Literature DB >> 23776664

Multilocus sequence typing (MLST) for characterization of Enterobacter cloacae.

Tohru Miyoshi-Akiyama1, Kayoko Hayakawa, Norio Ohmagari, Masahiro Shimojima, Teruo Kirikae.   

Abstract

Enterobacter cloacae is an important emerging pathogen, which sometime causes respiratory infection, surgical site infection, urinary infection, sepsis, and outbreaks at neonatal units. We have developed a multilocus sequence typing (MLST) scheme utilizing seven housekeeping genes and evaluated the performance in 101 clinical isolates. The MLST scheme yielded 83 sequence types (ST) including 78 novel STs found in the clinical isolates. These findings supported the robustness of the MLST scheme developed in this study.

Entities:  

Mesh:

Year:  2013        PMID: 23776664      PMCID: PMC3679064          DOI: 10.1371/journal.pone.0066358

Source DB:  PubMed          Journal:  PLoS One        ISSN: 1932-6203            Impact factor:   3.240


Introduction

Enterobacter cloacae is an important emerging pathogen, which sometime causes respiratory infection, surgical site infection, urinary infection, sepsis, and outbreaks at neonatal units [1]-[4]. Extended-spectrum β-lactamases (ESBLs) and carbapenemases have been reported to be widespread in E. cloacae [5]. The factors dominantly contributing to drug resistance of E. cloacae are the plasmid-encoded CTX-M family of ESBLs, the KPC family of serine carbapenemases, and the VIM, IMP, and NDM-1 metallo-b-lactamases [5], [6]. Several molecular epidemiological methods, including pulsed-field gel electrophoresis, restriction fragment length polymorphism, and ribotyping, are routinely applied for typing of bacteria. In addition to those methods, multilocus sequence typing (MLST) is becoming a gold standard method with advances in sequencing technology. MLST can also be used to analyze the genetic relations between isolates. Therefore, MLST would be useful for analysis of the epidemiology of E. cloacae. Although molecular typing methods have been applied to characterize clinical isolates of E. cloacae [7], [8], previous studies focused mostly on discrimination of drug resistance genes. Recently, methods for discriminating E. cloacae complex comprised of Enterobacter asburiae, E. cloacae, Enterobacter hormaechei, Enterobacter kobei, Enterobacter ludwigii, and Enterobacter nimipressuralis based on hsp60 and rpoB genotyping, multilocus sequence analysis, and comparative genomic hybridization have been evaluated [9]. MLST for E. cloacae has not been reported previously. Here, we designed an MLST scheme for E. cloacae based on seven housekeeping genes and evaluated its performance for discriminating clinical isolates.

Materials and Methods

Bacterial strains

Five E. cloacae strains the complete genome sequences of which have been determined (ATCC 13047, NCTC 9394, ENHKU 01, SCF1, and EcWSU 1; hereafter, genome strains) were used to design PCR primers. One hundred one clinical isolates collected at National Center for Global Health and Medicine Hospital and a commercial clinical laboratory (BML inc, Saitama, Japan) during 2007–2013 were used to evaluate the performance of the MLST scheme developed in the present study (Table 1).
Table 1

