There are three major Neisseria gonorrhoeae β-lactamase plasmid variants which are associated with specific lineages and carry distinct TEM alleles

<p>Neisseria gonorrhoeae&nbsp;is a significant threat to global health with an estimated incidence of over 80&thinsp;million cases each year and high levels of antimicrobial resistance. The gonococcal &beta;-lactamase plasmid, pbla, carries the TEM &beta;-lactamase, which requi...

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Main Authors: Elsener, TA, Jolley, KA, Sanders, E, Maiden, MCJ, Cehovin, A, Tang, CM
Format: Journal article
Language:English
Published: Microbiology Society 2023
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author Elsener, TA
Jolley, KA
Sanders, E
Maiden, MCJ
Cehovin, A
Tang, CM
author_facet Elsener, TA
Jolley, KA
Sanders, E
Maiden, MCJ
Cehovin, A
Tang, CM
author_sort Elsener, TA
collection OXFORD
description <p>Neisseria gonorrhoeae&nbsp;is a significant threat to global health with an estimated incidence of over 80&thinsp;million cases each year and high levels of antimicrobial resistance. The gonococcal &beta;-lactamase plasmid, pbla, carries the TEM &beta;-lactamase, which requires only one or two amino acid changes to become an extended-spectrum &beta;-lactamase (ESBL); this would render last resort treatments for gonorrhoea ineffective. Although pbla&nbsp;is not mobile, it can be transferred by the conjugative plasmid, pConj, found in&nbsp;N. gonorrhoeae. Seven variants of pbla&nbsp;have been described previously, but little is known about their frequency or distribution in the gonococcal population. We characterised sequences of pbla&nbsp;variants and devised a typing scheme, Ng_pblaST that allows their identification from whole genome short-read sequences. We implemented Ng_pblaST to assess the distribution of pbla&nbsp;variants in 15&thinsp;532 gonococcal isolates. This demonstrated that only three pbla&nbsp;variants commonly circulate in gonococci, which together account for &gt;99 % of sequences. The pbla&nbsp;variants carry different TEM alleles and are prevalent in distinct gonococcal lineages. Analysis of 2758 pbla-containing isolates revealed the co-occurrence of pbla&nbsp;with certain pConj types, indicating co-operativity between pbla&nbsp;and pConj variants in the spread of plasmid-mediated AMR in&nbsp;N. gonorrhoeae. Understanding the variation and distribution of pbla&nbsp;is essential for monitoring and predicting the spread of plasmid-mediated &beta;-lactam resistance in&nbsp;N. gonorrhoeae.</p>
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spelling oxford-uuid:ce362c8a-51bb-46b3-b4a0-34dfc278477d2023-11-30T16:28:57ZThere are three major Neisseria gonorrhoeae β-lactamase plasmid variants which are associated with specific lineages and carry distinct TEM allelesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:ce362c8a-51bb-46b3-b4a0-34dfc278477dEnglishSymplectic ElementsMicrobiology Society2023Elsener, TAJolley, KASanders, EMaiden, MCJCehovin, ATang, CM<p>Neisseria gonorrhoeae&nbsp;is a significant threat to global health with an estimated incidence of over 80&thinsp;million cases each year and high levels of antimicrobial resistance. The gonococcal &beta;-lactamase plasmid, pbla, carries the TEM &beta;-lactamase, which requires only one or two amino acid changes to become an extended-spectrum &beta;-lactamase (ESBL); this would render last resort treatments for gonorrhoea ineffective. Although pbla&nbsp;is not mobile, it can be transferred by the conjugative plasmid, pConj, found in&nbsp;N. gonorrhoeae. Seven variants of pbla&nbsp;have been described previously, but little is known about their frequency or distribution in the gonococcal population. We characterised sequences of pbla&nbsp;variants and devised a typing scheme, Ng_pblaST that allows their identification from whole genome short-read sequences. We implemented Ng_pblaST to assess the distribution of pbla&nbsp;variants in 15&thinsp;532 gonococcal isolates. This demonstrated that only three pbla&nbsp;variants commonly circulate in gonococci, which together account for &gt;99 % of sequences. The pbla&nbsp;variants carry different TEM alleles and are prevalent in distinct gonococcal lineages. Analysis of 2758 pbla-containing isolates revealed the co-occurrence of pbla&nbsp;with certain pConj types, indicating co-operativity between pbla&nbsp;and pConj variants in the spread of plasmid-mediated AMR in&nbsp;N. gonorrhoeae. Understanding the variation and distribution of pbla&nbsp;is essential for monitoring and predicting the spread of plasmid-mediated &beta;-lactam resistance in&nbsp;N. gonorrhoeae.</p>
spellingShingle Elsener, TA
Jolley, KA
Sanders, E
Maiden, MCJ
Cehovin, A
Tang, CM
There are three major Neisseria gonorrhoeae β-lactamase plasmid variants which are associated with specific lineages and carry distinct TEM alleles
title There are three major Neisseria gonorrhoeae β-lactamase plasmid variants which are associated with specific lineages and carry distinct TEM alleles
title_full There are three major Neisseria gonorrhoeae β-lactamase plasmid variants which are associated with specific lineages and carry distinct TEM alleles
title_fullStr There are three major Neisseria gonorrhoeae β-lactamase plasmid variants which are associated with specific lineages and carry distinct TEM alleles
title_full_unstemmed There are three major Neisseria gonorrhoeae β-lactamase plasmid variants which are associated with specific lineages and carry distinct TEM alleles
title_short There are three major Neisseria gonorrhoeae β-lactamase plasmid variants which are associated with specific lineages and carry distinct TEM alleles
title_sort there are three major neisseria gonorrhoeae β lactamase plasmid variants which are associated with specific lineages and carry distinct tem alleles
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AT maidenmcj therearethreemajorneisseriagonorrhoeaeblactamaseplasmidvariantswhichareassociatedwithspecificlineagesandcarrydistincttemalleles
AT cehovina therearethreemajorneisseriagonorrhoeaeblactamaseplasmidvariantswhichareassociatedwithspecificlineagesandcarrydistincttemalleles
AT tangcm therearethreemajorneisseriagonorrhoeaeblactamaseplasmidvariantswhichareassociatedwithspecificlineagesandcarrydistincttemalleles