Single origin of three plasmids bearing blaCTX-M-15 from different Klebsiella pneumoniae clones

Juyoun Shin1, Kwan Soo Ko

  • 1Department of Molecular Cell Biology, Samsung Biomedical Research Institute, Sungkyunkwan University School of Medicine, Suwon 440-746, Korea.

Abstract

Insights

The complete nucleotide sequences of three Klebsiella pneumoniae plasmids carrying blaCTX-M-15 were determined. These plasmids share a similar structure, suggesting horizontal gene transfer drives the spread of antibiotic resistance.

Area of Science:

  • Microbiology
  • Genetics
  • Molecular Biology

Background:

  • Klebsiella pneumoniae is a significant opportunistic pathogen.
  • The blaCTX-M-15 gene confers resistance to extended-spectrum cephalosporins.
  • Plasmids are key vectors for antibiotic resistance gene dissemination.

Purpose of the Study:

  • To determine and compare the complete nucleotide sequences of plasmids harboring the blaCTX-M-15 gene.
  • To investigate the genetic context and structural features of these plasmids.
  • To understand the molecular mechanisms underlying the spread of CTX-M-producing K. pneumoniae.

Main Methods:

  • Extraction of IncFII-type plasmids from three K. pneumoniae strains (ST15, ST48, ST23) isolated in Korea.
  • Sequencing of plasmids using the 454 Genome Sequencer FLX system.
  • Comparative analysis of plasmid structures and genetic elements.

Main Results:

  • Three plasmids (pKP02022, pKP09085, pKP007) exhibited highly similar structures with a pKPN3-like backbone.
  • A common resistance region included blaOXA-1, aac(6')-Ib-cr, cat, and blaCTX-M-15 genes.
  • Insertion sequences like IS26 were identified, potentially facilitating plasmid rearrangements. Iron uptake genes were noted in one plasmid associated with liver abscesses.

Conclusions:

  • The structural similarity of plasmids from diverse K. pneumoniae clones suggests horizontal plasmid transfer.
  • This horizontal transfer, followed by integration and recombination, likely drives the dissemination of CTX-M-producing K. pneumoniae.
  • Understanding plasmid dynamics is crucial for combating antibiotic resistance.