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Valentina SánchezArbeláez
Medicine Student
Thirdsemester 2019-1
Universidad Pontificia Bolivariana
Large,
heterogeneous
group of gram
negative rods
natural habitat
is the intestinal
tract of humans
and animals
grow rapidly under
aerobic or anaerobic
conditions and are
metabolically active.
INTRODUCTIONENTEROBACTERIACEAE
For example E. coli, is
part of the normal
microbiota and
incidentally cause
disease
scherichia, Shigella,
Salmonella,
Enterobacter,
Klebsiella, Serratia,
Proteus, and others
uses a target site
modification
mechanism to protect
bacteria from the
action of colistin
The presence
phosphatidylethanolamine
residue lowers the affinity
of the lipid A to colistin and
related polymyxins
therefore rendering the
antimicrobial inactive and
making the bacteria
resistant
Multiresistance
Is caused by mutations
in bacterial
chromosomal genes
• Mutation in bacterial DNA
replication
• acquisition of new genes by
DNA transfer from other
bacteria or uptake of
exogenous DNA.
almost all the
resistance-determinant
genes on plasmids are
present as transposons
• R plasmids can
encode and transfer
multiresistance
MCR- 1
Mobilized Colistin
Resistance
INTRODUCTION
mcr-1-mediated colistin resistance in bacteria is concerning,
as colistin is used in treating multidrug-resistant bacterial
infections. And mcr-1-producing bacteria have been
multiple sources. Up to 248 million people use public
transportation daily in China, however; public transportation
hasn’t been studied as a potential source of community-
transmission of mcr-1. Herein we investigated mcr-1-
isolates from public transportation and explored the
characteristics of them.
OBJECTIVE
MATERIALES Y METODOS
• Recolección de
muestras en
Guangzhou
• Desde octubre de 2016
hasta abril de 2017
• Se evitó el tiempo de
limpieza de rutina
8
52
PFGE
Electroforesis de campo
pulsado
¿Para qué?
identificar
polimorfismos genéticos
en una población en
este caso las
enterobacterias
Fundamento
permite la separación de
fragmentos de DNA de
alto peso
molecular empleando
campos electricos
multiples
MATERIALES Y METODOS
MIC
Concentración inhibitoria mínima
Fundamento
Uso de dilucion de agar de varias
concentraciones e incubación anaerobica
permiten reconocer la concentracion baja de
antimicrobiano, capaz de inhibir el
crecimiento de un aislado
¿Para qué?
Reconocer la mínima concentración de
antibiótico que en un período de tiempo
predeterminado, es capaz de inhibir el
crecimiento in vitro de un inóculo bacteriano
previamente estandarizado
MATERIALES Y METODOS
PCR
reacción en cadena de la
polimerasa
¿Para qué ?
Amplifica millones de veces
una secuencia especifica de
ADN o ARN durante varios
ciclos por medio de
reacción enzimática in-vitro
Fundamento
Mediante el uso de una
DNA polimerasa que tiene
la capacidad de sintetizar
naturalmente el DNA de
las celulas
MATERIALES Y MÉTODOS
Secuenciación del
genoma completo
¿Para qué?
para determinar qué
segmentos de ADN
contienen genes,
mutaciones o que
segmentos transportan
instrucciones regulatorias,
que activan o desactivan
otros genes.
Fundamento
fragmentar el ADN para
determinar el orden de las
cuatro bases de
nucleotidos y nuevamente
volver a ensamblar en una
secuencia consenso
RESULTADOS
RESULTADOS
A
RESULTADOS
B
RESULTADOS
DISCUSSION
AUTHOR CONCEPT
Falagas ME, et al
Fosfomycin has generated
renewed interest as a treatment
option for multidrug-re- sistant
gram-negative infections,
including infections with produc-
ers of ESBL
Duriez P, et al
Human commensal E. coli
strains, however, are mostly
grouped into the phylogroups A
and B1
Poirel L , et al
Wang Y, et al
E. coli ST101 has been previously
previously reported in water,
sewage, and poultry and is
regarded as an environmental
lineage involved in spreading
antibiotic resistance
OR
CONCLUSIONS
This study confirms the presence
of MCR-1 in public transport, it
shows a greater amount of this in
E. Coli with respect to Kepsiella,
despite this evidence a large
variation of E. Coli in closer spaces.
This would explain the great
mutation that these cells have
since they are permanently in
contact and there is DNA passage
generating multiresistance
The areas where the research was
done belong to highly trafficked
places, as would be the example
of group A, close to hospitals, the
large number of bacterias near
these places could explain the
large multiresistance that the
bacterias are generating to drugs
and are causing opportunistic
diseases in the same hospitals
MAPA

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Seminario Biología molecular

