Kawahara Ryuji, Yamaguchi Takahiro, Yamamoto Yoshimasa
Division of Microbiology, Osaka Institute of Public Health, Osaka, Japan.
Graduate School of Pharmaceutical Sciences, Osaka University, Suita, Japan.
Infect Drug Resist. 2021 Mar 3;14:841-847. doi: 10.2147/IDR.S298120. eCollection 2021.
Emergence and dissemination of colistin-resistant bacteria that harbor mobile colistin resistance () genes pose a dire challenge for the treatment of intractable infections caused by multidrug-resistant bacteria. Current findings on colistin-resistant bacteria in both humans and livestock of the same households highlight the need to identify the dissemination mechanisms of colistin-resistant bacteria.
In this study, a comparative genome analysis of colistin-resistant isolates from livestock and humans of the same household was performed to clarify the possible dissemination mechanism of genes among bacteria. Pulsed-field gel electrophoresis and whole-genome sequencing followed by sequence typing of the isolates were performed for assessment of the samples.
The study revealed that two colistin-resistant isolates, one each from a pig and a chicken, were phylogenetically similar but not identical to the human isolates obtained from the same household. The comparative genome analysis revealed that the chicken isolate and a human isolate shared the same IncHl2 plasmid harboring the transposon (-PAP2). The pig isolate and the other human isolate retained the transposon on the chromosome, with the pig isolate carrying the complete transposon (IS-IS) and the human isolate carrying the incomplete transposon (IS).
The results of the study confirm the distribution of colistin-resistant bacteria and subsequent transmission of the resistance gene-carrying transposon between livestock and humans of the same household. To the best of our knowledge, this is the first report on genomic analysis of colistin-resistant isolates obtained from livestock and residents of the same household.
携带可移动性黏菌素耐药(mcr)基因的耐黏菌素细菌的出现和传播,对治疗由多重耐药菌引起的顽固性感染构成了严峻挑战。目前关于同一家庭中人类和家畜体内耐黏菌素细菌的研究结果凸显了确定耐黏菌素细菌传播机制的必要性。
在本研究中,对来自同一家庭的家畜和人类的耐黏菌素大肠杆菌分离株进行了比较基因组分析,以阐明mcr基因在细菌间可能的传播机制。对分离株进行脉冲场凝胶电泳和全基因组测序,随后进行序列分型以评估样本。
研究发现,两株耐黏菌素大肠杆菌分离株,一株来自猪,一株来自鸡,在系统发育上与从同一家庭获得的人类分离株相似但并不相同。比较基因组分析显示,鸡分离株和一株人类分离株共享同一个携带mcr转座子(mcr-PAP2)的IncHl2质粒。猪分离株和另一株人类分离株在染色体上保留了mcr转座子,猪分离株携带完整的mcr转座子(IS26-ISCR1),而人类分离株携带不完整的mcr转座子(IS26)。
该研究结果证实了耐黏菌素细菌的分布以及携带耐药基因的转座子在同一家庭的家畜和人类之间的后续传播。据我们所知,这是关于对来自同一家庭的家畜和居民的耐黏菌素大肠杆菌分离株进行基因组分析的首份报告。