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How does antibiotic resistance arise?
Occurs at the genetic level in two ways:
Vertical transmission (mutations)
Horizontal transmission (gene transfer)
Since bacteria are haploid (only 1 copy of its chromosome), any mutation or new gene is expressed immediately
Vertical Transmission
Passing down a genetic mutation to both daughter cell via cell division
Horizontal Transmission
Passing plasmid to neighboring bacteria
Can occur between unrelated species of bacteria
Resistance to rifampin can be caused by _____
Spontaneous mutations in RNA polymerase
Silent Mutation
No change in the amino acid sequence
Missense Mutation
One base substitution that changes an amino acid
Nonsense Mutation
Early termination (early stop codon)
Frameshift Mutation
Add or delete one nucleotide
Transposon
Segment of DNA that moves from one site on a DNA molecule to another
Can create mutations on the ends of cut DNA when they move
Can include genes for antibiotic resistance
Can “jump” between chromosomes and plasmids
Bacterial gene transfer
Allows bacteria to share genes for virulence factors:
Enzymes (Breakdown of antibiotics)
Membrane proteins (For efflux of antibiotics)
Exotoxins
Adhesive factors
Unidirectional
Donor to receipient only, NOT swapping genes
Donates plasmid or chromosome fragment, NOT entire chromosome
Can occur between different species of bacteria
Transformation
Relatively rare form of genetic transfer that requires two steps:
Uptake of DNA from environment
Recombination into the host chromosome
DNA must be intergrated into the host chromosome before it is degraded
Bacteria quickly break down linear DNA
Conjugation
Gene transfer from a donor to a recipient by direct physical contact
Donor bacteria forms a sex pilus to pull bacteria close together
Transfers plasmid and sometimes a piece of chromosome
Type IV Secretion Bridge
Acts like a syringe to inject DNA into neighboring bacteria in the process of conjugation
Very short, so bacteria need to be close together
F-factor
Fertility factor
Plasmid from the donor bacteria that includes the genes for the sex pilus
If the fertility factor is shared, the recipient is able to pass the plasmid to other bacteria
What happens when a donor transfers a plasmid to another bacteria during conjugation?
Plasmid can be:
Degraded, and fragments inserted into the genome
Maintained as a plasmid
Transduction
Transfer of genetic information by bacteriophages, which can carry bacterial DNA from one bacteria to another
Two types:
Generalized transduction
Specialized transduction
Generalized Transduction
Phage carries just bacterial DNA
Specialized Transduction
Phage carries some bacterial and some viral DNA
MSSA
Methicillin-sensitive Staphylococcus aureus
MRSA
Methicillin-resistant Staphylococcus aureus
VRSA
Vancomycin-resistant Staphylococcus aureus
Clinical relevance of MRSA and VRSA
MRSA
Resistant to many forms of penicillin
Acquired gene for Penicillin Binding Protein-2a (PBP2a)
Transpeptidase that is resistant to penicillins
Formed from a combination of plasmids and transposons
Often treated with vancomycin (drug of last resort)
VRSA
Picked up vancomycin-resistance gene from an unrelated bacteria
Resistance genes that are common in E. coli and Klebsiella pneumoniae
ESBL Plasmid (Extended spectrum β-lactamase)
Can cleave many types of penicillin
NDM1 (New Delhi metallo-β-lactamase type 1)