  • 1. Valentina SánchezArbeláez Medicine Student Thirdsemester 2019-1 Universidad Pontificia Bolivariana
  • 2. Large, heterogeneous group of gram negative rods natural habitat is the intestinal tract of humans and animals grow rapidly under aerobic or anaerobic conditions and are metabolically active. INTRODUCTIONENTEROBACTERIACEAE For example E. coli, is part of the normal microbiota and incidentally cause disease scherichia, Shigella, Salmonella, Enterobacter, Klebsiella, Serratia, Proteus, and others
  • 3. uses a target site modification mechanism to protect bacteria from the action of colistin The presence phosphatidylethanolamine residue lowers the affinity of the lipid A to colistin and related polymyxins therefore rendering the antimicrobial inactive and making the bacteria resistant Multiresistance Is caused by mutations in bacterial chromosomal genes • Mutation in bacterial DNA replication • acquisition of new genes by DNA transfer from other bacteria or uptake of exogenous DNA. almost all the resistance-determinant genes on plasmids are present as transposons • R plasmids can encode and transfer multiresistance MCR- 1 Mobilized Colistin Resistance INTRODUCTION
  • 4. mcr-1-mediated colistin resistance in bacteria is concerning, as colistin is used in treating multidrug-resistant bacterial infections. And mcr-1-producing bacteria have been multiple sources. Up to 248 million people use public transportation daily in China, however; public transportation hasn’t been studied as a potential source of community- transmission of mcr-1. Herein we investigated mcr-1- isolates from public transportation and explored the characteristics of them. OBJECTIVE
  • 5. MATERIALES Y METODOS • Recolección de muestras en Guangzhou • Desde octubre de 2016 hasta abril de 2017 • Se evitó el tiempo de limpieza de rutina 8 52 PFGE Electroforesis de campo pulsado ¿Para qué? identificar polimorfismos genéticos en una población en este caso las enterobacterias Fundamento permite la separación de fragmentos de DNA de alto peso molecular empleando campos electricos multiples
  • 6. MATERIALES Y METODOS MIC Concentración inhibitoria mínima Fundamento Uso de dilucion de agar de varias concentraciones e incubación anaerobica permiten reconocer la concentracion baja de antimicrobiano, capaz de inhibir el crecimiento de un aislado ¿Para qué? Reconocer la mínima concentración de antibiótico que en un período de tiempo predeterminado, es capaz de inhibir el crecimiento in vitro de un inóculo bacteriano previamente estandarizado
  • 7. MATERIALES Y METODOS PCR reacción en cadena de la polimerasa ¿Para qué ? Amplifica millones de veces una secuencia especifica de ADN o ARN durante varios ciclos por medio de reacción enzimática in-vitro Fundamento Mediante el uso de una DNA polimerasa que tiene la capacidad de sintetizar naturalmente el DNA de las celulas
  • 8. MATERIALES Y MÉTODOS Secuenciación del genoma completo ¿Para qué? para determinar qué segmentos de ADN contienen genes, mutaciones o que segmentos transportan instrucciones regulatorias, que activan o desactivan otros genes. Fundamento fragmentar el ADN para determinar el orden de las cuatro bases de nucleotidos y nuevamente volver a ensamblar en una secuencia consenso
  • 13. DISCUSSION AUTHOR CONCEPT Falagas ME, et al Fosfomycin has generated renewed interest as a treatment option for multidrug-re- sistant gram-negative infections, including infections with produc- ers of ESBL Duriez P, et al Human commensal E. coli strains, however, are mostly grouped into the phylogroups A and B1 Poirel L , et al Wang Y, et al E. coli ST101 has been previously previously reported in water, sewage, and poultry and is regarded as an environmental lineage involved in spreading antibiotic resistance OR
  • 14. CONCLUSIONS This study confirms the presence of MCR-1 in public transport, it shows a greater amount of this in E. Coli with respect to Kepsiella, despite this evidence a large variation of E. Coli in closer spaces. This would explain the great mutation that these cells have since they are permanently in contact and there is DNA passage generating multiresistance The areas where the research was done belong to highly trafficked places, as would be the example of group A, close to hospitals, the large number of bacterias near these places could explain the large multiresistance that the bacterias are generating to drugs and are causing opportunistic diseases in the same hospitals
  • 15. MAPA

Editor's Notes

  1. MCR-1 uses a target site modification mechanism to protect bacteria from the action of colistin (polymyxin E). It is a gene which encodes an enzyme called phosphatidylethanolamine transferase which transfers the phosphatidylethanolamine residue to the lipid A of the Gram negative bacterial cell membrane. The lipid A of the bacterial outer membrane is the target binding site for colistin, which upon binding to it, it disrupts it by displacing magnesium and calcium, thus causing cell death. The presence of this residue lowers the affinity of the lipid A to colistin and related polymyxins therefore rendering the antimicrobial inactive and making the bacteria resistant. To date six different variants of mcr-1 have been found R plasmids can encode and transfer multiresistance R plasmids evolve rapidly and can easily acquire additional resistance-determining genes from fusion with other plasmids or acquisition of transposons. Most plasmids, and all R factors, contain many IS elements and transposons. In fact, almost all the resistance-determinant genes on plasmids are present as transposons. As a result, these genes can be amplified by tandem duplications on the plasmid and can hop to other plasmids (or to the bacterial chromosome) in the same cell. Combined with the natural properties of many plasmids to transfer themselves by conjugation (even between dissimilar bacterial species), the rapid evolutionary development of multiple drug resistance plasmids and their spread through populations of pathogenic bacteria is a predictable result of selection as a result of the widespread use of antimicrobials in our society.