Department of Clinical Microbiology and Applied Technology, Faculty of Medical Technology, Mahidol University, Nakhon Pathom 73170, Thailand.
Department of Agronomy, Faculty of Agriculture at Kamphaeng Saen, Kamphaeng Saen Campus, Kasetsart University, Nakhon Pathom 73140, Thailand.
Int J Antimicrob Agents. 2022 Oct;60(4):106662. doi: 10.1016/j.ijantimicag.2022.106662. Epub 2022 Aug 22.
The aim of this study was to characterize three strains of colistin-resistant E. coli isolated from feces samples of healthy individuals in Thailand. The three strains, namely, SY_EC03, SY_EC07, and SY_EC10 were identified as ST165, ST1602, and ST34. All isolates exhibited multidrug-resistant phenotype, which is mediated by accumulation of various antimicrobial resistance genes. SY_EC03 contained mcr-1.1 while SY_EC07 co-harbored mcr-2.3 and mcr-3.4, and SY_EC10 co-harbored mcr-1.1 and mcr-3.5. Genomic analysis revealed that mcr-1.1 of the two strains were located on IncI2 plasmid with genetic environment of ISApl1-mcr-1.1-PAP2, which is a composite transposon Tn6330 with single-ended. Regarding mcr-2.3, the gene was identified within the composite transposon of ISKpn71-mcr-2.3-ISSpu2-ISKpn71, which was located on a novel mobile genetic element (MGE) that was integrated into the chromosome by phage integrase. For mcr-3.4 and mcr-3.5, the genes were confirmed to locate on the chromosome by S1-PFGE/DNA hybridization. Hence, to the best of our knowledge, this is the first report on co-occurrence of mcr-2 and mcr-3 on chromosome of E. coli. More interestingly, mcr-2 was found to locate on a novel MGE, which had never been described. In addition, we also report the co-occurrence of plasmidic mcr-1.1 and chromosomal mcr-3.5 which is extremely rare. Since all these bacteria were isolated from healthy individuals and the identified STs have been found in a variety of origins, all these clones may serve as reservoir for horizontal and vertical transmission of mcr genes. Strategic action plans to control and prevent the spread of mcr genes are urgently needed.
本研究旨在对从泰国健康个体粪便样本中分离出的三株粘菌素耐药大肠杆菌进行特征描述。这三株菌分别为 SY_EC03、SY_EC07 和 SY_EC10,被鉴定为 ST165、ST1602 和 ST34。所有分离株均表现出多药耐药表型,这是由各种抗菌药物耐药基因的积累介导的。SY_EC03 含有 mcr-1.1,而 SY_EC07 共同携带 mcr-2.3 和 mcr-3.4,SY_EC10 则共同携带 mcr-1.1 和 mcr-3.5。基因组分析表明,这两株菌的 mcr-1.1 位于 IncI2 质粒上,其遗传环境为 ISApl1-mcr-1.1-PAP2,这是一个具有单末端的复合转座子 Tn6330。关于 mcr-2.3,该基因位于 ISKpn71-mcr-2.3-ISSpu2-ISKpn71 复合转座子内,位于整合入染色体的新型移动遗传元件(MGE)上,由噬菌体整合酶整合。对于 mcr-3.4 和 mcr-3.5,通过 S1-PFGE/DNA 杂交证实了基因位于染色体上。因此,据我们所知,这是首次报道 mcr-2 和 mcr-3 同时位于大肠杆菌染色体上。更有趣的是,mcr-2 位于一个从未被描述过的新型 MGE 上。此外,我们还报告了质粒 mcr-1.1 和染色体 mcr-3.5 的同时存在,这是极其罕见的。由于所有这些细菌均从健康个体中分离出来,且所鉴定的 ST 已在多种来源中发现,所有这些克隆可能成为 mcr 基因水平和垂直传播的储库。迫切需要制定控制和预防 mcr 基因传播的战略行动计划。
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