A Next-Generation Sequencing-Based Approach to Identify Genetic Determinants of Antibiotic Resistance in Cambodian <i>Helicobacter pylori</i> Clinical Isolates
We evaluated the primary resistance of <i>Helicobacter pylori</i> (<i>H. pylori</i>) to routinely used antibiotics in Cambodia, an unexplored topic in the country, and assessed next-generation sequencing’s (NGS) potential to discover genetic resistance determinants....
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doaj-38ecd6f5ed4b418e8a9630beb12b882c2020-11-24T21:40:39ZengMDPI AGJournal of Clinical Medicine2077-03832019-06-018685810.3390/jcm8060858jcm8060858A Next-Generation Sequencing-Based Approach to Identify Genetic Determinants of Antibiotic Resistance in Cambodian <i>Helicobacter pylori</i> Clinical IsolatesVo Phuoc Tuan0Dou Narith1Evariste Tshibangu-Kabamba2Ho Dang Quy Dung3Pham Thanh Viet4Sin Sokomoth5Tran Thanh Binh6Sok Sokhem7Tran Dinh Tri8Seng Ngov9Pham Huu Tung10Ngo Phuong Minh Thuan11Tran Cong Truc12Bui Hoang Phuc13Takashi Matsumoto14Kartika Afrida Fauzia15Junko Akada16Tran Thi Huyen Trang17Yoshio Yamaoka18Department of Environmental and Preventive Medicine, Oita University, Faculty of Medicine, Yufu 879-5593, JapanDepartment of Endoscopy, Cho Ray Phnom Penh Hospital, Phnom Penh 12357, CambodiaDepartment of Environmental and Preventive Medicine, Oita University, Faculty of Medicine, Yufu 879-5593, JapanDepartment of Endoscopy, Cho Ray Hospital, Ho Chi Minh 749000, VietnamDepartment of Integrated Planning, Cho Ray Hospital, Ho Chi Minh 749000, VietnamDepartment of Integrated Planning, Cho Ray Hospital, Ho Chi Minh 749000, VietnamDepartment of Endoscopy, Cho Ray Hospital, Ho Chi Minh 749000, VietnamDepartment of Endoscopy, Cho Ray Phnom Penh Hospital, Phnom Penh 12357, CambodiaDepartment of Endoscopy, Cho Ray Hospital, Ho Chi Minh 749000, VietnamDepartment of General Internal Medicine, Cho Ray Phnom Penh Hospital, Phnom Penh 12357, CambodiaDepartment of Endoscopy, Cho Ray Hospital, Ho Chi Minh 749000, VietnamDepartment of Endoscopy, Cho Ray Hospital, Ho Chi Minh 749000, VietnamDepartment of Endoscopy, Cho Ray Hospital, Ho Chi Minh 749000, VietnamDepartment of Environmental and Preventive Medicine, Oita University, Faculty of Medicine, Yufu 879-5593, JapanDepartment of Environmental and Preventive Medicine, Oita University, Faculty of Medicine, Yufu 879-5593, JapanDepartment of Environmental and Preventive Medicine, Oita University, Faculty of Medicine, Yufu 879-5593, JapanDepartment of Environmental and Preventive Medicine, Oita University, Faculty of Medicine, Yufu 879-5593, JapanDepartment of Molecular Biology, 108 Military Central Hospital, Hanoi 113601, VietnamDepartment of Environmental and Preventive Medicine, Oita University, Faculty of Medicine, Yufu 879-5593, JapanWe evaluated the primary resistance of <i>Helicobacter pylori</i> (<i>H. pylori</i>) to routinely used antibiotics in Cambodia, an unexplored topic in the country, and assessed next-generation sequencing’s (NGS) potential to discover genetic resistance determinants. Fifty-five <i>H. pylori</i> strains were successfully cultured and screened for antibiotic susceptibility using agar dilution. Genotypic analysis was performed using NGS data with a CLC genomic workbench. PlasmidSeeker was used to detect plasmids. The correlation between resistant genotypes and phenotypes was evaluated statistically. Resistances to metronidazole (MTZ), levofloxacin (LVX), clarithromycin (CLR), and amoxicillin (AMX) were 96.4%, 67.3%, 25.5%, and 9.1%, respectively. No resistance to tetracycline (TET) was observed. Multi-drug resistance affected 76.4% of strains. No plasmids were found, but genetic determinants of resistance to CLR, LVX, and AMX were 23S rRNA (A2146G and A2147G), GyrA (N87K and D91Y/N/G), and <i>pbp1</i> (P473L), respectively. No determinants were genetically linked to MTZ or TET resistance. There was high concordance between resistant genotypes and phenotypes for AMX, LVX, and CLR. We observed high antibiotic resistance rates of CLR, MTZ, and LVX, emphasizing the need for periodic evaluation and alternative therapies in Cambodia. NGS showed high capability for detecting genetic resistance determinants and potential for implementation in local treatment policies.https://www.mdpi.com/2077-0383/8/6/858<i>Helicobacter pylori</i>mutationantibiotic resistancenext-generation sequencinggenetic determinantswhole genome sequence |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Vo Phuoc Tuan Dou Narith Evariste Tshibangu-Kabamba Ho Dang Quy Dung Pham Thanh Viet Sin Sokomoth Tran Thanh Binh Sok Sokhem Tran Dinh Tri Seng Ngov Pham Huu Tung Ngo Phuong Minh Thuan Tran Cong Truc Bui Hoang Phuc Takashi Matsumoto Kartika Afrida Fauzia Junko Akada Tran Thi Huyen Trang Yoshio Yamaoka |
