Abstract
This study focuses on the prevalence of Pseudomonas aeruginosa in various medical specimens. In addition, the investigates of this research shows the genetic analysis of pathogen-resistant isolates and chemical modifications to ciprofloxacin. A total of 225 specimens from men and women aged 30 to 60 were carefully collected and examined, including samples from wound, burn, urine, sputum, and ear samples. The data were obtained from AL Muthanna hospitals. PCR–RFLP and gene expression analysis were used to identify resistant strains and explore the genetic basis of antibiotic resistance. A ciprofloxacin derivative was synthesized and confirmed through FT-IR, 1H-NMR, and mass spectroscopy techniques then it was tested as antibacterial agent. Also, molecular docking study was conducted to predict the mechanism of action for the synthesized derivative. The results demonstrated that wound samples had the highest positive rate (33.7%) of P. aeruginosa isolates. The PCR–RFLP testing correlated ciprofloxacin resistance with gyrA gene mutation. Gene expression analysis revealed significant changes in the gyrA gene expression in comparison to the reference rpsL gene subsequent to exposure to the synthesized derivative. Furthermore, the molecular docking investigation illustrated the strategic positioning of the ciprofloxacin derivative within the DNA-binding site of the gyrA enzyme. The examination of genetic expression patterns manifested diverse effects attributed to the CIP derivative on P. aeruginosa, thus portraying it as a viable candidate in the quest for the development of novel antimicrobial agents. Ciprofloxacin derivative may offer new antimicrobial therapeutic options for treating Pseudomonas aeruginosa infections in wound specimens, addressing resistance and gyrA gene mutations.
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References
Gellatly, S. L., & Hancock, R. E. (2013). Pseudomonas aeruginosa: New insights into pathogenesis and host defenses. Pathogens and Disease, 67, 159–173. https://doi.org/10.1111/2049-632X.12033
Gjodsbol, K., Christensen, J. J., Karlsmark, T., Jørgensen, B., Klein, B. M., & Krogfelt, K. A. (2006). Multiple bacterial species reside in chronic wounds: A longitudinal study. International Wound Journal, 3, 225–31. https://doi.org/10.1111/j.1742-481X.2006.00159.x
CDC. Antibiotic Resistance Threats in the United States. [Accessed on 1 November 2022]. Available online: https://www.cdc.gov/drugresistance/biggest-threats.html
Bhatt, S., & Chatterjee, S. (2022). Fluoroquinolone antibiotics: Occurrence, mode of action, resistance, environmental detection, and remediation–A comprehensive review. Environmental Pollution, 315, 120440. https://doi.org/10.1016/j.envpol.2022.120440
Tamma, P., Aitken, S., Bonomo, R. (2022) IDSA Guidance on the Treatment of Antimicrobial-Resistant Gram-Negative Infections: Version 2.0. IDSA; Arlington, VA, USA
Wood, S. J., Kuzel, T. M., & Shafikhani, S. H. (2023). Pseudomonas aeruginosa: Infections, animal modeling, and therapeutics. Cells, 12(1), 199. https://doi.org/10.3390/cells12010199.PMID:36611992;PMCID:PMC9818774
Zha, G. F., Leng, J., Darshini, N., Shubhavathi, T., Vivek, H. K., Asiri, A. M., & Qin, H. L. (2017). Synthesis, SAR and molecular docking studies of benzo[d]thiazole-hydrazones as potential antibacterial and antifungal agents. Bioorganic & Medicinal Chemistry Letters, 27(20), 3148–55.
Adu, J. K., Amengor, C. D. K., Ibrahim, N. M., Amaning-Danquah, C., OwusuAnsah, C., Gbadago, D. D., & Sarpong-Agyapong, J. (2020). Synthesis and in vitro antimicrobial and anthelminthic evaluation of naphtholic and phenolic azo dyes. Journal of Tropical Medicine, 2020, 8.
