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携带bla NDM-1、bla CTX-M-15、bla CMY-42和bla SHV-12的序列型3835大肠杆菌

Escherichia coli of sequence type 3835 carrying bla NDM-1, bla CTX-M-15, bla CMY-42 and bla SHV-12.

作者信息

Feng Yu, Yang Ping, Xie Yi, Wang Xiaohui, McNally Alan, Zong Zhiyong

机构信息

1] Center of Infectious Diseases, West China Hospital, Sichuan University, Chengdu, China [2] Division of Infectious Diseases, State Key Laboratory of Biotherapy, Chengdu, China.

Laboratory of Clinical Microbiology, Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, China.

出版信息

Sci Rep. 2015 Jul 21;5:12275. doi: 10.1038/srep12275.

Abstract

New Delhi metallo-β-lactamase (NDM) represents a serious challenge for treatment and public health. A carbapenem-resistant Escherichia coli clinical strain WCHEC13-8 was subjected to antimicrobial susceptibility tests, whole genome sequencing and conjugation experiments. It was resistant to imipenem (MIC, >256 μg/ml) and meropenem (MIC, 128 μg/ml) and belonged to ST3835. bla NDM-1 was the only carbapenemase gene detected. Strain WCHEC13-8 also had a plasmid-borne AmpC gene (bla CMY-42) and two extended-spectrum β-lactamase genes (bla CTX-M-15 and bla SHV-12). bla NDM-1 and bla SHV-12 were carried by a 54-kb IncX3 self-transmissible plasmid, which is identical to plasmid pNDM-HF727 from Enterobacter cloacae. bla CMY-42 was carried by a 64-kb IncI1 plasmid and bla CTX-M-15 was located on a 141-kb plasmid with multiple F replicons (replicon type: F36:A4:B1). bla CMY-42 was in a complicated context and the mobilisation of bla CMY-42 was due to the transposition of ISEcp1 by misidentifying its right-end boundary. Genetic context of bla NDM-1 in strain WCHEC13-8 was closely related to those on IncX3 plasmids in various Enterobacteriaceae species in China. In conclusion, a multidrug-resistant ST3835 E. coli clinical strain carrying bla NDM-1, bla CTX-M-15, bla CMY-42 and bla SHV-12 was identified. IncX3 plasmids may be making a significant contribution to the dissemination of bla NDM among Enterobacteriaceae in China.

摘要

新德里金属β-内酰胺酶(NDM)对治疗和公共卫生构成了严峻挑战。对一株耐碳青霉烯类大肠埃希菌临床菌株WCHEC13-8进行了药敏试验、全基因组测序和接合实验。它对亚胺培南(MIC,>256μg/ml)和美罗培南(MIC,128μg/ml)耐药,属于ST3835。bla NDM-1是检测到的唯一碳青霉烯酶基因。菌株WCHEC13-8还具有一个质粒携带的AmpC基因(bla CMY-42)和两个超广谱β-内酰胺酶基因(bla CTX-M-15和bla SHV-12)。bla NDM-1和bla SHV-12由一个54kb的IncX3自传递质粒携带,该质粒与阴沟肠杆菌的质粒pNDM-HF727相同。bla CMY-42由一个64kb的IncI1质粒携带,bla CTX-M-15位于一个带有多个F复制子的141kb质粒上(复制子类型:F36:A4:B1)。bla CMY-42处于复杂的环境中,bla CMY-42的移动是由于ISEcp1通过错误识别其右端边界进行转座所致。菌株WCHEC13-8中bla NDM-1的基因环境与中国各种肠杆菌科细菌IncX3质粒上的基因环境密切相关。总之,鉴定出了一株携带bla NDM-1、bla CTX-M-15、bla CMY-42和bla SHV-12的多重耐药ST3835大肠埃希菌临床菌株。IncX3质粒可能对bla NDM在中国肠杆菌科细菌中的传播做出了重大贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e1b/4508618/fd8a8e9d86ab/srep12275-f1.jpg

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