在Enterococcus faecium中解读菌素耐药性:基因分布,序列类型和全球遗传学分析
1Department of Laboratory Medicine, Nanjing Drum Tower Hospital Clinical College of Nanjing University of Chinese Medicine, Nanjing, China.
Frontiers in microbiology
|September 2, 2025
概括
菌素耐药性基因 (van) 在Enterococcus faecium中广泛存在,特别是在人类群体和临床环境中. 监测携带vanA的ST17菌株的传播至关重要.
科学领域:
- 微生物学
- 基因组学
- 流行病学
背景情况:
- 菌是重要的机会性病原体.
- 在E. faecium中存在抗万科米辛的现象对公众健康构成重大威胁.
- 了解万科米辛耐药基因的遗传基础和传播至关重要.
研究的目的:
- 分析E. faecium中的van基因的全球流行和分布.
- 研究携带E. faecium菌株的遗传关系和流行病学特征.
- 确定最常见的范基因型和序列类型 (ST).
主要方法:
- 下载并过了3,256个E.体基因组序列,保留了2,235个.
- 通过使用blastn选了Van基因的基因组.
- 使用pubMLST配置文件确定序列类型 (ST).
主要成果:
- 在2,235个 (47.9%) 的E. faecium基因组中,有1,071个含有van基因.
- 确定了8种van基因型,其中vanA,vanB,vanD和vanM占47.6%.
- 在美国,ST17是最常见的ST,主要是从人类中分离出来的,vanA是2015年最常见的基因.
结论:
- 范基因在全球范围内广泛分布.
- 人类群体和临床环境显示出携带E. faecium的显著流行.
- 针对ST17菌株传播的监测和干预策略至关重要.
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