Whole-genome sequencing reveals high-risk clones of Pseudomonas aeruginosa in Guangdong, China

The ever-increasing prevalence of infections produced by multidrug-resistant or extensively drug-resistant Pseudomonas aeruginosa is commonly linked to a limited number of aptly-named epidemical ‘high-risk clones’ that are widespread among and within hospitals worldwide. The emergence of new potenti...

Full description

Bibliographic Details
Main Authors: Yonggang Zhao, Dingqiang Chen, Boyang Ji, Xingju Zhang, Mikkel Anbo, Lars Jelsbak
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Microbiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmicb.2023.1117017/full
_version_ 1797847229850976256
author Yonggang Zhao
Dingqiang Chen
Boyang Ji
Xingju Zhang
Mikkel Anbo
Lars Jelsbak
author_facet Yonggang Zhao
Dingqiang Chen
Boyang Ji
Xingju Zhang
Mikkel Anbo
Lars Jelsbak
author_sort Yonggang Zhao
collection DOAJ
description The ever-increasing prevalence of infections produced by multidrug-resistant or extensively drug-resistant Pseudomonas aeruginosa is commonly linked to a limited number of aptly-named epidemical ‘high-risk clones’ that are widespread among and within hospitals worldwide. The emergence of new potential high-risk clone strains in hospitals highlights the need to better and further understand the underlying genetic mechanisms for their emergence and success. P. aeruginosa related high-risk clones have been sporadically found in China, their genome sequences have rarely been described. Therefore, the large-scale sequencing of multidrug-resistance high-risk clone strains will help us to understand the emergence and transmission of antibiotic resistances in P. aeruginosa high-risk clones. In this study, 212 P. aeruginosa strains were isolated from 2 tertiary hospitals within 3 years (2018–2020) in Guangdong Province, China. Whole-genome sequencing, multi-locus sequence typing (MLST) and antimicrobial susceptibility testing were applied to analyze the genomic epidemiology of P. aeruginosa in this region. We found that up to 130 (61.32%) of the isolates were shown to be multidrug resistant, and 196 (92.45%) isolates were Carbapenem-Resistant Pseudomonas aeruginosa. MLST analysis demonstrated high diversity of sequence types, and 18 reported international high-risk clones were identified. Furthermore, we discovered the co-presence of exoU and exoS genes in 5 collected strains. This study enhances insight into the regional research of molecular epidemiology and antimicrobial resistance of P. aeruginosa in China. The high diversity of clone types and regional genome characteristics can serve as a theoretical reference for public health policies and help guide measures for the prevention and control of P. aeruginosa resistance.
first_indexed 2024-04-09T18:09:03Z
format Article
id doaj.art-777ac3d174c246c9a0dc751b68f02370
institution Directory Open Access Journal
issn 1664-302X
language English
last_indexed 2024-04-09T18:09:03Z
publishDate 2023-04-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Microbiology
spelling doaj.art-777ac3d174c246c9a0dc751b68f023702023-04-14T04:23:37ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2023-04-011410.3389/fmicb.2023.11170171117017Whole-genome sequencing reveals high-risk clones of Pseudomonas aeruginosa in Guangdong, ChinaYonggang Zhao0Dingqiang Chen1Boyang Ji2Xingju Zhang3Mikkel Anbo4Lars Jelsbak5Department of Biotechnology and Biomedicine, Technical University of Denmark, Kongens Lyngby, DenmarkDepartment of Laboratory Medicine, Microbiome Medicine Center, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, ChinaDepartment of Biology and Biological Engineering, Chalmers University of Technology, Gothenburg, SwedenBGI-Shenzhen, Shenzhen, ChinaDepartment of Biotechnology and Biomedicine, Technical University of Denmark, Kongens Lyngby, DenmarkDepartment of Biotechnology and Biomedicine, Technical University of Denmark, Kongens Lyngby, DenmarkThe ever-increasing prevalence of infections produced by multidrug-resistant or extensively drug-resistant Pseudomonas aeruginosa is commonly linked to a limited number of aptly-named epidemical ‘high-risk clones’ that are widespread among and within hospitals worldwide. The emergence of new potential high-risk clone strains in hospitals highlights the need to better and further understand the underlying genetic mechanisms for their emergence and success. P. aeruginosa related high-risk clones have been sporadically found in China, their genome sequences have rarely been described. Therefore, the large-scale sequencing of multidrug-resistance high-risk clone strains will help us to understand the emergence and transmission of antibiotic resistances in P. aeruginosa high-risk clones. In this study, 212 P. aeruginosa strains were isolated from 2 tertiary hospitals within 3 years (2018–2020) in Guangdong Province, China. Whole-genome sequencing, multi-locus sequence typing (MLST) and antimicrobial susceptibility testing were applied to analyze the genomic epidemiology of P. aeruginosa in this region. We found that up to 130 (61.32%) of the isolates were shown to be multidrug resistant, and 196 (92.45%) isolates were Carbapenem-Resistant Pseudomonas aeruginosa. MLST analysis demonstrated high diversity of sequence types, and 18 reported international high-risk clones were identified. Furthermore, we discovered the co-presence of exoU and exoS genes in 5 collected strains. This study enhances insight into the regional research of molecular epidemiology and antimicrobial resistance of P. aeruginosa in China. The high diversity of clone types and regional genome characteristics can serve as a theoretical reference for public health policies and help guide measures for the prevention and control of P. aeruginosa resistance.https://www.frontiersin.org/articles/10.3389/fmicb.2023.1117017/fullPseudomonas aeruginosahigh-risk clonemultidrug resistancegenomic epidemiologycarbapenem resistant
spellingShingle Yonggang Zhao
Dingqiang Chen
Boyang Ji
Xingju Zhang
Mikkel Anbo
Lars Jelsbak
Whole-genome sequencing reveals high-risk clones of Pseudomonas aeruginosa in Guangdong, China
Frontiers in Microbiology
Pseudomonas aeruginosa
high-risk clone
multidrug resistance
genomic epidemiology
carbapenem resistant
title Whole-genome sequencing reveals high-risk clones of Pseudomonas aeruginosa in Guangdong, China
title_full Whole-genome sequencing reveals high-risk clones of Pseudomonas aeruginosa in Guangdong, China
title_fullStr Whole-genome sequencing reveals high-risk clones of Pseudomonas aeruginosa in Guangdong, China
title_full_unstemmed Whole-genome sequencing reveals high-risk clones of Pseudomonas aeruginosa in Guangdong, China
title_short Whole-genome sequencing reveals high-risk clones of Pseudomonas aeruginosa in Guangdong, China
title_sort whole genome sequencing reveals high risk clones of pseudomonas aeruginosa in guangdong china
topic Pseudomonas aeruginosa
high-risk clone
multidrug resistance
genomic epidemiology
carbapenem resistant
url https://www.frontiersin.org/articles/10.3389/fmicb.2023.1117017/full
work_keys_str_mv AT yonggangzhao wholegenomesequencingrevealshighriskclonesofpseudomonasaeruginosainguangdongchina
AT dingqiangchen wholegenomesequencingrevealshighriskclonesofpseudomonasaeruginosainguangdongchina
AT boyangji wholegenomesequencingrevealshighriskclonesofpseudomonasaeruginosainguangdongchina
AT xingjuzhang wholegenomesequencingrevealshighriskclonesofpseudomonasaeruginosainguangdongchina
AT mikkelanbo wholegenomesequencingrevealshighriskclonesofpseudomonasaeruginosainguangdongchina
AT larsjelsbak wholegenomesequencingrevealshighriskclonesofpseudomonasaeruginosainguangdongchina