Peters, L., Olson, L., Khu, D. T. K., Linnros, S., Le, N. K., Hanberger, H., Hoang, N. T. B., Tran, D. M., & Larsson, M. (2019). Multiple antibiotic resistance as a risk factor for mortality and prolonged hospital stay: A cohort study among neonatal intensive care patients with hospital-acquired infections caused by gram-negative bacteria in Vietnam. PLoS ONE., 14(5), e0215666. https://doi.org/10.1371/journal.pone.0215666
Dadgostar, P. (2019). Antimicrobial resistance: Implications and costs. Infection and Drug Resistance, 12, 3903–3910. https://doi.org/10.2147/IDR.S234610
Jansen, W. T. M., Bruggen, J. T., Verhoef, J., & Fluit, A. C. (2006). Bacterial resistance: A sensitive issue: Complexity of the challenge and containment strategy in Europe. Drug Resistance Updates, 9(3), 123–133. https://doi.org/10.1016/j.drup.2006.06.002
Ruiz, J. (2003). Mechanisms of resistance to quinolones: Target alterations, decreased accumulation and DNA gyrase protection. Journal of Antimicrobial Chemotherapy, 51(5), 1109–1117. https://doi.org/10.1093/jac/dkg222
Blondeau, J. M. (2004). Fluoroquinolones: Mechanism of action, classification, and development of resistance. Survey of Ophthalmology, 49(2), S73–S78. https://doi.org/10.1016/j.survophthal.2004.01.005
Jacoby, G. A. (2005). Mechanisms of resistance to quinolones. Clinical Infectious Diseases, 41, S120–S126. https://doi.org/10.1086/428052
Woodford, N., & Ellington, M. J. (2007). The emergence of antibiotic resistance by mutation. Clinical Microbiology & Infection, 13(1), P5-18. https://doi.org/10.1111/j.1469-0691.2006.01492.x
Chaudhry, U., Ray, K., Bala, M., & Saluja, D. (2002). Mutation patterns in gyrA and parC genes of ciprofloxacin resistant isolates of Neisseria gonorrhoeae from India. Sexually Transmitted Infections, 78, 440–44.
Mohammed, H. H. H., Abbas, S. H., Abdelhafez, E. S. M. N., Berger, J. M., Mitarai, S., Arai, M., & Abuo-Rahma, G. E. D. A. (2019). Synthesis, molecular docking, antimicrobial evaluation, and DNA cleavage assay of new thiadiazole/oxadiazole ciprofloxacin derivatives. Monatshefte für Chemie—Chemical Monthly, 150, 1809–24. https://doi.org/10.1007/s00706-019-02478-4
Feng, X., Zhang, Z., Li, X., Song, Y., Kang, J., Yin, D., & Duan, J. (2019). Mutations in gyrB play an important role in ciprofloxacin-resistant Pseudomonas aeruginosa. Infection and Drug Resistance, 12, 261–72. https://doi.org/10.2147/IDR.S182272
Alsughayer, A., Elassar, A. Z. A., Hasan, A. A., & Sagheer, A. F. (2021). Antibiotic resistance and drug modification: Synthesis, characterization and bioactivity of newly modified potent ciprofloxacin derivatives. Bioorganic Chemistry, 108, 104658. https://doi.org/10.1016/j.bioorg.2021.104658
Fedorowicz, J., & Saczewski, J. (2019). Modifications of quinolones and fluoroquinolones: Hybrid compounds and dual-action molecules. Monatshefte fuer Chemie, 149, 1199–1245. https://doi.org/10.1007/s00706-018-2215-x
Sharma, P. C., Jain, A., & Jain, S. (2010). Ciprofloxacin: Review on developments in synthetic, analytical, and medicinal aspects. Journal of Enzyme Inhibition and Medicinal Chemistry, 25(4), 577–589. https://doi.org/10.3109/14756360903373350
Concilio, S., Sessa, L., & Petrone, A. M. (2017). Structure modification of an active azo-compound as a route to new antimicrobial compounds. Molecules, 22, 875. https://doi.org/10.3390/molecules22060875
