 and ST1 isolates in MRSA, respectively. Among the MSSA, the ermC gene was more detected in ST7, ST88 and ST120 isolates, but more ermB genes were detected in ST59 and ST398 isolates. The cMLSB phenotype was more common in ST239 and ST59 isolates of MRSA, and was more frequently detected in ST59, ST398, and ST120 isolates of MSSA. Conclusion Cethromycin had strong antibacterial activity against S. aureus. The resistance of MRSA to cethromycin may had some clonal aggregation in ST239. The resistance of S. aureus carrying various erm genes or MLSB phenotypes to cethromycin was different.
first_indexed 2024-04-09T16:26:25Z
format Article
id doaj.art-757e04967652424fb57502b0a88c8b8c
institution Directory Open Access Journal
issn 1471-2180
language English
last_indexed 2024-04-09T16:26:25Z
publishDate 2023-04-01
publisher BMC
record_format Article
series BMC Microbiology
spelling doaj.art-757e04967652424fb57502b0a88c8b8c2023-04-23T11:10:56ZengBMCBMC Microbiology1471-21802023-04-0123111010.1186/s12866-023-02858-1The antimicrobial activity of cethromycin against Staphylococcus aureus and compared with erythromycin and telithromycinYuechen Hu0Lili Ouyang1Duoyun Li2Xiangbin Deng3Hongbo Xu4Zhijian Yu5Yeqing Fang6Jinxin Zheng7Zhong Chen8Haigang Zhang9Department of Infectious Diseases and Shenzhen Key Lab of Endogenous Infection, Shenzhen Nanshan People’s Hospital and the 6Th Affiliated Hospital of Shenzhen University Health Science CenterDepartment of Infectious Diseases and Shenzhen Key Lab of Endogenous Infection, Shenzhen Nanshan People’s Hospital and the 6Th Affiliated Hospital of Shenzhen University Health Science CenterDepartment of Infectious Diseases and Shenzhen Key Lab of Endogenous Infection, Shenzhen Nanshan People’s Hospital and the 6Th Affiliated Hospital of Shenzhen University Health Science CenterDepartment of Infectious Diseases and Shenzhen Key Lab of Endogenous Infection, Shenzhen Nanshan People’s Hospital and the 6Th Affiliated Hospital of Shenzhen University Health Science CenterDepartment of Critical Care Medicine and the Key Lab of Endogenous Infection, Shenzhen Nanshan People’s Hospital and the 6Th Affiliated Hospital of Shenzhen University Health Science CenterDepartment of Infectious Diseases and Shenzhen Key Lab of Endogenous Infection, Shenzhen Nanshan People’s Hospital and the 6Th Affiliated Hospital of Shenzhen University Health Science CenterDepartment of Cardiology, Shenzhen Nanshan People’s Hospital and the 6Th Affiliated Hospital of Shenzhen University Health Science CenterDepartment of Infectious Diseases and Shenzhen Key Lab of Endogenous Infection, Shenzhen Nanshan People’s Hospital and the 6Th Affiliated Hospital of Shenzhen University Health Science CenterDepartment of Infectious Diseases and Shenzhen Key Lab of Endogenous Infection, Shenzhen Nanshan People’s Hospital and the 6Th Affiliated Hospital of Shenzhen University Health Science CenterDepartment of Critical Care Medicine and the Key Lab of Endogenous Infection, Shenzhen Nanshan People’s Hospital and the 6Th Affiliated Hospital of Shenzhen University Health Science CenterAbstract Background This study aims to explore the antibacterial activity of cethromycin against Staphylococcus aureus (S. aureus), and its relationship with multilocus sequence typing (MLST), erythromycin ribosomal methylase (erm) genes and macrolide-lincosamide-streptogramin B (MLSB) phenotypes of S. aureus. Results The minimum inhibitory concentrations (MICs) of cethromycin against 245 S. aureus clinical isolates ranged from 0.03125 to ≥ 8 mg/L, with the resistance of 38.8% in 121 methicillin-resistant S. aureus (MRSA). This study also found that cethromycin had strong antibacterial activity against S. aureus, with the MIC ≤ 0.5 mg/L in 55.4% of MRSA and 60.5% of methicillin-sensitive S. aureus (MSSA), respectively. The main MLSTs of 121 MRSA were ST239 and ST59, and the resistance of ST239 isolates to cethromycin was higher than that in ST59 isolates (P = 0.034). The top five MLSTs of 124 MSSA were ST7, ST59, ST398, ST88 and ST120, but there was no difference in the resistance of MSSA to cethromycin between these STs. The resistance of ermA isolates to cethromycin was higher than that of ermB or ermC isolates in MRSA (P = 0.016 and 0.041, respectively), but the resistance of ermB or ermC isolates to cethromycin was higher than that of ermA isolates in MSSA (P = 0.019 and 0.026, respectively). The resistance of constitutive MLSB (cMLSB) phenotype isolates to cethromycin was higher than that of inducible MLSB (iMLSB) phenotype isolates in