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Testing the Role of Multicopy Plasmids in the Evolution of Antibiotic Resistance
Published on: May 2, 2018
Sequence Duplication Within pmrB Gene Contribute to High-Level Colistin Resistance in Avian Pathogenic Escherichia
Jinhu Huang1, Xingyang Dai1, Lin Ge1
1MOE Joint International Research Laboratory of Animal Health and Food Safety, College of Veterinary Medicine, Nanjing Agricultural University, Nanjing, China.
Abstract:
Beyond the emergence of plasmid-encoded mechanisms, mutation within the pmrAB genes remains one of the primary colistin resistance mechanisms in Escherichia coli. However, the mechanisms of high-level colistin resistance (HLCR) have not been elucidated. In this study, we evaluated the HLCR mechanisms in five colistin-susceptible Avian pathogenic Escherichia coli (APEC) isolates after colistin exposure. Three PmrB substitutions (G19R, L167P, V88E) and two PmrB sequence duplication (PmrB-sd) mutations (68-77dup and 94-156dup) were detected. Chromosomal replacement and deletion mutagenesis revealed the two PmrB-sd mutations contribute to, but are not fully responsible for, HLCR in APEC strains. Quantitative reverse transcription/polymerase chain reaction (qRT-PCR) revealed that the PmrB-sd induction mutants showed an increased pmrAB transcript level and the PmrB-sd reversion mutants exhibited a reduction of pmrAB expression. All five induction mutants exhibited decreased minimum inhibitory concentrations to florfenicol and tetracycline. In addition, four mutants (G19R, L167P, V88E, and 94-156dup) and two mutants (68-77dup and 94-156dup) also displayed increased sensitivity to ceftiofur and gentamicin, respectively. Zeta potential measurement of the induction mutants showed that there was less negative charge on the cell surface compared with its parental strains in the absence of colistin. The induction mutants also showed an increase of lag time and decrease of fitness. In summary, the identification of novel PmrB-sd mutations contributing to HLCR is helpful to broaden the knowledge of colistin resistance. Attention should be paid to the use of colistin for the treatment of infections caused by APEC strains.
Insights
New mutations in the pmrAB genes, specifically PmrB sequence duplications, contribute to high-level colistin resistance in Avian pathogenic Escherichia coli (APEC). These mutations also affect susceptibility to other antibiotics and bacterial cell surface properties.
Area of Science:
- Microbiology
- Antimicrobial Resistance
- Genetics
Background:
- Mutations in pmrAB genes are a primary mechanism of colistin resistance in Escherichia coli.
- Mechanisms driving high-level colistin resistance (HLCR) in Avian pathogenic E. coli (APEC) remain largely unknown.
- Understanding HLCR mechanisms is crucial for effective treatment strategies against APEC infections.
Purpose of the Study:
- To elucidate the mechanisms of high-level colistin resistance (HLCR) in colistin-susceptible APEC isolates following colistin exposure.
- To identify novel genetic mutations associated with HLCR in APEC strains.
Main Methods:
- Exposure of five colistin-susceptible APEC isolates to colistin to induce resistance.
- Identification of mutations using gene sequencing, including PmrB substitutions and sequence duplications (PmrB-sd).
- Chromosomal replacement and deletion mutagenesis to confirm the role of identified mutations.
- Quantitative reverse transcription/polymerase chain reaction (qRT-PCR) to assess pmrAB transcript levels.
- Determination of minimum inhibitory concentrations (MICs) for various antibiotics.
- Zeta potential measurements to analyze cell surface charge.
Main Results:
- Three PmrB substitutions (G19R, L167P, V88E) and two PmrB-sd mutations (68-77dup, 94-156dup) were identified in colistin-exposed APEC.
- PmrB-sd mutations were found to contribute to, but not solely cause, HLCR in APEC.
- PmrB-sd induction mutants showed increased pmrAB transcript levels, while reversion mutants showed reduced expression.
- All five induction mutants displayed reduced susceptibility to florfenicol and tetracycline.
- Specific mutants showed increased sensitivity to ceftiofur and gentamicin.
- Induction mutants exhibited reduced negative charge on the cell surface, increased lag time, and decreased fitness.
Conclusions:
- Novel PmrB-sd mutations contribute to high-level colistin resistance in APEC, expanding the understanding of colistin resistance mechanisms.
- The development of colistin resistance in APEC is associated with pleiotropic effects on antibiotic susceptibility and bacterial fitness.
- Clinical use of colistin for APEC infections requires careful consideration due to the potential for resistance development.
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