Department of Microbiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Microbiology Unit, Diagnostic Laboratory, Maharaj Nakorn Chiang Mai Hospital, Chiang Mai, Thailand.
J Glob Antimicrob Resist. 2023 Jun;33:97-100. doi: 10.1016/j.jgar.2023.02.027. Epub 2023 Mar 9.
The aim of this study was to identify and characterize multidrug resistance genes and the genetic contexts of integrons found in extensively drug resistant (XDR) Pseudomonas aeruginosa PA99 clinical isolate from Thailand.
The sequencing of P. aeruginosa PA99 genomic DNA was done by using Pacific Biosciences RS II sequencing platform. The generated reads were de novo assembled by Canu version 1.4 and the annotation was performed using Prokka v1.12b. The complete genome sequence was subjected for identification of sequence type, serotype, integrons, and antimicrobial resistance genes by MLST 2.0, PAst 1.0, INTEGRALL, Resfinder 4.1, and CARD 3.2.5, respectively.
Pseudomonas aeruginosa PA99 genome consisted of a 6,946,480-bp chromosomal DNA with 65.9% GC and belonged to ST964 and serotype O4. Twenty-one antimicrobial resistance genes conferring XDR phenotype were identified. Of special note were carbapenem resistance genes (bla, bla, bla, and bla) and colistin resistance gene basR with L71R mutation. Integron analysis revealed that P. aeruginosa PA99 harbored five class 1 integrons: two copies of In994 (bla), an In1575 (aadB), and two novel integrons, In2083 (bla - aac(6')-Ib3 - aac(6')-Ib-cr - ere(A)1∆2 - dfrA1r) and In2084 (bla - aac(6')-Ib3 - aac(6')-Ib-cr).
To the best of our knowledge, this is the first report of two novel class I integrons designated by INTEGRALL as In2083 and In2084 found in XDR-P. aeruginosa PA99 clinical isolate from Thailand. The characterization of genetic contexts of In2083 and In2084 provide the evidence of the assorting of resistance genes to evolve as novel integrons.
本研究旨在鉴定和分析泰国广泛耐药(XDR)铜绿假单胞菌 PA99 临床分离株中发现的多药耐药基因和整合子的遗传结构。
使用 Pacific Biosciences RS II 测序平台对铜绿假单胞菌 PA99 基因组 DNA 进行测序。使用 Canu 版本 1.4 进行从头组装,并使用 Prokka v1.12b 进行注释。通过 MLST 2.0、PAst 1.0、INTEGRALL、Resfinder 4.1 和 CARD 3.2.5,分别对全基因组序列进行序列型、血清型、整合子和抗微生物药物耐药基因的鉴定。
铜绿假单胞菌 PA99 基因组由 6946480bp 的染色体 DNA 组成,GC 含量为 65.9%,属于 ST964 和血清型 O4。鉴定出 21 个赋予 XDR 表型的抗微生物药物耐药基因。值得注意的是,存在碳青霉烯类耐药基因(blaCTX-M-15、blaVIM-1、blaIMP-1 和 blaGES-1)和携带 L71R 突变的黏菌素耐药基因 basR。整合子分析显示,铜绿假单胞菌 PA99 携带 5 个 1 类整合子:2 个 In994(blaCTX-M-15)、1 个 In1575(aadB)和 2 个新的整合子,In2083(blaCTX-M-15-aac(6')-Ib3-aac(6')-Ib-cr-ere(A)1∆2-dfrA1r)和 In2084(blaCTX-M-15-aac(6')-Ib3-aac(6')-Ib-cr)。
据我们所知,这是首次在泰国分离的 XDR 铜绿假单胞菌 PA99 临床分离株中发现的 2 个新的 1 类整合子,被 INTEGRALL 命名为 In2083 和 In2084。In2083 和 In2084 的遗传结构特征为耐药基因的组合提供了证据,表明它们是作为新的整合子进化而来的。