MRSA (P < 0.001) or MSSA (P = 0.036). The ermA, ermB and ermC genes was mainly found in ST239, ST59 and ST1 isolates in MRSA, respectively. Among the MSSA, the ermC gene was more detected in ST7, ST88 and ST120 isolates, but more ermB genes were detected in ST59 and ST398 isolates. The cMLSB phenotype was more common in ST239 and ST59 isolates of MRSA, and was more frequently detected in ST59, ST398, and ST120 isolates of MSSA. Conclusion Cethromycin had strong antibacterial activity against S. aureus. The resistance of MRSA to cethromycin may had some clonal aggregation in ST239. The resistance of S. aureus carrying various erm genes or MLSB phenotypes to cethromycin was different.https://doi.org/10.1186/s12866-023-02858-1Staphylococcus aureusCethromycinMultilocus sequence typingErmMacrolide-lincosamide-streptogramin B
spellingShingle Yuechen Hu
Lili Ouyang
Duoyun Li
Xiangbin Deng
Hongbo Xu
Zhijian Yu
Yeqing Fang
Jinxin Zheng
Zhong Chen
Haigang Zhang
The antimicrobial activity of cethromycin against Staphylococcus aureus and compared with erythromycin and telithromycin
BMC Microbiology
Staphylococcus aureus
Cethromycin
Multilocus sequence typing
Erm
Macrolide-lincosamide-streptogramin B
title The antimicrobial activity of cethromycin against Staphylococcus aureus and compared with erythromycin and telithromycin
title_full The antimicrobial activity of cethromycin against Staphylococcus aureus and compared with erythromycin and telithromycin
title_fullStr The antimicrobial activity of cethromycin against Staphylococcus aureus and compared with erythromycin and telithromycin
title_full_unstemmed The antimicrobial activity of cethromycin against Staphylococcus aureus and compared with erythromycin and telithromycin
title_short The antimicrobial activity of cethromycin against Staphylococcus aureus and compared with erythromycin and telithromycin
title_sort antimicrobial activity of cethromycin against staphylococcus aureus and compared with erythromycin and telithromycin
topic Staphylococcus aureus
Cethromycin
Multilocus sequence typing
Erm
Macrolide-lincosamide-streptogramin B
url https://doi.org/10.1186/s12866-023-02858-1
work_keys_str_mv AT yuechenhu theantimicrobialactivityofcethromycinagainststaphylococcusaureusandcomparedwitherythromycinandtelithromycin
AT liliouyang theantimicrobialactivityofcethromycinagainststaphylococcusaureusandcomparedwitherythromycinandtelithromycin
AT duoyunli theantimicrobialactivityofcethromycinagainststaphylococcusaureusandcomparedwitherythromycinandtelithromycin
AT xiangbindeng theantimicrobialactivityofcethromycinagainststaphylococcusaureusandcomparedwitherythromycinandtelithromycin
AT hongboxu theantimicrobialactivityofcethromycinagainststaphylococcusaureusandcomparedwitherythromycinandtelithromycin
AT zhijianyu theantimicrobialactivityofcethromycinagainststaphylococcusaureusandcomparedwitherythromycinandtelithromycin
AT yeqingfang theantimicrobialactivityofcethromycinagainststaphylococcusaureusandcomparedwitherythromycinandtelithromycin
AT jinxinzheng theantimicrobialactivityofcethromycinagainststaphylococcusaureusandcomparedwitherythromycinandtelithromycin
AT zhongchen theantimicrobialactivityofcethromycinagainststaphylococcusaureusandcomparedwitherythromycinandtelithromycin
AT haigangzhang theantimicrobialactivityofcethromycinagainststaphylococcusaureusandcomparedwitherythromycinandtelithromycin
AT yuechenhu antimicrobialactivityofcethromycinagainststaphylococcusaureusandcomparedwitherythromycinandtelithromycin
AT liliouyang antimicrobialactivityofcethromycinagainststaphylococcusaureusandcomparedwitherythromycinandtelithromycin
AT duoyunli antimicrobialactivityofcethromycinagainststaphylococcusaureusandcomparedwitherythromycinandtelithromycin
AT xiangbindeng antimicrobialactivityofcethromycinagainststaphylococcusaureusandcomparedwitherythromycinandtelithromycin
AT hongboxu antimicrobialactivityofcethromycinagainststaphylococcusaureusandcomparedwitherythromycinandtelithromycin
AT zhijianyu antimicrobialactivityofcethromycinagainststaphylococcusaureusandcomparedwitherythromycinandtelithromycin
AT yeqingfang antimicrobialactivityofcethromycinagainststaphylococcusaureusandcomparedwitherythromycinandtelithromycin
AT jinxinzheng antimicrobialactivityofcethromycinagainststaphylococcusaureusandcomparedwitherythromycinandtelithromycin
AT zhongchen antimicrobialactivityofcethromycinagainststaphylococcusaureusandcomparedwitherythromycinandtelithromycin
AT haigangzhang antimicrobialactivityofcethromycinagainststaphylococcusaureusandcomparedwitherythromycinandtelithromycin