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Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes
Published on: March 3, 2023
Genomic characterization of mobile genetic elements associated with antimicrobial resistance in Streptococcus
Gabriel Temitope Sunmonu1,2, Rosa C Coldbeck-Shackley3, Rikki M A Graham4
1School of Animal and Veterinary Sciences, Adelaide University, Roseworthy, South Australia 5371, Australia.
Abstract:
The emergence and spread of antimicrobial resistance (AMR) in Streptococcus pneumoniae threatens current antibiotic treatment strategies. While β-lactams remain the first-line therapy for pneumococcal infections in Australia, resistance to macrolides, tetracyclines and other antibiotics, driven by resistance genes carried on mobile genetic elements (MGEs), is increasingly reported. In this study, we conducted a comprehensive analysis of 573 S. pneumoniae genomes from South Australia, Queensland and Victoria to investigate the distribution of MGEs and their association with acquired AMR genes. Resistance genes and MGEs were identified using AMRFinderPlus and MobileElementFinder. Serotypes, sequence types and global pneumococcal sequence clusters (GPSCs) were assigned using SeroBA, MLST and the GPS pipeline. Out of the 573 genomes, 547 passed quality checks. Tn916-like (Tn916, Tn6002, Tn2010, Tn6003 and ICESpnTw19F14) and Tn5253-like (Tn5253, ICESpn529IQ) integrative conjugative elements carried various combinations of ermB, mefA, msrD, tetM, catA and catA16 genes, supporting horizontal gene transfer as a key mechanism of resistance spread. Macrolide and tetracycline resistance genes co-occurred in 192/239 (80.7%) MGE-positive genomes. The most common MGE-positive serotypes were 33F/ST717/GPSC3 (15.6%, n=30), serotype 4/ST2759/GPSC162 (15.1%, n=29), serotype 15A/ST63/GPSC9 (7.3%, n=14), serotype 23A/ST338/GPSC5 (5.7%, n=11), serotype 15A/ST8625/GPSC9 (3.6%, n=7) and serotype 19A/ST3111/GPSC932 (3.6%, n=7). Our results reflect global trends of MGE-associated resistance in expanding non-vaccine serotypes (such as 15A and 23A) and multidrug-resistant clones. These findings underscore the evolutionary role of MGEs associated with AMR in shaping the pneumococcal resistome and highlight the continuous need for genomic surveillance to inform antibiotic stewardship and vaccine strategies in Australia.
Insights
Mobile genetic elements (MGEs) drive antimicrobial resistance (AMR) spread in Streptococcus pneumoniae, particularly macrolide and tetracycline resistance. Genomic surveillance is crucial for antibiotic stewardship and vaccine strategies in Australia.
Area of Science:
- Microbiology
- Genomics
- Epidemiology
Background:
- Antimicrobial resistance (AMR) in Streptococcus pneumoniae poses a significant threat to public health.
- Mobile genetic elements (MGEs) are key drivers of AMR gene dissemination.
- While beta-lactams are first-line treatments in Australia, resistance to other antibiotics is rising.
Purpose of the Study:
- To investigate the distribution of MGEs in S. pneumoniae genomes from Australia.
- To analyze the association between MGEs and acquired AMR genes.
- To understand the role of MGEs in shaping the pneumococcal resistome.
Main Methods:
- Whole-genome sequencing of 573 S. pneumoniae isolates from Australia.
- Identification of resistance genes and MGEs using AMRFinderPlus and MobileElementFinder.
- Serotyping, sequence typing, and GPSC assignment using SeroBA, MLST, and GPS pipeline.
Main Results:
- 547 genomes passed quality checks; MGEs like Tn916-like and Tn5253-like elements carried various AMR genes.
- Macrolide and tetracycline resistance genes frequently co-occurred on MGEs (80.7%).
- Common MGE-positive serotypes included 33F/ST717/GPSC3 and 4/ST2759/GPSC162, reflecting global trends in non-vaccine serotypes.
Conclusions:
- MGEs play a critical evolutionary role in the spread of AMR in S. pneumoniae.
- Findings highlight the importance of MGEs in multidrug-resistant clones and expanding non-vaccine serotypes.
- Continuous genomic surveillance is essential for informing antibiotic stewardship and vaccine strategies in Australia.
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