Genotype and mutation patterns of macrolide resistance genes of Mycoplasma pneumoniae from children with pneumonia in Qingdao, China, in 2019

ABSTRACT: Objectives: This study assessed the incidence and resistance of Mycoplasma pneumoniae (MP) in children in Qingdao, China, in 2019. Methods: We detected MP infection in 78 pharyngeal swabs from children with pneumonia by qPCR. The RepMP4 element in the P1 adhesin gene, domain V of the 23S...

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Autores principales: Fa-Chun Jiang, Rui-Fang Wang, Ping Chen, Li-Yan Dong, Xia Wang, Qin Song, Yi-Qiu Wan, Qin-Qin Song, Juan Song, Yan-Hai Wang, Zhi-Qiang Xia, Dong Xia, Jun Han
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Publicado: Elsevier 2021
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spelling oai:doaj.org-article:d46e5a5868824dd98ced62b99580c94e2021-11-18T04:48:30ZGenotype and mutation patterns of macrolide resistance genes of Mycoplasma pneumoniae from children with pneumonia in Qingdao, China, in 20192213-716510.1016/j.jgar.2021.10.003https://doaj.org/article/d46e5a5868824dd98ced62b99580c94e2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2213716521002186https://doaj.org/toc/2213-7165ABSTRACT: Objectives: This study assessed the incidence and resistance of Mycoplasma pneumoniae (MP) in children in Qingdao, China, in 2019. Methods: We detected MP infection in 78 pharyngeal swabs from children with pneumonia by qPCR. The RepMP4 element in the P1 adhesin gene, domain V of the 23S rRNA gene, and the L4/L22 ribosomal proteins were amplified by nested PCR. Evolutionary analysis was conducted based on the P1 gene sequence. Resistance mutations in domain V of the 23S rRNA gene and L4/L22 ribosomal proteins were analysed. Results: The incidence of MP infection in children with pneumonia was 59.0% (46/78). The mean duration of MP infection was longer than that of non-MP infection. According to P1 gene sequencing of 21 samples, 12 (57.1%) were type 1 and 9 (42.9%) were type 2. Drug resistance mutations A2063G in domain V of 23S rRNA gene and T508C in L22 were identified from all sequenced MP. However, mutations at positions 2064 and 2617 were not found in this study. C162A mutation appeared in most type 2 samples. A430G mutation appeared in one type 1 sample and in several type 2 samples. T279C mutation in L22 was mostly found in type 2 samples. Conclusion: The incidence of MP infection was 59.0% in children with pneumonia in Qingdao in 2019. Type 1 MP infection was slightly more common than type 2, indicating that the genotype of MP is gradually shifting from type 1 to type 2. Macrolide resistance mutation A2063G could be detected in all sequenced MP.Fa-Chun JiangRui-Fang WangPing ChenLi-Yan DongXia WangQin SongYi-Qiu WanQin-Qin SongJuan SongYan-Hai WangZhi-Qiang XiaDong XiaJun HanElsevierarticleMycoplasma pneumoniaePneumoniaChildrenMacrolide resistanceDrug resistance geneMicrobiologyQR1-502ENJournal of Global Antimicrobial Resistance, Vol 27, Iss , Pp 273-278 (2021)
institution DOAJ
collection DOAJ
language EN
topic Mycoplasma pneumoniae
Pneumonia
Children
Macrolide resistance
Drug resistance gene
Microbiology
QR1-502
spellingShingle Mycoplasma pneumoniae
Pneumonia
Children
Macrolide resistance
Drug resistance gene
Microbiology
QR1-502
Fa-Chun Jiang
Rui-Fang Wang
Ping Chen
Li-Yan Dong
Xia Wang
Qin Song
Yi-Qiu Wan
Qin-Qin Song
Juan Song
Yan-Hai Wang
Zhi-Qiang Xia
Dong Xia
Jun Han
Genotype and mutation patterns of macrolide resistance genes of Mycoplasma pneumoniae from children with pneumonia in Qingdao, China, in 2019
description ABSTRACT: Objectives: This study assessed the incidence and resistance of Mycoplasma pneumoniae (MP) in children in Qingdao, China, in 2019. Methods: We detected MP infection in 78 pharyngeal swabs from children with pneumonia by qPCR. The RepMP4 element in the P1 adhesin gene, domain V of the 23S rRNA gene, and the L4/L22 ribosomal proteins were amplified by nested PCR. Evolutionary analysis was conducted based on the P1 gene sequence. Resistance mutations in domain V of the 23S rRNA gene and L4/L22 ribosomal proteins were analysed. Results: The incidence of MP infection in children with pneumonia was 59.0% (46/78). The mean duration of MP infection was longer than that of non-MP infection. According to P1 gene sequencing of 21 samples, 12 (57.1%) were type 1 and 9 (42.9%) were type 2. Drug resistance mutations A2063G in domain V of 23S rRNA gene and T508C in L22 were identified from all sequenced MP. However, mutations at positions 2064 and 2617 were not found in this study. C162A mutation appeared in most type 2 samples. A430G mutation appeared in one type 1 sample and in several type 2 samples. T279C mutation in L22 was mostly found in type 2 samples. Conclusion: The incidence of MP infection was 59.0% in children with pneumonia in Qingdao in 2019. Type 1 MP infection was slightly more common than type 2, indicating that the genotype of MP is gradually shifting from type 1 to type 2. Macrolide resistance mutation A2063G could be detected in all sequenced MP.
format article
author Fa-Chun Jiang
Rui-Fang Wang
Ping Chen
Li-Yan Dong
Xia Wang
Qin Song
Yi-Qiu Wan
Qin-Qin Song
Juan Song
Yan-Hai Wang
Zhi-Qiang Xia
Dong Xia
Jun Han
author_facet Fa-Chun Jiang
Rui-Fang Wang
Ping Chen
Li-Yan Dong
Xia Wang
Qin Song
Yi-Qiu Wan
Qin-Qin Song
Juan Song
Yan-Hai Wang
Zhi-Qiang Xia
Dong Xia
Jun Han
author_sort Fa-Chun Jiang
title Genotype and mutation patterns of macrolide resistance genes of Mycoplasma pneumoniae from children with pneumonia in Qingdao, China, in 2019
title_short Genotype and mutation patterns of macrolide resistance genes of Mycoplasma pneumoniae from children with pneumonia in Qingdao, China, in 2019
title_full Genotype and mutation patterns of macrolide resistance genes of Mycoplasma pneumoniae from children with pneumonia in Qingdao, China, in 2019
title_fullStr Genotype and mutation patterns of macrolide resistance genes of Mycoplasma pneumoniae from children with pneumonia in Qingdao, China, in 2019
title_full_unstemmed Genotype and mutation patterns of macrolide resistance genes of Mycoplasma pneumoniae from children with pneumonia in Qingdao, China, in 2019
title_sort genotype and mutation patterns of macrolide resistance genes of mycoplasma pneumoniae from children with pneumonia in qingdao, china, in 2019
publisher Elsevier
publishDate 2021
url https://doaj.org/article/d46e5a5868824dd98ced62b99580c94e
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