Emergence of Carbapenem- and Tigecycline-Resistant Proteus cibarius of Animal Origin

The emergence of tet(X) and carbapenemase genes in Enterobacterales pose significant challenges to the treatment of infectious diseases. Convergence of these two categories of genes in an individual pathogen would deteriorate the antimicrobial resistance (AMR) crisis furthermore. Here, tigecycline-r...

Full description

Bibliographic Details
Main Authors: Yan Li, Qian Wang, Kai Peng, Yuan Liu, Ruichao Li, Zhiqiang Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-08-01
Series:Frontiers in Microbiology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fmicb.2020.01940/full
_version_ 1818849355079090176
author Yan Li
Qian Wang
Kai Peng
Yuan Liu
Yuan Liu
Yuan Liu
Ruichao Li
Ruichao Li
Ruichao Li
Zhiqiang Wang
Zhiqiang Wang
author_facet Yan Li
Qian Wang
Kai Peng
Yuan Liu
Yuan Liu
Yuan Liu
Ruichao Li
Ruichao Li
Ruichao Li
Zhiqiang Wang
Zhiqiang Wang
author_sort Yan Li
collection DOAJ
description The emergence of tet(X) and carbapenemase genes in Enterobacterales pose significant challenges to the treatment of infectious diseases. Convergence of these two categories of genes in an individual pathogen would deteriorate the antimicrobial resistance (AMR) crisis furthermore. Here, tigecycline-resistant Enterobacterales strains were isolated and detected with carbapenemase genes, characterized by antimicrobial susceptibility testing, PCR, conjugation assay, whole genome sequencing, and bioinformatics analysis. Three tigecycline-resistant isolates consisting of one plasmid-mediated tet(X4)-bearing Escherichia fergusonii and two chromosomal tet(X6)-bearing Proteus cibarius were recovered from chicken feces. The tet(X4) was located on a conjugative IncX1 plasmid pHNCF11W-tetX4 encoding the identical structure as reported tet(X4)-bearing IncX1 plasmids in Escherichia coli. Among two P. cibarius strains, tet(X6) was located on two similar chromosomal MDR regions with genetic contexts IS26-aac(3)-IVa-aph(4)-Ia-ISEc59-tnpA-tet(X6)-orf-orf-ISCR2-virD2-floR-ISCR2-glmM-sul2 and IS26-aac(3)-IVa-aph(4)-Ia-ISEc59-tnpA-tet(X6)-orf-orf-ISCR2-glmM-sul2. Apart from tet(X6), P. cibarius HNCF44W harbored a novel transposon Tn6450b positive for blaNDM–1 on a conjugative plasmid. This study probed the genomic basis of three tet(X)-bearing, tigecycline-resistant strains, one of which coharbored blaNDM–1 and tet(X6), and identified P. cibarius as the important reservoir of tet(X6) variants. Emergence of P. cibarius encoding both blaNDM–1 and tet(X6) reveals a potential public health risk.
first_indexed 2024-12-19T06:31:55Z
format Article
id doaj.art-5c94c40c7fec4a0eacf2277b180446e1
institution Directory Open Access Journal
issn 1664-302X
language English
last_indexed 2024-12-19T06:31:55Z
publishDate 2020-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Microbiology
spelling doaj.art-5c94c40c7fec4a0eacf2277b180446e12022-12-21T20:32:21ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2020-08-011110.3389/fmicb.2020.01940570813Emergence of Carbapenem- and Tigecycline-Resistant Proteus cibarius of Animal OriginYan Li0Qian Wang1Kai Peng2Yuan Liu3Yuan Liu4Yuan Liu5Ruichao Li6Ruichao Li7Ruichao Li8Zhiqiang Wang9Zhiqiang Wang10College of Veterinary Medicine, Yangzhou University, Yangzhou, ChinaCollege of Veterinary Medicine, Yangzhou University, Yangzhou, ChinaCollege of Veterinary Medicine, Yangzhou University, Yangzhou, ChinaCollege of Veterinary Medicine, Yangzhou University, Yangzhou, ChinaInstitute of Comparative Medicine, Yangzhou University, Yangzhou, ChinaJiangsu Co-innovation Center for Prevention and Control of Important Animal Infectious Diseases and Zoonoses, Yangzhou University, Yangzhou, ChinaCollege of Veterinary Medicine, Yangzhou University, Yangzhou, ChinaInstitute of Comparative Medicine, Yangzhou University, Yangzhou, ChinaJiangsu Co-innovation Center for Prevention and Control of Important Animal Infectious Diseases and Zoonoses, Yangzhou