Genetic Analysis of the IncX4 Plasmids: Implications for a Unique Pattern in the mcr-1 Acquisition

Jian Sun1,2, Liang-Xing Fang1,2, Zuowei Wu3

  • 1National Risk Assessment Laboratory for Antimicrobial Resistance of Animal Original Bacteria, South China Agricultural University, Guangzhou, People's Republic of China.

Scientific Reports
|March 25, 2017
PubMed

Insights

IncX4 plasmids carry the mcr-1 gene, a key factor in antibiotic resistance. This study identified mcr-1 on IncX4 plasmids in Enterobacteriaceae, revealing a common mechanism for its spread.

Area of Science:

  • Microbiology
  • Genetics
  • Antimicrobial Resistance

Background:

  • IncX4 plasmids are known vehicles for the spread of antimicrobial resistance genes.
  • The mcr-1 gene confers resistance to colistin, a critical last-resort antibiotic.

Purpose of the Study:

  • To screen Enterobacteriaceae isolates for IncX4 plasmids and identify those carrying the mcr-1 gene.
  • To characterize the genetic context and variability of mcr-1-positive IncX4 plasmids.

Main Methods:

  • Screening of 2,470 Enterobacteriaceae isolates.
  • High-throughput sequencing of selected plasmids.
  • Comparative genomics and PCR-RFLP analysis of variable regions.

Main Results:

  • Forty-three isolates carried IncX4 plasmids, with 13 harboring the mcr-1 gene.
  • mcr-1 was predominantly located in Variable Region I of IncX4 plasmids.
  • Nine E. coli strains possessed an epidemic pCSZ4-like IncX4 plasmid with mcr-1.
  • The insertion sequence ISApl1 was implicated in mcr-1 transposition.

Conclusions:

  • IncX4 plasmids are significant carriers of the mcr-1 gene in Enterobacteriaceae.
  • A conserved genetic context suggests a common acquisition mechanism for mcr-1.
  • Understanding these mechanisms is crucial for combating colistin resistance.