Evidence map›Paper›PMID 39061085›Full record

ArticleAnnals of clinical microbiology and antimicrobials2024

Co-existence of two plasmids harboring transferable resistance-nodulation-division pump gene cluster, tmexCD1-toprJ1, and colistin resistance gene mcr-8 in Klebsiella pneumoniae.

Xiaofen Mo, Hui Zhang, Junfeng Fan, Linna Xu, Hao Fu, Junpeng Yue, Kaixuan Dong, Qixia Luo, Fen Wan

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Article in Annals of clinical microbiology and antimicrobials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Xiaofen MoSchool of Laboratory Medicine and Bioengineering, Hangzhou Medical College, Hangzhou, China.
Hui ZhangSchool of Laboratory Medicine and Bioengineering, Hangzhou Medical College, Hangzhou, China.
Junfeng FanSchool of Laboratory Medicine and Bioengineering, Hangzhou Medical College, Hangzhou, China.
Linna XuState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital of Medical School, College of Medicine, Zhejiang University, Hangzhou, China.
Hao FuState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital of Medical School, College of Medicine, Zhejiang University, Hangzhou, China.
Junpeng YueThe First Affiliated Hospital of Medical School, College of Medicine, Zhejiang University, Hangzhou, China.
Kaixuan DongThe First Affiliated Hospital of Medical School, College of Medicine, Zhejiang University, Hangzhou, China.
Qixia LuoState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital of Medical School, College of Medicine, Zhejiang University, Hangzhou, China. qixia_luo@zju.edu.cn.
Fen WanSchool of Laboratory Medicine and Bioengineering, Hangzhou Medical College, Hangzhou, China. fenw0818@163.com.

Funding

the Fundamental Research Funds of Hangzhou Medical College KYYB202004The National Key Research and Development Programme of China 2022YFC2303900The Natural Science Foundation of Zhejiang province, China No. LY24H190002
6 · The paper itself

Abstract

backgroundThe emergence of plasmid-mediated mobile colistin resistance (mcr) gene poses a great challenge to the clinical application of polymyxins. To date, mcr-1 to mcr-10 have been found in animals, humans, and the environment. Among them, mcr-8 was first identified in Klebsiella pneumoniae (K. pneumoniae) of swine origin, and then mcr-8.1 to mcr-8.5 were successively identified. Notably, K. pneumoniae is the major host of the mcr-8 gene in both animals and humans. This study aims to explore the characteristics of K. pneumoniae strains carrying the mcr-8 gene and tmexCD1-toprJ1 gene cluster and investigate the correlation between these two antibiotic resistance genes.

methodsThe isolates from the poultry farms and the surrounding villages were identified by mass spectrometer, and the strains positive for mcr-1 to mcr-10 were screened by polymerase chain reaction (PCR). The size of the plasmid and the antimicrobial resistance genes carried were confirmed by S1-nuclease pulsed-field gel electrophoresis (S1-PFGE) and Southern hybridization, and the transferability of the plasmid was verified by conjugation experiments. Antimicrobial susceptibility testing (AST) and whole genome sequencing (WGS) were used to characterize the strains.

resultsTwo K. pneumoniae isolates (KP26 and KP29) displaying polymyxin resistance were identified as mcr-8 gene carriers. Besides that, tigecycline-resistant gene cluster tmexCD1-toprJ1 was also found on the other plasmid which conferred strain resistance to tigecycline. Through epidemiological analysis, we found that the mcr-8 gene has dispersed globally, circulating in the human, animals, and the environment. Furthermore, our analysis suggests that the coexistence of mcr-8 and tmexCD1-toprJ1 on a single plasmid might evolved through plasmid recombination.

conclusionsAlthough the mcr-8 and tmexCD1-toprJ1 gene clusters in the two strains of K. pneumoniae in this study were on two different plasmids, they still pose a potential threat to public health, requiring close monitoring and further study.

Indexed as

Anti-Bacterial AgentsColistinDrug Resistance, BacterialKlebsiella InfectionsKlebsiella pneumoniaeMicrobial Sensitivity TestsMultigene FamilyPlasmidsAnimalsBacterial ProteinsHumansPoultryAnti-Bacterial AgentsBacterial ProteinsColistinDisseminationK. pneumoniaemcr-8tmexCD1-toprJ1

Identifiers

PMID39061085
PMCPMC11282740

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