GENETIC VARIATION OF HOUSEKEEPING GENES IN MULTIDRUG RESISTANT PSEUDOMONAS AERUGINOSA
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Background: Pseudomonas aeruginosa is a prominent opportunistic pathogen responsible for nosocomial infections, particularly among immunocompromised individuals. Specific Background: Its ability to develop multiple antibiotic resistance poses a significant clinical challenge, highlighting the need for a deeper understanding of its genetic diversity and virulence factors. Knowledge Gap: While previous studies have explored antibiotic resistance mechanisms, there is limited research on the genetic diversity of Pseudomonas aeruginosa isolates in specific geographic regions, such as Kirkuk. Aims: This study aimed to investigate the genetic diversity of Pseudomonas aeruginosa isolates from clinical samples obtained from Kirkuk Civil Hospitals, utilizing Multi-Locus Sequence Typing (MLST) for genetic analysis. Results: Fourteen P. aeruginosa isolates were confirmed through biochemical tests and the VITEK-2 system, with an alarming 85.71% (12/14) exhibiting antibiotic resistance. Molecular analysis revealed the presence of several housekeeping genes, although some genes did not amplify. Notably, two new serotypes (PS3:id:9797 and PS4:id:9796) were identified and added to the MLST database, along with three new genes registered in NCBI. Phylogenetic analysis indicated a divergent cluster among three isolates. Novelty: This research contributes new insights into the genetic diversity of Pseudomonas aeruginosa, identifying novel serotypes and genes, which are critical for understanding its epidemiology and resistance mechanisms. Implications: The findings underscore the importance of ongoing surveillance of Pseudomonas aeruginosa in clinical settings to inform treatment strategies and public health policies aimed at managing antibiotic resistance and improving patient outcomes.
Al-Tememe TMK, Abbas BA. Molecular Detection and Phylogenetic Analysis of Pseudomonas aeruginosa Isolated from Some Infected and Healthy Ruminants in Basrah, Iraq. Arch Razi Inst. 2022 Apr;77(2):537–44.
BreidensteinEBM, Fuente-Nunez CI and Hancock REW. Pseudomonas aeruginosa all roads lead to resistance. International J. Antimicrobial 11 Agents 2011; 19(8): 419-426.
Othman HE, Miller EL, Jubrael JMS, Roberts IS. Genotypic characterization and novel multilocus sequence types of exoU. 2018;
Wang W, Wang X. Prevalence of metallo-β-lactamase genes among Pseudomonas aeruginosa isolated from various clinical samples in China. J Lab Med. 2020;44(4):197–203.
Ejikeugwu C, Nworie O, Saki M, Al-Dahmoshi HOM, Al-Khafaji NSK, Ezeador C, et al. Metallo-β-lactamase and AmpC genes in Escherichia coli, Klebsiella pneumoniae, and Pseudomonas aeruginosa isolates from abattoir and poultry origin in Nigeria. BMC Microbiol. 2021 Apr;21(1):124.
Rezzoagli C, Granato ET, Kümmerli R. In-vivo microscopy reveals the impact of Pseudomonas aeruginosa social interactions on host colonization. ISME J. 2019 Oct;13(10):2403–14.
Gallagher C. Extensively Drug-resistant Pseudomonas Aeruginosa in Vitro Susceptibility and Mechanisms of Resistance. 2020;
Najeeb AS, Al-Taai HRR. Genotyping Diversity of Pseudomonas aeruginosa Isolates, Isolated from Baquba City. Medico-Legal Updat. 2020;20(4).
Curran B, Jonas D, Grundmann H, Pitt T, Dowson CG. Development of a multilocus sequence typing scheme for the opportunistic pathogen Pseudomonas aeruginosa. J Clin Microbiol. 2004 Dec;42(12):5644–9.
Waters V, Zlosnik JEA, Yau YCW, Speert DP, Aaron SD, Guttman DS. Comparison of three typing methods for Pseudomonas aeruginosa isolates from patients with cystic fibrosis. Eur J Clin Microbiol Infect Dis. 2012;31:3341–50.
Magiorakos A-P, Srinivasan A, Carey RB, Carmeli Y, Falagas ME, Giske CG, et al. Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: an international expert proposal for interim standard definitions for acquired resistance. Clin Microbiol Infect Off Publ Eur Soc Clin Microbiol Infect Dis. 2012 Mar;18(3):268–81.
