J Appl Biomed 13:61-68, 2015 | DOI: 10.1016/j.jab.2014.05.002
The prevalence of some Pseudomonas virulence genes related to biofilm formation and alginate production among clinical isolates
- a Department of Biology, Science and Research Branch, Islamic Azad University, Tehran, Iran
- b Applied Microbiology Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
- c Department of Drug and Food Control, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
Chronic infections caused by Pseudomonas aeruginosa (P. aeruginosa) isolates are mainly related to resistance to antimicrobials and the production of certain virulence factors. The purpose of this study was twofold: to investigate the prevalence of virulence genes and to study the relationship between biofilm formation/alginate production/antibiotic resistance and the presence of genes associated with biofilm, alginate, flagella and exotoxin A in clinical isolates of P. aeruginosa.
Microtiter plate biofilm assay and Carbazole method were used to examine the biofilm formation and alginate production ability of the isolates, respectively. The genes, ppyR, pslA, pelA (biofilm formation), algD, algU, algL (alginate production), fliC (flagella) and exoA (exotoxin A) were detected by PCR.
Biofilm formation as well as alginate production ability was found in 47.1% of the clinical isolates. Based on PCR data, the frequency distribution of the genes in the clinical isolates was as follows: ppyR (99%), pslA (83.7%), pelA (45.2%), algU (90.4%), algL (73.1%), algD (87.5%), exoA (84.6%) and fliC (70.2%). Biofilm formation ability of the isolates was significantly correlated with the presence of the genes, pelA and fliC (statistically significant). In addition, 58.65% of the isolates were resistant to three or more different classes of antibiotics.
Keywords: Pseudomonas aeruginosa; Alginate production; Biofilms formation; Antibiotic resistance; Electrophoresis; PCR; Virulence; Gene; Nosocomial infection; MDR
Received: December 21, 2013; Revised: April 30, 2014; Accepted: May 2, 2014; Published: February 1, 2015 Show citation
ACS | AIP | APA | ASA | Harvard | Chicago | Chicago Notes | IEEE | ISO690 | MLA | NLM | Turabian | Vancouver |
References
- Akingbade, O., Balogun, S., Ojo, D., Afolabi, R., Motayo, B., Okerentugba, P., Okonko, I., 2012. Plasmid profile analysis of multidrug resistant Pseudomonas aeruginosa isolated from wound infections in south west Nigeria. World Appl. Sci. J. 20, 766-775.
- Attila, C., Ueda, A., Wood, T.K., 2008. PA2663 (PpyR) increases biofilm formation in Pseudomonas aeruginosa PAO1 through the psl operon and stimulates virulence and quorumsensing phenotypes. Appl. Microbiol. Biotechnol. 78, 293-307.
Go to original source...
Go to PubMed...
- Bakkevig, K., Sletta, H., Gimmestad, M., Aune, R., Ertesvag, H., Degnes, K., Christensen, B.E., Ellingsen, T.E., Valla, S., 2005. Role of the Pseudomonas fluorescens alginate lyase (AlgL) in clearing the periplasm of alginates not exported to the extracellular environment. J. Bacteriol. 187, 8375-8384.
Go to original source...
Go to PubMed...
- Baltimore, R.S., Cross, A.S., Dobek, A.S., 1987. The inhibitory effect of sodium alginate on antibiotic activity against mucoid and non-mucoid strains of Pseudomonas aeruginosa. J. Antimicrob. Chemother. 20, 815-823.
Go to original source...
Go to PubMed...
- Bazire, A., Shioya, K., Soum-Soutera, E., Bouffartigues, E., Ryder, C., Guentas-Dombrowsky, L., Hemery, G., Linossier, I., Chevalier, S., Wozniak, D.J., Lesouhaitier, O., Dufour, A., 2010. The sigma factor AlgU plays a key role in formation of robust biofilms by nonmucoid Pseudomonas aeruginosa. J. Bacteriol. 192, 3001-3010.
Go to original source...
Go to PubMed...
- Beattie, B.K., Prentice, G.A., Merrill, A.R., 1996. Investigation into the catalytic role for the tryptophan residues within domain III of Pseudomonas aeruginosa exotoxin A. Biochemistry (Mosc.) 35, 15134-15142.
Go to original source...
Go to PubMed...
- Burjanadze, I., Kurtsikashvili, G., Tsereteli, D., Tsertsvadze, E., Kekelidze, M., Imnadze, P., Besser, J., Rhame, F., Toscano, W. A., O'Boyle, C., 2007. Pseudomonas aeruginosa infection in an intensive care unit. Int. J. Infect. Control 3.
