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Quantification of Plasmid-Mediated Antibiotic Resistance in an Experimental Evolution Approach
Published on: December 14, 2019
A large self-transmissible resistance plasmid from Nigeria contains genes that ameliorate a carrying cost
Rubén Monárrez1, Molly Braun1, Olivia Coburn-Flynn1
1Department of Biology, Haverford College, Pennsylvania, USA.
Abstract:
Antimicrobial resistance is rapidly expanding, in a large part due to mobile genetic elements. We screened 94 fecal fluoroquinolone-resistant Escherichia coli isolates from Nigeria for six plasmid-mediated quinolone resistance (PMQR) genes. Sixteen isolates harbored at least one of the PMQR genes and four were positive for aac-6-Ib-cr. In one strain, aac-6-Ib-cr was mapped to a 125 Kb self-transmissible IncFII plasmid, pMB2, which also bears blaCTX-M-15, seven other functional resistance genes and multiple resistance pseudogenes. Laboratory strains carrying pMB2 grew faster than isogenic strains lacking the plasmid in both rich and minimal media. We excised a 32 Kb fragment containing transporter genes and several open-reading frames of unknown function. The resulting 93 Kb mini-plasmid conferred slower growth rates and lower fitness than wildtype pMB2. Trans-complementing the deletion with the cloned sitABCD genes confirmed that they accounted for the growth advantage conferred by pMB2 in iron-depleted media. pMB2 is a large plasmid with a flexible resistance region that contains loci that can account for evolutionary success in the absence of antimicrobials. Ancillary functions conferred by resistance plasmids can mediate their retention and transmissibility, worsening the trajectory for antimicrobial resistance and potentially circumventing efforts to contain resistance through restricted use.
Insights
Mobile genetic elements drive antimicrobial resistance. A large plasmid, pMB2, carrying multiple resistance genes, enhances bacterial fitness and transmissibility, exacerbating the spread of antimicrobial resistance.
Area of Science:
- Microbiology
- Genetics
- Molecular Biology
Background:
- Antimicrobial resistance (AMR) is a growing global health threat, largely driven by mobile genetic elements like plasmids.
- Fluoroquinolone resistance in Escherichia coli is a significant concern, particularly in regions like Nigeria.
Purpose of the Study:
- To screen fluoroquinolone-resistant E. coli isolates from Nigeria for plasmid-mediated quinolone resistance (PMQR) genes.
- To characterize a self-transmissible plasmid (pMB2) identified in a resistant E. coli strain, focusing on its genetic content and impact on bacterial fitness.
Main Methods:
- Screening of 94 E. coli isolates for six PMQR genes.
- Plasmid mapping, sequencing, and characterization of pMB2 (125 Kb).
- Growth rate and fitness assays comparing wild-type and mini-plasmid strains, including trans-complementation studies.
Main Results:
- Four out of 16 isolates positive for PMQR genes carried the aac-6-Ib-cr gene.
- The IncFII plasmid pMB2 harbored aac-6-Ib-cr, blaCTX-M-15, seven other resistance genes, and multiple pseudogenes.
- pMB2 conferred a growth advantage in both rich and minimal media; a 32 Kb fragment deletion reduced this advantage, with sitABCD genes identified as crucial for iron-depleted media growth.
Conclusions:
- Large, self-transmissible plasmids like pMB2, possessing multiple resistance genes and ancillary functions, contribute significantly to bacterial fitness and AMR spread.
- The findings highlight how plasmid-borne traits beyond antimicrobial resistance can drive plasmid retention and transmissibility, complicating AMR containment efforts.
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