E. cloacae strains/clinical isolates used in this study and accession numbers of target sequences.

Target geneAccession # or isolation year
Strain/IsolateST dnaA fusA gyrB leuS pyrG rplB rpoB
ATCC1304711111111NC_014121.1
EcWSU122222222NC_016514.1
ENHKU0133333333NC_018405.1
NCTC939444444444FP929040.1
SCF155525555NC_014618.1
NCGM1666466462007
NCGM2777577672007
NCGM36978578672007
NCGM47789689682011
NCGM574833699682012
NCGM67889699682012
NCGM775833799682012
NCGM883968610462012
NCGM98296141011462012
NCGM107889699682012
NCGM11738336912682012
NCGM12718336119682012
NCGM1374833699682012
NCGM1481010912134332012
NCGM15911441314492012
NCGM1674833699682012
NCGM177889699682012
NCGM1876891099682012
NCGM19708331199682012
NCGM207889699682012
NCGM217889699682012
NCGM22728336149682012
NCGM2374833699682012
NCGM2474833699682012
NCGM255542115237231632012
NCGM263632122231318282012
NCGM2758443212935662012
NCGM28504446374252012
NCGM2939352535474812202012
NCGM30665221204445462012
NCGM3164502017444512322012
NCGM3259452731562511272012
NCGM3362484154239492012
NCGM3432324335316172012
NCGM352726162553229152012
NCGM362625312452219152012
NCGM373029183233298302012
NCGM38544135437315172012
NCGM39201924626512132012
NCGM407992214639492012
NCGM41677345715672012
NCGM42464441339462012
NCGM43121324524522142012
NCGM447889699682012
NCGM4528271426542610162012
NCGM4625241443522718212012
NCGM473834183332308312012
NCGM4841372549304921202012
NCGM49171624525557142012
NCGM5040362636495012202012
NCGM51201924626512132012
NCGM523430183829348222012
NCGM5343392750484912262012
NCGM54201924626512132012
NCGM55131324527562142012
NCGM56454414639462012
NCGM577889699682012
NCGM5829281427552010152012
NCGM595743351361816192012
NCGM60333353371916192012
NCGM616349201945454322012
NCGM627889699682012
NCGM6365514214142462012
NCGM6451444637462012
NCGM65181713441922142012
NCGM66504446374252012
NCGM671011444039462012
NCGM6853401739154611102012
NCGM691112248185413142012
NCGM7052481843404252012
NCGM7123221539174711102012
NCGM7281941513434242012
NCGM737889699682012
NCGM74313243351716172012
NCGM76191824122512132012
NCGM7768785736672012
NCGM7921203028501620122012
NCGM804844439414252012
NCGM81151423020512142012
NCGM82141324723532142012
NCGM8347444393919252012
NCGM84809414611492012
NCGM854944440384232012
NCGM86504446374252012
NCGM877889699682012
NCGM887889699682012
NCGM8962484154239492012
NCGM90161524021522142012
NCGM91504446374252012
NCGM9224231523162811112012
NCGM94564235237231632012
NCGM953733193428328292012
NCGM9635311942313317282013
NCGM9744423133837462013
NCGM9842382837464914202013
NCGM997889699682013
NCGM10024231523162811112013
NCGM10122212929342411182013
NCGM1026046201944451262013
NCGM10332324335316172013
NCGM10461478165144672013

NCGM75, NCGM78 and NCGM93 were unused in thie study. All isolates named with NCGM were collected during 2007-2013 at laboratories located in Japan.

NCGM75, NCGM78 and NCGM93 were unused in thie study. All isolates named with NCGM were collected during 2007-2013 at laboratories located in Japan.

Bacterial growth and biochemical identification

All strains were stored at –80°C, plated on sheep blood agar (Nissui Plate Sheep Blood Agar; Nissui, Tokyo, Japan) and cultured at 37°C overnight. Biochemical characterization was performed by Microscan Walkaway96SI (Siemens Healthcare Diagnostic. Inc., West Sacramento, CA) and VITEK 2 (SYSMEX bioMérieux Co., Ltd., Lyon, France) in a hospital laboratory and at a clinical testing company.

DNA preparation

Bacteria were grown on sheep blood agar at 37°C overnight. A single colony was suspended in molecular biology grade water, and the suspension was heated at 95°C for 5 min. After centrifugation, the supernatant was used as the PCR template.

Primers for MLST

The MLST scheme was developed according to the general guidelines described previously [10]. Primers to amplify internal fragments of candidate genes were designed based on the five genome strains (Table 2). Sequences of the target genes in the five strains were aligned to choose suitable region for the primers using Genetyx (Genetyx Corporation, Tokyo, Japan). Candidate genes were selected based on previously published genotyping schemes for members of the E. cloacae complex [9] and dnaA was added to increase the resolution. The primers targeted seven housekeeping genes (dnaA, fusA, gyrB, leuS, pyrG, rplB, and rpoB) (Table 2).
Table 2

Primers for E. cloacae MLST scheme.

