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.

Microbial Drug Resistance (Larchmont, N.Y.)
|November 27, 2019
PubMed

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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