Genome-Scale Characterization of <i>Mycobacterium abscessus</i> Complex Isolates from Portugal

The <i>Mycobacterium abscessus</i> complex (MABC) is an emerging, difficult to treat, multidrug-resistant nontuberculous mycobacteria responsible for a wide spectrum of infections and associated with an increasing number of cases worldwide. Dominant circulating clones (DCCs) of MABC have...

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Main Authors: Sofia Carneiro, Miguel Pinto, Sónia Silva, Andrea Santos, Irene Rodrigues, Daniela Santos, Sílvia Duarte, Luís Vieira, João Paulo Gomes, Rita Macedo
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/20/15402
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author Sofia Carneiro
Miguel Pinto
Sónia Silva
Andrea Santos
Irene Rodrigues
Daniela Santos
Sílvia Duarte
Luís Vieira
João Paulo Gomes
Rita Macedo
author_facet Sofia Carneiro
Miguel Pinto
Sónia Silva
Andrea Santos
Irene Rodrigues
Daniela Santos
Sílvia Duarte
Luís Vieira
João Paulo Gomes
Rita Macedo
author_sort Sofia Carneiro
collection DOAJ
description The <i>Mycobacterium abscessus</i> complex (MABC) is an emerging, difficult to treat, multidrug-resistant nontuberculous mycobacteria responsible for a wide spectrum of infections and associated with an increasing number of cases worldwide. Dominant circulating clones (DCCs) of MABC have been genetically identified as groups of strains associated with higher prevalence, higher levels of antimicrobial resistance, and worse clinical outcomes. To date, little is known about the genomic characteristics of MABC species circulating in Portugal. Here, we examined the genetic diversity and antimicrobial resistance profiles of 30 MABC strains isolated between 2014 and 2022 in Portugal. The genetic diversity of circulating MABC strains was assessed through a gene-by-gene approach (wgMLST), allowing their subspecies differentiation and the classification of isolates into DCCs. Antimicrobial resistance profiles were defined using phenotypic, molecular, and genomic approaches. The majority of isolates were resistant to at least two antimicrobials, although a poor correlation between phenotype and genotype data was observed. Portuguese genomes were highly diverse, and data suggest the existence of MABC lineages with potential international circulation or cross-border transmission. This study highlights the genetic diversity and antimicrobial resistance profile of circulating MABC isolates in Portugal while representing the first step towards the implementation of a genomic-based surveillance system for MABC at the Portuguese NIH.
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spelling doaj.art-9ee19a99875147e5ae4d1efdb1f95df42023-11-19T16:46:11ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-10-0124201540210.3390/ijms242015402Genome-Scale Characterization of <i>Mycobacterium abscessus</i> Complex Isolates from PortugalSofia Carneiro0Miguel Pinto1Sónia Silva2Andrea Santos3Irene Rodrigues4Daniela Santos5Sílvia Duarte6Luís Vieira7João Paulo Gomes8Rita Macedo9National Reference Laboratory for Mycobacteria, Department of Infectious Diseases, National Institute of Health Doutor Ricardo Jorge (INSA), 1649-016 Lisbon, PortugalGenomics and Bioinformatics Unit, Department of Infectious Diseases, National Institute of Health Doutor Ricardo Jorge (INSA), 1649-016 Lisbon, PortugalNational Reference Laboratory for Mycobacteria, Department of Infectious Diseases, National Institute of Health Doutor Ricardo Jorge (INSA), 1649-016 Lisbon, PortugalNational Reference Laboratory for Mycobacteria, Department of Infectious Diseases, National Institute of Health Doutor Ricardo Jorge (INSA), 1649-016 Lisbon, PortugalNational Reference Laboratory for Mycobacteria, Department of Infectious Diseases, National Institute of Health Doutor Ricardo Jorge (INSA), 1649-016 Lisbon, PortugalTechnology and Innovation Unit, Department of Human Genetics, National Institute of Health Doutor Ricardo Jorge (INSA), 1649-016 Lisbon, PortugalTechnology and Innovation Unit, Department of Human Genetics, National Institute of Health Doutor Ricardo Jorge (INSA), 1649-016 Lisbon, PortugalTechnology and Innovation Unit, Department of Human Genetics, National Institute of Health Doutor Ricardo Jorge (INSA), 1649-016 Lisbon, PortugalGenomics and Bioinformatics Unit, Department of Infectious Diseases, National Institute of Health Doutor Ricardo Jorge (INSA), 1649-016 Lisbon, PortugalNational Reference Laboratory for Mycobacteria, Department of Infectious Diseases, National Institute of Health Doutor Ricardo Jorge (INSA), 1649-016 Lisbon, PortugalThe <i>Mycobacterium abscessus</i> complex (MABC) is an emerging, difficult to treat, multidrug-resistant nontuberculous mycobacteria responsible for a wide spectrum of infections and associated with an increasing number of cases worldwide. Dominant circulating clones (DCCs) of MABC have been genetically identified as groups of strains associated with higher prevalence, higher levels of antimicrobial resistance, and worse clinical outcomes. To date, little is known about the genomic characteristics of MABC species circulating in Portugal. Here, we examined the genetic diversity and antimicrobial resistance profiles of 30 MABC strains isolated between 2014 and 2022 in Portugal. The genetic diversity of circulating MABC strains was assessed through a gene-by-gene approach (wgMLST), allowing their subspecies differentiation and the classification of isolates into DCCs. Antimicrobial resistance profiles were defined using phenotypic, molecular, and genomic approaches. The majority of isolates were resistant to at least two antimicrobials, although a poor correlation between phenotype and genotype data was observed. Portuguese genomes were highly diverse, and data suggest the existence of MABC lineages with potential international circulation or cross-border transmission. This study highlights the genetic diversity and antimicrobial resistance profile of circulating MABC isolates in Portugal while representing the first step towards the implementation of a genomic-based surveillance system for MABC at the Portuguese NIH.https://www.mdpi.com/1422-0067/24/20/15402<i>Mycobacterium abscessus</i>MABCnontuberculous mycobacteriawhole-genome sequencingwgMLSTantimicrobial resistance
spellingShingle Sofia Carneiro
Miguel Pinto
Sónia Silva
Andrea Santos
Irene Rodrigues
Daniela Santos
Sílvia Duarte
Luís Vieira
João Paulo Gomes
Rita Macedo
Genome-Scale Characterization of <i>Mycobacterium abscessus</i> Complex Isolates from Portugal
International Journal of Molecular Sciences
<i>Mycobacterium abscessus</i>
MABC
nontuberculous mycobacteria
whole-genome sequencing
wgMLST
antimicrobial resistance
title Genome-Scale Characterization of <i>Mycobacterium abscessus</i> Complex Isolates from Portugal
title_full Genome-Scale Characterization of <i>Mycobacterium abscessus</i> Complex Isolates from Portugal
title_fullStr Genome-Scale Characterization of <i>Mycobacterium abscessus</i> Complex Isolates from Portugal
title_full_unstemmed Genome-Scale Characterization of <i>Mycobacterium abscessus</i> Complex Isolates from Portugal
title_short Genome-Scale Characterization of <i>Mycobacterium abscessus</i> Complex Isolates from Portugal
title_sort genome scale characterization of i mycobacterium abscessus i complex isolates from portugal
topic <i>Mycobacterium abscessus</i>
MABC
nontuberculous mycobacteria
whole-genome sequencing
wgMLST
antimicrobial resistance
url https://www.mdpi.com/1422-0067/24/20/15402
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