通过全基因组测序深入了解耐碳青霉烯类和耐多药鲍曼不动杆菌染色体携带的 blaOXA-23。

IF 3.7 2区 生物学 Q2 MICROBIOLOGY
Microbiology spectrum Pub Date : 2024-09-03 Epub Date: 2024-08-05 DOI:10.1128/spectrum.00501-24
Wei Wang, Jiahui Weng, Jie Wei, Qinghuan Zhang, Yu Zhou, Yanju He, Limei Zhang, Wenting Li, Yi Zhang, Zhiren Zhang, Xiaobin Li
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引用次数: 0

摘要

由于缺乏有效的治疗方案,耐碳青霉烯类鲍曼不动杆菌(CRAB)对住院患者构成了严重威胁。基于从呼吸重症监护病房(RICU)患者支气管肺泡灌洗液(BALF)中分离出的携带染色体blaOXA-23的CRAB菌株AB2877的基因组特征,我们在全球范围内系统分析了携带染色体blaOXA-23的CRAB菌株的抗生素耐药基因(ARGs)以及与ARGs相关的遗传背景。除 blaOXA-23 外,在属于 ST208/1806(牛津 MLST 方案)的 CRAB 菌株 AB2877 的染色体上还检测到了其他 ARG。在 CRAB 菌株 AB2877 的染色体上发现了与 ARGs 相关的几个关键遗传背景,包括:(1) 与 blaOXA-23 相关的 MDR 区域、tet(B)-tetR(B)、aph(3'')-Ib 和 aph(6)-Id (2);包含 armA 和 mph(E)-msr(E) 的抗性岛 AbGRI3 (3);包含 blaTEM-1D 和 aph(3')-Ia 的 Tn3-like 复合转座子;以及 (4) "ISAba1-blaADC-25" 结构。"前两种遗传背景在 ST195/1816 中最为常见,其次是 ST208/1806。重要意义 blaOXA-23 基因可通过质粒或染色体携带,有利于水平基因转移,增加医疗机构对碳青霉烯类耐药性。在本研究中,我们重点研究了携带染色体blaOXA-23基因的CRAB菌株的基因组特征,确定了与blaOXA-23和其他ARGs相关的重要遗传背景,并确定了它们在全球的流行克隆。值得注意的是,虽然全球范围内含有与 blaOXA-23、tet(B)-tetR(B)、ahph(3'')-Ib 和 aph (6)-Id 相关的 MDR 区域的主要 CRAB 克隆系是 ST195/1816,其次是 ST208/1806,但我们研究中的 CRAB 菌株 AB2877 属于 ST208/1806。我们的研究结果有助于了解CRAB菌株的传播和控制医院内感染。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Whole genome sequencing insight into carbapenem-resistant and multidrug-resistant Acinetobacter baumannii harboring chromosome-borne blaOXA-23.

Carbapenem-resistant Acinetobacter baumannii (CRAB) poses a significant threat to hospitalized patients as effective therapeutic options are scarce. Based on the genomic characteristics of the CRAB strain AB2877 harboring chromosome-borne blaOXA-23, which was isolated from the bronchoalveolar lavage fluid (BALF) of a patient in a respiratory intensive care unit (RICU), we systematically analyzed antibiotic resistance genes (ARGs) and the genetic context associated with ARGs carried by CRAB strains harboring chromosome-borne blaOXA-23 worldwide. Besides blaOXA-23, other ARGs were detected on the chromosome of the CRAB strain AB2877 belonging to ST208/1806 (Oxford MLST scheme). Several key genetic contexts associated with the ARGs were identified on the chromosome of the CRAB strain AB2877, including (1) the MDR region associated with blaOXA-23, tet(B)-tetR(B), aph(3'')-Ib, and aph(6)-Id (2); the resistance island AbGRI3 harboring armA and mph(E)-msr(E) (3); the Tn3-like composite transposon containing blaTEM-1D and aph(3')-Ia; and (4) the structure "ISAba1-blaADC-25." The first two genetic contexts were most common in ST195/1816, followed by ST208/1806. The last two genetic contexts were found most frequently in ST208/1806, followed by ST195/1816.IMPORTANCEThe blaOXA-23 gene can be carried by plasmid or chromosome, facilitating horizontal genetic transfer and increasing carbapenem resistance in healthcare settings. In this study, we focused on the genomic characteristics of CRAB strains harboring the chromosome-borne blaOXA-23 gene, and the important genetic contexts associated with blaOXA-23 and other ARGs were identified, and their prevalent clones worldwide were determined. Notably, although the predominant clonal CRAB lineages worldwide containing the MDR region associated with blaOXA-23, tet(B)-tetR(B), aph(3'')-Ib, and aph (6)-Id was ST195/1816, followed by ST208/1806, the CRAB strain AB2877 in our study belonged to ST208/1806. Our findings contribute to the knowledge regarding the dissemination of CRAB strains and the control of nosocomial infection.

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来源期刊
Microbiology spectrum
Microbiology spectrum Biochemistry, Genetics and Molecular Biology-Genetics
CiteScore
3.20
自引率
5.40%
发文量
1800
期刊介绍: Microbiology Spectrum publishes commissioned review articles on topics in microbiology representing ten content areas: Archaea; Food Microbiology; Bacterial Genetics, Cell Biology, and Physiology; Clinical Microbiology; Environmental Microbiology and Ecology; Eukaryotic Microbes; Genomics, Computational, and Synthetic Microbiology; Immunology; Pathogenesis; and Virology. Reviews are interrelated, with each review linking to other related content. A large board of Microbiology Spectrum editors aids in the development of topics for potential reviews and in the identification of an editor, or editors, who shepherd each collection.
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