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Journal of global antimicrobial resistance2019; 20; 285-289; doi: 10.1016/j.jgar.2019.08.007

A link between the newly described colistin resistance gene mcr-9 and clinical Enterobacteriaceae isolates carrying blaSHV-12 from horses in Sweden.

Abstract: The aim of this study was to investigate the occurrence of the newly described transferable colistin resistance gene mcr-9 in extended-spectrum β-lactamase (ESBL)-producing clinical Enterobacteriaceae isolates from horses in Sweden. A total of 56 whole-genome sequenced ESBL-producing Enterobacteriaceae isolates from horses were subjected to in silico detection of antimicrobial resistance genes and identification of plasmid replicons types. The colistin minimum inhibitory concentration (MIC) for mcr-positive isolates was determined by broth microdilution. Relatedness between Enterobacteriaceae carrying mcr genes was determined by multilocus sequence typing (MLST) and core genome MLST. Thirty ESBL-producing Enterobacteriaceae isolates from horses were positive for the colistin resistance gene mcr-9. These isolates included Enterobacter cloacae, Escherichia coli, Klebsiella oxytoca and Citrobacter freundii and belonged to diverse MLST sequence types within each species. Two of the mcr-9-containing isolates originated from the same horse. All mcr-9-positive isolates had colistin MICs below or equal to the EUCAST epidemiological cut-off value of 2 mg/L and were negative for the two potential regulatory genes qseB-like and qseC-like for mcr-9. Except for one isolate carrying only bla, all of the isolates carried bla and bla, and were all considered multidrug-resistant as they harboured genes encoding resistance to aminoglycosides, chloramphenicol, fosfomycin, macrolides, quinolones, sulfonamides, trimethoprim and tetracyclines. Plasmid replicon types IncHI2 and IncHI2A were detected in all mcr-9-positive isolates. The occurrence of mcr-9 was common among clinical ESBL-producing Enterobacteriaceae isolates from horses in Sweden and was linked to the ESBL-encoding gene bla and plasmid replicon types IncHI2 and IncHI2A.
Publication Date: 2019-09-05 PubMed ID: 31494305DOI: 10.1016/j.jgar.2019.08.007Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research aimed to investigate the presence of the novel transferable gene mcr-9, responsible for colistin resistance, in Enterobacteriaceae isolates in horses in Sweden. The study found that this resistance gene was quite common and was often associated with the extended-spectrum β-lactamase (ESBL)-producing gene bla and replicon types IncHI2 and IncHI2A.

Objective of the Study

  • The aim of the study was to investigate the prevalence of the newly discovered transferable colistin resistance gene, mcr-9, in ESBL-producing clinical Enterobacteriaceae isolates from horses in Sweden.

Methods used in the Study

  • The researchers studied a total of 56 whole-genome sequenced ESBL–producing Enterobacteriaceae isolates from horses in Sweden.
  • The isolates were assessed using in silico detection to identify any antimicrobial resistance genes, as well as the presence of any types of plasmid replicons.
  • The minimum inhibitory concentration (MIC) of colistin for mcr-positive isolates was then determined using a broth microdilution technique.

Results of the Study

  • Thirty of the isolates from the horses were identified to be positive for the colistin resistance gene, mcr-9.
  • The researchers found that these isolates encompassed various species, including Enterobacter cloacae, Escerichia coli, etc. and belonged to diverse multilocus sequence types (MLST) within each species.
  • Except for one isolate carrying only bla, all of the isolates carried bla and bla, and were all considered multi-drug resistant as they harbored genes encoding resistance to multiple antibiotics.

Conclusion of the Study

  • The results showed that the occurrence of mcr-9 was commonplace in clinical ESBL-producing Enterobacteriaceae isolates in horses in Sweden.
  • These isolates are often associated with the ESBL-encoding gene blaSHV-12 and plasmid replicon types IncHI2 and IncHI2A.

Cite This Article

APA
Börjesson S, Greko C, Myrenås M, Landén A, Nilsson O, Pedersen K. (2019). A link between the newly described colistin resistance gene mcr-9 and clinical Enterobacteriaceae isolates carrying blaSHV-12 from horses in Sweden. J Glob Antimicrob Resist, 20, 285-289. https://doi.org/10.1016/j.jgar.2019.08.007

Publication

ISSN: 2213-7173
NlmUniqueID: 101622459
Country: Netherlands
Language: English
Volume: 20
Pages: 285-289
PII: S2213-7165(19)30205-X

Researcher Affiliations

Börjesson, Stefan
  • Department of Animal Health and Antimicrobial Strategies, National Veterinary Institute (SVA), Uppsala, Sweden; Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden. Electronic address: stefan.borjesson@liu.se.
Greko, Christina
  • Department of Animal Health and Antimicrobial Strategies, National Veterinary Institute (SVA), Uppsala, Sweden.
Myrenås, Mattias
  • Department of Animal Health and Antimicrobial Strategies, National Veterinary Institute (SVA), Uppsala, Sweden.
Landén, Annica
  • Department of Animal Health and Antimicrobial Strategies, National Veterinary Institute (SVA), Uppsala, Sweden.
Nilsson, Oskar
  • Department of Animal Health and Antimicrobial Strategies, National Veterinary Institute (SVA), Uppsala, Sweden.
Pedersen, Karl
  • Department of Animal Health and Antimicrobial Strategies, National Veterinary Institute (SVA), Uppsala, Sweden.

MeSH Terms

  • Animals
  • Bacterial Proteins / genetics
  • Colistin / pharmacology
  • Computer Simulation
  • Drug Resistance, Multiple, Bacterial
  • Enterobacteriaceae / classification
  • Enterobacteriaceae / drug effects
  • Enterobacteriaceae / genetics
  • Enterobacteriaceae / isolation & purification
  • Enterobacteriaceae Infections / microbiology
  • Enterobacteriaceae Infections / veterinary
  • High-Throughput Nucleotide Sequencing
  • Horse Diseases / microbiology
  • Horses
  • Microbial Sensitivity Tests
  • Multilocus Sequence Typing
  • Plasmids / genetics
  • Sweden
  • Whole Genome Sequencing
  • beta-Lactamases / genetics

Citations

This article has been cited 29 times.
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