Kearse M, Moir R, Wilson A, Stones-Havas S, Cheung M, Sturrock S, et al. Geneious Basic: An integrated and extendable desktop software platform for the organization and analysis of sequence data. Bioinformatics [Internet]. 2012;28(12):1647–9. Available from: https://doi.org/10.1093/bioinformatics/bts199
Christiaen SEA, Matthijs N, Zhang X-H, Nelis HJ, Bossier P, Coenye T. Bacteria that inhibit quorum sensing decrease biofilm formation and virulence in Pseudomonas aeruginosa PAO1. Pathog Dis. 2014;70(3):271–9.
Mohammed AA, Hussein NR, Arif SH, Daniel S. Surgical site infection among patients with Staphylococcus aureus nasal carriage. Int J Surg Open. 2020;24:1–7.
Awan MRU, Asghar H, Raza H, Rasul F, Baig MS. PORCELAIN METAL CERAMIC CROWN VERSUS PORCELAIN VENEER: A CLINICAL TRIAL INVESTIGATING THE SUCCESS BETWEEN THE TWO IN THE MAXILLARY ANTERIOR TEETH. Prof Med J. 2018;25(05):709–13.
Hameed H, Hussain I, Mahmood MS, Deeba F, Riaz K. Higher Order Occurrence of Virulent Isolates of Pseudomonas aeruginosa in Hospital Environments Initiate One Health Concerns Irrespective of the Biological Association. Pak Vet J. 2017;37(1).
Al-Shwaikh RMA, Alornaaouti AF. Detection of tox A gene in Pseudomonas aeruginosa that isolates from different clinical cases by using PCR. Ibn AL-Haitham J Pure Appl Sci. 2018;26–30.
Abednezhad A, Bakhshi B, Moghadam NA, Faraji N, Derakhshan-Nezhad E, Mohammadi Barzelighi H. Characteristics of multiresistant Pseudomonas aeruginosa isolates from burn patients in Iran. Acta Microbiol Immunol Hung. 2023;70(1):29–37.
AL-Mayyahi AW, AL-Hashimy AB, AL-Awady KR. Molecular detection of exoU and exoS among Pseudomonas aeruginosa isolates from Baghdad and Wasit, Iraq. Iraqi J Biotechnol. 2018;17(1).
Corehtash ZG, Khorshidi A, Firoozeh F, Akbari H, Aznaveh AM. Biofilm formation and virulence factors among Pseudomonas aeruginosa isolated from burn patients. Jundishapur J Microbiol. 2015;8(10).
Heidari R, Farajzadeh Sheikh A, Hashemzadeh M, Farshadzadeh Z, Salmanzadeh S, Saki M. Antibiotic resistance, biofilm production ability and genetic diversity of carbapenem-resistant Pseudomonas aeruginosa strains isolated from nosocomial infections in southwestern Iran. Mol Biol Rep. 2022;49(5):3811–22.
Yayan J, Ghebremedhin B, Rasche K. Antibiotic resistance of Pseudomonas aeruginosa in pneumonia at a single university hospital center in Germany over a 10-year period. PLoS One. 2015;10(10):e0139836.
Bradbury R. Pseudomonas aeruginosa in Tasmania. Vol. 107, Journal of the Franklin Institute. 2009.
Irum S, Naz K, Ullah N, Mustafa Z, Ali A, Arslan M, et al. Antimicrobial resistance and genomic characterization of six new sequence types in multidrug-resistant Pseudomonas aeruginosa clinical isolates from Pakistan. Antibiotics. 2021;10(11):1386.
Aguilar-Rodea P, Zúñiga G, Cerritos R, Rodríguez-Espino BA, Gomez-Ramirez U, Nolasco-Romero CG, et al. Nucleotide substitutions in the mexR, nalC and nalD regulator genes of the MexAB-OprM efflux pump are maintained in Pseudomonas aeruginosa g enetic lineages. PLoS One. 2022;17(5):e0266742
. Aljebory, I. S. (2018). PCR detection of some virulence genes of pseudomonas aeruginosa in Kirkuk city, Iraq. Journal of Pharmaceutical Sciences and Research 10(5), 1068-1071.
Raheem, T. F., and Ali, S. A. H. (2022). Prevalence and Multi-Drug Resistance Patterns of Uropathogenic E. coli isolated from Women Patients in Kirkuk city, Iraq. Iranian Journal of Medical Microbiology 16(6(, 609-614.
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