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Antimicrobial Resistance Profile and ExPEC Virulence Potential in Commensal Escherichia coli of Multiple Sources
Elisa Massella1, Federica Giacometti1, Paolo Bonilauri2
1Department of Veterinary Medical Sciences, Faculty of Veterinary Medicine, University of Bologna, Ozzano Emilia, 40064 Bologna, Italy.
Abstract:
We recently described the genetic antimicrobial resistance and virulence profile of a collection of 279 commensal E. coli of food-producing animal (FPA), pet, wildlife and human origin. Phenotypic antimicrobial resistance (AMR) and the role of commensal E. coli as reservoir of extra-intestinal pathogenic Escherichia coli (ExPEC) virulence-associated genes (VAGs) or as potential ExPEC pathogens were evaluated. The most common phenotypic resistance was to tetracycline (76/279, 27.24%), sulfamethoxazole/trimethoprim (73/279, 26.16%), streptomycin and sulfisoxazole (71/279, 25.45% both) among the overall collection. Poultry and rabbit were the sources mostly associated to AMR, with a significant resistance rate (p > 0.01) to quinolones, streptomycin, sulphonamides, tetracycline and, only for poultry, to ampicillin and chloramphenicol. Finally, rabbit was the source mostly associated to colistin resistance. Different pandemic (ST69/69*, ST95, ST131) and emerging (ST10/ST10*, ST23, ST58, ST117, ST405, ST648) ExPEC sequence types (STs) were identified among the collection, especially in poultry source. Both ST groups carried high number of ExPEC VAGs (pandemic ExPEC STs, mean = 8.92; emerging ExPEC STs, mean = 6.43) and showed phenotypic resistance to different antimicrobials (pandemic ExPEC STs, mean = 2.23; emerging ExPEC STs, mean = 2.43), suggesting their role as potential ExPEC pathogens. Variable phenotypic resistance and ExPEC VAG distribution was also observed in uncommon ExPEC lineages, suggesting commensal flora as a potential reservoir of virulence (mean = 3.80) and antimicrobial resistance (mean = 1.69) determinants.
Insights
Commensal Escherichia coli from food animals carry antimicrobial resistance and virulence genes, posing a risk. These bacteria act as reservoirs for extra-intestinal pathogenic E. coli (ExPEC) and potential ExPEC pathogens.
Area of Science:
- Microbiology
- Genetics
- Public Health
Background:
- Commensal Escherichia coli (E. coli) are found in various animal hosts and humans.
- These bacteria can harbor antimicrobial resistance (AMR) and virulence-associated genes (VAGs).
- Commensal E. coli may serve as reservoirs for extra-intestinal pathogenic E. coli (ExPEC).
Purpose of the Study:
- To characterize the genetic AMR and virulence profiles of commensal E. coli.
- To evaluate the role of commensal E. coli as reservoirs for ExPEC VAGs.
- To assess the potential of commensal E. coli as ExPEC pathogens.
Main Methods:
- Analysis of 279 commensal E. coli isolates from diverse sources (food-producing animals, pets, wildlife, humans).
- Phenotypic antimicrobial resistance (AMR) testing.
- Genetic profiling for ExPEC virulence-associated genes (VAGs) and sequence types (STs).
Main Results:
- High rates of phenotypic resistance to tetracycline, sulfamethoxazole/trimethoprim, streptomycin, and sulfisoxazole were observed.
- Poultry and rabbit sources were significantly associated with AMR, including resistance to quinolones, streptomycin, and sulfonamides.
- Pandemic and emerging ExPEC STs were identified, carrying numerous VAGs and exhibiting phenotypic resistance, indicating potential pathogenicity.
- Commensal flora showed variable resistance and VAG distribution, highlighting their role as reservoirs.
Conclusions:
- Commensal E. coli, particularly from poultry and rabbits, harbor significant antimicrobial resistance and virulence factors.
- These commensal strains, including pandemic and emerging ExPEC types, represent a reservoir for ExPEC and potential pathogens.
- Understanding these reservoirs is crucial for One Health approaches to combat AMR and ExPEC infections.
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