Polymyxin Resistance in <i>Salmonella</i>: Exploring Mutations and Genetic Determinants of Non-Human Isolates

Until 2015, polymyxin resistance was primarily attributed to chromosomal mutations. However, with the first report of mobile colistin resistance (<i>mcr-1</i>) in commensal <i>Escherichia coli</i> from food animals in China, the landscape has changed. To evaluate the presence...

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Main Authors: Thais Vieira, Carla Adriana Dos Santos, Amanda Maria de Jesus Bertani, Gisele Lozano Costa, Karoline Rodrigues Campos, Cláudio Tavares Sacchi, Marcos Paulo Vieira Cunha, Eneas Carvalho, Alef Janguas da Costa, Jacqueline Boldrin de Paiva, Marcela da Silva Rubio, Carlos Henrique Camargo, Monique Ribeiro Tiba-Casas
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Antibiotics
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Online Access:https://www.mdpi.com/2079-6382/13/2/110
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author Thais Vieira
Carla Adriana Dos Santos
Amanda Maria de Jesus Bertani
Gisele Lozano Costa
Karoline Rodrigues Campos
Cláudio Tavares Sacchi
Marcos Paulo Vieira Cunha
Eneas Carvalho
Alef Janguas da Costa
Jacqueline Boldrin de Paiva
Marcela da Silva Rubio
Carlos Henrique Camargo
Monique Ribeiro Tiba-Casas
author_facet Thais Vieira
Carla Adriana Dos Santos
Amanda Maria de Jesus Bertani
Gisele Lozano Costa
Karoline Rodrigues Campos
Cláudio Tavares Sacchi
Marcos Paulo Vieira Cunha
Eneas Carvalho
Alef Janguas da Costa
Jacqueline Boldrin de Paiva
Marcela da Silva Rubio
Carlos Henrique Camargo
Monique Ribeiro Tiba-Casas
author_sort Thais Vieira
collection DOAJ
description Until 2015, polymyxin resistance was primarily attributed to chromosomal mutations. However, with the first report of mobile colistin resistance (<i>mcr-1</i>) in commensal <i>Escherichia coli</i> from food animals in China, the landscape has changed. To evaluate the presence of polymyxin resistance in <i>Salmonella</i> spp., a drop screening test for colistin and polymyxin B was carried out on 1156 isolates of non-human origin (animals, food, and the environment), received in Brazil, between 2016 and 2021. Subsequently, 210 isolates with resistant results in the drop test were subjected to the gold-standard test (broth microdilution) for both colistin and polymyxin B. Whole-genome sequencing (WGS) of 102 resistant isolates was performed for a comprehensive analysis of associated genes. Surprisingly, none of the isolates resistant to colistin in the drop test harbored any of the <i>mcr</i> variants (<i>mcr-1</i> to <i>mcr-10</i>). WGS identified that the most common mutations were found in <i>pmrA</i> (n= 22; T89S) and <i>pmrB</i> (n = 24; M15T, G73S, V74I, I83A, A111V). Other resistance determinants were also detected, such as the <i>aac</i>(<i>6</i>′)-<i>Iaa</i> gene in 72 isolates, while others carried beta-lactamase genes (<i>bla</i><sub>TEM-1</sub> <i>bla</i><sub>CTX-M-2</sub>, <i>bla</i><sub>CMY-2</sub>). Additionally, genes associated with fluoroquinolone resistance (<i>qnrB19</i>, <i>qnrS1</i>, <i>oqxA/B</i>) were detected in 11 isolates. Colistin and polymyxin B resistance were identified among <i>Salmonella</i> from non-human sources, but not associated with the <i>mcr</i> genes. Furthermore, the already-described mutations associated with polymyxin resistance were detected in only a small number of isolates, underscoring the need to explore and characterize unknown genes that contribute to resistance.
