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Author Spotlight: Advancing Antibiotic Resistance Research Using an Efflux-Deficient Bacterial Strain and a Single-Copy Gene Expression System
Published on: January 5, 2024
RamAp Is an Efflux Pump Regulator Carried by an IncHI2 Plasmid
Yu-Ping Hong1,2, You-Wun Wang2, Bo-Han Chen2
1Ph.D. Program in Medical Biotechnology, National Chung Hsing Universitygrid.260542.7, Taichung, Taiwan.
Abstract:
In investigating the epidemiological trends of Salmonella enterica serovar Goldcoast, we previously identified several closely related strains with different MICs to azithromycin and quinolones. Genome sequencing and comparison of two very similar multidrug-resistant (MDR) strains, R18.0877 and R18.1656, has led to the identification of an extra plasmid-borne ramA gene, ramAp, on the large IncHI2 plasmid carried by R18.0877. The ramAp gene is located in a 953-bp region on the plasmid, which is identical to that of the Klebsiella quasipneumoniae chromosomal ramA loci. A truncated ISEcp1 located at the adjacent upstream area of the putative regulatory region of ramAp may likely contribute to its mobilization and expression. Introducing the ramAp gene and the truncated ISEcp1 into Escherichia coli has resulted in elevated expression of efflux pump genes and elevated MICs to chloramphenicol, azithromycin, nalidixic acid, ciprofloxacin, sulfamethoxazole, trimethoprim, tetracycline, and tigecycline. The ramAp is an extra efflux pump activator gene that potentially could be transmitted with the IncHI2 plasmid among bacteria. It is plausible that, with high interspecific conservation, the plasmid-encoded regulator reduces drug susceptibility by activating existing efflux pump systems of the host and thus can be regarded as a new type of auxiliary antimicrobial resistance determinant. Sequences of similar plasmids were found worldwide. Its impact on the emergence of antimicrobial resistance among bacterial pathogens is worrisome.
Insights
A novel plasmid-borne gene, ramAp, was discovered in Salmonella Goldcoast, activating efflux pumps and increasing antimicrobial resistance. This finding raises concerns about the global spread of antibiotic resistance in bacterial pathogens.
Area of Science:
- Microbiology
- Genetics
- Epidemiology
Background:
- Salmonella enterica serovar Goldcoast strains exhibit varying resistance to azithromycin and quinolones.
- Multidrug-resistant (MDR) strains R18.0877 and R18.1656 were compared, revealing genetic differences.
Purpose of the Study:
- To identify the genetic basis for differing antimicrobial resistance levels in closely related Salmonella Goldcoast strains.
- To characterize a newly identified plasmid-borne gene, ramAp, and its role in antimicrobial resistance.
Main Methods:
- Genome sequencing and comparative analysis of two MDR Salmonella strains.
- Identification and characterization of a plasmid-borne ramA homolog (ramAp).
- Introduction of ramAp and IS Ecp1 into Escherichia coli to assess gene expression and drug susceptibility.
Main Results:
- An extra plasmid-borne ramAp gene was identified on an IncHI2 plasmid in strain R18.0877.
- RamAp shares high sequence identity with Klebsiella quasipneumoniae chromosomal ramA.
- Introduction of ramAp and IS Ecp1 into E. coli elevated efflux pump gene expression and MICs to multiple antibiotics.
- RamAp activates existing efflux pump systems, reducing drug susceptibility and acting as an auxiliary antimicrobial resistance determinant.
Conclusions:
- The plasmid-encoded ramAp gene is a novel auxiliary antimicrobial resistance determinant.
- RamAp can be mobilized and expressed, potentially spreading via IncHI2 plasmids globally.
- The interspecific conservation and potential for transmission of ramAp are significant concerns for the emergence of antimicrobial resistance.
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