首页|新疆阿克苏地区羊源耐甲氧西林金黄色葡萄球菌的分离鉴定及毒力基因与耐药性分析

新疆阿克苏地区羊源耐甲氧西林金黄色葡萄球菌的分离鉴定及毒力基因与耐药性分析

Virulence gene identification and drug resistance analysis of methicillin-resistant Staphylococcus aureus from sheep in Aksu region of Xinjiang

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近年来在家畜体内及动物性食品中多次检测到耐甲氧西林金黄色葡萄球菌(MRSA),该菌对人和动物健康造成严重威胁.为了解新疆阿克苏地区患呼吸道疾病羊携带的病原菌,本研究从阿克苏6个规模化羊场共采集280份(136份病羊和144份健康羊)鼻拭子样品,分别划线接种于BHI脱纤维绵羊血平板和高盐甘露醇琼脂平板,并对分离菌经革兰氏染色镜检和生化鉴定.结果显示,初步从136份病羊和144份健康羊鼻拭子样品中分别分离到34株及62株共计96株金黄色葡萄球菌(SA).通过PCR分别扩增SA的nuc基因及MRSA的mecA基因,结果进一步显示分离到96株SA,其中24株(25%)为MRSA,且均为从患病羊中分离.通过PCR检测MRSA的6种常见毒力基因.结果显示,24株MRSA中clfa、hla及pvl的检出率均为100.0%,tst、fnbB和sec的检出率分别为41.2%(10/24)、45.7%(11/24)和33.6%(8/24).将24株MRSA分别以104 cfu/mL~108 cfu/mL感染小鼠,通过观察各组小鼠的临床症状统计死亡率,观察死亡小鼠脏器的剖检病变,并再次从组织中分离细菌,以评估分离的MRSA对小鼠的致病性.结果显示,感染8 h后各组小鼠开始出现临床症状,108 cfu/mL和107 cfu/mL感染组小鼠在感染后不同时间全部死亡;106 cfu/mL~104 cfu/mL感染组小鼠的死亡率分别为83.3%、83.3%及33.3%;对照组小鼠72 h内全部健活.剖检可见死亡小鼠肺脏表面大面积出血,肝脏、脾脏肿大,其余脏器未见明显变化,可从死亡小鼠的肺脏中再次分离到MRSA.最终确定22株MRSA对小鼠具有致病性.采用K-B纸片法检测24株MRSA对9类15种药物的敏感性,采用PCR检测24株MRSA的耐药基因mecC、blaZ(β-内酰胺类)、ermA(大环内酯类)、Aac(6')/aph(2'')、aph(3')-Ⅲ、Ant(4')-Ia(氨基糖苷类)、qnrA(喹诺酮类)和tetM(四环素类).药敏试验结果显示,24株MRSA对β-内酰胺类的青霉素及氨曲南,头孢菌素类的氨苄西林全部耐药,其中14株MRSA为多重耐药(58.3%,14/24),主要以3重耐药菌株为主,占42.8%(6/14),其次分别为4重耐药(28.6%,4/14)、5重耐药和6重耐药(均为14.3%,2/14)的菌株.但也有部分菌株对四环素、红霉素、克林霉素和环丙沙星敏感.耐药基因检测结果显示,24株MRSA中检测到6种耐药基因,其中mecC、blaZ的检出率达100%;tetM的检出率为79.2%(19/24);ermA的检出率为37.5%(9/24);Aac(6')/aph(2'')、aph(3')-Ⅲ、Ant(4')-Ia的检出率均为25.0%(6/24),且这些MRSA携带3~6种耐药基因.通过实验结果分析24株MRSA的耐药表型与耐药基因之间均呈正相关,且未检测到喹诺酮类耐药基因qnrA,与MRSA对该类药物环丙沙星敏感的结果也一致.本研究在新疆阿克苏地区患呼吸道疾病的羊中分离的MRSA携带多种毒力基因,对小鼠的致病性均较强,且对多种药物耐药并携带多种耐药基因,可能与羊患呼吸道疾病有关.本研究为新疆阿克苏地区羊呼吸道疾病病原学的研究和临床用药提供参考.
In recent years,methicillin-resistant Staphylococcus aureus(MRSA)has been repeatedly detected in livestock and animal foods,which poses a serious threat to human and animal health.In order to understand the bacterial pathogens carried by sheep with respiratory diseases in Aksu area of Xinjiang,a total of 280 nasal swab samples(136 sick sheep and 144 healthy sheep)were collected from 6 large-scale sheep farms in Aksu.The samples were inoculated on BHI defibered sheep blood plate and high-salt mannitol agar plate,and the isolated bacteria were identified by Gram staining microscopy and biochemical identification.The results showed that 34 and 62 strains of Staphylococcus aureus(SA)were isolated from 136 sick sheep and 144 healthy sheep nasal swab samples,respectively.PCR was used to amplify the specific genes nuc and mecA of SA and MRSA,respectively.The results showed that 96 strains of SA were isolated,of which 24 strains(25.0%)were MRSA,and all of MRSA were isolated from sick sheep.Six common virulence genes of MRSA were detected by PCR.The results showed that the detection rates of clfa,hla and pvl in 24 strains of MRSA were 100.0%,and the detection rates of tst,fnbB and sec were 41.2%(10/24),45.7%(11/24)and 33.6%(8/24),respectively.Mice were infected with 24 strains of MRSA at 104cfu/mL-108cfu/mL.The pathogenicity of isolated MRSA to mice was evaluated by observing clinical symptoms,calculate the mortality rate of mice in each group,necropsy of organs of dead mice and the isolation of bacteria from