Go to original source...
- Chastre, J., Trouillet, J.L., 2000. Problem pathogens (Pseudomonas aeruginosa and Acinetobacter). Semin. Respir. Infect. 15, 287-298.
Go to original source...
Go to PubMed...
- Chen, L., Wen, Y.M., 2011. The role of bacterial biofilm in persistent infections and control strategies. Int. J. Oral Sci. 3, 66-73.
Go to original source...
Go to PubMed...
- Coban, A., Ciftci, A., Onuk, E., Erturan, Z., Tanriverdi, C.Y., Durupinar, B., 2009. Investigation of biofilm formation and relationship with genotype and antibiotic susceptibility of Pseudomonas aeruginosa strains isolated from patients with cystic fibrosis. Mikrobiyol. Bul. 43, 563.
Go to PubMed...
- Cockerill, F., 2013. Performance Standards for Antimicrobial Susceptibility Testing: Twenty-third Informational Supplement. Clinical and Laboratory Standards Institute.
- Colvin, K.M., Irie, Y., Tart, C.S., Urbano, R., Whitney, J.C., Ryder, C., Howell, P.L., Wozniak, D.J., Parsek, M.R., 2011. The Pel and Psl polysaccharides provide Pseudomonas aeruginosa structural redundancy within the biofilm matrix. Environ. Microbiol. 14, 1913-1928.
Go to original source...
Go to PubMed...
- Cotton, L., Graham, R.J., Lee, R.J., 2009. The role of alginate in P. aeruginosa PAO1 biofilm structural resistance to gentamicin and ciprofloxacin. J. Exp. Microbiol. Immunol. 13, 58-62.
- Diaz, E., Haaf, H., Lai, A., Yadana, J., 2011. Role of alginate in gentamicin antibiotic susceptibility during the early stages of Pseudomonas aeruginosa PAO1 biofilm establishment. J. Exp. Microbiol. Immunol. 15, 71-78.
- Engelkirk, P.G., Duben-Engelkirk, J.L., 2008. Laboratory Diagnosis of Infectious Diseases: Essentials of Diagnostic Microbiology. Lippincott Williams & Wilkins.
- Feldman, M., Bryan, R., Rajan, S., Scheffler, L., Brunnert, S., Tang, H., Prince, A., 1998. Role of flagella in pathogenesis of Pseudomonas aeruginosa pulmonary infection. Infect. Immun. 66, 43-51.
Go to original source...
Go to PubMed...
- Franklin, M.J., Nivens, D.E., Weadge, J.T., Howell, P.L., 2011. Biosynthesis of the Pseudomonas aeruginosa extracellular polysaccharides, alginate, pel and psl. Front. Microbiol. 2, 167.
Go to original source...
Go to PubMed...
- Fux, C.A., Costerton, J.W., Stewart, P.S., Stoodley, P., 2005. Survival strategies of infectious biofilms. Trends Microbiol. 13, 34-40.
Go to original source...
Go to PubMed...
- Gallant, C.V., Raivio, T.L., Olson, J.C., Woods, D.E., Storey, D.G., 2000. Pseudomonas aeruginosa cystic fibrosis clinical isolates produce exotoxin A with altered ADP-ribosyltransferase activity and cytotoxicity. Microbiology 146, 1891-1899.
Go to original source...
Go to PubMed...
- Ghazi, M., Khanbabaee, G., Fallah, F., Kazemi, B., Mahmoudi, S., Navidnia, M., Pourakbari, B., 2012. Emergence of Pseudomonas aeruginosa cross-infection in children with cystic fibrosis attending an Iranian referral pediatric center. Iran. J. Microbiol. 4, 124.
- Hentzer, M., Teitzel, G.M., Balzer, G.J., Heydorn, A., Molin, S., Givskov, M., Parsek, M.R., 2001. Alginate overproduction affects Pseudomonas aeruginosa biofilm structure and function. J. Bacteriol. 183, 5395-5401.
Go to original source...
Go to PubMed...
- Hershberger, C.D., Ye, R.W., Parsek, M.R., Xie, Z.D., Chakrabarty, A.M., 1995. The algT (algU) gene of Pseudomonas aeruginosa, a key regulator involved in alginate biosynthesis, encodes an alternative sigma factor (sigma E). Proc. Natl. Acad. Sci. U. S. A. 92, 7941-7945.
Go to original source...
Go to PubMed...
