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一株具有碳青霉烯类耐药基因 blaVIM-2 的多药耐药外排泵在一株源于候鸟的假单胞菌大型质粒中出现。

Emergence of a multidrug resistance efflux pump with carbapenem resistance gene blaVIM-2 in a Pseudomonas putida megaplasmid of migratory bird origin.

机构信息

College of Veterinary Medicine, Yangzhou University, Yangzhou, Jiangsu Province, P. R. China.

Jiangsu Co-innovation Center for Prevention and Control of Important Animal Infectious Diseases and Zoonoses, Yangzhou, Jiangsu Province, P. R. China.

出版信息

J Antimicrob Chemother. 2021 May 12;76(6):1455-1458. doi: 10.1093/jac/dkab044.

DOI:10.1093/jac/dkab044
PMID:33758948
Abstract

BACKGROUND

Tigecycline and carbapenems are regarded as vital antimicrobials to treat serious bacterial infections. Co-occurrence of resistance genes conferring resistance to both tigecycline and carbapenems in Pseudomonas spp. was not investigated.

OBJECTIVES

To characterize a megaplasmid co-harbouring tmexCD1-toprJ1 and blaVIM-2 in Pseudomonas putida of migratory bird origin.

METHODS

One tigecycline- and carbapenem-resistant strain was isolated and characterized by antimicrobial susceptibility testing, conjugation assay, WGS and bioinformatics analysis.

RESULTS

The strain P. putida ZXPA-20 resistant to meropenem and tigecycline was positive for blaVIM-2 and tmexCD1-toprJ1 genes. The gene blaVIM-2 was inserted into the backbone of the megaplasmid pZXPA-20 within a Tn5090-like structure. The genetic context of tmexCD1-toprJ1 in the megaplasmid was identical to many chromosomal tmexCD1-toprJ1 of Pseudomonas species. Plasmid-mediated tmexCD1-toprJ1 gene cluster in Pseudomonas spp. was more common than that in Klebsiella pneumoniae. To the best of our knowledge, this is the first report of co-occurrence of blaVIM-2 and tmexCD1-toprJ1 in one plasmid.

CONCLUSIONS

Emergence of plasmid-mediated carbapenem and tigecycline resistance genes in P. putida from migratory birds highlighted the importance of surveillance of novel mobile resistance genes in migratory birds, which may play a vital role in global transmission of novel resistance genes.

摘要

背景

替加环素和碳青霉烯类抗生素被认为是治疗严重细菌感染的重要抗菌药物。目前尚未研究铜绿假单胞菌中同时对替加环素和碳青霉烯类抗生素耐药的耐药基因的共同发生情况。

目的

描述一株来自候鸟的具有迁移性多质粒同时携带 tmexCD1-toprJ1 和 blaVIM-2 的假单胞菌。

方法

通过药敏试验、接合试验、WGS 和生物信息学分析对一株耐碳青霉烯类和替加环素的铜绿假单胞菌进行分离和鉴定。

结果

对美罗培南和替加环素耐药的铜绿假单胞菌 ZXPA-20 携带 blaVIM-2 和 tmexCD1-toprJ1 基因。blaVIM-2 基因位于 Tn5090 样结构内,插入多质粒 pZXPA-20 的骨架中。tmexCD1-toprJ1 在多质粒上的遗传背景与许多假单胞菌属的染色体 tmexCD1-toprJ1 相同。与肺炎克雷伯菌相比,铜绿假单胞菌中质粒介导的 tmexCD1-toprJ1 基因簇更为常见。据我们所知,这是首次报道 blaVIM-2 和 tmexCD1-toprJ1 同时存在于一个质粒上。

结论

来自候鸟的铜绿假单胞菌中出现了质粒介导的碳青霉烯类和替加环素耐药基因,这凸显了监测候鸟中新的移动性耐药基因的重要性,这些基因可能在新的耐药基因在全球的传播中发挥重要作用。

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