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JAC Advance Access originally published online on July 27, 2007
Journal of Antimicrobial Chemotherapy 2007 60(4):872-876; doi:10.1093/jac/dkm284
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© The Author 2007. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Most Escherichia coli strains overproducing chromosomal AmpC ß-lactamase belong to phylogenetic group A

Stéphane Corvec1,2, Adèle Prodhomme1, Cécile Giraudeau1, Sandie Dauvergne2, Alain Reynaud1,2 and Nathalie Caroff2,*

1 Laboratoire de Bactériologie-Hygiène, CHU, Nantes, France 2 JE 2437, Génétique des Interactions hôte-microorganisme, Faculté de Pharmacie, Université de Nantes, France

Received 11 May 2007; returned 4 July 2007; revised 11 June 2007; accepted 6 July 2007


* Correspondence address. Laboratoire de Bactériologie, JE 2437, Faculté de Pharmacie, Université de Nantes, 1 rue Gaston Veil, 44035 Nantes Cédex 01, France. Tel: +33-2-40-41-29-48; Fax: +33-2-40-41-29-52; E-mail: nathalie.caroff{at}univ-nantes.fr

Objectives: To determine the phylogenetic group and the production of different virulence factors (VFs) of a collection of Escherichia coli strains overproducing their chromosomal AmpC cephalosporinase.

Methods: Fifty-five E. coli strains, isolated over a 12 year period, and previously identified as AmpC overproducers by increased MICs of third-generation cephalosporins without extended-spectrum ß-lactamase production (negative double-disc synergy test), were phylogrouped by multiplex PCR. As a comparison, 100 E. coli clinical isolates, susceptible to all ß-lactams, were also tested by the same method. The ampC promoter sequence was determined for all these isolates. ERIC-2 PCR (where ERIC stands for enterobacterial repetitive intergenic consensus) was used to compare the isolates. Search for virulence-associated genes (papG alleles, sfa/foc, hly and iucC) was performed by multiplex PCR for the 55 AmpC overproducers.

Results: Most of the AmpC overproducers (47/55) belonged to phylogenetic group A, correlated with a low prevalence of the main VFs in these strains. The – 32, –42 and – 11 mutations, responsible for AmpC overproduction, were usually associated with DNA polymorphisms at positions – 88, – 82, –18, +1 and + 58 in the ampC promoter. In the control susceptible isolates, these polymorphisms were detected in 13 ampC promoters (9 group B1 and 4 group A). These polymorphisms were never associated with the main phylogenetic group B2, representing 66% of the susceptible isolates.

Conclusions: AmpC overproduction was clearly correlated with non-virulent commensal phylogenetic groups A and B1, and absence of the main E. coli VFs. Susceptible isolates harbouring the same sequence polymorphisms as AmpC overproducers also belonged to commensal phylogenetic groups.

Keywords: E. coli , virulence , cephalosporinase , promoter


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