4.6 Article

Co-harboring of Novel blaKPC-2 Plasmid and Integrative and Conjugative Element Carrying Tn6203 in Multidrug-Resistant Pseudomonas aeruginosa

Journal

FRONTIERS IN MICROBIOLOGY
Volume 12, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fmicb.2021.674974

Keywords

plasmid; KPC-2; integrative and conjugative element; prophage; Pseudomonas aeruginosa

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Funding

  1. National Natural Science Foundation of China [81830069]

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Multiple carbapenem-resistant strains of Pseudomonas aeruginosa were isolated from the same patient in a hospital in China, one of which carried a non-transferable plasmid with a novel resistance gene segment. Additionally, a study on the chromosomes of P. aeruginosa strains with the same sequence type identified an integrative and conjugative element adjacent to a prophage, mediating resistance to multiple antibiotics. This study sheds light on the acquisition of antibiotic resistance in P. aeruginosa facilitated by mobile genetic elements.
Many strains of the opportunistic pathogen Pseudomonas aeruginosa have acquired resistance to multiple antibiotics. Carbapenem-resistant P. aeruginosa poses a global healthcare problem due to limited therapeutic options for the treatment of infections. Plasmids and integrative and conjugative elements (ICEs) are the major vectors of antibiotic-resistance gene transfer. In our study, four carbapenem-resistant strains of P. aeruginosa were isolated from the same patient in a tertiary referral hospital in China, one of these was resistant to gentamicin and tobramycin. In this strain P33, we observed a non-transferable plasmid, pP33-2, carrying a novel bla(KPC-2) gene segment (ISKpn27-bla(KPC-2)-ISKpn6-korC-ORF-klcA-IS26), which we concluded to have been formed by IS26-mediated gene cluster translocation. In addition, by comparing the chromosomes of the P. aeruginosa strains that belong to the same sequence type, we identified an ICE, ICEP33, adjacent to a prophage. The attL site of ICEP33 is identical to the terminal part of the attR site of the prophage. The ICEP33 element contains the transposon Tn6203, which encodes antibiotic and metal resistance genes. The insertion of ICEP33 in the chromosome mediates resistance to multiple antibiotics. Our study contributes to the understanding of the acquisition of antibiotic resistance in P. aeruginosa facilitated by mobile genetic elements.

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