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. 2021 Dec 18;10(12):3145.
doi: 10.3390/foods10123145.

Antimicrobial Susceptibility of Lactobacillus delbrueckii subsp. lactis from Milk Products and Other Habitats

Affiliations

Antimicrobial Susceptibility of Lactobacillus delbrueckii subsp. lactis from Milk Products and Other Habitats

Noam Shani et al. Foods. .

Abstract

As components of many cheese starter cultures, strains of Lactobacillus delbrueckii subsp. lactis (LDL) must be tested for their antimicrobial susceptibility to avoid the potential horizontal transfer of antibiotic resistance (ABR) determinants in the human body or in the environment. To this end, a phenotypic test, as well as a screening for antibiotic resistance genes (ARGs) in genome sequences, is commonly performed. Historically, microbiological cutoffs (MCs), which are used to classify strains as either 'sensitive' or 'resistant' based on the minimal inhibitory concentrations (MICs) of a range of clinically-relevant antibiotics, have been defined for the whole group of the obligate homofermentative lactobacilli, which includes LDL among many other species. This often leads to inaccuracies in the appreciation of the ABR status of tested LDL strains and to false positive results. To define more accurate MCs for LDL, we analyzed the MIC profiles of strains originating from various habitats by using the broth microdilution method. These strains' genomes were sequenced and used to complement our analysis involving a search for ARGs, as well as to assess the phylogenetic proximity between strains. Of LDL strains, 52.1% displayed MICs that were higher than the defined MCs for kanamycin, 9.9% for chloramphenicol, and 5.6% for tetracycline, but no ARG was conclusively detected. On the other hand, all strains displayed MICs below the defined MCs for ampicillin, gentamycin, erythromycin, and clindamycin. Considering our results, we propose the adaptation of the MCs for six of the tested clinically-relevant antibiotics to improve the accuracy of phenotypic antibiotic testing.

Keywords: Lactobacillus delbrueckii; SNP-based phylogeny; antimicrobial susceptibility; broth microdilution; genome sequencing; kanamycin.

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Conflict of interest statement

The authors declare no conflict of interest. The funders had no role in designing this study; in the collection, analyses, or interpretation of data; in manuscript writing; or in the decision to publish the results.

Figures

Figure 1
Figure 1
SNP-based phylogenetic tree of Lactobacillus delbrueckii subsp. bulgaricus strains assessed in this study. The scale shows the rate of single nucleotide polymorphisms.
Figure 2
Figure 2
SNP-based phylogenetic tree of the Lactobacillus delbrueckii subsp. lactis strains assessed in this study. Country and biological origin, as well as the defined minimal inhibitory concentration of kanamycin (MICs, pink bars, along with their numerical values expressed in mg/L) are displayed. For strains that did not grow in the test medium or that have not been tested, MIC of kanamycin is indicated with ‘0′. The scale shows the rate of single nucleotide polymorphisms.
Figure 3
Figure 3
Combined minimal inhibitory concentration (MIC) distributions for Lactobacillus delbrueckii subsp. lactis and L. delbrueckii subsp. bulgaricus. The dashed lines indicate the current microbiological cutoffs (MCs) as defined by the European Food Safety Authority, and the dotted lines represent the calculated MCs based on the MICs measured in this study.
Figure 4
Figure 4
Minimal inhibitory concentration (MIC) distributions for Lactobacillus delbrueckii subsp. lactis only. The dashed lines indicate the current microbiological cutoffs (MCs) as defined by the European Food Safety Authority, and the dotted lines represent the calculated MCs based on the MICs measured in this study.

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