Complete sequence of pOZ176, a 500-kilobase IncP-2 plasmid encoding IMP-9-mediated carbapenem resistance, from

Jianhui Xiong1, David C Alexander, Jennifer H Ma

  • 1Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada.

Insights

This study analyzed the carbapenem-resistant plasmid pOZ176 from Pseudomonas aeruginosa. Its novel mosaic structure, containing multiple resistance genes and integrons, suggests origins from environmental bacteria and highlights horizontal gene transfer driven by antibiotic selection.

Area of Science:

  • Microbiology
  • Genomics
  • Antimicrobial Resistance

Background:

  • Pseudomonas aeruginosa is a significant opportunistic pathogen.
  • Carbapenem resistance in P. aeruginosa is a growing global health concern.
  • Understanding the genetic basis of resistance is crucial for effective treatment strategies.

Purpose of the Study:

  • To characterize the IncP-2 carbapenem-resistant plasmid, pOZ176, from a P. aeruginosa outbreak strain.
  • To investigate the genetic elements contributing to multidrug resistance.
  • To elucidate the evolutionary origins and acquisition mechanisms of resistance genes.

Main Methods:

  • Whole-genome sequencing of the P. aeruginosa strain PA96.
  • Bioinformatic analysis of the plasmid pOZ176 genome.
  • Identification and characterization of resistance genes, integrons, and mobile genetic elements.
  • Comparative genomics to assess plasmid backbone similarity and origins.

Main Results:

  • The 500,839 bp plasmid pOZ176 harbors two multidrug-resistant class 1 integrons and multiple resistance genes, including blaIMP-9, aacA4, blaOXA-10, and tellurite resistance.
  • The plasmid backbone shows limited similarity to known plasmids but shares features with a genomic island of Ralstonia solanacearum.
  • Novel composite mobile genetic elements, Tn6016 and Tn6217, were identified, carrying resistance genes and integrons.
  • Codon usage analysis indicates recent acquisition of the blaIMP-9 gene.

Conclusions:

  • The plasmid pOZ176 possesses a unique mosaic structure, indicative of derivation from environmental bacteria.
  • The presence of multiple integrons and resistance genes highlights the role of horizontal gene transfer in the dissemination of carbapenem resistance.
  • Antibiotic selection likely drove the acquisition and integration of these resistance elements.
  • This study provides insights into the evolution and spread of carbapenem resistance in Pseudomonas aeruginosa.

Related Concept Videos