NameSequence (5′->3′)Position in the target gene
Amplification primersdnaA-f2AYAACCCGCTGTTCCTBTATGGCGGCAC500–527*
dnaA-rKGCCAGCGCCATCGCCATCTGACGCGG1222–1248*
fusA-f2 TCGCGTTCGTTAACAAAATGGACCGTAT 413–440*
fusA-r2 TCGCCAGACGGCCCAGAGCCAGACCCAT 1291–1318
gyrB-f TCGACGAAGCGCTCGCGGGTCACTGTAA 143–170
gyrB-r GCAGAACCGCCCGCGGAGTCCCCTTCCA 1268–1295
leuS-f2GATCARCTSCCGGTKATCCTGCCGGAAG1342–1369*
leuS-r ATAGCCGCAATTGCGGTATTGAAGGTCT 2159–2186*
pyrG-fAYCCBGAYGTBATTGCRCAYMAGGCGAT56–83*
pyrG-rGCRCGRATYTCVCCCTSHTCGTCCCAGC563–590*
rplB-f GTAAACCGACATCTCCGGGTCGTCGCCA 17–44*
rplB-r ACCTTTGGTCTGAACGCCCCACGGAGTT 735–762*
rpoB-f CCGAACCGTTCCGCGAACATCGCGCTGG 252–280*
rpoB-r2 CCAGCAGATCCAGGCTCAGCTCCATGTT 973–1000*
Sequencing primers* gyrB-r3-seq GCAGAACCGCCCGCGGAGTCCCCTTCC 1269–1295*
gyrB-f3-seqAAAACCGGTACYATGGTGCGTTTCTGG484–510*
fusA-r2-seqATCTCTTCACGYTTGTTAGCGTGCATCT1094–1121*

These primers were used for sequencing of respective amplicons.

These primers were used for sequencing of respective amplicons.

PCR conditions and amplicon sequencing

The amplification reactions were performed in 20 µL using 1 µL of DNA extract as the template. The temperature program was as follows: 2 min of initial denaturation at 95°C followed by 25 cycles of denaturation at 95°C for 15 s, annealing at 50°C for 10 s, and primer extension at 72°C for 60 s. After confirmation of amplification by electrophoresis, the PCR amplicons were treated with ExoSAP-IT (USB, Cleveland, OH) to remove the excess primers according with the manufacturer's instructions, and sequenced using the primers listed in Table 2 by the dideoxy chain termination method on an ABI 3130XL Genetic analyzer or an ABI 3730XL DNA analyzer (Applied Biosystems, Foster City, CA).

Sequence alignment and phylogenetic analysis

Genetyx (Genetyx Corporation, Tokyo, Japan) was utilized to align and edit the sequences of five E. cloacae genome strains as well as those obtained from the clinical isolates by Sanger sequencing. Phylogenetic analysis using concatenated MLST loci created by the STRAT2 software [11] was performed using CLUSTAL W hosted by DNA Data Bank of Japan (https://www.ddbj.nig.ac.jp). Phylogenetic tree was drawn using FigTree v1.4 (http://tree.bio.ed.ac.uk/software/figtree/). Circles indicate each clade. The START2 software was used to generate the concatenated loci sequence and calculate the number of nucleotide differences and ratio of nonsynonymous to synonymous substitutions (dN/dS) [11]. Tajima's D statistic [12], Fu's F and D statistic [13] and Ramos-Onsins & Rozas' R2 [14] were analyzed using DnaSP 5.10.1 [15].

Index of association

To examine linkage disequilibrium among the seven genes analyzed in this study, the index of association (IA) values were calculated in START2 by the classical (Maynard Smith) and standardized (Haubold) methods [11].

