Genetic characterization of plasmid-borne blaOXA-58 and blaOXA-72 in Acinetobacter pittii in Shaanxi, China

IF 3.7 3区 医学 Q2 INFECTIOUS DISEASES Journal of global antimicrobial resistance Pub Date : 2024-05-19 DOI:10.1016/j.jgar.2024.05.007
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Abstract

Objectives

Acinetobacter pittii has emerged as an opportunistic nosocomial pathogen associated with hospital-acquired infections. The purpose of this study was to investigate the genetic structures of plasmids carrying carbapenemase genes blaOXA-58 and blaOXA-72 in A. pittii strains AR3676 and AR3651 isolated from patients.

Methods

Antimicrobial susceptibility testing was performed using broth microdilution. Whole-genome sequencing and bioinformatics analysis were performed to characterize the genome of A. pittii AR3676 and AR3651. Conjugation experiments were conducted to evaluate plasmid transferability. Phylogenetic and comparative genomic analysis were performed to explore the characteristics of carbapenem-resistant A. pittii isolates worldwide.

Results

The AR3676 strain showed resistance to imipenem. The 19 700-bp plasmid pAR3676-OXA-58 harboured blaOXA-58 with genetic contexts consisting of a truncated ISAba3-like-blaOXA58-ISAba3. Additionally, the AR3651 strain showed resistance to imipenem and meropenem. The AR3651 genome comprised one 9,837-bp RepA_AB plasmid pAR3651-OXA-72 harbouring blaOXA-72. This blaOXA-72 was flanked by XerC/XerD recombination sites. The conjugation of plasmids pAR3676-OXA-58 and pAR3651-OXA-72 from A. pittii to Acinetobacter baumannii ATCC 17978RIFR failed three independent times. Phylogenetic analysis of A. pittii strains AR3676, AR3651, and a further 504 A. pittii strains collected between 1966 and 2022 from various geographic localities revealed genetic diversity with a heterogeneous distribution of carbapenemase genes.

Conclusions

A. pittii strains with a plasmid carrying blaOXA-58 or blaOXA-72 may serve as an important reservoir of carbapenemase genes. Carbapenemase genes on a single plasmid may facilitate their dissemination and persistence. Additionally, pdif sites and mobile elements play an important role in the mobilization of resistance genes and plasmid evolution.

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中国陕西皮氏不动杆菌质粒携带 blaOXA-58 和 blaOXA-72 的遗传特征。
背景:坑氏不动杆菌已成为一种与医院感染相关的机会性病原体。本研究的目的是调查从患者体内分离出的坑氏不动杆菌菌株 AR3676 和 AR3651 中携带碳青霉烯酶基因 blaOXA-58 和 blaOXA-72 的质粒的遗传结构:方法:采用肉汤微稀释法进行抗菌药敏感性测试。进行了全基因组测序和生物信息学分析,以确定 A. pittii AR3676 和 AR3651 的基因组特征。进行了共轭实验以评估质粒的可转移性。进行了系统发育和比较基因组分析,以探索全球耐碳青霉烯类细菌分离株的特征:结果:AR3676菌株表现出对亚胺培南的耐药性。19,700-bp质粒pAR3676-OXA-58中含有blaOXA-58,其基因上下文由截短的ISAba3-like-blaOXA58-ISAba3组成。此外,AR3651 菌株还表现出对亚胺培南和美罗培南的耐药性。AR3651 的基因组包括一个 9,837-bp 的 RepA_AB 质粒 pAR3651-OXA-72,其中携带 blaOXA-72。blaOXA-72 的两侧有 XerC/XerD 重组位点。皮氏酵母菌质粒 pAR3676-OXA-58 和 pAR3651-OXA-72 与鲍曼不动杆菌 ATCC 17978RIFR 的共轭三次均失败。对A. pittii菌株AR3676、AR3651以及1966年至2022年间从不同地区收集的其他504株A. pittii菌株进行的系统发育分析表明,碳青霉烯酶基因的分布具有遗传多样性:结论:带有 blaOXA-58 或 blaOXA-72 质粒的 A. pittii 菌株可能是重要的碳青霉烯酶基因库。单一质粒上的碳青霉烯酶基因可能会促进其传播和持久性。此外,pdif 位点和移动元件在抗性基因的调动和质粒进化中也起着重要作用。
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来源期刊
Journal of global antimicrobial resistance
Journal of global antimicrobial resistance INFECTIOUS DISEASES-PHARMACOLOGY & PHARMACY
CiteScore
8.70
自引率
2.20%
发文量
285
审稿时长
34 weeks
期刊介绍: The Journal of Global Antimicrobial Resistance (JGAR) is a quarterly online journal run by an international Editorial Board that focuses on the global spread of antibiotic-resistant microbes. JGAR is a dedicated journal for all professionals working in research, health care, the environment and animal infection control, aiming to track the resistance threat worldwide and provides a single voice devoted to antimicrobial resistance (AMR). Featuring peer-reviewed and up to date research articles, reviews, short notes and hot topics JGAR covers the key topics related to antibacterial, antiviral, antifungal and antiparasitic resistance.
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