Chromosomal mutations in commensal Escherichia coli genomes: drivers of antibiotic resistance among children in a community in Lima, Peru
DOI:
https://doi.org/10.59594/iicqp.2024.v2n1.77Keywords:
Antibiotic Resistance, Chromosome Structures, Escherichia coli, ChildAbstract
Escherichia coli is an enterobacterium that is part of the intestinal microbiome of mammals and is capable of causing various diseases, especially in vulnerable populations. Additionally, the emergence of antibiotic-resistant variants of E. coli poses a growing global threat to public health. This resistance is usually encoded by multiple genes, which code for the expression of enzymes, membrane proteins, porins, efflux pumps, or target molecule mutations. Recent research has reported specific resistance-associated mutations, such as qnr, pmrB, glpT, and the bla variant (C32T). The aim of this study was to identify the frequency of chromosomal mutations that confer antibiotic resistance in E. coli genomes from children in the district of Villa El Salvador in Lima, Peru. A total of 19 complete E. coli genomes were downloaded from Bioproject PRJNA633873 located at NCBI GenBank. After converting and assessing the quality of the reads with FastQC, assembly was performed using SPAdes v3.15.2 and contig evaluation through QUAST v5.0.2. Multilocus sequence type (MLST) genomic profiles were identified with PubMLST, and we searched for resistance genes using AMRFinderPlus. Finally, we analyzed gene patterns and gene absence/presence by MCA using Stata v17 and R studio. A total of 11 genomes had a total of seven mutations in genes associated with resistance to four antibiotic families, including glpT(E448) for fosfomycin, pmrB (Y358) for colistin, gyrA(S83L) and parC_S57T for quinolones, blaTEM (C32T) for amoxicillin with clavulanic acid and piperacillin-tazobactam, and cyaA(S352T) for fosmidomycin. Proximal relationships were evaluated for the presence/absence of genes that included blaTEM , catA1, sul1, qnrB19, tetA, and mphA genes. Our study is the first to describe gene mutations associated with antimicrobial resistance in E. coli genomes from a pediatric population in a community in Lima, Peru.
Downloads
References
World Health Organization. WHO publishes list of bacteria for which new antibiotics are urgently needed. Geneva: WHO; 2017 [citado el 1 de abril de 2024]. Disponible en: https://www.who.int/news/item/27-02-2017-who-publishes-list-of-bacteria-for-which-new-antibiotics-are-urgently-needed
Poirel L, Madec JY, Lupo A, Schink AK, Kieffer N, Nordmann P, Schwarz S. Antimicrobial Resistance in Escherichia coli. Microbiol Spectr. 2018;6(4). doi: 10.1128/microbiolspec.ARBA-0026-2017
García A, Fox JG. A One Health Perspective for Defining and Deciphering Escherichia coli Pathogenic Potential in Multiple Hosts. Comp Med. 2021;71(1):3-45. doi: 10.30802/AALAS-CM-20-000054
Mueller M, Tainter CR. Escherichia coli Infection. En: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 [citado 1 de marzo de 2024]. Disponible en: http://www.ncbi.nlm.nih.gov/books/NBK564298/
Khan A, Bhutta Z. Childhood Infectious Diseases: Overview. In: International Encyclopedia of Public Health. 2017. p. 517–38.
Bhutta ZA, Saeed MA. Childhood Infectious Diseases: Overview. In: International Encyclopedia of Public Health. Elsevier: 2008. p. 620–40.
Mori H, Kataoka M, Yang X. Past, Present, and Future of Genome Modification in Escherichia coli. Microorganisms. 2022;10(9):1835. doi: 10.3390/microorganisms10091835
Leekitcharoenphon P, Johansson MHK, Munk P, Malorny B, Skarżyńska M, Wadepohl K, et al. Genomic evolution of antimicrobial resistance in Escherichia coli. Sci Rep. 2021;11(1):15108. doi: 10.1038/s41598-021-93970-7
Garallah ET, Al-Jubori SS. Molecular detection of glpT and uhpT genes as fosfomycin pathways in UTI infection patients. Gene Rep. 2020;21:100930. doi: https://doi.org/10.1016/j.genrep.2020.100930
Phan MD, Nhu NTK, Achard MES, Forde BM, Hong KW, Chong TM, et al. Modifications in the pmrB gene are the primary mechanism for the development of chromosomally encoded resistance to polymyxins in uropathogenic Escherichia coli. J Antimicrob Chemother. 2017;72(10):2729-36. doi: 10.1093/jac/dkx204
Vinué L, Hooper DC, Jacoby GA. Chromosomal mutations that accompany qnr in clinical isolates of Escherichia coli. Int J Antimicrob Agents. 2018;51(3):479-83. doi: 10.1016/j.ijantimicag.2018.01.012
Hooper DC, Jacoby GA. Mechanisms of drug resistance: quinolone resistance. Ann N Y Acad Sci. 2015 Sep;1354(1):12-31. doi: 10.1111/nyas.12830
Sharma J, Sharma D, Singh A, Sunita K. Colistin Resistance and Management of Drug Resistant Infections. Can J Infect Dis Med Microbiol. 2022;2022:4315030. doi: 10.1155/2022/4315030
