The Role of Insertion Sequence (IS) Elements in Inactivation of Outer Membrane Porin OprD and Resistance to Carbapenems among Pseudomonas aeruginosa Clinical Strains in Ardabil

Background & objectives: Carbapenems are the main antibiotics for the treatment of infections caused by multidrug-resistant (MDR) Pseudomonas aeruginosa (P. aeruginosa). The aims of this study were to determine the prevalence of gene encoding outer membrane porin protein (OprD) in carbapenem-res...

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Main Authors: Maryam Nazari, Hadi Ahmadi, Hamid Vaez, Farzad Khademi
Format: Article
Language:fas
Published: Ardabil University of Medical Sciences 2021-07-01
Series:Journal of Ardabil University of Medical Sciences
Subjects:
Online Access:http://jarums.arums.ac.ir/article-1-2102-en.html
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author Maryam Nazari
Hadi Ahmadi
Hamid Vaez
Farzad Khademi
author_facet Maryam Nazari
Hadi Ahmadi
Hamid Vaez
Farzad Khademi
author_sort Maryam Nazari
collection DOAJ
description Background & objectives: Carbapenems are the main antibiotics for the treatment of infections caused by multidrug-resistant (MDR) Pseudomonas aeruginosa (P. aeruginosa). The aims of this study were to determine the prevalence of gene encoding outer membrane porin protein (OprD) in carbapenem-resistant P. aeruginosa strains as well as to assess the role of insertion sequence (IS) elements in the inactivation of OprD porin and the emergence of carbapenem resistance. Methods: In this study, 103 clinical isolates of P. aeruginosa including 58, 42 and 23 strains resistant to imipenem, meropenem, and doripenem were used, respectively. The isolates were collected from patients referred to Ardabil hospitals. The presence of oprD gene and IS elements were investigated using polymerase chain reaction (PCR) and sequencing methods. P. aeruginosa PAO1 standard isolate was used as the positive control strain for oprD gene. Results: The frequency of oprD gene among carbapenem-resistant P. aeruginosa strains isolated from Ardabil hospitals was 96.5%. Furthermore, IS elements were not observed in the investigated isolates. Conclusion: Based on the results of this study, the presence of IS elements did not involve in the inactivation of outer membrane porin OprD and resistance to carbapenems among P. aeruginosa clinical strains in Ardabil. Therefore, an investigation of the role of other mutations in reducing the expression of oprD gene and increasing P. aeruginosa resistance to carbapenems is recommended.
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spelling doaj.art-d4da967d86334177a21a4370e38b2edc2022-12-22T02:27:55ZfasArdabil University of Medical SciencesJournal of Ardabil University of Medical Sciences2228-72802228-72992021-07-01212171178The Role of Insertion Sequence (IS) Elements in Inactivation of Outer Membrane Porin OprD and Resistance to Carbapenems among Pseudomonas aeruginosa Clinical Strains in ArdabilMaryam Nazari0Hadi Ahmadi1Hamid Vaez2Farzad Khademi3 Department of Microbiology, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran. Department of Microbiology, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran. Department of Microbiology, School of Medicine, Zabol University of Medical Sciences, Zabol, Iran. Department of Microbiology, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran. Background & objectives: Carbapenems are the main antibiotics for the treatment of infections caused by multidrug-resistant (MDR) Pseudomonas aeruginosa (P. aeruginosa). The aims of this study were to determine the prevalence of gene encoding outer membrane porin protein (OprD) in carbapenem-resistant P. aeruginosa strains as well as to assess the role of insertion sequence (IS) elements in the inactivation of OprD porin and the emergence of carbapenem resistance. Methods: In this study, 103 clinical isolates of P. aeruginosa including 58, 42 and 23 strains resistant to imipenem, meropenem, and doripenem were used, respectively. The isolates were collected from patients referred to Ardabil hospitals. The presence of oprD gene and IS elements were investigated using polymerase chain reaction (PCR) and sequencing methods. P. aeruginosa PAO1 standard isolate was used as the positive control strain for oprD gene. Results: The frequency of oprD gene among carbapenem-resistant P. aeruginosa strains isolated from Ardabil hospitals was 96.5%. Furthermore, IS elements were not observed in the investigated isolates. Conclusion: Based on the results of this study, the presence of IS elements did not involve in the inactivation of outer membrane porin OprD and resistance to carbapenems among P. aeruginosa clinical strains in Ardabil. Therefore, an investigation of the role of other mutations in reducing the expression of oprD gene and increasing P. aeruginosa resistance to carbapenems is recommended.http://jarums.arums.ac.ir/article-1-2102-en.htmlpseudomonas aeruginosainsertion sequenceoprd
spellingShingle Maryam Nazari
Hadi Ahmadi
Hamid Vaez
Farzad Khademi
The Role of Insertion Sequence (IS) Elements in Inactivation of Outer Membrane Porin OprD and Resistance to Carbapenems among Pseudomonas aeruginosa Clinical Strains in Ardabil
Journal of Ardabil University of Medical Sciences
pseudomonas aeruginosa
insertion sequence
oprd
title The Role of Insertion Sequence (IS) Elements in Inactivation of Outer Membrane Porin OprD and Resistance to Carbapenems among Pseudomonas aeruginosa Clinical Strains in Ardabil
title_full The Role of Insertion Sequence (IS) Elements in Inactivation of Outer Membrane Porin OprD and Resistance to Carbapenems among Pseudomonas aeruginosa Clinical Strains in Ardabil
title_fullStr The Role of Insertion Sequence (IS) Elements in Inactivation of Outer Membrane Porin OprD and Resistance to Carbapenems among Pseudomonas aeruginosa Clinical Strains in Ardabil
title_full_unstemmed The Role of Insertion Sequence (IS) Elements in Inactivation of Outer Membrane Porin OprD and Resistance to Carbapenems among Pseudomonas aeruginosa Clinical Strains in Ardabil
title_short The Role of Insertion Sequence (IS) Elements in Inactivation of Outer Membrane Porin OprD and Resistance to Carbapenems among Pseudomonas aeruginosa Clinical Strains in Ardabil
title_sort role of insertion sequence is elements in inactivation of outer membrane porin oprd and resistance to carbapenems among pseudomonas aeruginosa clinical strains in ardabil
topic pseudomonas aeruginosa
insertion sequence
oprd
url http://jarums.arums.ac.ir/article-1-2102-en.html
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