Accession numbers of sequences determined in this study

DNA sequences of the alleles determined in this study was deposited in DNA databank of Japan under the accession number following. The accession numbers are listed in Table 6.

Results and Discussion

Development of a MLST scheme for E. cloacae

The PCR primers designed for the E. cloacae MLST scheme are listed in Table 2. Candidate genes were selected based on previously published genotyping schemes for members of the E. cloacae complex [9] and dnaA was added to increase the resolution. Because hsp60 was also included in the genotyping scheme in the previous study, we designed several combinations of primer sets and attempted to obtain amplicons. However, none of the clinical isolates tested yielded the amplicon. Thus, hsp60 was omitted from the MLST scheme. The target amplicon sizes of dnaA and gyrB were larger than 1 kb (Table 3) to locate the primers in the conserved sequence. The percentage of variable sites at each locus ranged from 2.8 (rplB) to 40.9 (pyrG) (Table 3). The discriminatory ability of the different loci, measured as number of alleles, varied from 21 (rplB) to 56 (leuS and pyrG) (Table 4). The average number of alleles at each locus was 43.9, providing the potential to distinguish approximately 2.1×1011 different sequence types (STs). The fusA locus had the highest dN/dS nonsynonymous (change of amino acid) to synonymous (no change of amino acid) substitution ratio. In contrast, the dN/dS ratio of dnaA was close to zero, suggesting that dnaA is under strong selection pressure. The rplB gene was omitted from the genotyping scheme in the previous study [9] because of a possibility that the gene is under positive selection pressure based on the two neutrality tests: Tajima's D statistic [12] and Fu's Fs statistic [13]. To validate departure of neutrality of each gene, we performed additional neutrality test: Ramos-Onsins & Rozas' R2 test, which is more powerful at detecting population growth [14]. The R2 test did not detect any deviation from random evolution among any of the populations (Table 5), suggesting that it can not be excluded that rplB is also under neutral evolution. Thus, rplB was also included in the MLST scheme designed in this study. Among the 106 E. cloacae strains/isolates included in this study, 83 different STs were identified. Seventy-six of these STs were represented by only one strain. The data will be registered at pubmlst.org [16] to provide public analysis to MLST for E. cloacae. Clonality analysis of
Table 3

Characteristics of E. cloacae MLST loci.

Locus dnaA fusA gyrB leuS pyrG rplB rpoB
Amplicon size (bp)11519061153845535746944
Sequence target size (bp)442646434578259607545
dN/dS ratio# 0.00190.16820.02740.0230.05760.01660.028
Number of variable sites* 7159601041061777
Percentage of variable sites16.19.113.818.040.92.814.1

Based on the sequences of the genome strains.

# Nonsynonymous synonymous to synonymous substitution ratio.

Table 4

Allele frequencies of the MLST scheme for E. cloacae.

Allele dnaA fusA gyrB leuS pyrG rplB rpoB
11111111
2112212111
35541413
413181311261
51141111
613211013012
74114115
8244111524
95141222325
101111122
112111262
121111151
133113114
141341118
151331113
161112171
171111114
181311111
193221112
201311114
211111111
2211111-1
2321212-1
2413111-1
2512111-7
2611131-1
2712111-1
2811112-2
2911111-1
3011111-1
3111121-1
3211111-2
33110111-1
3411111--
3511131--
361-111--
371-146--
381-111--
391-227--
401-121--
411-111--
422-121--
431-111--
441-131--
451-314--
461-311--
471-111--
482-111--
491-113--
501-111--
511-115--
521-222--
53--111--
54--111--
55---11--
56---11--
Unique52345456562133
Table 5

Anlaysis of neutrality tests of genes used to develope the MLST scheme.

