Detection of aminoglycoside-modifying enzyme genes in Pseudomonas aeruginosa clinical isolates

Pseudomonas aeruginosa is an opportunistic pathogen that frequently causes infections in immunocompromised patients and is involved in outbreaks of hospital-acquired infections with a high mortality rate. Aminoglycosides are a large category of antibiotics that bind specifically to 16S rRNA in 30S...

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Main Authors: Darja Husejnagić, Aldijana Avdić, Amela Hercegovac, Suad Širanović, Nijaz Tihić
Format: Article
Language:English
Published: University of Sarajevo, Institute for Genetic Engineering and Biotechnology 2025-08-01
Series:Genetics & Applications
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Online Access:https://genapp.ba/editions/index.php/journal/article/view/237
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author Darja Husejnagić
Aldijana Avdić
Amela Hercegovac
Suad Širanović
Nijaz Tihić
author_facet Darja Husejnagić
Aldijana Avdić
Amela Hercegovac
Suad Širanović
Nijaz Tihić
author_sort Darja Husejnagić
collection DOAJ
description Pseudomonas aeruginosa is an opportunistic pathogen that frequently causes infections in immunocompromised patients and is involved in outbreaks of hospital-acquired infections with a high mortality rate. Aminoglycosides are a large category of antibiotics that bind specifically to 16S rRNA in 30S ribosomal subunits and disturb protein translation. This antibiotic class plays a significant bactericidal role against a wide range of Gram-negative bacteria such as P. aeruginosa. Among different aminoglycoside resistance mechanisms, inactivation of drugs by plasmid-encoded aminoglycoside-modifying enzymes (AMEs) is a common determinant of aminoglycoside resistance in  P. aeruginosa. These plasmids are spread worldwide, and they are transferred to a wide range of different species. This study aims to detect resistance mechanisms and  identify the most prevalent aminoglycoside resistance genes in P. aeruginosa clinical isolates, collected from the University Clinical Centre Tuzla. This study included a total of 230 clinical P. aeruginosa isolates. Antimicrobial susceptibility tests were performed using the disk diffusion method and the Vitek2 system. Isolates displaying increased MIC values for aminoglycoside antibiotics were included in the multiplex PCR reaction, for the detection of aminoglycoside-modifying enzyme genes. The most prevalent genotype among isolates was aac (6')-I. All aac (6')-I genotyped isolates also displayed a high rate of resistance to other classes of antibiotics, and they were characterized as multidrug-resistant (MDR) or extensively drug-resistant (XDR). Results indicate that the aminoglycoside-resistance genes are highly prevalent and could easily spread among P. aeruginosa strains.
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institution Kabale University
issn 2566-2937
2566-431X
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publishDate 2025-08-01
publisher University of Sarajevo, Institute for Genetic Engineering and Biotechnology
record_format Article
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spelling doaj-art-ef46a91df4934bb69d349e484d329e292025-08-21T12:57:05ZengUniversity of Sarajevo, Institute for Genetic Engineering and BiotechnologyGenetics & Applications2566-29372566-431X2025-08-019210.31383/ga.vol9iss2ga01Detection of aminoglycoside-modifying enzyme genes in Pseudomonas aeruginosa clinical isolatesDarja Husejnagić0Aldijana Avdić1Amela Hercegovac2Suad Širanović3Nijaz Tihić4Univerzitet u TuzliUniversity in TuzlaUniversity in TuzlaUniversity in TuzlaUniversity in Tuzla, UKC Tuzla Pseudomonas aeruginosa is an opportunistic pathogen that frequently causes infections in immunocompromised patients and is involved in outbreaks of hospital-acquired infections with a high mortality rate. Aminoglycosides are a large category of antibiotics that bind specifically to 16S rRNA in 30S ribosomal subunits and disturb protein translation. This antibiotic class plays a significant bactericidal role against a wide range of Gram-negative bacteria such as P. aeruginosa. Among different aminoglycoside resistance mechanisms, inactivation of drugs by plasmid-encoded aminoglycoside-modifying enzymes (AMEs) is a common determinant of aminoglycoside resistance in  P. aeruginosa. These plasmids are spread worldwide, and they are transferred to a wide range of different species. This study aims to detect resistance mechanisms and  identify the most prevalent aminoglycoside resistance genes in P. aeruginosa clinical isolates, collected from the University Clinical Centre Tuzla. This study included a total of 230 clinical P. aeruginosa isolates. Antimicrobial susceptibility tests were performed using the disk diffusion method and the Vitek2 system. Isolates displaying increased MIC values for aminoglycoside antibiotics were included in the multiplex PCR reaction, for the detection of aminoglycoside-modifying enzyme genes. The most prevalent genotype among isolates was aac (6')-I. All aac (6')-I genotyped isolates also displayed a high rate of resistance to other classes of antibiotics, and they were characterized as multidrug-resistant (MDR) or extensively drug-resistant (XDR). Results indicate that the aminoglycoside-resistance genes are highly prevalent and could easily spread among P. aeruginosa strains. https://genapp.ba/editions/index.php/journal/article/view/237Antibiotic resistanceP. aeruginosaAminoglycosidesAMEaac (6')-I
spellingShingle Darja Husejnagić
Aldijana Avdić
Amela Hercegovac
Suad Širanović
Nijaz Tihić
Detection of aminoglycoside-modifying enzyme genes in Pseudomonas aeruginosa clinical isolates
Genetics & Applications
Antibiotic resistance
P. aeruginosa
Aminoglycosides
AME
aac (6')-I
title Detection of aminoglycoside-modifying enzyme genes in Pseudomonas aeruginosa clinical isolates
title_full Detection of aminoglycoside-modifying enzyme genes in Pseudomonas aeruginosa clinical isolates
title_fullStr Detection of aminoglycoside-modifying enzyme genes in Pseudomonas aeruginosa clinical isolates
title_full_unstemmed Detection of aminoglycoside-modifying enzyme genes in Pseudomonas aeruginosa clinical isolates
title_short Detection of aminoglycoside-modifying enzyme genes in Pseudomonas aeruginosa clinical isolates
title_sort detection of aminoglycoside modifying enzyme genes in pseudomonas aeruginosa clinical isolates
topic Antibiotic resistance
P. aeruginosa
Aminoglycosides
AME
aac (6')-I
url https://genapp.ba/editions/index.php/journal/article/view/237
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