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Regional Dissemination of a Trimethoprim-Resistance Gene Cassette via a Successful Transposable Element

Identifieur interne : 000706 ( Main/Exploration ); précédent : 000705; suivant : 000707

Regional Dissemination of a Trimethoprim-Resistance Gene Cassette via a Successful Transposable Element

Auteurs : Amy S. Labar [États-Unis] ; Jennifer S. Millman [États-Unis] ; Ellen Ruebush [États-Unis] ; Japheth A. Opintan [Ghana] ; Rima A. Bishar [États-Unis] ; A. Oladipo Aboderin [Nigeria] ; Mercy J. Newman [Ghana] ; Adebayo Lamikanra [Nigeria] ; Iruka N. Okeke [États-Unis]

Source :

RBID : PMC:3364232

Abstract

Background

Antimicrobial resistance is a growing international problem. We observed a 50% increase in the prevalence of trimethoprim resistance among fecal Escherichia coli from healthy Nigerian students between 1998 and 2005, a trend to increase that continued in 2009.

Methods and Findings

A PCR-based screen revealed that 131 (43.1%) of isolates obtained in Nigeria in 2005 and 2009 carried integron-borne dfrA cassettes. In the case of 67 (51.1%) of these isolates, the cassette was a class 1-integron-borne dfrA7 gene, which has been reported at high prevalence from E. coli isolates from other parts of Africa. Complete sequencing of a 27 Kb dfrA7-bearing plasmid from one isolate located the dfrA7 gene within a Tn21-type transposon. The transposon also contained an IS26-derived bla/sul/str element, encoding resistance to β-lactams, sulphonamides and streptomycin, and mercury resistance genes. Although the plasmid backbone was only found in 12 (5.8%) of trimethoprim-resistant isolates, dfrA7 and other transposon-borne genes were detected in 14 (16.3%) and 32 (26.3%) of trimethoprim resistant isolates collected in Nigeria in 2005 and 2009, respectively. Additionally, 37 (19.3%) of trimethoprim-resistant E. coli isolates collected between 2006 and 2008 from Ghana were positive for the dfrA7 and a transposon marker, but only 4 (2.1%) harbored the plasmid backbone.

Conclusions

Our data point to transposition as a principal mechanism for disseminating dfrA7 among E. coli from Nigeria and Ghana. On-going intensive use of the affordable broad-spectrum antibacterials is likely to promote selective success of a highly prevalent transposable element in West Africa.


Url:
DOI: 10.1371/journal.pone.0038142
PubMed: 22666464
PubMed Central: 3364232


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<title>Background</title>
<p>Antimicrobial resistance is a growing international problem. We observed a 50% increase in the prevalence of trimethoprim resistance among fecal
<italic>Escherichia coli</italic>
from healthy Nigerian students between 1998 and 2005, a trend to increase that continued in 2009.</p>
</sec>
<sec>
<title>Methods and Findings</title>
<p>A PCR-based screen revealed that 131 (43.1%) of isolates obtained in Nigeria in 2005 and 2009 carried integron-borne
<italic>dfrA</italic>
cassettes. In the case of 67 (51.1%) of these isolates, the cassette was a class 1-integron-borne
<italic>dfrA7</italic>
gene, which has been reported at high prevalence from
<italic>E. coli</italic>
isolates from other parts of Africa. Complete sequencing of a 27 Kb
<italic>dfrA7</italic>
-bearing plasmid from one isolate located the
<italic>dfrA7</italic>
gene within a Tn
<italic>21</italic>
-type transposon. The transposon also contained an IS
<italic>26</italic>
-derived
<italic>bla/sul/str</italic>
element, encoding resistance to β-lactams, sulphonamides and streptomycin, and mercury resistance genes. Although the plasmid backbone was only found in 12 (5.8%) of trimethoprim-resistant isolates,
<italic>dfrA7</italic>
and other transposon-borne genes were detected in 14 (16.3%) and 32 (26.3%) of trimethoprim resistant isolates collected in Nigeria in 2005 and 2009, respectively. Additionally, 37 (19.3%) of trimethoprim-resistant
<italic>E. coli</italic>
isolates collected between 2006 and 2008 from Ghana were positive for the
<italic>dfrA7</italic>
and a transposon marker, but only 4 (2.1%) harbored the plasmid backbone.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>Our data point to transposition as a principal mechanism for disseminating
<italic>dfrA7</italic>
among
<italic>E. coli</italic>
from Nigeria and Ghana. On-going intensive use of the affordable broad-spectrum antibacterials is likely to promote selective success of a highly prevalent transposable element in West Africa.</p>
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