2010年至2023年加拿大产碳青霉烯酶细菌的质粒基因组流行病学
Plasmid genomic epidemiology of carbapenemase-producing in Canada from 2010 to 2023.
作者信息
Lerminiaux Nicole, Fakharuddin Ken, Longtin Yves, McGill Erin, Mitchell Robyn, Mataseje Laura
机构信息
National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba, Canada.
Jewish General Hospital, Montréal, Québec, Canada.
出版信息
Microb Genom. 2025 Aug;11(8). doi: 10.1099/mgen.0.001415.
Carbapenems are broad-spectrum antibiotics that are losing effectiveness against infections caused by multidrug-resistant that have acquired carbapenemase genes. The New Delhi metallo--lactamase ( ) is one of the most common carbapenemases in Canada and around the globe. These genes are frequently found on conjugative plasmids, which can disseminate through horizontal gene transfer. We applied whole-genome sequencing to characterize 1,032 carbapenemase-producing isolates collected by the Canadian Nosocomial Infection Surveillance Program from 2010 to 2023. Using a combination of short-read and long-read sequencing, we obtained 226 complete and circular -encoding plasmids. Unlike other carbapenemases in Canada, we found that plasmids were very diverse; there was a lack of dominant clusters identified using MOB-suite, and clustering methods were not able to accurately predict plasmid clusters for short-read-only data. The majority of plasmids were IncF-type (69.0%, 156/226). Both and carbapenemase genes were found in 11.4% (118/1,032) of isolates, and we identified several instances of both carbapenemase genes co-harboured on the same plasmid replicon (=9). Our findings highlight that plasmid transfer has not played a major role in transmission across Canada and that long-read sequencing is essential for resolving plasmid structure and cluster membership.
碳青霉烯类是广谱抗生素,对由获得碳青霉烯酶基因的多重耐药菌引起的感染正逐渐失去效力。新德里金属β-内酰胺酶(NDM)是加拿大及全球最常见的碳青霉烯酶之一。这些基因经常出现在接合质粒上,可通过水平基因转移进行传播。我们应用全基因组测序对加拿大医院感染监测项目在2010年至2023年期间收集的1032株产碳青霉烯酶肠杆菌科细菌分离株进行特征分析。通过结合短读长和长读长测序,我们获得了226个完整的环状NDM编码质粒。与加拿大的其他碳青霉烯酶不同,我们发现NDM质粒非常多样;使用MOB-suite未发现优势簇,且聚类方法无法准确预测仅基于短读长数据的质粒簇。大多数NDM质粒属于IncF型(69.0%,156/226)。在11.4%(118/1032)的分离株中同时发现了NDM和KPC碳青霉烯酶基因,并且我们在同一质粒复制子上鉴定出了几例同时携带这两种碳青霉烯酶基因的情况(n = 9)。我们的研究结果表明,质粒转移在加拿大NDM传播中未发挥主要作用,长读长测序对于解析NDM质粒结构和簇成员至关重要。