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Updated: May 21, 2025

High-Resolution Comparison of Bacterial Conjugation Frequencies
Published on: January 10, 2019
Plasmid conjugation drives within-patient plasmid diversity
Fan Grayson1, Leo Loman1, Toby Nonnenmacher2
1Advanced Analytics, Analysis & Intelligence Assessment, Chief Data Officer Group, UK Health Security Agency, London, UK.
Plasmids carrying antimicrobial resistance genes spread easily between bacteria within patients via conjugation. This study found identical OXA-48 plasmids were shared among different bacterial hosts in most patients, indicating conjugation is the primary driver of plasmid diversity.
Area of Science:
- Microbiology
- Genetics
- Public Health
Background:
- Plasmids are key vectors for antimicrobial resistance (AMR) gene spread.
- Conjugation facilitates AMR gene transfer between bacteria, complicating outbreak investigations.
- The role of conjugation in within-patient plasmid diversity remains unclear.
Purpose of the Study:
- To investigate the impact of plasmid conjugation on within-patient plasmid diversity.
- To analyze the dissemination patterns of OXA-48 plasmids within carbapenemase-producing Enterobacterales isolates from English patients.
Main Methods:
- Utilized a dataset of 256 bacterial sequences from 115 patients over 30 months.
- Employed a hybrid de novo-on-reference assembly pipeline to reconstruct OXA-48 plasmids.
- Analyzed plasmid sequences for genetic similarity and diversity.
Main Results:
- Successfully reconstructed OXA-48 plasmids from 232 of 256 sequences.
- Identical OXA-48 plasmids were found in multiple bacterial hosts within the same patient for 83% of patients.
- Separate acquisition of distinct OXA-48 plasmid variants was rare.
Conclusions:
- Conjugation is the predominant mechanism for OXA-48 plasmid sharing among different bacterial hosts within a patient.
- Within-patient plasmid diversity is largely driven by the spread of identical plasmids via conjugation, rather than multiple independent acquisitions.
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