Article

emm Gene distribution among erythromycin-resistant and -susceptible Italian isolates of Streptococcus pyogenes.

Department of Molecular Cellular Animal Biology, University of Camerino, 62032 Camerino, Italy.
Journal of Clinical Microbiology (impact factor: 4.15). 04/2003; 41(3):1307-10. pp.1307-10
Source: PubMed

ABSTRACT The phenotypes and genetic determinants for macrolide resistance were determined for 167 erythromycin-resistant Streptococcus pyogenes strains. A cMLS phenotype was shown in 18% of the erythromycin-resistant strains, while inducible resistance was apparent in 31% and the M phenotype was apparent in 50%. The emm gene type of this set of resistant isolates and that of 48 erythromycin-sensitive isolates were determined. emm2 and emm48 were recorded only in the resistant strains of the M phenotype, while approximately all of the strains harboring the emm22 gene had the cMLS phenotype. More than 80% of the emm89-positive strains had the iMLS phenotype, and the same portion of emm4 strains presented the M phenotype. emm3 is recorded only among sensitive strains. The distribution of frequencies of the genetic determinant for the virulence factor M protein was significantly different both among organisms of different types of resistance and between resistant and sensitive populations of S. pyogenes under study.

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Keywords

167 erythromycin-resistant Streptococcus pyogenes strains
 
48 erythromycin-sensitive
 
different types
 
emm gene type
 
emm2
 
emm22 gene
 
emm3
 
emm4 strains
 
emm89-positive strains
 
erythromycin-resistant strains
 
genetic determinant
 
genetic determinants
 
iMLS phenotype
 
inducible resistance
 
M phenotype
 
resistant strains
 
S. pyogenes
 
sensitive populations
 
sensitive strains
 
virulence factor M protein