Pan-genome and resistome analysis of extended-spectrum ß-lactamase-producing Escherichia coli: A multi-setting epidemiological surveillance study from Malaysia.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2022
Historique:
received: 23 08 2021
accepted: 23 02 2022
entrez: 10 3 2022
pubmed: 11 3 2022
medline: 4 5 2022
Statut: epublish

Résumé

This study profiled the prevalence of extended-spectrum ß-lactamase-producing Escherichia coli (ESBL-EC) in the community and compared their resistome and genomic profiles with isolates from clinical patients through whole-genome sequencing. Fecal samples from 233 community dwellers from Segamat, a town in southern Malaysia, were obtained between May through August 2018. Putative ESBL strains were screened and tested using antibiotic susceptibility tests. Additionally, eight clinical ESBL-EC were obtained from a hospital in the same district between June through October 2020. Whole-genome sequencing was then conducted on selected ESBL-EC from both settings (n = 40) for pan-genome comparison, cluster analysis, and resistome profiling. A mean ESBL-EC carriage rate of 17.82% (95% CI: 10.48%- 24.11%) was observed in the community and was consistent across demographic factors. Whole-genome sequences of the ESBL-EC (n = 40) enabled the detection of multiple plasmid replicon groups (n = 28), resistance genes (n = 34) and virulence factors (n = 335), with no significant difference in the number of genes carried between the community and clinical isolates (plasmid replicon groups, p = 0.13; resistance genes, p = 0.47; virulence factors, p = 0.94). Virulence gene marker analysis detected the presence of extraintestinal pathogenic E. coli (ExPEC), uropathogenic E. coli (UPEC), and enteroaggregative E. coli (EAEC) in both the community and clinical isolates. Multiple blaCTX-M variants were observed, dominated by blaCTX-M-27 (n = 12), blaCTX-M-65 (n = 10), and blaCTX-M-15 (n = 9). The clinical and community isolates did not cluster together based on the pan-genome comparison, suggesting isolates from the two settings were clonally unrelated. However, cluster analysis based on carried plasmids, resistance genes and phenotypic susceptibility profiles identified four distinct clusters, with similar patterns between the community and clinical isolates. ESBL-EC from the clinical and community settings shared similar resistome profiles, suggesting the frequent exchange of genetic materials through horizontal gene transfer.

Identifiants

pubmed: 35271656
doi: 10.1371/journal.pone.0265142
pii: PONE-D-21-27273
pmc: PMC8912130
doi:

Substances chimiques

Anti-Bacterial Agents 0
Virulence Factors 0
beta-Lactamases EC 3.5.2.6

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0265142

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Jacky Dwiyanto (J)

School of Science, Monash University Malaysia, Bandar Sunway, Malaysia.

Jia Wei Hor (JW)

Department of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Daniel Reidpath (D)

Health System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
South East Asia Community Observatory, Segamat, Malaysia.

Tin Tin Su (TT)

South East Asia Community Observatory, Segamat, Malaysia.
Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway, Malaysia.

Shaun Wen Huey Lee (SWH)

School of Pharmacy, Monash University Malaysia, Bandar Sunway, Malaysia.

Qasim Ayub (Q)

School of Science, Monash University Malaysia, Bandar Sunway, Malaysia.
Monash University Malaysia Genomics Facility, Bandar Sunway, Malaysia.
Tropical Medicine and Biology Multidisciplinary Platform, Monash University Malaysia, Bandar Sunway, Malaysia.

Faizah Binti Mustapha (FB)

Department of Pathology, Hospital Segamat, Segamat, Malaysia.

Sui Mae Lee (SM)

School of Science, Monash University Malaysia, Bandar Sunway, Malaysia.

Su Chern Foo (SC)

School of Science, Monash University Malaysia, Bandar Sunway, Malaysia.
Tropical Medicine and Biology Multidisciplinary Platform, Monash University Malaysia, Bandar Sunway, Malaysia.

Chun Wie Chong (CW)

School of Pharmacy, Monash University Malaysia, Bandar Sunway, Malaysia.
Institute for Research, Development and Innovation, International Medical University, Kuala Lumpur, Malaysia.

Sadequr Rahman (S)

School of Science, Monash University Malaysia, Bandar Sunway, Malaysia.
Tropical Medicine and Biology Multidisciplinary Platform, Monash University Malaysia, Bandar Sunway, Malaysia.

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Classifications MeSH