- Hou, W., Sun, X., Wang, Z., Zhang, Y., 2012. Biofilm-forming capacity of Staphylococcus epidermidis, Staphylococcus aureus, and Pseudomonas aeruginosa from ocular infections. Invest. Ophthalmol. Vis. Sci. 53, 5624-5631.
Go to original source...
Go to PubMed...
- Imani Fooladi, A.A., Sattari, M., Godarzi, G.H., 2009. The recognizing of fliC gene in Pseudomonas aeruginosa isolated from clinical sample with PCR. Med. Lab. J. 3.
- Imani Fooladi, A.A., Hosainzadeh, M., Mousavi, S.F., 2011. Association between exotoxin a (exo-a) gene and antibiotic resistance pattern with biofilm formation in Pseudomonas aeruginosa. J. Ardabil Univ. Med. Sci. 11, 7-13.
- Jain, S., Ohman, D.E., 2005. Role of an alginate lyase for alginate transport in mucoid Pseudomonas aeruginosa. Infect. Immun. 73, 6429-6436.
Go to original source...
Go to PubMed...
- Jeff, L., 2009. Bacterial biofilms resist key host defenses. Microbe 4, 66-70.
- Kádár, B., Szász, M., Kristóf, K., Pesti, N., Krizsán, G., Szentandrássy, J., Rókusz, L., Nagy, K., Szabó, D., 2010. In vitro activity of clarithromycin in combination with other antimicrobial agents against biofilm-forming Pseudomonas aeruginosa strains. Acta Microbiol. Immunol. Hung. 57, 235-245.
Go to original source...
Go to PubMed...
- Leid, J.G., Willson, C.J., Shirtliff, M.E., Hassett, D.J., Parsek, M.R., Jeffers, A.K., 2005. The exopolysaccharide alginate protects Pseudomonas aeruginosa biofilm bacteria from IFN-gammamediated macrophage killing. J. Immunol. 175, 7512-7518.
Go to original source...
Go to PubMed...
- May, T.B., Chakrabarty, A.M., 1994. Isolation and assay of Pseudomonas aeruginosa alginate. Methods Enzymol. 235, 295- 304.
Go to original source...
Go to PubMed...
- McIntyre-Smith, A., Schneiderman, J., Zhou, K., 2010. Alginate does not appear to be essential for biofilm production by PAO1 Pseudomonas aeruginosa. J. Exp. Microbiol. Immunol. 14, 63-68.
- Merritt, J.H., Kadouri, D.E., O'Toole, G.A., 2005. Growing and Analyzing Static Biofilms Current Protocols in Microbiology. John Wiley & Sons, Inc..
Go to original source...
- Mitov, I., Strateva, T., Markova, B., 2010. Prevalence of virulence genes among Bulgarian nosocomial and cystic fibrosis isolates of Pseudomonas aeruginosa. Braz. J. Microbiol. 41, 588-595.
Go to original source...
Go to PubMed...
- Moradian, F., Ferdosi Shahandashti, E., Moulana, Z., Moradian kouchaksaraei, M., Asgharpour, F., Mojtahedi, A., Rajabnia, R., 2012. Molecular detection of integron genes and pattern of antibiotic resistance in Pseudomonas aeruginosa strains isolated from intensive care unit, shahid beheshti hospital, North of Iran. Int. J. Mol. Cell. Med. 1, 209-216.
- Nikokar, I., Tishayar, A., Flakiyan, Z., Alijani, K., RehanaBanisaeed, S., Hossinpour, M., Amir-Alvaei, S., Araghian, A., 2013. Antibiotic resistance and frequency of class 1 integrons among Pseudomonas aeruginosa, isolated from burn patients in Guilan, Iran. Iran. J. Microbiol. 5, 36.
- O'Toole, G.A., Kolter, R., 1998. Flagellar and twitching motility are necessary for Pseudomonas aeruginosa biofilm development. Mol. Microbiol. 30, 295-304.
Go to original source...
Go to PubMed...
- Oncel, S., Pinar, E., Sener, G., Calli, C., Karagoz, U., 2010. Evaluation of bacterial biofilms in chronic rhinosinusitis. J. Otolaryngol. Head Neck Surg. 39, 52-55.
- Patankar, Y.R., Lovewell, R.R., Poynter, M.E., Jyot, J., Kazmierczak, B.I., Berwin, B., 2013. Flagellar motility is a key determinant of the magnitude of the inflammasome response to Pseudomonas aeruginosa. Infect. Immun. 81, 2043-2052.
Go to original source...
