1. Whole-genome sequencing analyses and antibiotic resistance situation of 48 Helicobacter pylori strains isolated in Zhejiang, China
- Author
-
Fang, Yunhui, Jiang, Shiman, Zhou, Xinxin, Zhou, Wangxiao, Jiang, Xinrong, Chen, Lifeng, Wang, Mengting, Chen, Yunbo, and Li, Lanjuan
- Subjects
Gene mutations -- Research -- Analysis ,Nucleotide sequencing -- Research -- Analysis ,Tetracycline -- Research ,Virulence (Microbiology) -- Analysis -- Research ,Genomics -- Analysis -- Research ,Genes -- Analysis -- Research ,Genomes -- Analysis -- Research ,Levofloxacin -- Research ,Medical colleges -- Analysis -- Research ,RNA -- Research -- Analysis ,Drug resistance in microorganisms -- Research ,Helicobacter pylori -- Analysis -- Research ,DNA sequencing -- Research -- Analysis ,Metronidazole -- Research ,Phylogeny -- Research -- Analysis ,Single nucleotide polymorphisms -- Research -- Analysis ,Epidemiology -- Analysis -- Research ,Tetracyclines -- Research ,Health - Abstract
Purpose In the Zhejiang region, research on Helicobacter pylori is lacking. The purpose of this study was to assess the extent of antibiotic resistance in H. pylori in this region, explore alternative methods for predicting the resistance patterns of H. pylori, and investigate the colonization of native gastric mucosa by other clades of H. pylori in the structure population of this bacterium. Methods Strains were cultured under microaerobic conditions, and antimicrobial susceptibility testing (AST) was performed via agar dilution. Whole-genome sequencing (WGS) was performed via next-generation sequencing (NGS) technology. Epidemiological data including data from this study and reported articles from Zhejiang, China, were included. Further analyses based on AST, WGS, and epidemiological date include virulence genes, antibiotic resistance-related mutations, and phylogenetic trees based on 7 housekeeping genes and core-genome single nucleotide polymorphisms (SNPs). Results The bacterial isolates in this study presented higher antibiotic resistance rates than previously reported, especially against levofloxacin and clarithromycin. The point mutation A2147G in 23 S rRNA is specific to clarithromycin resistance. Mutations at position/s 87 and/or 91 of the gyrA gene amino acid sequence are highly consistent with levofloxacin resistance highly. The point mutations C1707T in 23 S rRNA and E463K in the gyrB gene have not been previously documented in China. All the bacterial isolates belong to Asian branches in the structure population. The resistance rate to clarithromycin of isolates from hosts born after January 1, 1977 is statistically higher than that of hosts born before 1977. Conclusion Eradication therapy based on AST results is urgently needed in Zhejiang. The point mutation A2147G in 23 S rRNA and point mutations in the gyrA gene at amino acid/s 87 and/or 91 are sufficient for predicting resistance to clarithromycin and levofloxacin, respectively. The isolate with the mutation E463K in the gyrB gene represents a significant contribution to the field. Mutations in 23 S rRNA may offer valuable insights into the dynamics of H. pylori transmission among hosts. Keywords: Helicobacter pylori, Antibiotic-resistant mutations, Whole-genome sequencing, Multilocus sequence typing, Structure population, Author(s): Yunhui Fang[sup.1,2], Shiman Jiang[sup.1], Xinxin Zhou[sup.3], Wangxiao Zhou[sup.1], Xinrong Jiang[sup.1], Lifeng Chen[sup.4], Mengting Wang[sup.5], Yunbo Chen[sup.1] and Lanjuan Li[sup.1,2] Introduction Helicobacter pylori is a gram-negative bacterium, categorized as a [...]
- Published
- 2024
- Full Text
- View/download PDF