解码mcr-9基因的起源,传播和全球风险
Kaiwen Song1, Longyang Jin2, Meng Cai2
1Department of Clinical Laboratory, Peking University People's Hospital, Beijing, China; Institute of Medical Technology, Peking University Health Science Center, Beijing, China.
EBioMedicine
|September 11, 2024
概括
调动性胆固醇耐药性 (mcr-9) 基因在20世纪60年代出现,并在全球传播,对胆固醇有效性构成重大威胁. 它的无声传播和潜在的演变成为一种主要的抗药性基因突出突出突出了One Health的紧迫影响.
科学领域:
- 微生物学 微生物学
- 遗传学 是一个遗传学.
- 流行病学 流行病学
背景情况:
- 塑介导的调动胆固醇抗性 (mcr) 基因家族威胁到最后一线抗生素防御.
- mcr-9是第二个最常见的变种,仅次于mcr-1.
研究的目的:
- 重建mcr-9基因的历史轨迹和传播动态.
- 研究mcr-9.的宿主热带和基于等离子体的传播机制.
- 评估mcr-9的全球传播和临床影响.
主要方法:
- 编制了来自44个国家的698个mcr-9阳性分离物的数据集.
- 利用贝叶斯分析重建了mcr-9的历史传播.
- 使用有效复制数来分析传输动态.
主要成果:
- mcr-9起源于20世纪60年代,从西欧扩展到全球.
- mcr-9表现出对Enterobacter内部传播的偏好,这可能是由质粒编码子使用偏差驱动的.
- 虽然mcr-9的低胆固醇抗性促进了全球的无声传播,但高表达性菌株正在出现.
结论:
- mcr-9的适应性和传播潜力对抗生素耐药性控制构成重大挑战.
- 高表达性mcr-9菌株的临床出现需要在One Health框架内紧急关注.
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