Comparative insights into multiple drug resistance determinants in Stenotrophomonas maltophilia MER1

Objectives: Multidrug-resistant (MDR) Stenotrophomonas maltophilia strain MER1 was isolated from hospital wastewater in Shandong Province, China. This study aimed to determine the genetic determinants related to its striking MDR phenotype. Methods: Antimicrobial susceptibility testing of strain MER1...

Full description

Bibliographic Details
Main Authors: Linlin Xie, Aiping Zhou, Jia Zhao, Yuhang Tang, Rui Zhao, Yingping Zhou, Guangxiang Cao, Chuanqing Zhong, Jun Li
Format: Article
Language:English
Published: Elsevier 2021-12-01
Series:Journal of Global Antimicrobial Resistance
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213716521001879
_version_ 1819100157647519744
author Linlin Xie
Aiping Zhou
Jia Zhao
Yuhang Tang
Rui Zhao
Yingping Zhou
Guangxiang Cao
Chuanqing Zhong
Jun Li
author_facet Linlin Xie
Aiping Zhou
Jia Zhao
Yuhang Tang
Rui Zhao
Yingping Zhou
Guangxiang Cao
Chuanqing Zhong
Jun Li
author_sort Linlin Xie
collection DOAJ
description Objectives: Multidrug-resistant (MDR) Stenotrophomonas maltophilia strain MER1 was isolated from hospital wastewater in Shandong Province, China. This study aimed to determine the genetic determinants related to its striking MDR phenotype. Methods: Antimicrobial susceptibility testing of strain MER1 was performed by disk diffusion on Mueller–Hinton agar plates, and MICs were interpreted according to Clinical and Laboratory Standards Institute breakpoints. The genome of MER1 was sequenced and assembled using PacBio RS II and BGISEQ-500 platforms. Antimicrobial resistance determinants together with other transferability or adaptability determinants were identified by comparative genomics. Phylogenetic and contextual assays for these elements were conducted to assess the risk of spread of MER1. Results: Antimicrobial susceptibility testing revealed that strain MER1 is resistant to nine different antibiotics, including ampicillin, meropenem, amikacin, erythromycin, vancomycin, tetracycline, tigecycline, colistin and ceftazidime. Several genes were identified encoding efflux pumps and drug-inactivating agents, accounting for resistance to the above antibiotics, including meropenem, tigecycline and colistin regarded as last-line therapies for infections caused by MDR Gram-negative bacteria. MER1 co-harbours two non-mobile mcr homologues. A novel genomic region of variability was demonstrated to confer bacterial robustness and adaptability upon strain MER1. Conclusion: Collective efforts revealed the MDR properties and potential genetic determinants of S. maltophilia MER1 isolated from hospital wastewater. Comparative genomic analysis of S. maltophilia MER1 may provide insights into the prevention and treatment of antimicrobial-resistant infections. Our findings raise concern that the MDR genes in the reservoir of S. maltophilia may further spread into various ecological niches or medically high-risk pathogens.
first_indexed 2024-12-22T00:58:19Z
format Article
id doaj.art-24907389a9d544a69564533aa518e76d
institution Directory Open Access Journal
issn 2213-7165
language English
last_indexed 2024-12-22T00:58:19Z
publishDate 2021-12-01
publisher Elsevier
record_format Article
series Journal of Global Antimicrobial Resistance
spelling doaj.art-24907389a9d544a69564533aa518e76d2022-12-21T18:44:15ZengElsevierJournal of Global Antimicrobial Resistance2213-71652021-12-01272025Comparative insights into multiple drug resistance determinants in Stenotrophomonas maltophilia MER1Linlin Xie0Aiping Zhou1Jia Zhao2Yuhang Tang3Rui Zhao4Yingping Zhou5Guangxiang Cao6Chuanqing Zhong7Jun Li8College of Biotechnology and Bioengineering, Zhejiang University of Technology, Hangzhou, China; Jiangxi Key Laboratory of Natural Product and Functional Food, College of Food Science and Engineering, Jiangxi Agricultural University, Nanchang, ChinaDepartment of Laboratory Medicine, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, ChinaSchool of Municipal and Environmental Engineering, Shandong Jianzhu University, Jinan, ChinaCollege of Biotechnology and Bioengineering, Zhejiang University of Technology, Hangzhou, ChinaCollege of Biotechnology and Bioengineering, Zhejiang University of Technology, Hangzhou, ChinaSchool of Municipal and Environmental Engineering, Shandong Jianzhu University, Jinan, ChinaCollege of Biomedical Sciences, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, ChinaSchool of Municipal and Environmental Engineering, Shandong Jianzhu University, Jinan, China; Corresponding