Genotypic characterization of clarithromycin-resistant and -susceptible Helicobacter pylori strains from the same patient demonstrates existence of two unrelated isolates - PubMed (original) (raw)
Case Reports
Genotypic characterization of clarithromycin-resistant and -susceptible Helicobacter pylori strains from the same patient demonstrates existence of two unrelated isolates
G Wang et al. J Clin Microbiol. 1998 Sep.
Abstract
Clarithromycin-susceptible and clarithromycin-resistant Helicobacter pylori isolates from the same patient were investigated for the mode of development and mechanism of clarithromycin resistance. The clarithromycin-resistant strain UA1182 harbors homozygous A-to-G mutations at position 2143 in both copies of the 23S rRNA gene and has a phenotype of resistance to clarithromycin and clindamycin but no significant resistance to streptogramin B. Pulsed-field gel electrophoresis patterns of NruI- and NotI-digested genomic DNA from the Clas and Clar isolates demonstrated that they are genetically distinct, suggesting that the development of clarithromycin resistance is not from the mutation of the existing Clas strain but from a completely new strain.
Figures
FIG. 1
PFGE patterns of _Nru_I (lanes 1 and 3)- and _Not_I (lanes 2 and 4)-digested genomic DNA from H. pylori UA799 (lanes 1 and 2) and UA1182 (lanes 3 and 4). The sizes of lambda DNA ladder standards (lanes M) are indicated on the right.
References
- Al-Moagel M A, Evans D G, Abdulghani M E, Adam E, Evans D J, Jr, Malaty H M, Graham D Y. Prevalence of Helicobacter (formerly Campylobacter) pylori infection in Saudi Arabia, and comparison of those with and without upper gastrointestinal symptoms. Am J Gastroenterol. 1990;85:944–948. -PubMed
- Cayla, R., F. Zerbib, P. Talbi, F. Megraud, and H. Lamouliatte. 1995. Pre- and post-treatment clarithromycin resistance of Helicobacter pylori strains: a key factor of treatment failure. Gut 37(Suppl. 1)**:**A55.
- Chang N, Jiang Q, Taylor D E. Construction of a genetic map of H. pylori by pulsed-field gel electrophoresis (PFGE) In: Clayton C L, Mobley H L T, editors. Methods in molecular medicine, Helicobacter pylori protocols. Totowa, N.J: Humana Press Inc.; 1997. pp. 165–176. -PubMed
- Cundliffe E. Recognition sites for antibiotics within rRNA. In: Hill W E, Dalberg A, Garrett R A, Moore P B, Schlessinger D, Warner J R, editors. The ribosome: structure, function and evolution. Washington, D.C: American Society for Microbiology; 1990. pp. 479–490.
- Debets-Ossenkopp Y J, Sparrius M, Kusters J G, Kolkman J J, Vandenbroucke-Grauls C M J E. Mechanism of clarithromycin resistance in clinical isolates of Helicobacter pylori. FEMS Microbiol Lett. 1996;142:37–42. -PubMed
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical