1887

Abstract

is a biofilm-forming pathogen with various virulence phenotypes and antimicrobial resistance traits. Phenotypic characteristics play a critical role in disease transmission and pathogenesis. The current study elucidated antibiofilm formation activity, profiled antibiotic-resistant genes and virulence factors of toxigenic isolates from the cholera outbreak in Kisumu County, Kenya. O1 isolates collected during the 2017 cholera outbreak in Kisumu County, Kenya, were utilized. Biofilm and virulence factors were profiled using standard procedures. The study confirmed 100 isolates as , with 81 of them possessing cholera toxin gene (). Additionally, 99 of the isolates harboured the gene. The study further revealed that 81 and 94 of the isolates harboured the class I integron (encoded by gene) and integrating conjugative element (ICE), respectively. Antibiotic resistance assays confirmed tetracycline resistance genes as the most abundant (97 isolates). Among them were seven isolates resistant to commonly used antibiotics. The study further screened the isolates for antibiofilm formation using various antibiotics. Unlike the four strains (), three of the strains ( and ) did not form biofilms. Further, all the seven isolates that exhibited extensive antibiotic resistance produced haemolysin while 71.42%, 85.71 and 71.42 % of them produced protease, phospholipases and lipase, respectively. This study provides and in-depth understanding of essential features that were possibly responsible for outbreak. Understanding of these features is critical in the development of strategies to combat future outbreaks.

  • This is an open-access article distributed under the terms of the Creative Commons Attribution License.
Loading

Article metrics loading...

/content/journal/acmi/10.1099/acmi.0.000324
2022-03-23
2024-04-26
Loading full text...

Full text loading...

/deliver/fulltext/acmi/4/3/acmi000324.html?itemId=/content/journal/acmi/10.1099/acmi.0.000324&mimeType=html&fmt=ahah

References

  1. Halpern M, Izhaki I. Fish as hosts of Vibrio cholerae. Front Microbiol 2017; 8:282 [View Article]
    [Google Scholar]
  2. Sakib SN, Reddi G, Almagro-Moreno S, DiRita VJ. Vibrio JB special issue. minireview environmental role of pathogenic traits in Vibrio cholerae. J Bacteriol 2018; 200:17 [View Article]
    [Google Scholar]
  3. Matthey N, Blokesch M. The DNA-Uptake process of naturally competent Vibrio cholerae. Trends Microbiol 2016; 24:98–110 [View Article] [PubMed]
    [Google Scholar]
  4. Cairncross S, Feachem R. Water, sanitation and disease control. In Environmental Health Engineering in the Tropics vol 134 Routledge; 2018 pp 865–871 [View Article]
    [Google Scholar]
  5. Craig RK. Cholera and climate change: pursuing public health adaptation strategies in the face of scientific debate. Houst J Health Law Policy 2018; 3:964–999 [View Article]
    [Google Scholar]
  6. Lessler J, Moore SM, Luquero FJ, McKay HS, Grais R et al. Mapping the burden of cholera in sub-Saharan Africa and implications for control: an analysis of data across geographical scales. Lancet 2018; 391:1908–1915 [View Article] [PubMed]
    [Google Scholar]
  7. Siriphap A, Leekitcharoenphon P, Kaas RS, Theethakaew C, Aarestrup FM et al. Characterization and genetic variation of Vibrio cholerae Isolated from Clinical and Environmental Sources in Thailand. PLoS One 2017; 12:e0169324 [View Article] [PubMed]
    [Google Scholar]
  8. AL-Fatlawy HNK, Aldahhan HA, Alsaadi AH. Phylogenetic of DNA fingerprinting and new sequencing of Aeromonas species and V. cholerae DNA. Am J Appl Sci 2017; 14:955–964 [View Article]
    [Google Scholar]
  9. Moore S, Thomson N, Mutreja A, Piarroux R. Widespread epidemic cholera caused by a restricted subset of Vibrio cholerae clones. Clin Microbiol Infect 2014; 20:373–379 [View Article] [PubMed]
    [Google Scholar]
  10. Kirn TJ, Lafferty MJ, Sandoe CM, Taylor RK. Delineation of pilin domains required for bacterial association into microcolonies and intestinal colonization by Vibrio cholerae. Mol Microbiol 2000; 35:896–910 [View Article] [PubMed]
    [Google Scholar]
  11. Al-Hadrawy HAN. A Comparative study of Bacteriological and Molecular Vibrio Cholera Isolated from the Tigris and Euphrates. PhD Thesis University of Kufa in Arabic; Iran: 2012
    [Google Scholar]
  12. Jabik NA. Study of some Genetic Aspects of Isolated V. cholerae in Babylon. M.Sc. Thesis University of Babylon; Iraq: 2000
    [Google Scholar]
  13. Al-Khafaji KAA. Identification of Some Virulence Factors in Toxigenic Clinical and Environmental Isolates of Vibrio cholerae. MSc. Thesis University of Baghdad; Iraq: 2007
    [Google Scholar]
  14. AL-Fatlawy HNK, Al-Ammar MH. Study of some virulence factors of aeromonas hydrophila isolated from clinical samples (iraq). Int J Sci Eng Invest 2013; 2:22113–22116
    [Google Scholar]
  15. Jawetz E, Melnick JI, Adelberg EA. Medical Microbiology, 27th Edn. Appleton and Lange U.S.A; 2016
    [Google Scholar]
  16. Yang QH, Zhou C, Lin Q, Lu Z, He LB et al. Draft Genome Sequence of Aeromonas sobria Strain 08005, Isolated from Sick Rana catesbeiana. Genome Announc 2017; 5:e01352-16 [View Article]
    [Google Scholar]
  17. Provenzano D, Schuhmacher DA, Barker JL, Klose KE. The virulence regulatory protein ToxR mediates enhanced bile resistance in Vibrio cholerae and other pathogenic Vibrio species. Infect Immun 2000; 68:1491–1497 [View Article] [PubMed]
    [Google Scholar]
  18. Fasano A. Bacterial infections: small intestine and colon. Curr Opin Gastroenterol 2001; 17:4–9 [View Article] [PubMed]
    [Google Scholar]
  19. Reguera G, Kolter R. Virulence and the environment: a novel role for Vibrio cholerae toxin-coregulated pili in biofilm formation on chitin. J Bacteriol 2005; 187:3551–3555 [View Article] [PubMed]
    [Google Scholar]
  20. Asad S, Opal SM. Bench-to-bedside review: Quorum sensing and the role of cell-to-cell communication during invasive bacterial infection. Crit Care 2008; 12:236 [View Article] [PubMed]
    [Google Scholar]
  21. Kalia VC, Purohit HJ. Quenching the quorum sensing system: potential antibacterial drug targets. Crit Rev Microbiol 2011; 37:121–140 [View Article] [PubMed]
    [Google Scholar]
  22. Pan J, Ren D. Quorum sensing inhibitors: a patent overview. Expert Opin Ther Pat 2009; 19:1581–1601 [View Article] [PubMed]
    [Google Scholar]
  23. Taraszkiewicz A, Fila G, Grinholc M, Nakonieczna J. Innovative strategies to overcome biofilm resistance. Biomed Res Int 2013; 2013:150653 [View Article] [PubMed]
    [Google Scholar]
  24. Simões M, Simões LC, Vieira MJ. A review of current and emergent biofilm control strategies. LWT - Food Science and Technology 2010; 43:573–583 [View Article]
    [Google Scholar]
  25. Lazar V. Quorum sensing in biofilms – How to destroy the bacterial citadels or their cohesion/power?. Anaerobe 2011; 17:280–285 [View Article] [PubMed]
    [Google Scholar]
  26. Herrington DA, Hall RH, Losonsky G, Mekalanos JJ, Taylor RK et al. Toxin, toxin-coregulated pili, and the toxR regulon are essential for Vibrio cholerae pathogenesis in humans. J Exp Med 1988; 168:1487–1492 [View Article] [PubMed]
    [Google Scholar]
  27. Høiby N, Bjarnsholt T, Givskov M, Molin S, Ciofu O. Antibiotic resistance of bacterial biofilms. Int J Antimicrob Agents 2010; 35:322–332 [View Article] [PubMed]
    [Google Scholar]
  28. Chen L, Wen Y. The role of bacterial biofilm in persistent infections and control strategies. Int J Oral Sci 2011; 3:66–73 [View Article] [PubMed]
    [Google Scholar]
  29. Tan S-E, Chew SC, Tan S-Y, Givskov M, Yang L. Emerging frontiers in detection and control of bacterial biofilms. Curr Opin Biotechnol 2014; 26:1–6 [View Article] [PubMed]
    [Google Scholar]
  30. Poole K. Bacterial stress responses as determinants of antimicrobial resistance. J Antimicrob Chemother 2012; 67:2069–2089 [View Article] [PubMed]
    [Google Scholar]
  31. Ammons MCB. Anti-biofilm strategies and the need for innovations in wound care. Recent Pat Antiinfect Drug Discov 2010; 5:10–17 [View Article] [PubMed]
    [Google Scholar]
  32. Pride AC, Guan Z, Trent MS. Characterization of the Vibrio cholerae VolA surface-exposed lipoprotein lysophospholipase. J Bacteriol 2014; 196:1619–1626 [View Article] [PubMed]
    [Google Scholar]
  33. AL-Fatlawy HNK, Al-Ammar MH. Study of some virulence factors of aeromonas hydrophila isolated from clinical samples (iraq). Int J Sci Eng Invest 2013; 2:22113–22116
    [Google Scholar]
  34. CLSI Performance standards for antimicrobial sensitivity testing. 30th ed. CLSI supplement M100. Wayne, PA: Clinical Laboratory Standards Institute; 2010
  35. Awuor SO, Omwenga EO, Daud II. Geographical distribution and antibiotics susceptibility patterns of toxigenic Vibrio cholerae isolates from Kisumu County, Kenya. Afr J Prim Health Care Fam Med 2020; 12:e1–e6 [View Article] [PubMed]
    [Google Scholar]
  36. Omwenga EO, Hensel A, Pereira S, Shitandi AA, Goycoolea FM. Antiquorum sensing, antibiofilm formation and cytotoxicity activity of commonly used medicinal plants by inhabitants of Borabu sub-county, Nyamira County, Kenya. PLoS One 2017; 12:e0185722 [View Article] [PubMed]
    [Google Scholar]
  37. Benson HJ. Microbiological Applications: Laboratory Manual in General Microbiology, 8th edn. Complete version. U.S.A: McGraw-Hill; 2002
    [Google Scholar]
  38. Elliot EL, Kaysner CA, Jackson L, Tamplin ML. Valnificus and other Vibrio spp. In Merker R. eds Food and Drug Administration: Bacteriological Analytical Manual, Chapter 9, 8th ed. Gaithersburg, MD: AOAC International; 2001
    [Google Scholar]