spellingShingle |
Vo Phuoc Tuan Dou Narith Evariste Tshibangu-Kabamba Ho Dang Quy Dung Pham Thanh Viet Sin Sokomoth Tran Thanh Binh Sok Sokhem Tran Dinh Tri Seng Ngov Pham Huu Tung Ngo Phuong Minh Thuan Tran Cong Truc Bui Hoang Phuc Takashi Matsumoto Kartika Afrida Fauzia Junko Akada Tran Thi Huyen Trang Yoshio Yamaoka A Next-Generation Sequencing-Based Approach to Identify Genetic Determinants of Antibiotic Resistance in Cambodian <i>Helicobacter pylori</i> Clinical Isolates Journal of Clinical Medicine <i>Helicobacter pylori</i> mutation antibiotic resistance next-generation sequencing genetic determinants whole genome sequence |
author_facet |
Vo Phuoc Tuan Dou Narith Evariste Tshibangu-Kabamba Ho Dang Quy Dung Pham Thanh Viet Sin Sokomoth Tran Thanh Binh Sok Sokhem Tran Dinh Tri Seng Ngov Pham Huu Tung Ngo Phuong Minh Thuan Tran Cong Truc Bui Hoang Phuc Takashi Matsumoto Kartika Afrida Fauzia Junko Akada Tran Thi Huyen Trang Yoshio Yamaoka |
author_sort |
Vo Phuoc Tuan |
title |
A Next-Generation Sequencing-Based Approach to Identify Genetic Determinants of Antibiotic Resistance in Cambodian <i>Helicobacter pylori</i> Clinical Isolates |
title_short |
A Next-Generation Sequencing-Based Approach to Identify Genetic Determinants of Antibiotic Resistance in Cambodian <i>Helicobacter pylori</i> Clinical Isolates |
title_full |
A Next-Generation Sequencing-Based Approach to Identify Genetic Determinants of Antibiotic Resistance in Cambodian <i>Helicobacter pylori</i> Clinical Isolates |
title_fullStr |
A Next-Generation Sequencing-Based Approach to Identify Genetic Determinants of Antibiotic Resistance in Cambodian <i>Helicobacter pylori</i> Clinical Isolates |
title_full_unstemmed |
A Next-Generation Sequencing-Based Approach to Identify Genetic Determinants of Antibiotic Resistance in Cambodian <i>Helicobacter pylori</i> Clinical Isolates |
title_sort |
next-generation sequencing-based approach to identify genetic determinants of antibiotic resistance in cambodian <i>helicobacter pylori</i> clinical isolates |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2019-06-01 |
description |
We evaluated the primary resistance of <i>Helicobacter pylori</i> (<i>H. pylori</i>) to routinely used antibiotics in Cambodia, an unexplored topic in the country, and assessed next-generation sequencing’s (NGS) potential to discover genetic resistance determinants. Fifty-five <i>H. pylori</i> strains were successfully cultured and screened for antibiotic susceptibility using agar dilution. Genotypic analysis was performed using NGS data with a CLC genomic workbench. PlasmidSeeker was used to detect plasmids. The correlation between resistant genotypes and phenotypes was evaluated statistically. Resistances to metronidazole (MTZ), levofloxacin (LVX), clarithromycin (CLR), and amoxicillin (AMX) were 96.4%, 67.3%, 25.5%, and 9.1%, respectively. No resistance to tetracycline (TET) was observed. Multi-drug resistance affected 76.4% of strains. No plasmids were found, but genetic determinants of resistance to CLR, LVX, and AMX were 23S rRNA (A2146G and A2147G), GyrA (N87K and D91Y/N/G), and <i>pbp1</i> (P473L), respectively. No determinants were genetically linked to MTZ or TET resistance. There was high concordance between resistant genotypes and phenotypes for AMX, LVX, and CLR. We observed high antibiotic resistance rates of CLR, MTZ, and LVX, emphasizing the need for periodic evaluation and alternative therapies in Cambodia. NGS showed high capability for detecting genetic resistance determinants and potential for implementation in local treatment policies. |
topic |
<i>Helicobacter pylori</i> mutation antibiotic resistance next-generation sequencing genetic determinants whole genome sequence |
url |
https://www.mdpi.com/2077-0383/8/6/858 |
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