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携带 bla 的多药耐药 IncC 质粒的绵羊源产志贺毒素大肠杆菌 ST215-H54

Multidrug resistance IncC plasmid carrying bla in Shiga toxin-producing Escherichia coli ST215-H54 of ovine origin.

机构信息

Departamento de Análises Clínicas, Toxicológicas e Bromatológicas, Faculdade de Ciências Farmacêuticas de Ribeirão Preto, Universidade de São Paulo, São Paulo, Brazil.

Departamento de Análises Clínicas, Toxicológicas e Bromatológicas, Faculdade de Ciências Farmacêuticas de Ribeirão Preto, Universidade de São Paulo, São Paulo, Brazil.

出版信息

Infect Genet Evol. 2021 Sep;93:104989. doi: 10.1016/j.meegid.2021.104989. Epub 2021 Jul 1.

Abstract

CMY-type β-lactamases are the most reported plasmid-mediated AmpC (pAmpC), with the CMY-2-like group being the most clinically relevant described in Escherichia coli at human-animal-environment interface. Shiga toxin-producing E. coli (STEC) lineages are zoonotic pathogens commonly reported causing serious clinical conditions in humans, including severe diarrheagenic diseases. Therefore, this study aimed to investigate a multidrug-resistant (MDR) STEC isolate (A313) recovered from a healthy sheep and carrying mobile bla, that encodes a pAmpC belonging to the CMY-2-like group. The A313 isolate exhibited a MDR profile to clinically relevant antimicrobials (i.e., cephalosporins, aminoglycosides, and fluoroquinolones), but reduced susceptibility to extended-spectrum cephalosporins and aztreonam. Besides, virulence genes (stx2, gad and iutA) were detected in A313, which belonged to ST215/CC10 and phylogenetic group A, whereas the fimH54 was identified. The bla gene and other antimicrobial resistance determinants [aph(6)-Id, aph(3″)-Ib, aac(3)-IId, aadA5, floR, tetA, sul1, and sul2], as well as genes encoding tolerance to mercury (merRTPCADE), were harbored by an IncC plasmid (named pA313-CMY-97, ~ 176 kb). A novel genetic context of bla, in which a 208-bp ISEcp1 was truncated by an IS26 in the opposite orientation upstream of the bla gene (IS26-∆ISEcp1-bla-blc-sugE-encR), was also identified in pA313-CMY-97. To the best of our knowledge, this is the first report on the acquisition of bla into a plasmid. Therefore, we reported ovine as reservoir of clinically relevant MDR bacteria carrying mobile bla with potential for zoonotic transmission.

摘要

CMY 型β-内酰胺酶是最常报道的质粒介导的 AmpC(pAmpC),其中 CMY-2 样群在人与动物环境界面的大肠杆菌中被描述为最具临床相关性。产志贺毒素大肠杆菌(STEC)谱系是常见的人畜共患病病原体,常导致人类严重的临床疾病,包括严重的腹泻性疾病。因此,本研究旨在调查从健康绵羊中回收的多药耐药(MDR)STEC 分离株(A313),该分离株携带可移动 bla,该 bla 编码属于 CMY-2 样群的 pAmpC。A313 分离株对临床相关抗菌药物(即头孢菌素、氨基糖苷类和氟喹诺酮类)表现出 MDR 表型,但对头孢菌素和氨曲南的敏感性降低。此外,A313 中检测到毒力基因(stx2、gad 和 iutA),属于 ST215/CC10 和 A 群,而鉴定出 fimH54。bla 基因和其他抗菌药物耐药决定因素 [aph(6)-Id、aph(3″)-Ib、aac(3)-IId、aadA5、floR、tetA、sul1 和 sul2] 以及编码对汞耐受的基因(merRTPCADE),由 IncC 质粒(命名为 pA313-CMY-97,~176kb)携带。在 pA313-CMY-97 中还鉴定了 bla 的新型遗传结构,其中 208bp 的 ISEcp1 被 bla 基因上游反向方向的 IS26 截断(IS26-∆ISEcp1-bla-blc-sugE-encR)。据我们所知,这是 bla 被整合到质粒中的首例报道。因此,我们报道了绵羊作为携带可移动 bla 的临床相关 MDR 细菌的储存宿主,这些细菌具有人畜共患传播的潜力。

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