ANALYSIS OF MULTIPLE ANTIBIOTICS RESISTANCE GENES AMONG VIBRIO CHOLERAE O1 STRAINS ISOLATED IN VIETNAM, LAOS, THAILAND, INDONESIA AND BANGLADESH BETWEEN 1995-2002

 

Masahiko Ehara1, Nguyen Binh Minh2, Tran Huy Hoang2, Nguyen Dong Tu2,

Nguyen Thi Phuong Lan3, Tran Thi My Trinh3, and Masaaki Iwanaga4

1 Department of Bacteriology, Institute of Tropical Medicine, Nagasaki University, Japan

2 Department of Bacteriology, National Institute of Hygiene and Epidemiology, Hanoi, Vietnam

3 Department of Microbiology and Immunology, Pasteur Institute of Ho Chi Minh City

4 Department of Bacteriology, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan

 

Background: Since the outbreak of Vibrio cholerae O139 in late 1991, the presence of multidrug resistance genes (SXT elements) have been known to exist widely among Gram negative rods. Although many strains of Vibrio cholerae O1were known resistant to tetracycline and ST compound, the mechanism is not clearly known.

Objective: The presence of multi-drugs resistance genes was analyzed by Polymerase Chain Reaction (PCR). Each resistance gene was sequenced to know the clonality of outbreak strains in Southeast Asian countries.

Methodology: Vibrio strains were cultured on BTB agar plates at 37° overnight and small aliquot was suspended in 100 microliter of 1% NP-40 (Suspemsion buffer). These suspensions were heated at 94° for 10 min and used as DNA templates. PCR was carried out using AccuPower PCR Premix (BIONEER). DNA sequencing was done by ABI310 automated sequencer (Perkin Elmer, Applied Biosystem).

Results: Strains isolated in 2000 were shown to share a common SXT element independent of countries where strains were isolated. This SXT element was very unique to have the remnant of organic mercury resistance gene(merR) together with tetA gene.

Conclusion: The presence of SXT element in the 2000 – isolates strongly suggests the clonality of outbreak strains, although the source still remains unclear.

Acknowledgements: The financial support of the Japan Society for the Promotion of Science(JSPS) is acknowledged.

Keywords: Vibrio cholerae O1, SXT element, Clonality of outbreak strains