Silver LL. Fosfomycin: Mechanism and Resistance. Cold Spring Harb Perspect Med. 2017;7(2):a025262. doi: 10.1101/cshperspect.a025262
Murray M, Salvatierra G, Dávila-Barclay A, Ayzanoa B, Castillo-Vilcahuaman C, Huang M, et al. Market Chickens as a Source of Antibiotic-Resistant Escherichia coli in a Peri-Urban Community in Lima, Peru. Front Microbiol. 2021;12:635871. doi: 10.3389/fmicb.2021.635871
Chen ST, Clowes RC. Nucleotide sequence comparisons of plasmids pHD131, pJB1, pFA3, and pFA7 and beta-lactamase expression in Escherichia coli, Haemophilus influenzae, and Neisseria gonorrhoeae. J Bacteriol. 1987;169(7):3124-30. doi: 10.1128/jb.169.7.3124-3130.1987
Kaper JB, Nataro JP, Mobley HL. Pathogenic Escherichia coli. Nat Rev Microbiol. 2004 Feb;2(2):123-40. doi: 10.1038/nrmicro818
Paitan Y. Current Trends in Antimicrobial Resistance of Escherichia coli. Curr Top Microbiol Immunol. 2018;416:181-211. doi: 10.1007/82_2018_110
Berglund B, Chen B, Tärnberg M, Sun Q, Xu L, Welander J, et al. Characterization of extended-spectrum β-lactamase-producing Escherichia coli harboring mcr-1 and toxin genes from human fecal samples from China. Future Microbiol. 2018;13:1647-1655. doi: 10.2217/fmb-2018-0242
Chen B, Berglund B, Wang S, Börjesson S, Bi Z, Nilsson M, et al. Rapid increase in occurrence of carbapenem-resistant Enterobacteriaceae in healthy rural residents in Shandong Province, China, from 2015 to 2017. J Glob Antimicrob Resist. 2022;28:38-42. doi: 10.1016/j.jgar.2021.11.007
Ling TK, Liu EY, Cheng AF. A 13-year study of antimicrobial susceptibility of common gram-negative bacteria isolated from the bloodstream in a teaching hospital. Chemotherapy. 2001;47(1):29-38. doi: 10.1159/000048498
Losada I, Barbeito G, García-Garrote F, Fernández-Pérez B, Malvar A, Hervada X, et al. Estudio de sensibilidad de Escherichia coli productores de infecciones del tracto urinario comunitarias en Galicia. Período: 2016-2017. Aten Primaria. 2020;52(7):462-8. doi: 10.1016/j.aprim.2019.06.007
Kurowski KM, Marusinec R, Amato HK, Saraiva-Garcia C, Loayza F, Salinas L, et al. Social and Environmental Determinants of Community-Acquired Antimicrobial-Resistant Escherichia coli in Children Living in Semirural Communities of Quito, Ecuador. Am J Trop Med Hyg. 2021;105(3):600-10. doi: 10.4269/ajtmh.20-0532
Martos I, Colucci Camusso G, Albornoz M, Barros Nores J, Juaneda R, Belisle DF, et al. Perfil etiológico y sensibilidad antimicrobiana en 1740 infecciones urinarias de la comunidad en la ciudad de Córdoba, Argentina. Arch Esp Urol. 2021;74(7):645-51.
Malchione MD, Torres LM, Hartley DM, Koch M, Goodman JL. Carbapenem and colistin resistance in Enterobacteriaceae in Southeast Asia: Review and mapping of emerging and overlapping challenges. Int J Antimicrob Agents. 2019;54(4):381-99. doi: 10.1016/j.ijantimicag.2019.07.019
Kalter HD, Gilman RH, Moulton LH, Cullotta AR, Cabrera L, Velapatiño B. Risk factors for antibiotic-resistant Escherichia coli carriage in young children in Peru: community-based cross-sectional prevalence study. Am J Trop Med Hyg. 2010;82(5):879-88. doi: 10.4269/ajtmh.2010.09-0143
Austin DJ, Kakehashi M, Anderson RM. The transmission dynamics of antibiotic-resistant bacteria: the relationship between resistance in commensal organisms and antibiotic consumption. Proc Biol Sci. 1997;264(1388):1629-38. doi: 10.1098/rspb.1997.0227
Chopra I, Roberts M. Tetracycline antibiotics: mode of action, applications, molecular biology, and epidemiology of bacterial resistance. Microbiol Mol Biol Rev. 2001;65(2):232-60 ; second page, table of contents. doi: 10.1128/MMBR.65.2.232-260.2001
Tenover FC, McGowan JE Jr. Reasons for the emergence of antibiotic resistance. Am J Med Sci. 1996;311(1):9-16. doi: 10.1097/00000441-199601000-00003
Austin DJ, Kristinsson KG, Anderson RM. The relationship between the volume of antimicrobial consumption in human communities and the frequency of resistance. Proc Natl Acad Sci U S A. 1999;96(3):1152-6. doi: 10.1073/pnas.96.3.1152
Gold HS, Moellering RC Jr. Antimicrobial-drug resistance. N Engl J Med. 1996;335(19):1445-53. doi: 10.1056/NEJM19961107335190
Bartoloni A, Bartalesi F, Mantella A, Dell'Amico E, Roselli M, Strohmeyer M, et al. High prevalence of acquired antimicrobial resistance unrelated to heavy antimicrobial consumption. J Infect Dis. 2004;189(7):1291-4. doi: 10.1086/382191
Bartoloni A, Pallecchi L, Benedetti M, Fernandez C, Vallejos Y, Guzman E, et al. Multidrug-resistant commensal Escherichia coli in children, Peru and Bolivia. Emerg Infect Dis. 2006;12(6):907-13. doi: 10.3201/eid1206.051258
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Investigación e Innovación Clínica y Quirúrgica Pediátrica

This work is licensed under a Creative Commons Attribution 4.0 International License.

