Genetic Plurality of OXA/NDM-Encoding Features Characterized From Enterobacterales Recovered From Czech Hospitals

The aim of this study was to characterize four Enterobacterales co-producing NDM- and OXA-48-like carbapenemases from Czech patients with travel history or/and previous hospitalization abroad. Klebsiella pneumoniae isolates belonged to “high risk” clones ST147, ST11, and ST15, while the Escherichia...

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Main Authors: Katerina Chudejova, Lucie Kraftova, Vittoria Mattioni Marchetti, Jaroslav Hrabak, Costas C. Papagiannitsis, Ibrahim Bitar
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-02-01
Series:Frontiers in Microbiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmicb.2021.641415/full
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author Katerina Chudejova
Katerina Chudejova
Lucie Kraftova
Lucie Kraftova
Vittoria Mattioni Marchetti
Vittoria Mattioni Marchetti
Jaroslav Hrabak
Jaroslav Hrabak
Costas C. Papagiannitsis
Costas C. Papagiannitsis
Costas C. Papagiannitsis
Ibrahim Bitar
Ibrahim Bitar
author_facet Katerina Chudejova
Katerina Chudejova
Lucie Kraftova
Lucie Kraftova
Vittoria Mattioni Marchetti
Vittoria Mattioni Marchetti
Jaroslav Hrabak
Jaroslav Hrabak
Costas C. Papagiannitsis
Costas C. Papagiannitsis
Costas C. Papagiannitsis
Ibrahim Bitar
Ibrahim Bitar
author_sort Katerina Chudejova
collection DOAJ
description The aim of this study was to characterize four Enterobacterales co-producing NDM- and OXA-48-like carbapenemases from Czech patients with travel history or/and previous hospitalization abroad. Klebsiella pneumoniae isolates belonged to “high risk” clones ST147, ST11, and ST15, while the Escherichia coli isolate was assigned to ST167. All isolates expressed resistance against most β-lactams, including carbapenems, while retaining susceptibility to colistin. Furthermore, analysis of WGS data showed that all four isolates co-produced OXA-48- and NDM-type carbapenemases, in different combinations (Kpn47733: blaNDM–5 + blaOXA–181; Kpn50595: blaNDM–1 + blaOXA–181; Kpn51015: blaNDM–1 + blaOXA–244; Eco52418: blaNDM–5 + blaOXA–244). In Kpn51015, the blaOXA–244 was found on plasmid p51015_OXA-244, while the respective gene was localized in the chromosomal contig of E. coli Eco52418. On the other hand, blaOXA–181 was identified on a ColKP3 plasmid in isolate Kpn47733, while a blaOXA–181-carrying plasmid being an IncX3-ColKP3 fusion was identified in Kpn50595. The blaNDM–1 gene was found on two different plasmids, p51015_NDM-1 belonging to a novel IncH plasmid group and p51015_NDM-1 being an IncFK1-FIB replicon. Furthermore, the blaNDM–5 was found in two IncFII plasmids exhibiting limited nucleotide similarity to each other. In both plasmids, the genetic environment of blaNDM–5 was identical. Finally, in all four carbapenemase-producing isolates, a diverse number of additional replicons, some of these associated with important resistance determinants, like blaCTX–M–15, arr-2 and ermB, were identified. In conclusion, this study reports the first description of OXA-244-producing Enterobacterales isolated from Czech hospitals. Additionally, our findings indicated the genetic plurality involved in the acquisition and dissemination of determinants encoding OXA/NDM carbapenemases.