Ghasemi, Z., Azizi, S., & Salehi, R. (2018). Synthesis of azo dyes possessing N-heterocycles and evaluation of their anticancer and antibacterial properties. Monatshefte fuer Chemie, 149, 149–157. https://doi.org/10.1007/s00706-017-2073-y
de Souza, G. F. P., von Zuben, T. W., & Salles, A. G. J. (2018). A metal-catalyst-free oxidative coupling of anilines to aromatic azo compounds in water using bleach. Tetrahedron Letters, 59(42), 3753–3755. https://doi.org/10.1016/j.tetlet.2018.08.053
Moglie, Y., Vitale, C., & Radivoy, G. (2008). Synthesis of azo compounds by nanosized iron-promoted reductive coupling of aromatic nitro compounds. Tetrahedron Letters, 49(11), 1828–1831. https://doi.org/10.1016/j.tetlet.2008.01.053
Ude, Z., Flothkötter, N., Sheehan, G., Brennan, M., Kavanagh, K., & Marmion, C. J. (2021). Multi-targeted metallo-ciprofloxacin derivatives rationally designed and developed to overcome antimicrobial resistance. International Journal of Antimicrobial Agents, 58(6), 106449. https://doi.org/10.1016/j.ijantimicag.2021.106449
Miethke, M., Pieroni, M., & Weber, T. (2021). Towards the sustainable discovery and development of new antibiotics. Nature Reviews Chemistry, 5, 726–749. https://doi.org/10.1038/s41570-021-00313-1
Kyei, K. S., Akaranta, O., & Darko, G. (2020). Synthesis, characterization and antimicrobial activity of peanut skin extract-azo-compounds. Scientific African, 8, e00406. https://doi.org/10.1016/j.sciaf.2020.e00406
Lee, J. J., Lee, W. J., & Choi, J. H. (2005). Synthesis and application of temporarily solubilised azo disperse dyes containing b sulphatoethylsulphonyl group. Dyes and Pigments, 65, 75–81.
Cockerill, F.R. (2017) Performance Standards for Antimicrobial Susceptibility Testing: Twenty-First Informational Supplement. Wayne, PA: Clinical and Laboratory Standards Institute. https://clsi.org/standards/products/microbiology/documents/m100/
El Maghraby, H. M., & Rabie, R. A. (2019). Ciprofloxacin resistance due to gyrA mutation in Pseudomonas aeruginosa isolates at Zagazig University Hospitals. Egyptian Journal of Medical Microbiology, 94(1), 5. https://doi.org/10.21608/ejmm.2018.285598
Dumas, J. L., Van, D. C. A., & Perron, K. (2006). Analysis of antibiotic resistance gene expression in Pseudomonas aeruginosa by quantitative real-time-PCR. FEMS Microbiology Letters, 254(2), 217–225. https://doi.org/10.1111/j.1574-6968.2005.00008.x
Schwede, T., Kopp, J., Guex, N., & Peitsch, M. C. (2003). SWISS-MODEL: An automated protein homology-modeling server. Nucleic Acids Research, 31(13), 3381–3385. https://doi.org/10.1093/nar/gkg520
Krieger, E., Joo, K., & Lee, J. (2009). Improving physical realism, stereochemistry, and side-chain accuracy in homology modeling: Four approaches that performed well in CASP8. Proteins, 77, 114–122. https://doi.org/10.1002/prot.22570
Sada, M., Kimura, H., Nagasawa, N., Akagawa, M., Okayama, K., Shirai, T., Sunagawa, S., Kimura, R., Saraya, T., Ishii, H., Kurai, D., Tsugawa, T., Nishina, A., Tomita, H., Okodo, M., Hirai, S., Ryo, A., Ishioka, T., & Murakami, K. (2022). Molecular evolution of the Pseudomonas aeruginosa DNA Gyrase gyrA Gene. Microorganisms, 10(8), 1660. https://doi.org/10.3390/microorganisms10081660
Nastasă, C., Vodnar, D. C., & Ionuţ, I. (2018). Antibacterial Evaluation and virtual screening of new thiazolyl-triazole schiff bases as potential DNA-gyrase inhibitors. International Journal of Molecular Sciences, 19(1), 222. https://doi.org/10.3390/ijms19010222