University, Yangzhou, ChinaCollege of Veterinary Medicine, Yangzhou University, Yangzhou, ChinaJiangsu Co-innovation Center for Prevention and Control of Important Animal Infectious Diseases and Zoonoses, Yangzhou University, Yangzhou, ChinaThe emergence of tet(X) and carbapenemase genes in Enterobacterales pose significant challenges to the treatment of infectious diseases. Convergence of these two categories of genes in an individual pathogen would deteriorate the antimicrobial resistance (AMR) crisis furthermore. Here, tigecycline-resistant Enterobacterales strains were isolated and detected with carbapenemase genes, characterized by antimicrobial susceptibility testing, PCR, conjugation assay, whole genome sequencing, and bioinformatics analysis. Three tigecycline-resistant isolates consisting of one plasmid-mediated tet(X4)-bearing Escherichia fergusonii and two chromosomal tet(X6)-bearing Proteus cibarius were recovered from chicken feces. The tet(X4) was located on a conjugative IncX1 plasmid pHNCF11W-tetX4 encoding the identical structure as reported tet(X4)-bearing IncX1 plasmids in Escherichia coli. Among two P. cibarius strains, tet(X6) was located on two similar chromosomal MDR regions with genetic contexts IS26-aac(3)-IVa-aph(4)-Ia-ISEc59-tnpA-tet(X6)-orf-orf-ISCR2-virD2-floR-ISCR2-glmM-sul2 and IS26-aac(3)-IVa-aph(4)-Ia-ISEc59-tnpA-tet(X6)-orf-orf-ISCR2-glmM-sul2. Apart from tet(X6), P. cibarius HNCF44W harbored a novel transposon Tn6450b positive for blaNDM–1 on a conjugative plasmid. This study probed the genomic basis of three tet(X)-bearing, tigecycline-resistant strains, one of which coharbored blaNDM–1 and tet(X6), and identified P. cibarius as the important reservoir of tet(X6) variants. Emergence of P. cibarius encoding both blaNDM–1 and tet(X6) reveals a potential public health risk.https://www.frontiersin.org/article/10.3389/fmicb.2020.01940/fulltigecycline resistancecarbapenem resistancecoexistenceplasmidchromosome
spellingShingle Yan Li
Qian Wang
Kai Peng
Yuan Liu
Yuan Liu
Yuan Liu
Ruichao Li
Ruichao Li
Ruichao Li
Zhiqiang Wang
Zhiqiang Wang
Emergence of Carbapenem- and Tigecycline-Resistant Proteus cibarius of Animal Origin
Frontiers in Microbiology
tigecycline resistance
carbapenem resistance
coexistence
plasmid
chromosome
title Emergence of Carbapenem- and Tigecycline-Resistant Proteus cibarius of Animal Origin
title_full Emergence of Carbapenem- and Tigecycline-Resistant Proteus cibarius of Animal Origin
title_fullStr Emergence of Carbapenem- and Tigecycline-Resistant Proteus cibarius of Animal Origin
title_full_unstemmed Emergence of Carbapenem- and Tigecycline-Resistant Proteus cibarius of Animal Origin
title_short Emergence of Carbapenem- and Tigecycline-Resistant Proteus cibarius of Animal Origin
title_sort emergence of carbapenem and tigecycline resistant proteus cibarius of animal origin
topic tigecycline resistance
carbapenem resistance
coexistence
plasmid
chromosome
url https://www.frontiersin.org/article/10.3389/fmicb.2020.01940/full
work_keys_str_mv AT yanli emergenceofcarbapenemandtigecyclineresistantproteuscibariusofanimalorigin
AT qianwang emergenceofcarbapenemandtigecyclineresistantproteuscibariusofanimalorigin
AT kaipeng emergenceofcarbapenemandtigecyclineresistantproteuscibariusofanimalorigin
AT yuanliu emergenceofcarbapenemandtigecyclineresistantproteuscibariusofanimalorigin
AT yuanliu emergenceofcarbapenemandtigecyclineresistantproteuscibariusofanimalorigin
AT yuanliu emergenceofcarbapenemandtigecyclineresistantproteuscibariusofanimalorigin
AT ruichaoli emergenceofcarbapenemandtigecyclineresistantproteuscibariusofanimalorigin
AT ruichaoli emergenceofcarbapenemandtigecyclineresistantproteuscibariusofanimalorigin
AT ruichaoli emergenceofcarbapenemandtigecyclineresistantproteuscibariusofanimalorigin
AT zhiqiangwang emergenceofcarbapenemandtigecyclineresistantproteuscibariusofanimalorigin
AT zhiqiangwang emergenceofcarbapenemandtigecyclineresistantproteuscibariusofanimalorigin