Antibiotic Resistance and Mobile Genetic Elements in Extensively Drug-Resistant Klebsiella pneumoniae Sequence Type 147 Recovered from Germany

Autor: Oleg Krut, Harald Seifert, Claudia Feudi, Alessandra Carattoli, Julia Wille, Kyriaki Xanthopoulou, Lena M Biehl, Paul G. Higgins, Holger Rohde, Fedja Farowski, Laura Villa
Jazyk: angličtina
Rok vydání: 2020
Předmět:
0301 basic medicine
Microbiology (medical)
Klebsiella pneumoniae
030106 microbiology
carbapenem resistance
Biochemistry
Microbiology
Article
03 medical and health sciences
carbapenemase
Antibiotic resistance
Plasmid
long reads
plasmid

long reads
plasmid
Genetic variation
Pharmacology (medical)
ddc:610
General Pharmacology
Toxicology and Pharmaceutics

Genetics
Whole genome sequencing
whole genome sequencing
extensively drug-resistant
molecular typing
biology
lcsh:RM1-950
500 Naturwissenschaften und Mathematik::570 Biowissenschaften
Biologie::570 Biowissenschaften
Biologie
biology.organism_classification
lcsh:Therapeutics. Pharmacology
030104 developmental biology
Infectious Diseases
Multilocus sequence typing
Mobilome
Mobile genetic elements
carbapenem resistance
carbapenemase
whole genome sequencing
long reads
plasmid
Klebsiella pneumoniae
extensively drug-resistant
molecular typing
Zdroj: Antibiotics
Volume 9
Issue 10
Antibiotics, Vol 9, Iss 675, p 675 (2020)
ISSN: 2079-6382
Popis: Mobile genetic elements (MGEs), especially multidrug-resistance plasmids, are major vehicles for the dissemination of antimicrobial resistance determinants. Herein, we analyse the MGEs in three extensively drug-resistant (XDR) Klebsiella pneumoniae isolates from Germany. Whole genome sequencing (WGS) is performed using Illumina and MinION platforms followed by core-genome multi-locus sequence typing (MLST). The plasmid content is analysed by conjugation, S1-pulsed-field gel electrophoresis (S1-PFGE) and Southern blot experiments. The K. pneumoniae isolates belong to the international high-risk clone ST147 and form a cluster of closely related isolates. They harbour the blaOXA-181 carbapenemase on a ColKP3 plasmid, and 12 antibiotic resistance determinants on an multidrug-resistant (MDR) IncR plasmid with a recombinogenic nature and encoding a large number of insertion elements. The IncR plasmids within the three isolates share a high degree of homology, but present also genetic variations, such as inversion or deletion of genetic regions in close proximity to MGEs. In addition, six plasmids not harbouring any antibiotic resistance determinants are present in each isolate. Our study indicates that genetic variations can be observed within a cluster of closely related isolates, due to the dynamic nature of MGEs. The mobilome of the K. pneumoniae isolates combined with the emergence of the XDR ST147 high-risk clone have the potential to become a major challenge for global healthcare.
Databáze: OpenAIRE