Hashemi, N.S., Mojiri, M., Yazdani, K.P., Eskandari, S., Mohammadian, M., & Alavi, I., (2017) Prevalence of antibiotic resistance and blaIMP-1 gene among Pseudomonas aeruginosa strains isolated from burn and urinary tract infections in Isfahan, central Iran. Microbiology Research. 8(2), 59–63. https://www.mdpi.com/2036-7481/8/2/7295#
Nouri, R., Ahangarzadeh, R. M., & Hasani, A. (2016). The role of gyrA and parC mutations in fluoroquinolones-resistant Pseudomonas aeruginosa isolates from Iran. Brazilian Journal of Microbiology, 47(4), 925–930. https://doi.org/10.1016/j.bjm.2016.07.016
Huang, H., Liu, H., & Chuang, H. (2023). Correlation between antibiotic consumption and resistance of Pseudomonas aeruginosa in a teaching hospital implementing an antimicrobial stewardship program: A longitudinal observational study. Journal of Microbiology, Immunology, and Infection, 56(2), 337–343. https://doi.org/10.1016/j.jmii.2022.08.017
Salma, R., Dabboussi, F., Kassaa, I., Hamze, M., & Khudary, R. (2013). gyrA and parC mutations in quinolone-resistant clinical isolates of Pseudomonas aeruginosa from Nini Hospital in north Lebanon. Journal of Infection and Chemotherapy, 19(1), 77–81. https://doi.org/10.1007/s10156-012-0455-y
Reynolds, D., & Kollef, M. (2021). The epidemiology and pathogenesis and treatment of Pseudomonas aeruginosa Infections: an update. Drugs, 81(6), 747–760. https://doi.org/10.1007/s40265-021-01635-6
Feng, X., Zhang, Z., Li, X., Song, Y., Kang, J., Yin, D., & Duan, J. (2019). Mutations in gyrB play an important role in ciprofloxacin-resistant Pseudomonas aeruginosa. Infection and Drug Resistance, 8(12), 261–72. https://doi.org/10.2147/2FIDR.S182272
Shams, H. Z., Mohareb, R. M., Helal, M. H., & Mahmoud, A. E. S. (2011). Design and synthesis of novel antimicrobial acyclic and heterocyclic dyes and their precursors for dyeing and/or textile finishing based on 2-N-acylamino-4,5,6,7-tetrahydro-benzo[b]thiophene systems. Molecules, 16(8), 6271–305. https://doi.org/10.3390/molecules16086271
Jarrahpour, A. A., Motamedifar, M., & Pakshir, K. (2004). Synthesis of novel azo Schiff bases and their antibacterial and antifungal activities. Molecules, 9(10), 815–824. https://doi.org/10.3390/91000815
Di, M. M., Sessa, L., & Di, M. M. (2022). Azobenzene as antimicrobial molecules. Molecules, 27(17), 5643. https://doi.org/10.3390/molecules27175643
Al-Jumaily, E. F., & Abd, N. Q. (2017). Effect of quinoline-2-one derivatives on the gene expression of mexB of Pseudomonas aeruginosa. Biomedical and Pharmacology Journal. https://doi.org/10.13005/bpj/1255
Acknowledgements
We would like to extend our sincere appreciation to the Department of Biology et al. Muthanna University in Iraq for generously providing us with the facilities necessary to carry out this research.
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YAJA: Conceptualization, Supervision, Methodology and Writing—review & editing, DAA: Methodology, Validation, and Writing–original draft, MGM: Visualization and Writing—review & editing, ZIK: Methodology and Writing original draft.
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Alabdali, Y.A.J., Azeez, D.A., Munahi, M.G. et al. Molecular Analysis of Pseudomonas aeruginosa Isolates with Mutant gyrA Gene and Development of a New Ciprofloxacin Derivative for Antimicrobial Therapy. Mol Biotechnol (2024). https://doi.org/10.1007/s12033-024-01076-y
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DOI: https://doi.org/10.1007/s12033-024-01076-y