Tajima's DFu and Li's D* Fu and Li's F* R2
dnaA −0.51656ns−1.10953ns−1.05928ns0.10537ns
fusA −2.56811* −4.52388* −4.56688* 0.11307ns
gyrB −0.75309ns−1.08782ns−1.14955ns0.10381ns
leuS −0.75309ns−1.08782ns−1.14955ns0.10381ns
pyrG −1.55553ns−4.00283* −3.65452* 0.10252ns
rplB −2.60808* −4.22457* −4.36152* 0.12713ns
rpoB −1.35637ns−2.48230ns−2.48825ns0.11489ns

Tajima's D statistic [12], Fu's D and F statistic [13] and Ramos-Onsins & Rozas' R2 [14] were analyzed using DnaSP 5.10.1 [15].

Statistically significant (P<0.05).

ns: Non significant.

Based on the sequences of the genome strains. # Nonsynonymous synonymous to synonymous substitution ratio. Tajima's D statistic [12], Fu's D and F statistic [13] and Ramos-Onsins & Rozas' R2 [14] were analyzed using DnaSP 5.10.1 [15]. Statistically significant (P<0.05). ns: Non significant. To analyze the clonality of the strains/isolates, phylogenetic analysis using the concatenated sequence consisting of the loci was performed. The dataset used contain only one isolate/ST to prevent bias toward a clonal population for strains with the same epidemiological history. These strains clustered into three clades (Figure 1). To measure the extent of linkage equilibrium within a population by quantifying the amount of recombination among a set of sequences and detecting associations between alleles at different loci, IA values [17] were calculated for each clade. IA values of each clade indicated significant linkage disequilibrium between alleles (clade 1:IA = 0.1593, P<0.001; clade 2: IA = 0.1857, P<0.001; clade 3: IA = 0.3184, P<0.001), and thus, a clonal structure of the population studied.
Figure 1

Unrooted UPGMA tree of concatenated sequences from combinations of seven MLST loci.

Phylogenetic analysis using concatenated MLST loci created by the STRAT2 software was performed using CLUSTAL W hosted by DNA Data Bank of Japan (https://www.ddbj.nig.ac.jp). The dataset used contained only one isolate/ST to prevent bias toward a clonal population for strains with the same epidemiological history. The tree was drawn using FigTree v1.4 (http://tree.bio.ed.ac.uk/software/figtree/). Circles indicate each clade.

Unrooted UPGMA tree of concatenated sequences from combinations of seven MLST loci.

Phylogenetic analysis using concatenated MLST loci created by the STRAT2 software was performed using CLUSTAL W hosted by DNA Data Bank of Japan (https://www.ddbj.nig.ac.jp). The dataset used contained only one isolate/ST to prevent bias toward a clonal population for strains with the same epidemiological history. The tree was drawn using FigTree v1.4 (http://tree.bio.ed.ac.uk/software/figtree/). Circles indicate each clade. In conclusion, a robust and portable typing scheme for E. cloacae was established. This method, based on seven housekeeping genes, separated the species into three distinct lineages. The MLST scheme developed in this study could be used for further analysis of the epidemiology of E. cloacae. Thus, if homologous recombination does exist, it rarely contributes to the evolution of E. cloacae. Sequence data analysis revealed that large number of synonymous substitutions were detected in genes dnaA, gyrB, leuS, rplB and rpoB, suggesting that most nonsilent mutations are eliminated through purifying selection.
Table 6

Accession number of allele identified in this study.

