携带多个抗菌耐药基因的两个质粒的XDR ST463菌株的进化
Evolution of XDR ST463 strains with two plasmids harboring multiple antimicrobial resistance genes.
作者信息
Fang Yinfei, Song Meijun, Zhang Yisha, Wu Zhaoxia, Li Xiaobing, Guo Yuxiang, Wang Nanfei, Hua Xiaoting, Yu Yunsong
机构信息
Department of Clinical Laboratory, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang, China.
Department of Infectious Diseases, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
出版信息
Antimicrob Agents Chemother. 2025 Sep 3;69(9):e0169724. doi: 10.1128/aac.01697-24. Epub 2025 Jul 23.
The extensively drug-resistant (XDR) ST463 strains, which co-harbor plasmid-associated metallo-β-lactamase (MBL) and genes, exhibit significant resistance and virulence, posing great clinical treatment challenges. Here, we report on three XDR ST463 strains, PA64, PA3117, and PA30, all carrying two plasmid types. One plasmid was a ~450 kb IncP-2-type megaplasmid named pPA64_1, pPA3117_1, and pPA30_1 in strains PA64, PA3117, and PA30, respectively. The other plasmid was a type I plasmid named pPA64_2, pPA3117_2, and pPA30_2 in strains PA64, PA3117, and PA30, respectively, harboring the gene in the core genetic platform IS-IS. The gene copies were associated with IS-mediated inversion or duplication events. Notably, the IncP-2 megaplasmids pPA64_1, pPA3117_1, and pPA30_1 were associated with a variable ~57.3 kb Tn-like transposon named Tn, Tn, and Tn, respectively. Tn carried the MBL gene which was located in the class 1 integron In, followed by an IS-associated module and the IS-composite transposon Tn. On this basis, other IS-associated modules (IS, IS, and IS) were inserted between In derivatives and IS, resulting in a novel transposon, Tn6, carrying two MBL genes, and . In contrast to Tn6, Tn had another inserted copy of IS. We inferred that the evolution of the Tn-like transposon might be driven by the recruitment of IS-associated antimicrobial resistance (AMR) modules under antibiotic pressure in a clinical setting.
广泛耐药(XDR)的ST463菌株同时携带质粒相关金属β-内酰胺酶(MBL)和其他基因,表现出显著的耐药性和毒力,给临床治疗带来了巨大挑战。在此,我们报告三株XDR ST463菌株,PA64、PA3117和PA30,它们均携带两种质粒类型。一种质粒是约450 kb的IncP-2型大质粒,在PA64、PA3117和PA30菌株中分别命名为pPA64_1、pPA3117_1和pPA30_1。另一种质粒是I型质粒,在PA64、PA3117和PA30菌株中分别命名为pPA64_2、pPA3117_2和pPA30_2,在核心遗传平台IS-IS中携带相关基因。该基因拷贝与IS介导的倒位或重复事件相关。值得注意的是,IncP-2大质粒pPA64_1、pPA3117_1和pPA30_1分别与一个可变的约57.3 kb Tn样转座子相关,命名为Tn、Tn和Tn。Tn携带MBL基因,该基因位于1类整合子In中,随后是一个与IS相关的模块和IS复合转座子Tn。在此基础上,其他与IS相关的模块(IS、IS和IS)插入到In衍生物和IS之间,产生了一个携带两个MBL基因和的新型转座子Tn6。与Tn6不同,Tn有另一个IS插入拷贝。我们推断,Tn样转座子的进化可能是在临床环境中的抗生素压力下,由与IS相关的抗菌耐药(AMR)模块的招募驱动的。
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