  39. Dogan B, Boor KJ. Genetic diversity and spoilage potentials among Pseudomonas spp. isolated from fluid milk products and dairy processing plants. Appl Environ Microbiol 2003; 69:130–138 [View Article] [PubMed]
    [Google Scholar]
  40. Sjölund-Karlsson M, Reimer A, Folster JP, Walker M, Dahourou GA et al. Drug-resistance mechanisms in Vibrio cholerae O1 outbreak strain, Haiti, 2010. Emerg Infect Dis 2011; 17:2151–2154 [View Article] [PubMed]
    [Google Scholar]
  41. Dalsgaard A, Forslund A, Sandvang D, Arntzen L, Keddy K. Vibrio cholerae O1 outbreak isolates in Mozambique and South Africa in 1998 are multiple-drug resistant, contain the SXT element and the aadA2 gene located on class 1 integrons. J Antimicrob Chemother 2001; 48:827–838 [View Article] [PubMed]
    [Google Scholar]
  42. Beaber JW, Hochhut B, Waldor MK. Genomic and functional analyses of SXT, an integrating antibiotic resistance gene transfer element derived from Vibrio cholerae. J Bacteriol 2002; 184:4259–4269 [View Article] [PubMed]
    [Google Scholar]
  43. Oliver JD, Kaper JB. Vibrio Species. In Doyl MP, Beuchat LR, Montville J. eds Food Microbiology: Fundamentals and Frontiers Washington, DC; USA: ASM press; 2007 pp 228–260
    [Google Scholar]
  44. Hochhut B, Lotfi Y, Mazel D, Faruque SM, Woodgate R et al. Molecular analysis of antibiotic resistance gene clusters in vibrio cholerae O139 and O1 SXT constins. Antimicrob Agents Chemother 2001; 45:2991–3000 [View Article] [PubMed]
    [Google Scholar]
  45. Baranwal S, Dey K, Ramamurthy T, Nair GB, Kundu M. Role of active efflux in association with target gene mutations in fluoroquinolone resistance in clinical isolates of Vibrio cholerae. Antimicrob Agents Chemother 2002; 46:2676–2678 [View Article] [PubMed]
    [Google Scholar]
  46. Xu KD, McFeters GA, Stewart PS. Biofilm resistance to antimicrobial agents. Microbiology 2000; 146:547–549 [View Article] [PubMed]
    [Google Scholar]
  47. Taganna JC, Quanico JP, Perono RMG, Amor EC, Rivera WL. Tannin-rich fraction from Terminalia catappa inhibits quorum sensing (QS) in Chromobacterium violaceum and the QS-controlled biofilm maturation and LasA staphylolytic activity in Pseudomonas aeruginosa. J Ethnopharmacol 2011; 134:865–871 [View Article] [PubMed]
    [Google Scholar]
  48. Vasavi HS, Arun AB, Rekha PD. Inhibition of quorum sensing in Chromobacterium violaceum by Syzygium cumini L. and Pimenta dioica L. Asian Pac J Trop Biomed 2013; 3:954–959 [View Article]
    [Google Scholar]
  49. Abbass NBM. Effectiveness of some physical and chemical factors on the morphological changes of Vibrio cholerae isolated from environment. Ph.D. Thesis University of Al Mustansyria; Iraq: 2006
    [Google Scholar]
  50. Namdari H, Klaips CR, Hughes JL. A Cytotoxin-Producing Strain of Vibrio choleraeNon-O1, Non-O139 as a Cause of Cholera and Bacteremia after Consumption of Raw Clams. Journal of Clinical Microbiology 2000; 38:3518–3519 [View Article]
    [Google Scholar]
  51. Booth BA, Boesman-Finkelstein M, Finkelstein RA. Vibrio cholerae hemagglutinin/protease nicks cholera enterotoxin. Infect Immun 1984; 45:558–560 [View Article] [PubMed]
    [Google Scholar]
  52. Chung PY, Toh YS. Anti-biofilm agents: recent breakthrough against multi-drug resistant Staphylococcus aureus. Pathog Dis 2014; 70:231–239 [View Article] [PubMed]
    [Google Scholar]
  53. O’Neill E, Pozzi C, Houston P, Humphreys H, Robinson DA et al. A novel Staphylococcus aureus biofilm phenotype mediated by the fibronectin-binding proteins, FnBPA and FnBPB. J Bacteriol 2008; 190:3835–3850 [View Article] [PubMed]
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/acmi/10.1099/acmi.0.000324
Loading
/content/journal/acmi/10.1099/acmi.0.000324
Loading

Data & Media loading...

Supplements

Supplementary material 1

PDF
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error