Comparative genomic analyses of Polymyxin-resistant Enterobacteriaceae strains from China

Zhien He1, Yongqiang Yang2,3,4, Wei Li1

  • 1Department of Oncology, The First Affiliated Hospital, University of Science and Technology of China, Hefei, China.

BMC Genomics
|February 1, 2022
PubMed
Abstract

Insights

Mobile colistin resistance (mcr-like) genes were found in Enterobacteriaceae from environmental and clinical samples in China. This highlights the urgent need to track the spread of these challenging antimicrobial resistance genes.

Area of Science:

  • Microbiology
  • Antimicrobial Resistance
  • Molecular Biology

Background:

  • Mobile colistin resistance (mcr-like) genes pose significant challenges for treating multidrug-resistant Enterobacteriaceae.
  • Horizontal gene transfer of mcr-like genes facilitates rapid spread within bacterial populations.

Purpose of the Study:

  • To investigate the presence and genetic context of mcr-like genes in Enterobacteriaceae from China.
  • To provide insights into the dissemination of mobile colistin resistance.

Main Methods:

  • Isolation and identification of bacterial strains (K. pneumoniae, E. coli).
  • Whole-genome sequencing and sequence analysis to identify mcr-like genes and their genetic environment.
  • Plasmid analysis and characterization.

Main Results:

  • The mcr-1.1 gene was identified on the chromosome of E. coli and within an IncX4 plasmid in K. pneumoniae.
  • Mcr-8 variants were found on an IncFIB/IncFII plasmid in K. pneumoniae, associated with insertion sequences ISEcl1 and ISKpn26.
  • Bacteria carrying mcr-like genes were isolated from both environmental (bus and subway handrails) and clinical (urinary tract infection, severe pneumonia) sources in China.

Conclusions:

  • This study identifies Enterobacteriaceae carrying mcr-like genes in China, including environmental isolates.
  • The findings offer valuable data for understanding the epidemiology and spread of mcr-1 and its variants globally.
  • Provides a reference for future surveillance and control strategies against mobile colistin resistance.

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