Enterococcus faecalis an Emerging Microbial Menace in Dentistry-An Insight into the In-Silico Detection of Drug Resistant Genes and Its Protein Diversity
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 10
Abstract
ABSTRACT Introduction: Antimicrobial drug resistance is evolving as a serious threat to mankind due to indiscriminate use of antibiotics and lack of awareness about the mechanisms involved in drug resistance. Enterococcus faecalis, a common pathogen of the oral cavity has gained drug resistance over a period of years, making treatments refractory and ineffective. Aim: To detect the antimicrobial resistance encoding genes of Enterococcus faecalis employing computational tools. Materials and Methods: Antibiotic resistance genes were detected by retrieving sixteen genome sequences of Enterococcus faecalis from NCBI database which were further analysed using ResFinder. PlasmidFinder identified resistance encoding plasmids from recruited genomes under study. Protein sequences of most common phenotypes were subjected to protein BLAST and non-duplicate isolates showing 95-100% identity were selected for multiple sequence alignment using MEGA v7.0. Additionally, reconstruction of phylogenetic tree was performed to ascertain the diversity of these proteins among different genus and species. Results: In silico analysis of genomes revealed that almost all the probed isolates exhibited resistance towards glycopeptides and macrolides. The genes lsa(A) were found in 100% of the isolates, followed by tet (M) and erm (B) exhibiting a frequency of 37.5% and 25% respectively. Apart from major antibiotics, the isolates also demonstrated resistance towards aminoglycoside, phenicol, tetracycline and trimethoprim class of antimicrobials. Conclusion: The present investigation has emphasised the novelty in the application of in-silico tools in the understanding of the antibiotic resistance profile explored by the dreadful endodontic pathogen viz., E. faecalis. Further, this approach will aid in the implementation of improved treatment strategies and will facilitate to combat the dissemination of resistant gene cassettes to other oral pathogens or commensals residing in the vicinity.
Authors and Affiliations
Vijayashree J Priyadharsini, AS Smilinegirija, A Paramasivam
Influence of Different Thickness of Mineral Trioxide Aggregate, Resin Modified Glass Ionomer Cement and Intermediate Restorative Material on Sealing Ability of Root End Fillings: An in vitro Study
Introduction: A wide variety of root end filling materials has been tried, though the biocompatibility and sealing ability have been always in question. Hence, the latest innovation towards better sealing materials like...
Practice of Intravenous to Oral Conversion of Antibiotics and its Influence on Length of Stay at a Tertiary Care Hospital: A Prospective Study
ABSTRACT Introduction: Several studies have demonstrated the efficacy and safety of switching from intravenous to oral antibiotics in clinically stable patients. Early switch from Intravenous (IV) to Per Oral (PO) could...
A Comparative Analysis of Master Casts Obtained using Different Surface Treatments on Impression Copings for Single Tooth Implant Replacement -An In vitro Study
Introduction: Minor rotation of impression coping secured in the impression is an avoidable error that needs to be minimized to ensure precise positioning of implant analog in master cast. Aim: The aim of the study was t...
Cerebellar Cognitive Affective Syndrome-A Case Report
Abstract There are an increasing number of reports suggesting that cerebellum, apart from its significance in movement coordination, plays an important role in cognitive and emotional regulation. Cerebellar Cognitive Aff...
Pentazocine Alone Versus Pentazocine Plus Diclofenac for Pain Relief in the First 24 Hours after Caesarean Section: A Randomized Controlled Study
Introduction: Postoperative pain is one of the main postoperative adverse outcomes following caesarean section. Its management still remains a challenge especially in a low resource setting. Aim: To compare the efficacy...