Sarwa Azeez Khalid¹, Aymen. A. Khalid² and Nada aziz Khalid³

 ¹Department of Clinical Laboratory Sciences, College of Pharmacy, University of Tikrit, Tikrit, Iraq

²Department of Medical Laboratory Technology, Imam Ja’afar Al-Sadiq University, Kirkuk, Iraq

 ³Department of Biotechnology, College of Applied Sciences, University of Samarra, Samarra , Iraq

Received: Nov 20, 2023/ Revised: Dec 8, 2023/Accepted: Dec 11, 2023

(✉) Corresponding author Email: aymen.aziz@sadiq.edu.iq

Abstract

The most frequently occurring human bacterial infections are urinary tract infections (UTIs). P. mirabilis is one of the common causes of UTIs in humans with complicated UTIs, the formation of stones in the kidney, and long-term indwelling catheters. This study aims to isolate, and identify Proteusmirabilis from patients with UTIs using traditional methods and 16s rRNA gene sequencing techniques, as well as detect some virulence genes (hpm A and ureR) in Proteus mirabilis by using polymerase chain reaction (PCR). A total of five isolates of Proteus mirabilis were isolated from patients with urinary tract infections in June 2022. Identification of isolates depends on microscopic and cultural characteristics and traditional biochemical tests, finally, isolates are identified by target gene 16s rRNA using PCR technique, in addition, this study investigates the genes responsible for virulence factors such as hpmA and hpmR.In this study laboratory diagnosis and molecular analysis (16s rRNA gene) revealed that the five isolates are Proteus mirabilis also this study shows the presence of the hpmAgenes by PCR techniques in the isolates 100%. Our study has shown that 16s rRNA was a strong eclectic power and an excellent method for the identification of bacteria also these study frequency ofureR and hpmA in P.mirabilis isolated from UTIs and these genes have a manifest role in the infection.

Keywords: Proteus mirabilis, Virulence Genes, Urinary Tract Infection

References

AL-Oqaili, N. A. D. (2017). Antimicrobial susceptibility and molecular characterization for some virulence factors of Proteus Mirabilis isolated from patients in Al-Qadisiyah Province/ Iraq. Al-Qadisiyah Journal of Veterinary Medicine Sciences, 16(2), 1–7.

https://doi.org/10.29079/vol16iss2art435

Armbruster, C. E., Mobley, H. L. T., & Pearson, M. M. (2018). Pathogenesis of Proteus mirabilis Infection. EcoSal Plus, 8(1).

https://doi.org/10.1128/ecosalplus.esp-0009-2017

Barker, John W. and Glasoe. Laboratory manual for first year college chemistry. New York: McGraw‐Hill Book Company, 1952. 186 P. $3.00. (1954). Science Education, 38(4), 321–321.

https://doi.org/10.1002/sce.3730380486

Cestari, S. E., Ludovico, M. S., Martins, F. H., da Rocha, S. P. D., Elias, W. P., & Pelayo, J. S. (2013). Molecular Detection of HpmA and HlyA Hemolysin of Uropathogenic Proteus mirabilis. Current Microbiology, 67(6), 703–707.

https://doi.org/10.1007/s00284-013-0423-5

Dattelbaum, J. D., Lockatell, C. V., Johnson, D. E., & Mobley, H. L. T. (2003). UreR, the Transcriptional Activator of the Proteus mirabilis Urease Gene Cluster, Is Required for Urease Activity and Virulence in Experimental Urinary Tract Infections. Infection and Immunity, 71(2), 1026–1030.

https://doi.org/10.1128/iai.71.2.1026-1030.2003

Jaber, A. H., & Almiyah, S. A. F. (2022). Genetic and Morphological Effects of Lactobacillus Acidophillus on Some Virulence Factors of Proteus Mirabilis That Isolated From Diabetic Foot Ulcers. Pakistan Journal of Medical and Health Sciences, 16(6), 645–648.