dnaAfusAgyrBleuS
AlleleAccession #AlleleAccession #AlleleAccession #AlleleAccession #
dnaA_allele1AB774293fusA_allele1AB774304gyrB_allele1AB774314leuS_allele1AB774325
dnaA_allele2AB774294fusA_allele2AB774305gyrB_allele2AB774315leuS_allele2AB774326
dnaA_allele3AB774295fusA_allele3AB774306gyrB_allele3AB774316leuS_allele3AB774327
dnaA_allele4AB774296fusA_allele4AB774307gyrB_allele4AB774317leuS_allele4AB774328
dnaA_allele5AB774297fusA_allele5AB774308gyrB_allele5AB774318leuS_allele5AB774329
dnaA_allele6AB774298fusA_allele6AB774309gyrB_allele6AB774319leuS_allele6AB774330
dnaA_allele7AB774299fusA_allele7AB774310gyrB_allele7AB774320leuS_allele7AB774331
dnaA_allele8AB774300fusA_allele8AB774311gyrB_allele8AB774321leuS_allele8AB774332
dnaA_allele9AB774301fusA_allele9AB774312gyrB_allele9AB774322leuS_allele9AB774333
dnaA_allele10AB774302fusA_allele10AB774313gyrB_allele10AB774323leuS_allele10AB774334
dnaA_allele11AB774303fusA_allele11AB809745gyrB_allele11AB774324leuS_allele11AB774335
dnaA_allele12AB809704fusA_allele12AB809746gyrB_allele12AB809769leuS_allele12AB774336
dnaA_allele13AB809705fusA_allele13AB809747gyrB_allele13AB809770leuS_allele13AB774337
dnaA_allele14AB809706fusA_allele14AB809748gyrB_allele14AB809771leuS_allele14AB774338
dnaA_allele15AB809707fusA_allele15AB809749gyrB_allele15AB809772leuS_allele15AB809812
dnaA_allele16AB809708fusA_allele16AB809750gyrB_allele16AB809773leuS_allele16AB809813
dnaA_allele17AB809709fusA_allele17AB809751gyrB_allele17AB809774leuS_allele17AB809814
dnaA_allele18AB809710fusA_allele18AB809752gyrB_allele18AB809775leuS_allele18AB809815
dnaA_allele19AB809711fusA_allele19AB809753gyrB_allele19AB809776leuS_allele19AB809816
dnaA_allele20AB809712fusA_allele20AB809754gyrB_allele20AB809777leuS_allele20AB809817
dnaA_allele21AB809713fusA_allele21AB809755gyrB_allele21AB809778leuS_allele21AB809818
dnaA_allele22AB809714fusA_allele22AB809756gyrB_allele22AB809779leuS_allele22AB809819
dnaA_allele23AB809715fusA_allele23AB809757gyrB_allele23AB809780leuS_allele23AB809820
dnaA_allele24AB809716fusA_allele24AB809758gyrB_allele24AB809781leuS_allele24AB809821
dnaA_allele25AB809717fusA_allele25AB809759gyrB_allele25AB809782leuS_allele25AB809822
dnaA_allele26AB809718fusA_allele26AB809760gyrB_allele26AB809783leuS_allele26AB809823
dnaA_allele27AB809719fusA_allele27AB809761gyrB_allele27AB809784leuS_allele27AB809824
dnaA_allele28AB809720fusA_allele28AB809762gyrB_allele28AB809785leuS_allele28AB809825
dnaA_allele29AB809721fusA_allele29AB809763gyrB_allele29AB809786leuS_allele29AB809826
dnaA_allele30AB809722fusA_allele30AB809764gyrB_allele30AB809787leuS_allele30AB809827
dnaA_allele31AB809723fusA_allele31AB809765gyrB_allele31AB809788leuS_allele31AB809828
dnaA_allele32AB809724fusA_allele32AB809766gyrB_allele32AB809789leuS_allele32AB809829
dnaA_allele33AB809725fusA_allele33AB809767gyrB_allele33AB809790leuS_allele33AB809830
dnaA_allele34AB809726fusA_allele34AB809768gyrB_allele34AB809791leuS_allele34AB809831
dnaA_allele35AB809727gyrB_allele35AB809792leuS_allele35AB809832
dnaA_allele36AB809728gyrB_allele36AB809793leuS_allele36AB809833
dnaA_allele37AB809729gyrB_allele37AB809794leuS_allele37AB809834
dnaA_allele38AB809730gyrB_allele38AB809795leuS_allele38AB809835
dnaA_allele39AB809731gyrB_allele39AB809796leuS_allele39AB809836
dnaA_allele40AB809732gyrB_allele40AB809797leuS_allele40AB809837
dnaA_allele41AB809733gyrB_allele41AB809798leuS_allele41AB809838
dnaA_allele42AB809734gyrB_allele42AB809799leuS_allele42AB809839
dnaA_allele43AB809735gyrB_allele43AB809800leuS_allele43AB809840
dnaA_allele44AB809736gyrB_allele44AB809801leuS_allele44AB809841
dnaA_allele45AB809737gyrB_allele45AB809802leuS_allele45AB809842
dnaA_allele46AB809738gyrB_allele46AB809803leuS_allele46AB809843
dnaA_allele47AB809739gyrB_allele47AB809804leuS_allele47AB809844
dnaA_allele48AB809740gyrB_allele48AB809805leuS_allele48AB809845
dnaA_allele49AB809741gyrB_allele49AB809806leuS_allele49AB809846
dnaA_allele50AB809742gyrB_allele50AB809807leuS_allele50AB809847
dnaA_allele51AB809743gyrB_allele51AB809808leuS_allele51AB809848
dnaA_allele52AB809744gyrB_allele52AB809809leuS_allele52AB809849
gyrB_allele53AB809810leuS_allele53AB809850
gyrB_allele54AB809811leuS_allele54AB809851
leuS_allele55AB809852
leuS_allele56AB809853
  17 in total