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spelling doaj.art-673372789eca4bb1b8ae3cfcd12cf1d02022-12-21T19:01:04ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2021-02-011210.3389/fmicb.2021.641415641415Genetic Plurality of OXA/NDM-Encoding Features Characterized From Enterobacterales Recovered From Czech HospitalsKaterina Chudejova0Katerina Chudejova1Lucie Kraftova2Lucie Kraftova3Vittoria Mattioni Marchetti4Vittoria Mattioni Marchetti5Jaroslav Hrabak6Jaroslav Hrabak7Costas C. Papagiannitsis8Costas C. Papagiannitsis9Costas C. Papagiannitsis10Ibrahim Bitar11Ibrahim Bitar12Department of Microbiology, Faculty of Medicine, University Hospital in Pilsen, Charles University, Pilsen, CzechiaBiomedical Center, Faculty of Medicine, Charles University, Pilsen, CzechiaDepartment of Microbiology, Faculty of Medicine, University Hospital in Pilsen, Charles University, Pilsen, CzechiaBiomedical Center, Faculty of Medicine, Charles University, Pilsen, CzechiaDepartment of Microbiology, Faculty of Medicine, University Hospital in Pilsen, Charles University, Pilsen, CzechiaBiomedical Center, Faculty of Medicine, Charles University, Pilsen, CzechiaDepartment of Microbiology, Faculty of Medicine, University Hospital in Pilsen, Charles University, Pilsen, CzechiaBiomedical Center, Faculty of Medicine, Charles University, Pilsen, CzechiaDepartment of Microbiology, Faculty of Medicine, University Hospital in Pilsen, Charles University, Pilsen, CzechiaBiomedical Center, Faculty of Medicine, Charles University, Pilsen, CzechiaDepartment of Microbiology, University Hospital of Larissa, Larissa, GreeceDepartment of Microbiology, Faculty of Medicine, University Hospital in Pilsen, Charles University, Pilsen, CzechiaBiomedical Center, Faculty of Medicine, Charles University, Pilsen, CzechiaThe aim of this study was to characterize four Enterobacterales co-producing NDM- and OXA-48-like carbapenemases from Czech patients with travel history or/and previous hospitalization abroad. Klebsiella pneumoniae isolates belonged to “high risk” clones ST147, ST11, and ST15, while the Escherichia coli isolate was assigned to ST167. All isolates expressed resistance against most β-lactams, including carbapenems, while retaining susceptibility to colistin. Furthermore, analysis of WGS data showed that all four isolates co-produced OXA-48- and NDM-type carbapenemases, in different combinations (Kpn47733: blaNDM–5 + blaOXA–181; Kpn50595: blaNDM–1 + blaOXA–181; Kpn51015: blaNDM–1 + blaOXA–244; Eco52418: blaNDM–5 + blaOXA–244). In Kpn51015, the blaOXA–244 was found on plasmid p51015_OXA-244, while the respective gene was localized in the chromosomal contig of E. coli Eco52418. On the other hand, blaOXA–181 was identified on a ColKP3 plasmid in isolate Kpn47733, while a blaOXA–181-carrying plasmid being an IncX3-ColKP3 fusion was identified in Kpn50595. The blaNDM–1 gene was found on two different plasmids, p51015_NDM-1 belonging to a novel IncH plasmid group and p51015_NDM-1 being an IncFK1-FIB replicon. Furthermore, the blaNDM–5 was found in two IncFII plasmids exhibiting limited nucleotide similarity to each other. In both plasmids, the genetic environment of blaNDM–5 was identical. Finally, in all four carbapenemase-producing isolates, a diverse number of additional replicons, some of these associated with important resistance determinants, like blaCTX–M–15, arr-2 and ermB, were identified. In conclusion, this study reports the first description of OXA-244-producing Enterobacterales isolated from Czech hospitals. Additionally, our findings indicated the genetic plurality involved in the acquisition and dissemination of determinants encoding OXA/NDM carbapenemases.https://www.frontiersin.org/articles/10.3389/fmicb.2021.641415/fullOXA-244OXA-181NDM-1NDM-5mobile genetic elements
spellingShingle Katerina Chudejova
Katerina Chudejova
Lucie Kraftova
Lucie Kraftova
Vittoria Mattioni Marchetti
Vittoria Mattioni Marchetti
Jaroslav Hrabak
Jaroslav Hrabak
Costas C. Papagiannitsis
Costas C. Papagiannitsis
Costas C. Papagiannitsis
Ibrahim Bitar
Ibrahim Bitar
Genetic Plurality of OXA/NDM-Encoding Features Characterized From Enterobacterales Recovered From Czech Hospitals
Frontiers in Microbiology
OXA-244
OXA-181
NDM-1
NDM-5
mobile genetic elements
title Genetic Plurality of OXA/NDM-Encoding Features Characterized From Enterobacterales Recovered From Czech Hospitals
title_full Genetic Plurality of OXA/NDM-Encoding Features Characterized From Enterobacterales Recovered From Czech Hospitals
title_fullStr Genetic Plurality of OXA/NDM-Encoding Features Characterized From Enterobacterales Recovered From Czech Hospitals
title_full_unstemmed Genetic Plurality of OXA/NDM-Encoding Features Characterized From Enterobacterales Recovered From Czech Hospitals
title_short Genetic Plurality of OXA/NDM-Encoding Features Characterized From Enterobacterales Recovered From Czech Hospitals
title_sort genetic plurality of oxa ndm encoding features characterized from enterobacterales recovered from czech hospitals
topic OXA-244
OXA-181
NDM-1
NDM-5
mobile genetic elements
url https://www.frontiersin.org/articles/10.3389/fmicb.2021.641415/full
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