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Frequency of mutations in erm(39) related to clarithromycin resistance and in rrl related to linezolid resistance in clinical isolates of Mycobacterium fortuitum in Iran

Hashemzadeh, Mohammad and Dezfuli, Aram Asareh Zadegan and Khosravi, Azar Dokht and Khosravi, Nazanin Ahmad and Shahraki, Abdorazagh Hashemi (2023) Frequency of mutations in erm(39) related to clarithromycin resistance and in rrl related to linezolid resistance in clinical isolates of Mycobacterium fortuitum in Iran. ACTA MICROBIOLOGICA ET IMMUNOLOGICA HUNGARICA, 70 (2). pp. 167-176. ISSN 1217-8950

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Abstract

Mycobacterium fortuitum is a clinically important species among nontuberculous mycobacteria (NTM). Treatment of diseases caused by NTM is challenging. The aim of this study was identification of drug susceptibility and detection of mutations in erm(39) related to clarithromycin resistance and in rrl related to linezolid resistance in clinical isolates of M. fortuitum in Iran. In the study, 328 clinical NTM isolates were subjected to identification based on rpoB and 15% of isolates were assigned to M. fortuitum. Minimum inhibitory concentration for clarithromycin and linezolid was determined by E-test. Altogether 64% of M. fortuitum isolates showed resistanc to clarithromycin and 18% of M. fortuitum isolates showed resistance to linezolid. PCR and DNA sequencing were performed in erm(39) and in rrl genes for detection of mutations related to clarithromycin and linezolid resistance, respectively. Sequencing analysis revealed (84.37%) single nucleotide polymorphisms in the erm(39). A total 55.55% of M. fortuitum isolates harbored an A-*G, 14.81% harbored an C-*A, 29.62% harbored an G-*T mutation in erm(39) at position 124, 135, 275. Seven strains harbored point mutation in the rrl gene either at T2131C or at A2358G. Our findings showed M. fortuitum isolates have become a serious problem with high-level antibiotic resistance. The existence of drug resistance to clarithromycin and linezolid indicates more attention to the study of drug resistance in M. fortuitum.

Item Type: Article
Additional Information: Funding Agency and Grant Number: Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran [OG-96111] Funding text: This work was approved in Infectious and Tropical Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran (Grant No. OG-96111) . We are grateful to research affairs, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran for supporting the work.
Uncontrolled Keywords: IDENTIFICATION; SUSCEPTIBILITY; immunology; tuberculosis; clarithromycin; linezolid; Mycobacterium fortuitum; nontuberculous mycobacteria; non -tuberculous mycobacteria;
Subjects: Q Science / természettudomány > QR Microbiology / mikrobiológia
SWORD Depositor: MTMT SWORD
Depositing User: MTMT SWORD
Date Deposited: 16 Apr 2024 07:25
Last Modified: 30 Jun 2024 23:15
URI: https://real.mtak.hu/id/eprint/192595

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