authors.College of Biotechnology and Bioengineering, Zhejiang University of Technology, Hangzhou, China; Jiangxi Key Laboratory of Natural Product and Functional Food, College of Food Science and Engineering, Jiangxi Agricultural University, Nanchang, China; Corresponding authors.Objectives: Multidrug-resistant (MDR) Stenotrophomonas maltophilia strain MER1 was isolated from hospital wastewater in Shandong Province, China. This study aimed to determine the genetic determinants related to its striking MDR phenotype. Methods: Antimicrobial susceptibility testing of strain MER1 was performed by disk diffusion on Mueller–Hinton agar plates, and MICs were interpreted according to Clinical and Laboratory Standards Institute breakpoints. The genome of MER1 was sequenced and assembled using PacBio RS II and BGISEQ-500 platforms. Antimicrobial resistance determinants together with other transferability or adaptability determinants were identified by comparative genomics. Phylogenetic and contextual assays for these elements were conducted to assess the risk of spread of MER1. Results: Antimicrobial susceptibility testing revealed that strain MER1 is resistant to nine different antibiotics, including ampicillin, meropenem, amikacin, erythromycin, vancomycin, tetracycline, tigecycline, colistin and ceftazidime. Several genes were identified encoding efflux pumps and drug-inactivating agents, accounting for resistance to the above antibiotics, including meropenem, tigecycline and colistin regarded as last-line therapies for infections caused by MDR Gram-negative bacteria. MER1 co-harbours two non-mobile mcr homologues. A novel genomic region of variability was demonstrated to confer bacterial robustness and adaptability upon strain MER1. Conclusion: Collective efforts revealed the MDR properties and potential genetic determinants of S. maltophilia MER1 isolated from hospital wastewater. Comparative genomic analysis of S. maltophilia MER1 may provide insights into the prevention and treatment of antimicrobial-resistant infections. Our findings raise concern that the MDR genes in the reservoir of S. maltophilia may further spread into various ecological niches or medically high-risk pathogens.http://www.sciencedirect.com/science/article/pii/S2213716521001879Comparative genomicsMultidrug resistanceCarbapenemsTigecyclinePolymyxinStenotrophomonas maltophilia
spellingShingle Linlin Xie
Aiping Zhou
Jia Zhao
Yuhang Tang
Rui Zhao
Yingping Zhou
Guangxiang Cao
Chuanqing Zhong
Jun Li
Comparative insights into multiple drug resistance determinants in Stenotrophomonas maltophilia MER1
Journal of Global Antimicrobial Resistance
Comparative genomics
Multidrug resistance
Carbapenems
Tigecycline
Polymyxin
Stenotrophomonas maltophilia
title Comparative insights into multiple drug resistance determinants in Stenotrophomonas maltophilia MER1
title_full Comparative insights into multiple drug resistance determinants in Stenotrophomonas maltophilia MER1
title_fullStr Comparative insights into multiple drug resistance determinants in Stenotrophomonas maltophilia MER1
title_full_unstemmed Comparative insights into multiple drug resistance determinants in Stenotrophomonas maltophilia MER1
title_short Comparative insights into multiple drug resistance determinants in Stenotrophomonas maltophilia MER1
title_sort comparative insights into multiple drug resistance determinants in stenotrophomonas maltophilia mer1
topic Comparative genomics
Multidrug resistance
Carbapenems
Tigecycline
Polymyxin
Stenotrophomonas maltophilia
url http://www.sciencedirect.com/science/article/pii/S2213716521001879
work_keys_str_mv AT linlinxie comparativeinsightsintomultipledrugresistancedeterminantsinstenotrophomonasmaltophiliamer1
AT aipingzhou comparativeinsightsintomultipledrugresistancedeterminantsinstenotrophomonasmaltophiliamer1
AT jiazhao comparativeinsightsintomultipledrugresistancedeterminantsinstenotrophomonasmaltophiliamer1
AT yuhangtang comparativeinsightsintomultipledrugresistancedeterminantsinstenotrophomonasmaltophiliamer1
AT ruizhao comparativeinsightsintomultipledrugresistancedeterminantsinstenotrophomonasmaltophiliamer1
AT yingpingzhou comparativeinsightsintomultipledrugresistancedeterminantsinstenotrophomonasmaltophiliamer1
AT guangxiangcao comparativeinsightsintomultipledrugresistancedeterminantsinstenotrophomonasmaltophiliamer1
AT chuanqingzhong comparativeinsightsintomultipledrugresistancedeterminantsinstenotrophomonasmaltophiliamer1
AT junli comparativeinsightsintomultipledrugresistancedeterminantsinstenotrophomonasmaltophiliamer1