Characterization of recombinant fluoroquinolone-resistant pneumococcus-like isolates

Antimicrob Agents Chemother. 2013 Jan;57(1):254-60. doi: 10.1128/AAC.01357-12. Epub 2012 Oct 31.

Abstract

Fourteen fluoroquinolone-resistant streptococcal isolates with recombinant DNA topoisomerase genes, preliminarily identified as pneumococci, were further characterized using phenotypic and genotypic approaches. Phenotypic tests classified them as atypical pneumococci. Phylogenetic relationships were analyzed by using the sequences of seven housekeeping alleles from these isolates and from isolates of Streptococcus pneumoniae, Streptococcus mitis, Streptococcus oralis, and Streptococcus pseudopneumoniae. Four isolates grouped with S. pneumoniae, seven grouped with S. pseudopneumoniae, and three grouped with S. mitis. These results generally agreed with those obtained with an optochin susceptibility test and with the organization of the atp operon chromosomal region, encoding the F(o)F(1) H(+)-ATPase (the target of optochin). All seven isolates grouping with S. pseudopneumoniae share the same spr1368-atpC-atpA gene order; all four grouping with S. pneumoniae share the spr1368-IS1239-atpC-atpA order, and two out of the three grouping with S. mitis share the spr1284-atpC-atpA order. In addition, evidence for recombination within the seven housekeeping alleles of the S. pseudopneumoniae population was provided by several methods: the index of association (0.4598, P < 0.001), the pairwise homoplasy index, and the split-decomposition method. This study confirms the existence of pneumococci among the alpha-hemolytic streptococci with DNA topoisomerase genes showing a mosaic structure and reveals a close relationship between atypical pneumococci and S. pseudopneumoniae.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alleles
  • Anti-Bacterial Agents / pharmacology*
  • Bacterial Proteins / genetics*
  • Bacterial Proteins / metabolism
  • Bacterial Typing Techniques
  • Chromosome Mapping
  • Chromosomes, Bacterial*
  • DNA Topoisomerases / genetics
  • DNA Topoisomerases / metabolism
  • Genes, Essential
  • Genotype
  • Operon
  • Phenotype
  • Phylogeny
  • Proton-Translocating ATPases / genetics
  • Proton-Translocating ATPases / metabolism
  • Quinine / analogs & derivatives*
  • Quinine / pharmacology
  • Recombination, Genetic*
  • Streptococcus / drug effects
  • Streptococcus / genetics*
  • Streptococcus / isolation & purification
  • Streptococcus mitis / drug effects
  • Streptococcus mitis / genetics
  • Streptococcus mitis / isolation & purification
  • Streptococcus oralis / drug effects
  • Streptococcus oralis / genetics
  • Streptococcus oralis / isolation & purification
  • Streptococcus pneumoniae / drug effects
  • Streptococcus pneumoniae / genetics
  • Streptococcus pneumoniae / isolation & purification

Substances

  • Anti-Bacterial Agents
  • Bacterial Proteins
  • ethylhydrocupreine
  • Quinine
  • Proton-Translocating ATPases
  • DNA Topoisomerases