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spelling doaj.art-68d0370e608f483caf393194faa44cef2024-02-23T15:04:57ZengMDPI AGAntibiotics2079-63822024-01-0113211010.3390/antibiotics13020110Polymyxin Resistance in <i>Salmonella</i>: Exploring Mutations and Genetic Determinants of Non-Human IsolatesThais Vieira0Carla Adriana Dos Santos1Amanda Maria de Jesus Bertani2Gisele Lozano Costa3Karoline Rodrigues Campos4Cláudio Tavares Sacchi5Marcos Paulo Vieira Cunha6Eneas Carvalho7Alef Janguas da Costa8Jacqueline Boldrin de Paiva9Marcela da Silva Rubio10Carlos Henrique Camargo11Monique Ribeiro Tiba-Casas12Adolfo Lutz Institute, São Paulo 01246-000, SP, BrazilAdolfo Lutz Institute, São Paulo 01246-000, SP, BrazilAdolfo Lutz Institute, São Paulo 01246-000, SP, BrazilAdolfo Lutz Institute, São Paulo 01246-000, SP, BrazilAdolfo Lutz Institute, São Paulo 01246-000, SP, BrazilAdolfo Lutz Institute, São Paulo 01246-000, SP, BrazilSchool of Veterinary Medicine, University of São Paulo, São Paulo 05508-270, SP, BrazilButantan Institute, São Paulo 05503-900, SP, BrazilButantan Institute, São Paulo 05503-900, SP, BrazilR&D Department BioCamp Laboratories, Campinas 13082-020, SP, BrazilSchool of Agriculture and Veterinarian Sciences, University of the State of São Paulo, Jaboticabal 14884-900, SP, BrazilAdolfo Lutz Institute, São Paulo 01246-000, SP, BrazilAdolfo Lutz Institute, São Paulo 01246-000, SP, BrazilUntil 2015, polymyxin resistance was primarily attributed to chromosomal mutations. However, with the first report of mobile colistin resistance (<i>mcr-1</i>) in commensal <i>Escherichia coli</i> from food animals in China, the landscape has changed. To evaluate the presence of polymyxin resistance in <i>Salmonella</i> spp., a drop screening test for colistin and polymyxin B was carried out on 1156 isolates of non-human origin (animals, food, and the environment), received in Brazil, between 2016 and 2021. Subsequently, 210 isolates with resistant results in the drop test were subjected to the gold-standard test (broth microdilution) for both colistin and polymyxin B. Whole-genome sequencing (WGS) of 102 resistant isolates was performed for a comprehensive analysis of associated genes. Surprisingly, none of the isolates resistant to colistin in the drop test harbored any of the <i>mcr</i> variants (<i>mcr-1</i> to <i>mcr-10</i>). WGS identified that the most common mutations were found in <i>pmrA</i> (n= 22; T89S) and <i>pmrB</i> (n = 24; M15T, G73S, V74I, I83A, A111V). Other resistance determinants were also detected, such as the <i>aac</i>(<i>6</i>′)-<i>Iaa</i> gene in 72 isolates, while others carried beta-lactamase genes (<i>bla</i><sub>TEM-1</sub> <i>bla</i><sub>CTX-M-2</sub>, <i>bla</i><sub>CMY-2</sub>). Additionally, genes associated with fluoroquinolone resistance (<i>qnrB19</i>, <i>qnrS1</i>, <i>oqxA/B</i>) were detected in 11 isolates. Colistin and polymyxin B resistance were identified among <i>Salmonella</i> from non-human sources, but not associated with the <i>mcr</i> genes. Furthermore, the already-described mutations associated with polymyxin resistance were detected in only a small number of isolates, underscoring the need to explore and characterize unknown genes that contribute to resistance.https://www.mdpi.com/2079-6382/13/2/110<i>Salmonella</i> spp.polymyxincolistinantimicrobial resistance
spellingShingle Thais Vieira
Carla Adriana Dos Santos
Amanda Maria de Jesus Bertani
Gisele Lozano Costa
Karoline Rodrigues Campos
Cláudio Tavares Sacchi
Marcos Paulo Vieira Cunha
Eneas Carvalho
Alef Janguas da Costa
Jacqueline Boldrin de Paiva
Marcela da Silva Rubio
Carlos Henrique Camargo
Monique Ribeiro Tiba-Casas
Polymyxin Resistance in <i>Salmonella</i>: Exploring Mutations and Genetic Determinants of Non-Human Isolates
Antibiotics
<i>Salmonella</i> spp.
polymyxin
colistin
antimicrobial resistance
title Polymyxin Resistance in <i>Salmonella</i>: Exploring Mutations and Genetic Determinants of Non-Human Isolates
title_full Polymyxin Resistance in <i>Salmonella</i>: Exploring Mutations and Genetic Determinants of Non-Human Isolates
title_fullStr Polymyxin Resistance in <i>Salmonella</i>: Exploring Mutations and Genetic Determinants of Non-Human Isolates
title_full_unstemmed Polymyxin Resistance in <i>Salmonella</i>: Exploring Mutations and Genetic Determinants of Non-Human Isolates
title_short Polymyxin Resistance in <i>Salmonella</i>: Exploring Mutations and Genetic Determinants of Non-Human Isolates
title_sort polymyxin resistance in i salmonella i exploring mutations and genetic determinants of non human isolates
topic <i>Salmonella</i> spp.
polymyxin
colistin
antimicrobial resistance
url https://www.mdpi.com/2079-6382/13/2/110
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