产扩展谱β-内酰胺酶肠杆菌科细菌在养牛场的传播途径:从生态系统到分子尺度

Alann Caderhoussin, D. Couvin, Gaëlle Gruel, Isaure Quétel, M. Pot, Rémy Arquet, Alexis Dereeper, J. Bambou, Antoine Talarmin, Séverine Ferdinand
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引用次数: 0

摘要

本研究旨在了解在不使用第三代头孢菌素(3GC)的养殖场中从产粮动物体内分离出的广谱β-内酰胺酶(ESBL)肠杆菌科细菌的来源并解释其维持的原因。采用培养和分子方法检测 3GC 以外的分子,如抗生素(四环素和土霉素)、抗寄生虫药(伊维菌素、氟氯氰菊酯、苯醚甲环唑和双甲脒)、重金属[砷、HNO3、铝、HNO3、镉(CdSO4)、锌(ZnCl2)、铜(CuSO4)、铁(FeCl3)和铝(Al2SO4)]以及抗氧化剂(丁基羟基甲苯)是选择性压力的来源。利用短读(Illumina™)和长读(Nanopore™)技术对 34 个基因组进行了全基因组测序。我们的分析揭示了动物产 ESBL 菌株的低多样性。值得注意的是,大肠杆菌 ST3268 经常从苍蝇(9 株)和牛(5 株)中分离出来。这些大肠杆菌 ST3268/blaCTX-M-15/blaTEM-1B 积累了多种质粒和基因,从而成为耐药性和毒力因子的储存库。我们的研究结果表明,苍蝇可作为有效的机械载体进行抗菌基因转移,并能将耐药细菌跨越不同环境转移到多个宿主身上,从而促进病原性状的传播。在 ESBL 大肠杆菌和 blaCTX-M15 大肠杆菌中,土霉素的平均最小抑菌浓度(841.4 ± 323.5 mg/L vs. 36.0 ± 52.6 mg/L,p = 0.0022)明显高于非 ESBL 大肠杆菌和 blaCTX-M15 大肠杆菌。大肠杆菌的 blaCTX-M-15 基因过表达(RQOxy = 3.593,p = 0.024)证实土霉素是 ESBL 大肠杆菌选择压力的来源。在未使用 3GC 的农场中出现 ESBL 大肠杆菌,可能是由于肠杆菌科 blaCTX-M-15 基因传播到与养牛场工人密切接触的动物中,其人类来源尚未确定,以及高蝇群多样性和土霉素选择性压力维持了当地 ESBL 大肠杆菌库。这些发现突出表明,为保护公众健康,亟需进行严格的病媒控制,以减少抗菌素耐药性的传播。要解决这一问题,就必须采取多方面的方法,将微生物遗传学、病媒生态学和农场管理实践结合起来。
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The fly route of extended-spectrum-β-lactamase-producing Enterobacteriaceae dissemination in a cattle farm: from the ecosystem to the molecular scale
This study aimed to understand the origin and to explain the maintenance of extended-spectrum β-lactamase (ESBL) Enterobacteriaceae isolated from food-producing animals in a third-generation cephalosporin (3GC)-free farm.Culture and molecular approaches were used to test molecules other than 3GC such as antibiotics (tetracycline and oxytetracycline), antiparasitics (ivermectin, flumethrin, fenbendazol, and amitraz), heavy metal [arsenic, HNO3, aluminum, HNO3, cadmium (CdSO4), zinc (ZnCl2), copper (CuSO4), iron (FeCl3), and aluminum (Al2SO4)], and antioxidant (butylated hydroxytoluene) as sources of selective pressure. Whole-genome sequencing using short read (Illumina™) and long read (Nanopore™) technologies was performed on 34 genomes. In silico gene screening and comparative analyses were used to characterize the genetic determinants of resistance, their mobility, and the genomic relatedness among isolates.Our analysis unveiled a low diversity among the animal ESBL-producing strains. Notably, E. coli ST3268 was recurrently isolated from both flies (n = 9) and cattle (n = 5). These E. coli ST3268/blaCTX-M-15/blaTEM-1B have accumulated multiple plasmids and genes, thereby representing a reservoir of resistance and virulence factors. Our findings suggest that flies could act as effective mechanical vectors for antimicrobial gene transfer and are capable of transporting resistant bacteria across different environments and to multiple hosts, facilitating the spread of pathogenic traits. A significantly higher mean minimum inhibitory concentration of oxytetracycline (841.4 ± 323.5 mg/L vs. 36.0 ± 52.6 mg/L, p = 0.0022) in ESBL E. coli than in non-ESBL E. coli and blaCTX-M-15 gene overexpression in oxytetracycline-treated vs. untreated ESBL E. coli (RQOxy = 3.593, p = 0.024) confirmed oxytetracycline as a source of selective pressure in ESBL E. coli.The occurrence of ESBL E. coli in a farm without 3GC use is probably due to an as yet undefined human origin of Enterobacteriaceae blaCTX-M-15 gene transmission to animals in close contact with cattle farm workers and the maintenance of the local ESBL E. coli reservoir by a high fly diversity and oxytetracycline selective pressure. These findings highlight the critical need for stringent vector control to mitigate antimicrobial resistance spread for preserving public health. Addressing this issue necessitates a multifaceted approach combining microbial genetics, vector ecology, and farm management practices.
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