organs of mice in each group.The results showed that the mice in each group began to show clinical symptoms after 8 hours after infection.All the mice in the 108cfu/mL and 107cfu/mL infection groups died at different times after infection.The mortality rates of mice in 106cfu/mL-104cfu/mL infection groups were 83.3%,83.3%and 33.3%,respectively.The mice in the control group were all alive within 72 hours.The lungs of the dead mice had extensive bleeding and the liver and spleen were enlarged.No significant changes were observed in other organs.MRSA was isolated again from the lungs,spleen and other organs of the dead mice.Finally,22 strains of MRSA were confirmed to be pathogenic to mice.The sensitivity of 24 strains of MRSA to 15 drugs in 9 categories was detected by K-B disk method.The resistance genes mecC,blaZ(β-lactams),ermA(macrolides),Aac(6')/aph(2','),aph(3')-III,Ant(4')-Ia(aminoglycosides),qnrA(quinolones)and tetM(tetracyclines)of 24 MRSA strains were detected by PCR.The results of drug sensitivity test showed that 24 strains of MRSA were all resistant to penicillin and aztreonam of β-lactam class,ampicillin of cephalosporins class.14 strains of MRSA were multi-drug resistant(58.3%,14/24),among which strains resistant to 3 drugs accounted for 42.8%(6/14),followed by strains resistant to 4,5 and 6 drugs account for 28.6%(4/14),14.3%(2/14),and 14.3%(2/14),respectively.Some strains were sensitive to tetracycline,erythromycin,clindamycin and ciprofloxacin.The drug resistance gene detection results showed that 6 drug resistance genes were detected in 24 strains of MRSA,among which the detection rate of mecC and blaZ reached 100%;the detection rate of tetM was 79.2%(19/24);the detection rate of ermA was 37.5%(9/24);the detection rates of Aac(6')/aph(2','),aph(3')-Ⅲ and Ant(4')-Ia were all 25.0%(6/24),and these MRSA carried at least three and up to six drug resistance genes.Analysis showed that there was a positive correlation between the drug resistance phenotype and drug resistance genes of 24 strains of MRSA,and the quinolone resistance gene qnrA was not detected,which was consistent with the result that MRSA was sensitive to this drug ciprofloxacin.The results of this study showed that MRSA was isolated from sheep suffering from respiratory diseases in Aksu area of Xinjiang.The bacteria carrying a variety of virulence genes and multiple drug resistance genes had strong pathogenicity to mice and resistance to multiple drugs and carried multiple drug resistance genes,which may be related to sheep suffering from respiratory diseases.This study provides a reference for the etiology research and clinical medication of sheep respiratory diseases in Aksu area of Xinjiang.

respiratory tract of sheepmethicillin-resistant Staphylococcus aureusvirulence genepathogenicitydrug resistance

王笑笑、马小娟、胡嘉莘、李建龙、古莱姆拜尔·谢日普、佟盼盼、郭庆勇

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新疆农业大学 动物医学学院,新疆 乌鲁木齐 830052

新疆农业大学 新疆草食动物新药研究与创制重点实验室,新疆 乌鲁木齐 830052

羊呼吸道 耐甲氧西林金黄色葡萄球菌 毒力基因 致病性 耐药性

国家重点研发项目"新疆草食动物新药研究与创制"重点实验室2023年度开放课题项目

2021YFD1600702-3XJCDVM-HDRC-T202303

2024

中国预防兽医学报
中国农业科学院哈尔滨兽医研究所

中国预防兽医学报

CSTPCD北大核心
影响因子:0.674
ISSN:1008-0589
年,卷(期):2024.46(5)