Eliminating mcr-1-harbouring plasmids in clinical isolates using the CRISPR/Cas9 system

Pengxia Wang1, Dongmei He2, Baiyuan Li1,3

  • 1Key Laboratory of Tropical Marine Bio-resources and Ecology, Guangdong Key Laboratory of Marine Materia Medica, the South China Sea Institute of Oceanology, Chinese Academy of Sciences, Guangzhou, China.

Abstract

Insights

CRISPR/Cas9 technology efficiently eliminates antimicrobial resistance plasmids, including mcr-1, from clinical Escherichia coli isolates. This method can remove single or multiple plasmids, and even delete specific genes, offering a novel strategy to combat multidrug resistance.

Area of Science:

  • Microbiology
  • Molecular Biology
  • Genetics

Background:

  • The emergence of multidrug resistance (MDR) in clinical pathogens, particularly Escherichia coli, poses a significant global health threat.
  • Plasmids carrying resistance genes, such as mcr-1 (colistin resistance) and other MDR determinants, are key drivers of antimicrobial resistance.
  • Effective strategies are needed to eliminate these resistance plasmids from bacterial populations.

Purpose of the Study:

  • To investigate the efficacy of the CRISPR/Cas9 system for eliminating mcr-1-harbouring and MDR plasmids from clinical Escherichia coli isolates.
  • To assess the ability of CRISPR/Cas9 to remove single, multiple, or specific genes from plasmids in a stepwise or simultaneous manner.

Main Methods:

  • Construction of a plasmid vector (pMBLcas9) for expressing Cas9 and cloning single-guide RNAs (sgRNAs).
  • Delivery of the pMBLcas9-sgRNA construct into clinical E. coli isolates via conjugation.
  • Testing the efficiency of different sgRNAs targeting conserved plasmid genes for plasmid elimination.
  • Characterization of plasmid elimination and potential recombination events using PCR and DNA sequencing.

Main Results:

  • Successful stepwise elimination of four native plasmids from E. coli isolate 14EC033 and two from 14EC007 using pMBLcas9.
  • Simultaneous elimination of two native plasmids from 14EC007 by tandemly cloning multiple sgRNAs, restoring sensitivity to polymyxin and carbenicillin.
  • In isolate 14EC033, a single mcr-1 sgRNA led to the deletion of the mcr-1 gene from one plasmid (p14EC033a) via transposase-mediated recombination, while eliminating another plasmid (p14EC033b).

Conclusions:

  • CRISPR/Cas9 is an effective tool for sensitizing clinical isolates to antibiotics by eliminating resistance plasmids in vitro.
  • The CRISPR/Cas9 approach allows for flexible plasmid elimination, including stepwise removal of individual plasmids or simultaneous removal of multiple plasmids.
  • This technology can also be utilized for targeted gene deletion, but careful consideration of potential unwanted recombination events is necessary.

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