High Prevalence of Colistin-Resistant <named-content content-type="genus-species">Escherichia coli</named-content> with Chromosomally Carried <italic toggle="yes">mcr-1</italic> in Healthy Residents in Vietnam

ABSTRACT The wide distribution of colistin-resistant bacteria in developing countries has become a common phenomenon. To understand the mechanisms underlying their distribution, we studied the mcr genetic background of colistin-resistant Escherichia coli isolates from the fecal microbiota of healthy...

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Autores principales: Takahiro Yamaguchi, Ryuji Kawahara, Kouta Hamamoto, Itaru Hirai, Diep Thi Khong, Thang Nam Nguyen, Hoa Thi Tran, Daisuke Motooka, Shota Nakamura, Yoshimasa Yamamoto
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spelling oai:doaj.org-article:d0b6a57111b64bc88d6497c6ec8a31ae2021-11-15T15:29:16ZHigh Prevalence of Colistin-Resistant <named-content content-type="genus-species">Escherichia coli</named-content> with Chromosomally Carried <italic toggle="yes">mcr-1</italic> in Healthy Residents in Vietnam10.1128/mSphere.00117-202379-5042https://doaj.org/article/d0b6a57111b64bc88d6497c6ec8a31ae2020-04-01T00:00:00Zhttps://journals.asm.org/doi/10.1128/mSphere.00117-20https://doaj.org/toc/2379-5042ABSTRACT The wide distribution of colistin-resistant bacteria in developing countries has become a common phenomenon. To understand the mechanisms underlying their distribution, we studied the mcr genetic background of colistin-resistant Escherichia coli isolates from the fecal microbiota of healthy human residents from a community in Vietnam with a high prevalence of colistin-resistant E. coli with mcr. Fifty-seven colistin-resistant isolates were obtained from 98 residents; one isolate was collected from each individual and analyzed for mcr. We found that 36.8% of the isolates carried chromosomal mcr-1. Further, 63.2% and 1.8% of the isolates carried mcr-1 on the plasmid and the plasmid/chromosome, respectively. Whole-genome sequencing of genetically unrelated isolates showed that the majority (6 of 7) of the isolates had the chromosomal mcr-1 in a complete ancestral mcr-1 transposon Tn6330, ISApl1-mcr-1-PAP2-ISApl1, which was inserted at various positions on the chromosomes. In addition, the majority (87.5%) of Tn6330 of mcr-1-carrying plasmids (n = 8) lacked both upstream and downstream ISApl1 transposons. The results obtained in this study indicate that plasmid-to-chromosomal transfer of mcr-1 may have occurred recently in the fecal microbiota of the residents. Additionally, Tn6330 on the chromosome may lose ISApl1 from the transposon during multiplication to gain a more stable mcr-1 state on the chromosome. Stabilization of resistance by the chromosomal incorporation of mcr-1 would be an additional challenge in combating the dissemination of resistant bacteria. IMPORTANCE Elucidation of the mechanism of the wide dissemination of colistin-resistant bacteria in communities of developing countries is an urgent public health issue. In this study, we investigated the genetic background of the colistin resistance gene mcr in E. coli isolates from the fecal microbiota of healthy human residents living in a community in Vietnam with a high prevalence of colistin-resistant E. coli. Our study revealed for the first time, a surprisingly high percentage (36.8%) of colistin-resistant E. coli carrying chromosomal mcr-1, the emergence of which may have occurred recently, in the fecal microbiota of the community residents. The mcr-1 transposon on the chromosome may develop into a more stable genotype by the loss of insertion sequences (ISs). Our results are valuable in understanding the mechanism underlying the increasing prevalence of colistin-resistant bacteria within a community.Takahiro YamaguchiRyuji KawaharaKouta HamamotoItaru HiraiDiep Thi KhongThang Nam NguyenHoa Thi TranDaisuke MotookaShota NakamuraYoshimasa YamamotoAmerican Society for MicrobiologyarticleEscherichia coliVietnamchromosomal mcrcolistin resistanceresidentsMicrobiologyQR1-502ENmSphere, Vol 5, Iss 2 (2020)
institution DOAJ
collection DOAJ
language EN
topic Escherichia coli
Vietnam
chromosomal mcr
colistin resistance
residents
Microbiology
QR1-502
spellingShingle Escherichia coli
Vietnam
chromosomal mcr
colistin resistance
residents
Microbiology
QR1-502
Takahiro Yamaguchi
Ryuji Kawahara
Kouta Hamamoto
Itaru Hirai
Diep Thi Khong
Thang Nam Nguyen
Hoa Thi Tran
Daisuke Motooka
Shota Nakamura
Yoshimasa Yamamoto