1.  Sequence type analysis and recombinational tests (START).

Authors:  K A Jolley; E J Feil; M S Chan; M C Maiden
Journal:  Bioinformatics       Date:  2001-12       Impact factor: 6.937

Review 2.  Multilocus sequence typing of bacteria.

Authors:  Martin C J Maiden
Journal:  Annu Rev Microbiol       Date:  2006       Impact factor: 15.500

3.  Statistical tests of neutrality of mutations against population growth, hitchhiking and background selection.

Authors:  Y X Fu
Journal:  Genetics       Date:  1997-10       Impact factor: 4.562

4.  DnaSP, DNA sequence polymorphism: an interactive program for estimating population genetics parameters from DNA sequence data.

Authors:  J Rozas; R Rozas
Journal:  Comput Appl Biosci       Date:  1995-12

5.  Statistical method for testing the neutral mutation hypothesis by DNA polymorphism.

Authors:  F Tajima
Journal:  Genetics       Date:  1989-11       Impact factor: 4.562

Review 6.  Enterobacter spp.: pathogens poised to flourish at the turn of the century.

Authors:  W E Sanders; C C Sanders
Journal:  Clin Microbiol Rev       Date:  1997-04       Impact factor: 26.132

7.  How clonal are bacteria?

Authors:  J M Smith; N H Smith; M O'Rourke; B G Spratt
Journal:  Proc Natl Acad Sci U S A       Date:  1993-05-15       Impact factor: 11.205

8.  Three cases of IMP-type metallo-β-lactamase-producing Enterobacter cloacae bloodstream infection in Japan.

Authors:  Yohei Hamada; Koji Watanabe; Tatsuya Tada; Tada Tatsuya; Kazuhisa Mezaki; Sosuke Takeuchi; Toshio Shimizu; Teruo Kirikae; Norio Ohmagari
Journal:  J Infect Chemother       Date:  2012-11-19       Impact factor: 2.211

Review 9.  Investigation of an outbreak of Enterobacter cloacae in a neonatal unit and review of the literature.

Authors:  M Dalben; G Varkulja; M Basso; V L J Krebs; M A Gibelli; I van der Heijden; F Rossi; G Duboc; A S Levin; S F Costa
Journal:  J Hosp Infect       Date:  2008-07-16       Impact factor: 3.926

10.  mlstdbNet - distributed multi-locus sequence typing (MLST) databases.

