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Published on: December 23, 2022
Characterization of multidrug-resistant Escherichia coli isolates from animals presenting at a university veterinary
Maria Karczmarczyk1, Yvonne Abbott, Ciara Walsh
1UCD Centre for Food Safety & Centre for Food-borne Zoonomics, UCD Veterinary Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland.
Abstract:
In this study, we examined molecular mechanisms associated with multidrug resistance (MDR) in a collection of Escherichia coli isolates recovered from hospitalized animals in Ireland. PCR and DNA sequencing were used to identify genes associated with resistance. Class 1 integrons were prevalent (94.6%) and contained gene cassettes recognized previously and implicated mainly in resistance to aminoglycosides, β-lactams, and trimethoprim (aadA1, dfrA1-aadA1, dfrA17-aadA5, dfrA12-orfF-aadA2, bla(OXA-30)-aadA1, aacC1-orf1-orf2-aadA1, dfr7). Class 2 integrons (13.5%) contained the dfrA1-sat1-aadA1 gene array. The most frequently occurring phenotypes included resistance to ampicillin (97.3%), chloramphenicol (75.4%), florfenicol (40.5%), gentamicin (54%), neomycin (43.2%), streptomycin (97.3%), sulfonamide (98.6%), and tetracycline (100%). The associated resistance determinants detected included bla(TEM), cat, floR, aadB, aphA1, strA-strB, sul2, and tet(B), respectively. The bla(CTX-M-2) gene, encoding an extended-spectrum β-lactamase (ESβL), and bla(CMY-2), encoding an AmpC-like enzyme, were identified in 8 and 18 isolates, respectively. The mobility of the resistance genes was demonstrated using conjugation assays with a representative selection of isolates. High-molecular-weight plasmids were found to be responsible for resistance to multiple antimicrobial compounds. The study demonstrated that animal-associated commensal E. coli isolates possess a diverse repertoire of transferable genetic determinants. Emergence of ESβLs and AmpC-like enzymes is particularly significant. To our knowledge, the bla(CTX-M-2) gene has not previously been reported in Ireland.
Insights
Multidrug resistance in Escherichia coli from Irish animals is driven by transferable genes, including concerning extended-spectrum beta-lactamases (ESBLs). This highlights the need for monitoring antimicrobial resistance in animal populations.
Area of Science:
- Veterinary Microbiology
- Molecular Biology
- Antimicrobial Resistance
Background:
- Multidrug resistance (MDR) in bacteria poses a significant threat to animal and human health.
- Escherichia coli is a common commensal bacterium in animals and can act as a reservoir for resistance genes.
- Understanding the genetic basis of MDR in animal-associated E. coli is crucial for effective treatment and control strategies.
Purpose of the Study:
- To investigate the molecular mechanisms of multidrug resistance (MDR) in Escherichia coli isolates from hospitalized animals in Ireland.
- To identify specific resistance genes, integrons, and mobile genetic elements contributing to MDR.
- To assess the prevalence and transferability of these resistance determinants.
Main Methods:
- Polymerase Chain Reaction (PCR) and DNA sequencing were employed to detect and identify resistance genes.
- Class 1 and Class 2 integrons were analyzed for their gene cassette content.
- Conjugation assays were performed to evaluate the mobility of resistance genes via plasmids.
Main Results:
- Class 1 integrons were highly prevalent (94.6%), carrying genes conferring resistance to aminoglycosides, β-lactams, and trimethoprim.
- Class 2 integrons (13.5%) contained the dfrA1-sat1-aadA1 gene array.
- High levels of phenotypic resistance were observed, including to ampicillin (97.3%), sulfonamide (98.6%), and tetracycline (100%).
- Specific resistance determinants like bla(TEM), cat, floR, aadB, aphA1, strA-strB, sul2, and tet(B) were identified.
- The extended-spectrum β-lactamase (ESβL) gene bla(CTX-M-2) and the AmpC-like gene bla(CMY-2) were detected in 8 and 18 isolates, respectively.
- Conjugation assays confirmed the transferability of resistance genes, primarily mediated by high-molecular-weight plasmids.
- The bla(CTX-M-2) gene represents a novel finding in Ireland.
Conclusions:
- Animal-associated commensal E. coli isolates harbor a diverse array of transferable genetic determinants for antimicrobial resistance.
- The emergence and dissemination of ESBLs and AmpC-like enzymes in this context are of significant concern.
- The findings underscore the importance of monitoring antimicrobial resistance in veterinary settings and its potential implications for public health.
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