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Published on: March 3, 2023
Plasmid-Mediated Antimicrobial Resistance in Staphylococci and Other Firmicutes
Stefan Schwarz1, Jianzhong Shen2, Sarah Wendlandt1
1Institute of Farm Animal Genetics, Friedrich-Loeffler-Institut (FLI), Neustadt-Mariensee, Germany.
Abstract:
In staphylococci and other Firmicutes, resistance to numerous classes of antimicrobial agents, which are commonly used in human and veterinary medicine, is mediated by genes that are associated with mobile genetic elements. The gene products of some of these antimicrobial resistance genes confer resistance to only specific members of a certain class of antimicrobial agents, whereas others confer resistance to the entire class or even to members of different classes of antimicrobial agents. The resistance mechanisms specified by the resistance genes fall into any of three major categories: active efflux, enzymatic inactivation, and modification/replacement/protection of the target sites of the antimicrobial agents. Among the mobile genetic elements that carry such resistance genes, plasmids play an important role as carriers of primarily plasmid-borne resistance genes, but also as vectors for nonconjugative and conjugative transposons that harbor resistance genes. Plasmids can be exchanged by horizontal gene transfer between members of the same species but also between bacteria belonging to different species and genera. Plasmids are highly flexible elements, and various mechanisms exist by which plasmids can recombine, form cointegrates, or become integrated in part or in toto into the chromosomal DNA or into other plasmids. As such, plasmids play a key role in the dissemination of antimicrobial resistance genes within the gene pool to which staphylococci and other Firmicutes have access. This chapter is intended to provide an overview of the current knowledge of plasmid-mediated antimicrobial resistance in staphylococci and other Firmicutes.
Insights
Plasmids facilitate antimicrobial resistance gene spread in staphylococci and Firmicutes. These mobile genetic elements enable horizontal gene transfer, impacting human and veterinary medicine.
Area of Science:
- Microbiology
- Genetics
- Molecular Biology
Background:
- Antimicrobial resistance (AMR) is a significant threat in human and veterinary medicine.
- Mobile genetic elements (MGEs) in Firmicutes, including staphylococci, mediate AMR.
- Resistance genes confer varying levels of resistance, from specific agents to broad-spectrum activity.
Purpose of the Study:
- To provide an overview of plasmid-mediated antimicrobial resistance in staphylococci and Firmicutes.
- To highlight the role of plasmids as key vectors for AMR gene dissemination.
- To discuss the mechanisms of resistance and plasmid adaptability.
Main Methods:
- Review of current knowledge on plasmid-mediated AMR.
- Analysis of resistance gene mechanisms (efflux, inactivation, target modification).
- Examination of plasmid biology, including horizontal gene transfer and recombination.
Main Results:
- Plasmids are crucial MGEs carrying antimicrobial resistance genes.
- Horizontal gene transfer via plasmids facilitates rapid AMR spread across bacterial species.
- Plasmids exhibit genetic flexibility, promoting gene dissemination within bacterial populations.
Conclusions:
- Plasmids play a pivotal role in the dissemination of antimicrobial resistance genes in staphylococci and Firmicutes.
- Understanding plasmid-mediated resistance is essential for combating AMR in clinical settings.
- The adaptability of plasmids contributes to the ongoing challenge of antimicrobial resistance.
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