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Trends in Helicobacter pylori resistance to clarithromycin: from phenotypic to genomic approaches

dc.contributor.authorMarques, Andreia T.
dc.contributor.authorVítor, Jorge M. B.
dc.contributor.authorSantos, Andrea
dc.contributor.authorOleastro, Mónica
dc.contributor.authorVale, Filipa
dc.date.accessioned2022-04-13T11:05:52Z
dc.date.available2022-04-13T11:05:52Z
dc.date.issued2020-03-02
dc.date.updated2022-02-24T14:59:58Z
dc.description.abstractFor a long time Helicobacter pylori infections have been treated using the macrolide antibiotic, clarithromycin. Clarithromycin resistance is increasing worldwide and is the most common cause of H. pylori treatment failure. Here we review the mechanisms of antibiotic resistance to clarithromycin, detailing the individual and combinations of point mutations found in the 23S rRNA gene associated with resistance. Additionally, we consider the methods used to detect clarithromycin resistance, emphasizing the use of high-throughput next-generation sequencing methods, which were applied to 17 newly sequenced pairs of H. pylori strains isolated from the antrum and corpus of a recent colonized paediatric population. This set of isolates was composed of six pairs of resistant strains whose phenotype was associated with two point mutations found in the 23S rRNA gene: A2142C and A2143G. Other point mutations were found simultaneously in the same gene, but, according to our results, it is unlikely that they contribute to resistance. Further, among susceptible isolates, genomic variations compatible with mutations previously associated with clarithromycin resistance were detected. Exposure to clarithromycin may select low-frequency variants, resulting in a progressive increase in the resistance rate due to selection pressure.pt_PT
dc.description.sponsorshipF. F. V. is the recipient of a project grant (PTDC/BTM-SAL/28978/2017) from the Fundação para a Ciência e a Tecnologia (FCT), which supported this work. J. V.’s research group was financed by New England Biolabs, Inc. (USA).pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMarques AT, Vítor JMB, Santos A, Oleastro M, Vale FF. Trends in Helicobacter pylori resistance to clarithromycin: from phenotypic to genomic approaches. Microbial Genomics [Internet]. 2020;6(3). Disponível em: https://www.microbiologyresearch.org/content/journal/mgen/10.1099/mgen.0.000344pt_PT
dc.identifier.doihttps://doi.org/10.1099/mgen.0.000344pt_PT
dc.identifier.issn2057-5858
dc.identifier.slugcv-prod-1216082
dc.identifier.urihttp://hdl.handle.net/10451/52327
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMicrobiology Society [Society Publisher]pt_PT
dc.relationPhage-Enzybiotic: dealing with critical pathogenic antibiotic-resistant bacteria
dc.relation.publisherversionhttps://www.microbiologyresearch.org/content/journal/mgen/10.1099/mgen.0.000344pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectHelicobacter pyloript_PT
dc.subjectclarithromycinpt_PT
dc.subjectresistancept_PT
dc.subject23S ribosomal RNA subunitpt_PT
dc.subjectnext-generation sequencingpt_PT
dc.subjectpoint mutationspt_PT
dc.titleTrends in Helicobacter pylori resistance to clarithromycin: from phenotypic to genomic approachespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardNumberPTDC/BTM-SAL/28978/2017
oaire.awardTitlePhage-Enzybiotic: dealing with critical pathogenic antibiotic-resistant bacteria
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/3599-PPCDT/PTDC%2FBTM-SAL%2F28978%2F2017/PT
oaire.citation.issue3pt_PT
oaire.citation.startPage000344pt_PT
oaire.citation.titleMicrobial Genomicspt_PT
oaire.citation.volume6pt_PT
oaire.fundingStream3599-PPCDT
person.familyNameMarques
person.familyNameVítor
person.familyNameOleastro
person.familyNameVale
person.givenNameAndreia
person.givenNameJorge
person.givenNameMónica
person.givenNameFilipa
person.identifier1646488
person.identifier.ciencia-idDC17-69DB-8BB9
person.identifier.ciencia-idFF19-99F4-3964
person.identifier.ciencia-id4115-04A9-FBCB
person.identifier.ciencia-id4718-00EF-4BF0
person.identifier.orcid0000-0001-7302-1193
person.identifier.orcid0000-0001-6486-3444
person.identifier.orcid0000-0001-6360-2576
person.identifier.orcid0000-0003-4635-0105
person.identifier.ridM-3279-2013
person.identifier.ridC-3570-2013
person.identifier.scopus-author-id56799867000
person.identifier.scopus-author-id7801493621
person.identifier.scopus-author-id17136133700
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.cv.cienciaid4718-00EF-4BF0 | Ana Filipa Ferreira do Vale
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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relation.isAuthorOfPublicationbe15e90f-9cc9-4ad0-b9fd-465236b72e9a
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