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Open AccessJournal ArticleDOI

Rapid Detection and Identification of Metallo-β-Lactamase-Encoding Genes by Multiplex Real-Time PCR Assay and Melt Curve Analysis

TLDR
The real-time PCR assay was able to detect all MβL-harboring clinical isolates, and the Tm-assigned genotypes were 100% coincident with previous sequencing results, meaning this assay could be suitable for identification of M βL-producing gram-negative bacteria by molecular diagnostic laboratories.
Abstract
Metallo-β-lactamase enzymes (MβL) are encoded by transferable genes, which appear to spread rapidly among gram-negative bacteria The objective of this study was to develop a multiplex real-time PCR assay followed by a melt curve step for rapid detection and identification of genes encoding MβL-type enzymes based on the amplicon melting peak The reference sequences of all genes encoding IMP and VIM types, SPM-1, GIM-1, and SIM-1 were downloaded from GenBank, and primers were designed to obtain amplicons showing different sizes and melting peak temperatures (Tm) The real-time PCR assay was able to detect all MβL-harboring clinical isolates, and the Tm-assigned genotypes were 100% coincident with previous sequencing results This assay could be suitable for identification of MβL-producing gram-negative bacteria by molecular diagnostic laboratories

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Citations
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Journal ArticleDOI

Multiplex PCR for detection of acquired carbapenemase genes

TL;DR: A rapid and reliable PCR-based technique was developed for detection of genes encoding carbapenemases belonging to different classes using optimized conditions, with PCR giving distinct amplicon sizes corresponding to the different genes for each mixture.
Journal ArticleDOI

Carbapenemases in Klebsiella pneumoniae and Other Enterobacteriaceae: an Evolving Crisis of Global Dimensions

TL;DR: Therapeutic options for treating carbapenemase-producing enterobacteria (CPE) infect mainly hospitalized patients but also have been spreading in long-term care facilities, and pharmacodynamic simulations and experimental infections indicate that modification of the current patterns of carbapENem use against CPE warrants further attention.
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Multiresistant Gram-negative bacteria: the role of high-risk clones in the dissemination of antibiotic resistance

TL;DR: 'high-risk clones' play a major role in the spread of resistance, with the risk lying in their tenacity--deriving from poorly understood survival traits--and a flexible ability to accumulate and switch resistance, rather than to constant resistance batteries.
Journal ArticleDOI

Rapid detection of carbapenemase genes by multiplex real-time PCR

TL;DR: A single multiplex real-time PCR assay to detect six different genetic types of carbapenemases already identified in Enterobacteriaceae and showed 100% concordance with the genotypes previously identified.
References
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Journal ArticleDOI

Metallo-β-Lactamases: the Quiet before the Storm?

TL;DR: Their rapid dissemination is worrisome and necessitates the implementation of not just surveillance studies but also metallo-β-lactamase inhibitor studies securing the longevity of important anti-infectives.
Journal ArticleDOI

Molecular characterization of an enterobacterial metallo beta-lactamase found in a clinical isolate of Serratia marcescens that shows imipenem resistance.

TL;DR: Results clearly show that IMP-1 is an enterobacterial metallo beta-lactamase, of which the primary structure has been completely determined, that confers resistance to carbapenems and other broad-spectrum beta- lactams.
Journal ArticleDOI

Novel Acquired Metallo-β-Lactamase Gene, blaSIM-1, in a Class 1 Integron from Acinetobacter baumannii Clinical Isolates from Korea

TL;DR: The blaSIM-1 gene was carried on a gene cassette inserted into a class 1 integron, which included three additional cassettes (arr-3, catB3, and aadA1).
Journal ArticleDOI

Molecular characterization of SPM-1, a novel metallo-β-lactamase isolated in Latin America: report from the SENTRY antimicrobial surveillance programme

TL;DR: SPM-1 is a distinctly different metallo-beta-lactamase from VIM and IMP and, accordingly, represents a new subfamily of mobile metallo,beta, and lactamases, and possesses a unique loop of 23 residues that accounts for the higher molecular mass.
Journal ArticleDOI

Molecular characterization of a beta-lactamase gene, blaGIM-1, encoding a new subclass of metallo-beta-lactamase.

TL;DR: Kinetics analysis revealed that GIM-1 has no clear preference for any substrate and did not hydrolyze azlocillin, aztreonam, and the serine-β-lactamase inhibitors, and represents the fourth subclass of mobile MβL enzymes to be characterized.
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