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肠道沙门氏菌血清型印第安纳 ST17 的系统发生基因组分析,中国出现的一种多药耐药克隆。

Phylogenomic Analysis of Salmonella enterica Serovar Indiana ST17, an Emerging Multidrug-Resistant Clone in China.

机构信息

Department of Food Science & Technology, School of Agriculture & Biology, and State Key Lab of Microbial Metabolism, Shanghai Jiao Tong Universitygrid.16821.3c, Shanghai, China.

Department of Microbiology, Shanghai Municipal Center for Disease Control and Prevention, Shanghai, China.

出版信息

Microbiol Spectr. 2022 Aug 31;10(4):e0011522. doi: 10.1128/spectrum.00115-22. Epub 2022 Jul 5.

Abstract

Salmonella enterica serovar Indiana ( Indiana) is an extremely expanded foodborne pathogen in China in recent years. This study aimed to elucidate the national prevalence and phylogenomic characterization of this pathogen in China. Among 5, 287 serotyped Salmonella isolates collected during 2002 to 2018, 466 Indiana isolates were found in 15 provinces, and 407 were identified to be ST17, and the rest were ST2040. Among 407 ST17 isolates, 372 (91.4%) were multidrug resistant, and 366 (89.9%) were resistant to ciprofloxacin, 235 (57.7%) were further resistant to ceftriaxone. Phylogenomic analysis revealed that ST17 isolates were classified into four clades (I, II, III and IV), which appeared in international clonal dissemination. ST17 isolates from China fell into Clade IV with part of isolates from the United Kingdom, the United States, South Korea, and Thailand, suggesting their close genetic relationship. Mutations in quinolone resistance-determining regions (QRDR) of GyrA and ParC, and plasmid-mediated quinolone resistance (PMQR) genes (6')-Ib-cr, AB, and S as well as extended spectrum β-lactamases (ESBL) genes , , and in isolates from Clade IV were much higher than those from other three clades. Various subtypes (, , , , and ) with IS, IS, IS, and IS were found in ST17 isolates, especially Tn containing ΔIS--IS in P1-like bacteriophage plasmids. These findings on the prevalent and genomic characterization for the . Indiana multidrug-resistant ST17 clone in China, which have not been reported yet, provide valuable insights into the potential risk of this high-resistant clone. Fluoroquinolones and cephalosporins are the primary choices for severe salmonellosis treatment. Indiana has become one of the most prevalent serovars in breeding poultry and poultry meats in China in recent years. ST17 was recognized as the leading epidemiological importance in Indiana because of its high-level resistance to the most of common antibiotics, including ciprofloxacin and ceftriaxone. However, the prevalence and phylogenomic characterization of ST17 isolates are unclear. Here, we did a retrospective screening on a large scale for Indiana in China, and performed its phylogenomic analysis. It was found that ST17 isolates had extensive spread in 15 provinces of China and became a multidrug-resistant clone. The international spread of the ST17 isolates was observed among several countries, especially China, the United Kingdom, and the United States. Our study emphasized the importance of surveillance of a high-resistant Indiana ST17 clone to combat its threat to public health.

摘要

肠炎沙门氏菌血清型印第安纳(Indiana)近年来是中国食源性致病菌的一个极度扩张的亚种。本研究旨在阐明该病原体在中国的全国流行情况和系统基因组特征。在 2002 年至 2018 年期间收集的 5287 份血清分型沙门氏菌分离株中,在 15 个省份发现了 466 株印第安纳分离株,其中 407 株鉴定为 ST17,其余为 ST2040。在 407 株 ST17 分离株中,372 株(91.4%)为多药耐药株,366 株(89.9%)对环丙沙星耐药,235 株(57.7%)对头孢曲松耐药。系统基因组分析显示,ST17 分离株分为四个分支(I、II、III 和 IV),这些分支出现在国际克隆传播中。来自中国的 ST17 分离株属于 IV 分支,部分分离株来自英国、美国、韩国和泰国,表明它们具有密切的遗传关系。来自 IV 分支的分离株的 GyrA 和 ParC 喹诺酮耐药决定区(QRDR)以及质粒介导的喹诺酮耐药(PMQR)基因(6')-Ib-cr、AB 和 S 以及扩展谱β-内酰胺酶(ESBL)基因 、 、 和 的突变率明显高于其他三个分支。在 ST17 分离株中发现了各种 亚型(、、、和 ),其中包含 IS、IS、IS 和 IS,特别是在 P1 样噬菌体质粒中含有 ΔIS--IS 的 Tn。在中国,尚未报道关于. 印第安纳多药耐药 ST17 克隆的流行情况和基因组特征的这些发现,为了解该高耐药克隆的潜在风险提供了有价值的见解。氟喹诺酮类和头孢菌素类是治疗沙门氏菌病的主要选择。近年来,印第安纳已成为中国养殖家禽和禽肉中最常见的血清型之一。由于对包括环丙沙星和头孢曲松在内的大多数常见抗生素具有高水平耐药性,ST17 被认为是印第安纳的主要流行病学重要性。然而,ST17 分离株的流行情况和系统基因组特征尚不清楚。在这里,我们对中国的印第安纳进行了大规模的回顾性筛选,并进行了系统基因组分析。结果表明,ST17 分离株在中国 15 个省份广泛传播,成为一种多药耐药克隆。在几个国家,包括中国、英国和美国,观察到 ST17 分离株的国际传播。我们的研究强调了监测高耐药性. 印第安纳 ST17 克隆的重要性,以应对其对公共健康的威胁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a001/9430114/6d457ebf1785/spectrum.00115-22-f001.jpg

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