欧洲和北美的大肠杆菌中扩展谱头孢菌素耐药基因的动态变化。

Dynamics of extended-spectrum cephalosporin resistance genes in Escherichia coli from Europe and North America.

机构信息

Quadram Institute Bioscience, Norwich Research Park, Norwich, NR4 7UQ, UK.

Department of Pathobiology, University of Guelph, Guelph, N1G 2W1, Canada.

出版信息

Nat Commun. 2022 Dec 12;13(1):7490. doi: 10.1038/s41467-022-34970-7.

Abstract

Extended-spectrum cephalosporins (ESCs) are critically important antimicrobial agents for human and veterinary medicine. ESC resistance (ESC-R) genes have spread worldwide through plasmids and clonal expansion, yet the distribution and dynamics of ESC-R genes in different ecological compartments are poorly understood. Here we use whole genome sequence data of Enterobacterales isolates of human and animal origin from Europe and North America and identify contrasting temporal dynamics. AmpC β-lactamases were initially more dominant in North America in humans and farm animals, only later emerging in Europe. In contrast, specific extended-spectrum β-lactamases (ESBLs) were initially common in animals from Europe and later emerged in North America. This study identifies differences in the relative importance of plasmids and clonal expansion across different compartments for the spread of different ESC-R genes. Understanding the mechanisms of transmission will be critical in the design of interventions to reduce the spread of antimicrobial resistance.

摘要

扩展谱头孢菌素(ESCs)是人类和兽医医学中至关重要的抗菌药物。ESC 耐药(ESC-R)基因通过质粒和克隆扩张在全球范围内传播,但不同生态区 ESC-R 基因的分布和动态仍知之甚少。本研究利用来自欧洲和北美的人类和动物源肠杆菌科分离株的全基因组序列数据,确定了 ESC-R 基因在不同生态区的对比时间动态。最初,北美人类和农场动物中 AmpC β-内酰胺酶更为普遍,而在欧洲则后来才出现。相比之下,特定的扩展谱β-内酰胺酶(ESBLs)最初在欧洲的动物中常见,后来才在北美出现。本研究确定了不同生态区中质粒和克隆扩张对不同 ESC-R 基因传播的相对重要性的差异。了解传播机制对于设计减少抗生素耐药性传播的干预措施至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f947/9744880/2ac61dccaf55/41467_2022_34970_Fig1_HTML.jpg

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