A novel functional class 2 integron in clinical Proteus mirabilis isolates

Quhao Wei1, Qingfeng Hu, Shanshan Li

  • 1Centre of Laboratory Medicine, Zhejiang Provincial People's Hospital, 158 Shangtang Road, Hangzhou 310014, China.

Abstract

Insights

A novel functional class 2 integron was discovered in clinical Proteus mirabilis. This finding suggests these integron-harboring bacteria may be spreading clonally within hospitals.

Area of Science:

  • Microbiology
  • Genetics
  • Antimicrobial Resistance

Background:

  • Integrons are genetic platforms that capture and express gene cassettes, contributing to antimicrobial resistance.
  • Class 1 and Class 2 integrons are commonly found in clinical bacteria, including Proteus species.
  • Understanding integron diversity is crucial for tracking the spread of antibiotic resistance genes.

Purpose of the Study:

  • To identify and characterize novel integron structures in clinical isolates of Proteus mirabilis.
  • To investigate the prevalence and genetic relatedness of Proteus mirabilis isolates carrying class 2 integrons.

Main Methods:

  • Screening of 153 clinical Proteus isolates for class 1 and class 2 integrons using PCR.
  • Determination of integron variable regions via restriction analysis and sequencing.
  • Phylogenetic analysis of integron-positive isolates using Enterobacterial Repetitive Intergenic Consensus (ERIC)-PCR.

Main Results:

  • Class 1 integrons were found in 63% of isolates, with eight gene cassette arrays identified, including a novel array in P. mirabilis.
  • Class 2 integrons were detected in 66% of isolates, with four arrays found, including a novel array in a class 2 integron.
  • A novel functional class 2 integron, containing dfrA14 and three novel open reading frames, was identified in 38 P. mirabilis isolates with similar ERIC-PCR patterns, suggesting clonal spread.

Conclusions:

  • A novel functional class 2 integron was identified for the first time in Proteus mirabilis.
  • The identified Proteus mirabilis isolates harboring this novel class 2 integron appear to be clonally disseminated within the hospital environment.

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