Departamento de Análises Clínicas, Toxicológicas e Bromatológicas, Faculdade de Ciências Farmacêuticas de Ribeirão Preto, Universidade de São Paulo (USP) - Ribeirão Preto, Brazil.
Companhia Ambiental do Estado de São Paulo (CETESB), Ribeirão Preto, Brazil.
Infect Genet Evol. 2021 Dec;96:105156. doi: 10.1016/j.meegid.2021.105156. Epub 2021 Nov 23.
The rapid dissemination of colistin resistance mcr-type genes and extended-spectrum β-lactamase-encoding genes at the human-animal-environment interface has raised concerns worldwide. In this study, we performed a genomic investigation of a multidrug (MDR)- and colistin-resistant Escherichia coli strain recovered from an urban stream strongly affected by pollution and used for recreational purposes in Brazil. E. coli strain EW827 was resistant to clinically significant antimicrobials, including polymyxins, extended-spectrum cephalosporins, and fluoroquinolones. Whole-genome sequencing analysis revealed that EW827 strain belonged to ST1775 and carried the fimH137 allele, clinically relevant antimicrobial resistance genes (e.g., mcr-1.1, bla, and bla), tolerance genes to metals, and biocide resistance genes. Moreover, IncX4 and IncI1-ST12 replicon types were identified carrying mcr-1.1 and bla, respectively. A novel genetic environment of the mcr-1.1 gene, in which a 258-bp ∆IS5-like was inserted in the opposite orientation upstream of the mcr-1.1-pap2 element, was also detected. Additionally, the bla gene was harbored by a Tn21-like element on the chromosome. The occurrence of MDR E. coli co-harboring mcr-1.1, bla, and bla in urban water represents a potential risk to humans, animals, and environmental safety. Therefore, epidemiological studies are required to monitoring multidrug-resistant bacteria and their antimicrobial resistance genes in aquatic ecosystems to determine possible routes and fates of these genes.
黏菌素耐药 mcr 型基因和超广谱β-内酰胺酶编码基因在人-动物-环境界面的快速传播引起了全球关注。在这项研究中,我们对从受污染影响严重的城市溪流中回收的一株多药(MDR)和黏菌素耐药大肠杆菌菌株进行了基因组研究,该菌株在巴西被用于娱乐目的。大肠杆菌菌株 EW827 对包括多黏菌素、头孢菌素和氟喹诺酮类在内的临床上有意义的抗菌药物具有耐药性。全基因组测序分析表明,EW827 菌株属于 ST1775 型,携带 fimH137 等位基因,具有临床相关的抗菌药物耐药基因(如 mcr-1.1、bla 和 bla)、耐金属基因和杀生物剂耐药基因。此外,还鉴定出 IncX4 和 IncI1-ST12 复制子类型,分别携带 mcr-1.1 和 bla。还检测到 mcr-1.1 基因的一个新的遗传环境,其中在 mcr-1.1-pap2 元件的上游反向插入了一个 258-bp 的 ∆IS5-like。此外,bla 基因位于染色体上的 Tn21 样元件上。在城市水中同时存在 MDR 大肠杆菌,携带 mcr-1.1、bla 和 bla,这对人类、动物和环境安全构成了潜在风险。因此,需要进行流行病学研究,以监测水生生态系统中耐多药细菌及其抗菌药物耐药基因,以确定这些基因的可能途径和命运。