Go to PubMed...
- Pier, G.B., Coleman, F., Grout, M., Franklin, M., Ohman, D.E., 2001. Role of alginate O acetylation in resistance of mucoid Pseudomonas aeruginosa to opsonic phagocytosis. Infect. Immun. 69, 1895-1901.
Go to original source...
Go to PubMed...
- Prince, A.A., Steiger, J.D., Khalid, A.N., Dogrhamji, L., Reger, C., Chiu, A.G., Kennedy, D.W., Palmer, J.N., Cohen, N.A., 2008. Prevalence of biofilm-forming bacteria in chronic rhinosinusitis. Am. J. Rhinol. 22, 239-245.
Go to original source...
Go to PubMed...
- Ramsey, D.M., Wozniak, D.J., 2005. Understanding the control of Pseudomonas aeruginosa alginate synthesis and the prospects for management of chronic infections in cystic fibrosis. Mol. Microbiol. 56, 309-322.
Go to original source...
Go to PubMed...
- Shapiro, L., 1995. The bacterial flagellum: from genetic network to complex architecture. Cell 80, 525-527.
Go to original source...
Go to PubMed...
- Shigemura, K., Arakawa, S., Sakai, Y., Kinoshita, S., Tanaka, K., Fujisawa, M., 2006. Complicated urinary tract infection caused by Pseudomonas aeruginosa in a single institution (1999-2003). Int. J. Urol. 13, 538-542.
Go to original source...
Go to PubMed...
- Slack, M.E., Nichols, W.W., 1981. The penetration of antibiotics through sodium alginate and through the exopolysaccharide of a mucoid strain of Pseudomonas aeruginosa. Lancet 318, 502-503.
Go to original source...
Go to PubMed...
- Valéria Zaranza, A., Costa Morais, F., Santos do Carmo, M., de Mendonça Marques, A., Andrade-Monteiro, C., Feitosa Ferro, T., Monteiro-Neto, V., Figueiredo, S., de Maria, P., 2013. Antimicrobial susceptibility, biofilm production and adhesion to HEp-2 cells of Pseudomonas aeruginosa strains isolated from clinical samples. J. Biomater. Nanobiotechnol. 4.
Go to original source...
- Wakimoto, N., Nishi, J., Sheikh, J., Nataro, J.P., Sarantuya, J., Iwashita, M., Manago, K., Tokuda, K., Yoshinaga, M., Kawano, Y., 2004. Quantitative biofilm assay using a microtiter plate to screen for enteroaggregative Escherichia coli. Am. J. Trop. Med. Hyg. 71, 687-690.
Go to original source...
Go to PubMed...
- Wang, Z., Rong, X.Z., Zhang, T., Liu, L.Z., 2009. Distribution and drug resistance analysis of bacteria in different wound infections. Nan Fang Yi Ke Da Xue Xue Bao 29, 82-89.
Go to PubMed...
- Winn, W.C., Koneman, E.W., 2006. Koneman's Color Atlas and Textbook of Diagnostic Microbiology. Lippincott Williams & Wilkins.
- Wolfgang, M.C., Jyot, J., Goodman, A.L., Ramphal, R., Lory, S., 2004. Pseudomonas aeruginosa regulates flagellin expression as part of a global response to airway fluid from cystic fibrosis patients. Proc. Natl. Acad. Sci. U. S. A. 101, 6664-6668.
Go to original source...
Go to PubMed...
- Wolska, K., Szweda, P., 2009. Genetic features of clinical Pseudomonas aeruginosa strains. Pol. J. Microbiol. 58, 255-260.
- Wood, L.F., Leech, A.J., Ohman, D.E., 2006. Cell wall-nhibitory antibiotics activate the alginate biosynthesis operon in Pseudomonas aeruginosa: roles of s22 (AlgT) and the AlgW and Prc proteases. Mol. Microbiol. 62, 412-426.
Go to original source...
Go to PubMed...
- Yates, S.P., Merrill, A.R., 2001. A catalytic loop within Pseudomonas aeruginosa exotoxin A modulates its transferase activity. J. Biol. Chem. 276, 35029-35036.
Go to original source...
Go to PubMed...
- Yousefi, S., Nahaei, M., Farajnia, S., Ghojazadeh, M., Akhi, M., Sharifi, Y., Milani, M., Ghotaslou, R., 2010. Class 1 integron and imipenem resistance in clinical isolates of Pseudomonas aeruginosa: prevalence and antibiotic susceptibility. Iran. J. Microbiol. 2, 115.