Authors:  Keith A Jolley; Man-Suen Chan; Martin C J Maiden
Journal:  BMC Bioinformatics       Date:  2004-07-01       Impact factor: 3.169

View more
  70 in total

1.  Genomic Characterization of Enterobacter cloacae Isolates from China That Coproduce KPC-3 and NDM-1 Carbapenemases.

Authors:  Hong Du; Liang Chen; Kalyan D Chavda; Ruchi Pandey; Haifang Zhang; Xiaofang Xie; Yi-Wei Tang; Barry N Kreiswirth
Journal:  Antimicrob Agents Chemother       Date:  2016-03-25       Impact factor: 5.191

2.  Molecular Characterization of IMP-1-Producing Enterobacter cloacae Complex Isolates in Tokyo.

Authors:  Kotaro Aoki; Sohei Harada; Koji Yahara; Yoshikazu Ishii; Daisuke Motooka; Shota Nakamura; Yukihiro Akeda; Tetsuya Iida; Kazunori Tomono; Satoshi Iwata; Kyoji Moriya; Kazuhiro Tateda
Journal:  Antimicrob Agents Chemother       Date:  2018-02-23       Impact factor: 5.191

3.  Colistin resistance in Enterobacter spp. isolates in Korea.

Authors:  Yoon-Kyoung Hong; Ji-Young Lee; Kwan Soo Ko
Journal:  J Microbiol       Date:  2018-06-01       Impact factor: 3.422

4.  Characterization of a novel metallo-β-lactamase variant, GIM-2, from a clinical isolate of Enterobacter cloacae in Germany.

Authors:  Andreas F Wendel; Colin R MacKenzie
Journal:  Antimicrob Agents Chemother       Date:  2014-12-29       Impact factor: 5.191

5.  Coidentification of mcr-4.3 and blaNDM-1 in a Clinical Enterobacter cloacae Isolate from China.

Authors:  Bhakti Chavda; Jingnan Lv; Mengyun Hou; Kalyan D Chavda; Barry N Kreiswirth; Youjun Feng; Liang Chen; Fangyou Yu
Journal:  Antimicrob Agents Chemother       Date:  2018-09-24       Impact factor: 5.191

6.  resistome analysis of Enterobacter cloacae CY01, an extensively drug-resistant strain producing VIM-1 metallo-β-lactamase from China.

Authors:  Ling Yang; Ai-Wu Wu; Dan-Hong Su; Yong-Ping Lin; Ding-Qiang Chen; Yu-Rong Qiu
Journal:  Antimicrob Agents Chemother       Date:  2014-08-11       Impact factor: 5.191

Review 7.  Evidence from a New York City hospital of rising incidence of genetically diverse carbapenem-resistant Enterobacter cloacae and dominance of ST171, 2007-14.

Authors:  Angela Gomez-Simmonds; Yue Hu; Sean B Sullivan; Zheng Wang; Susan Whittier; Anne-Catrin Uhlemann
Journal:  J Antimicrob Chemother       Date:  2016-04-26       Impact factor: 5.790

8.  Imipenem-resistant Gram-negative bacterial isolates carried by persons upon medical examination in Korea.

Authors:  So Yeon Kim; Sang Yop Shin; Ji-Young Rhee; Kwan Soo Ko
Journal:  J Microbiol       Date:  2017-07-18       Impact factor: 3.422

9.  Dominance of IMP-4-producing enterobacter cloacae among carbapenemase-producing Enterobacteriaceae in Australia.

Authors:  Hanna E Sidjabat; Nicola Townell; Graeme R Nimmo; Narelle M George; Jennifer Robson; Renu Vohra; Louise Davis; Claire Heney; David L Paterson
Journal:  Antimicrob Agents Chemother       Date:  2015-04-27       Impact factor: 5.191

10.  The dissemination of multidrug-resistant Enterobacter cloacae throughout the UK and Ireland.

Authors:  Danesh Moradigaravand; Sandra Reuter; Veronique Martin; Sharon J Peacock; Julian Parkhill
Journal:  Nat Microbiol       Date:  2016-09-26       Impact factor: 17.745

View more

北京卡尤迪生物科技股份有限公司 © 2022-2023.