https://doi.org/10.53350/pjmhs22166645

Jones, B. D., Lockatell, C. V., Johnson, D. E., Warren, J. W., & Mobley, H. L. (1990). Construction of a urease-negative mutant of Proteus mirabilis: analysis of virulence in a mouse model of ascending urinary tract infection. Infection and Immunity, 58(4), 1120–1123.

https://doi.org/10.1128/iai.58.4.1120-1123.1990

Kearns, D. B. (2010). A field guide to bacterial swarming motility. Nature Reviews Microbiology, 8(9), 634–644.

https://doi.org/10.1038/nrmicro2405

Lazm, A. M., Jebur, M. S., Al-Dahmoshi, H. O., & Al-khafaji, N. S. (2019). The Sequencing of hpmB Gene in Proteus mirabilis Among UTIs Patients. Journal of Pure and Applied Microbiology, 13(1), 447–453.

https://doi.org/10.22207/jpam.13.1.49

Liaw, S. J., Lai, H. C., Ho, S. W., Luh, K. T., & Wang, W. B. (2003). Role of RsmA in the regulation of swarming motility and virulence factor expression in Proteus mirabilis. Journal of Medical Microbiology, 52(1), 19–28.

https://doi.org/10.1099/jmm.0.05024-0

Molecular analysis of genetic elements responsible for drug resistance Proteus mirabilis isolated from Baghdad city hospitals. (2021). International Journal of Pharmaceutical Research, 12(03).

https://doi.org/10.31838/ijpr/2020.12.03.505

Molecular assessments of Proteus mirabilis virulence factors isolated from urinary tract infection patients. (2018). International Journal of Pharmaceutical Research, 10(4).

https://doi.org/10.31838/ijpr/2018.10.04.084

Molecular assessments of Proteus mirabilis virulence factors isolated from urinary tract infection patients. (2018). International Journal of Pharmaceutical Research, 10(4).

https://doi.org/10.31838/ijpr/2018.10.04.084

Mukhtar, A. A., Alfadil, N. A. A., Mohamed, M. S., Altayb, H. N., Elzaki, S. G., & Hassan, M. S. (2018). Identification of Proteus Mirabilis on Banknotes Using 16s rRNA gene in Khartoum State. Sudan Journal of Medical Sciences, 13(3), 175.

https://doi.org/10.18502/sjms.v13i3.2955

Murray, P., Baron, E., Jorgensen, J., Pfaller, M., Yolken, R., & Hanna, B. (2004). Manual of Clinical Microbiology, 8th Edition:Manual of Clinical Microbiology, 8th Edition. Clinical Infectious Diseases, 38(8), 1199–1200.

https://doi.org/10.1086/383067

Park, J. S., Hong, K. H., Lee, H. J., Choi, S. H., Song, S. H., Song, K. H., Kim, E. C. (2011). Evaluation of three phenotypic identification systems for clinical isolates of Raoultella ornithinolytica. Journal of Medical Microbiology, 60(4), 492–499.

https://doi.org/10.1099/jmm.0.020768-0

Rezatofighi, S. E., Mirzarazi, M., & Salehi, M. (2021). Virulence genes and phylogenetic groups of uropathogenic Escherichia coli isolates from patients with urinary tract infection and uninfected control subjects: a case-control study. BMC Infectious Diseases, 21(1).

https://doi.org/10.1186/s12879-021-06036-4

Rózalski, A., Sidorczyk, Z., & Kotełko, K. (1997). Potential virulence factors of Proteus bacilli. Microbiology and Molecular Biology Reviews, 61(1), 65–89.

https://doi.org/10.1128/mmbr.61.1.65-89.1997

Sosa, V., & Zunino, P. (2010). Assessment of effectiveness and safety of Ibicella lutea extract in the control of experimental Proteus mirabilis urinary tract infection. The Journal of Infection in Developing Countries, 4(12), 814–821.

https://doi.org/10.3855/jidc.1151

How to cite this article

Khalid, S. A., Khalid, A. A. and Khalid, N. A. (2024). Molecular study of hpmA and ureR genes among Proteus mirabilis isolates inpatient with urinary tract infection. Microbial Science Archives, Vol. 4(1) 1-5. https://doi.org/10.47587/MSA.2024.4101

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