High Prevalence of Colistin-Resistant <named-content content-type="genus-species">Escherichia coli</named-content> with Chromosomally Carried <italic toggle="yes">mcr-1</italic> in Healthy Residents in Vietnam
description ABSTRACT The wide distribution of colistin-resistant bacteria in developing countries has become a common phenomenon. To understand the mechanisms underlying their distribution, we studied the mcr genetic background of colistin-resistant Escherichia coli isolates from the fecal microbiota of healthy human residents from a community in Vietnam with a high prevalence of colistin-resistant E. coli with mcr. Fifty-seven colistin-resistant isolates were obtained from 98 residents; one isolate was collected from each individual and analyzed for mcr. We found that 36.8% of the isolates carried chromosomal mcr-1. Further, 63.2% and 1.8% of the isolates carried mcr-1 on the plasmid and the plasmid/chromosome, respectively. Whole-genome sequencing of genetically unrelated isolates showed that the majority (6 of 7) of the isolates had the chromosomal mcr-1 in a complete ancestral mcr-1 transposon Tn6330, ISApl1-mcr-1-PAP2-ISApl1, which was inserted at various positions on the chromosomes. In addition, the majority (87.5%) of Tn6330 of mcr-1-carrying plasmids (n = 8) lacked both upstream and downstream ISApl1 transposons. The results obtained in this study indicate that plasmid-to-chromosomal transfer of mcr-1 may have occurred recently in the fecal microbiota of the residents. Additionally, Tn6330 on the chromosome may lose ISApl1 from the transposon during multiplication to gain a more stable mcr-1 state on the chromosome. Stabilization of resistance by the chromosomal incorporation of mcr-1 would be an additional challenge in combating the dissemination of resistant bacteria. IMPORTANCE Elucidation of the mechanism of the wide dissemination of colistin-resistant bacteria in communities of developing countries is an urgent public health issue. In this study, we investigated the genetic background of the colistin resistance gene mcr in E. coli isolates from the fecal microbiota of healthy human residents living in a community in Vietnam with a high prevalence of colistin-resistant E. coli. Our study revealed for the first time, a surprisingly high percentage (36.8%) of colistin-resistant E. coli carrying chromosomal mcr-1, the emergence of which may have occurred recently, in the fecal microbiota of the community residents. The mcr-1 transposon on the chromosome may develop into a more stable genotype by the loss of insertion sequences (ISs). Our results are valuable in understanding the mechanism underlying the increasing prevalence of colistin-resistant bacteria within a community.
format article
author Takahiro Yamaguchi
Ryuji Kawahara
Kouta Hamamoto
Itaru Hirai
Diep Thi Khong
Thang Nam Nguyen
Hoa Thi Tran
Daisuke Motooka
Shota Nakamura
Yoshimasa Yamamoto
author_facet Takahiro Yamaguchi
Ryuji Kawahara
Kouta Hamamoto
Itaru Hirai
Diep Thi Khong
Thang Nam Nguyen
Hoa Thi Tran
Daisuke Motooka
Shota Nakamura
Yoshimasa Yamamoto
author_sort Takahiro Yamaguchi
title High Prevalence of Colistin-Resistant <named-content content-type="genus-species">Escherichia coli</named-content> with Chromosomally Carried <italic toggle="yes">mcr-1</italic> in Healthy Residents in Vietnam
title_short High Prevalence of Colistin-Resistant <named-content content-type="genus-species">Escherichia coli</named-content> with Chromosomally Carried <italic toggle="yes">mcr-1</italic> in Healthy Residents in Vietnam
title_full High Prevalence of Colistin-Resistant <named-content content-type="genus-species">Escherichia coli</named-content> with Chromosomally Carried <italic toggle="yes">mcr-1</italic> in Healthy Residents in Vietnam
title_fullStr High Prevalence of Colistin-Resistant <named-content content-type="genus-species">Escherichia coli</named-content> with Chromosomally Carried <italic toggle="yes">mcr-1</italic> in Healthy Residents in Vietnam
title_full_unstemmed High Prevalence of Colistin-Resistant <named-content content-type="genus-species">Escherichia coli</named-content> with Chromosomally Carried <italic toggle="yes">mcr-1</italic> in Healthy Residents in Vietnam
title_sort high prevalence of colistin-resistant <named-content content-type="genus-species">escherichia coli</named-content> with chromosomally carried <italic toggle="yes">mcr-1</italic> in healthy residents in vietnam
publisher American Society for Microbiology
publishDate 2020
url https://doaj.org/article/d0b6a57111b64bc88d6497c6ec8a31ae
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