Multidrug-Resistant Proteus mirabilis Strain with Cointegrate Plasmid

Andrey Shelenkov1, Lyudmila Petrova2, Valeria Fomina2

  • 1Central Research Institute of Epidemiology, Novogireevskaya str. 3a, 111123 Moscow, Russia.

Microorganisms
|November 17, 2020
PubMed

Insights

Multidrug-resistant Proteus mirabilis, a cause of hospital infections, is increasingly studied. Whole-genome sequencing revealed its antibiotic resistance mechanisms and virulence factors, including potential gene transfer from Klebsiella pneumoniae.

Area of Science:

  • Microbiology
  • Genomics
  • Infectious Diseases

Background:

  • Proteus mirabilis is a common gut bacterium that can cause severe hospital-acquired infections.
  • The prevalence of multidrug-resistant P. mirabilis, particularly those producing extended-spectrum beta-lactamases (ESBLs), is rising globally.
  • Research on P. mirabilis, especially whole-genome sequencing, lags behind other major pathogens.

Purpose of the Study:

  • To conduct a comprehensive genomic analysis of a multidrug-resistant, ESBL-producing P. mirabilis clinical isolate.
  • To investigate mechanisms of antibiotic resistance and virulence in P. mirabilis.
  • To compare P. mirabilis genomics with other ESKAPE pathogens.

Main Methods:

  • Utilized both short-read and long-read whole-genome sequencing technologies.
  • Performed detailed genomic analysis to identify resistance genes, virulence factors, and mobile genetic elements.
  • Investigated the CRISPR-Cas system and potential phage targets within the P. mirabilis genome.

Main Results:

  • Identified horizontal gene transfer events, suggesting plasmid exchange between P. mirabilis and Klebsiella pneumoniae.
  • Located a CRISPR-Cas system and its putative phage targets, offering insights into phage resistance.
  • Characterized multiple virulence genes contributing to P. mirabilis pathogenicity.
  • Confirmed the presence of ESBL genes conferring multidrug resistance.

Conclusions:

  • Genomic insights into P. mirabilis provide a foundation for understanding its increasing resistance and virulence.
  • The study highlights potential inter-species gene transfer as a mechanism for resistance acquisition.
  • Further research on P. mirabilis is crucial for developing effective treatments against this emerging pathogen.