Mikhayel Myriam, Praud Karine, Leclercq Sébastien, Karam Sarkis Dolla, Doublet Benoît
INRAE, Université de Tours, ISP, Nouzilly, France.
Laboratoire des agents pathogènes, Faculté de Pharmacie, Université Saint Joseph de Beyrouth, Beirut, Lebanon.
JAC Antimicrob Resist. 2024 Sep 18;6(5):dlae149. doi: 10.1093/jacamr/dlae149. eCollection 2024 Oct.
In a previous nationwide survey in the Lebanese broiler production, multidrug-resistant CTX-M-producing were found to carry the mobile colistin resistance gene .
To investigate the mobile genetic supports responsible for the spread of these resistance genes among in healthy broilers in Lebanon.
Thirty-three and - positive of various sequence types from 17 broilers farms were subjected to conjugation assays. Long-read sequencing (Oxford Nanopore Technologies) and hybrid assembly were performed to determine complete plasmid sequences and their phylogenetic diversity.
Twenty-nine conjugative IncFII plasmids harboured the extended-spectrum β-lactamase genes ( = 25) or ( = 4). Highly related IncF2:A-:B-/ plasmids differing only through IS-mediated genetic rearrangements in antibiotic resistance gene clusters were found in genetically diverse strains isolated from distant farms. The mobile colistin resistance genes and were carried by IncX4 and IncI2 plasmids. Worryingly, in one isolate, the IS- transposable unit was found integrated in a -carrying IncX4 plasmid. Beside expanded cephalosporins and colistin resistances, all isolates were multidrug-resistant with different additional resistances against aminoglycosides, (fluoro)quinolones, fosfomycin, phenicols, sulphonamides, tetracycline and trimethoprim.
Closely related CTX-M-3/55-borne IncF2:A-:B- plasmids harbouring variable MDR regions and carrying IncX4 plasmids are widely disseminated in the population of healthy broilers in Lebanon. Further surveillance programmes of antimicrobial resistance and interventions to reduce the abusive use of medically important antibiotics are necessary to limit the spread of resistances in food-producing animals in Lebanon.
在之前一项针对黎巴嫩肉鸡生产的全国性调查中,发现产多种耐药性CTX-M的菌株携带移动性黏菌素耐药基因。
调查导致这些耐药基因在黎巴嫩健康肉鸡中传播的移动遗传载体。
对来自17个肉鸡场的33株不同序列类型的CTX-M和blaNDM阳性大肠杆菌进行接合试验。采用长读长测序(牛津纳米孔技术)和混合组装来确定完整质粒序列及其系统发育多样性。
29个接合型IncFII质粒携带超广谱β-内酰胺酶基因blaCTX-M-3(n = 25)或blaCTX-M-55(n = 4)。在从遥远农场分离的基因多样的大肠杆菌菌株中发现了高度相关的IncF2:A-:B- /O25:H4质粒,它们仅通过抗生素抗性基因簇中IS介导的基因重排而有所不同。移动性黏菌素耐药基因mcr-1和mcr-2由IncX4和IncI2质粒携带。令人担忧的是,在一个分离株中,发现IS-26转座单元整合在携带mcr-1的IncX4质粒中。除了对头孢菌素和黏菌素的耐药性增强外,所有大肠杆菌分离株均具有多重耐药性,对氨基糖苷类、(氟)喹诺酮类、磷霉素、酚类、磺胺类、四环素和甲氧苄啶具有不同的额外耐药性。
携带可变多药耐药区域的密切相关的携带CTX-M-3/55的IncF2:A-:B-质粒和携带mcr-1的IncX4质粒在黎巴嫩健康肉鸡的大肠杆菌群体中广泛传播。有必要进一步开展抗菌药物耐药性监测计划并采取干预措施以减少对医学上重要抗生素的滥用,从而限制黎巴嫩食用动物中耐药性的传播。