Enterobacter cloacae Complex Isolates Harboring bla NMC-A or bla IMI -Type Class A Carbapenemase Genes on Novel Chromosomal Integrative Elements and Plasmids
- 1 May 2017
- journal article
- Published by American Society for Microbiology in Antimicrobial Agents and Chemotherapy
- Vol. 61 (5), e02578-16
- https://doi.org/10.1128/aac.02578-16
Abstract
Carbapenem-resistant Enterobacter cloacae complex isolates submitted to a reference laboratory from 2010 to 2015 were screened by PCR for seven common carbapenemase gene groups, namely, KPC, NDM, OXA-48, VIM, IMP, GES, and NMC-A/IMI. Nineteen of the submitted isolates (1.7%) were found to harbor Ambler class A bla NMC-A or bla IMI -type carbapenemases. All 19 isolates were resistant to at least one carbapenem but susceptible to aminoglycosides, trimethoprim-sulfamethoxazole, tigecycline, and ciprofloxacin. Most isolates (17/19) gave positive results with the Carba-NP test for phenotypic carbapenemase detection. Isolates were genetically diverse by pulsed-field gel electrophoresis macrorestriction analysis, multilocus sequence typing, and hsp60 gene analysis. The genes were found in various Enterobacter cloacae complex species; however, bla NMC-A was highly associated with Enterobacter ludwigii . Whole-genome sequencing and bioinformatics analysis revealed that all NMC-A ( n = 10), IMI-1 ( n = 5), and IMI-9 ( n = 2) producers harbored the carbapenemase gene on EludIMEX-1-like integrative mobile elements (EcloIMEXs) located in the identical chromosomal locus. Two novel genes, bla IMI-5 and bla IMI-6 , were harbored on different IncFII-type plasmids. Enterobacter cloacae complex isolates harboring bla NMC-A/IMI -type carbapenemases are relatively rare in Canada. Though mostly found integrated into the chromosome, some variants are located on plasmids that may enhance their mobility potential.Keywords
This publication has 32 references indexed in Scilit:
- Taxonomic evaluation of the genus Enterobacter based on multilocus sequence analysis (MLSA): Proposal to reclassify E. nimipressuralis and E. amnigenus into Lelliottia gen. nov. as Lelliottia nimipressuralis comb. nov. and Lelliottia amnigena comb. nov., respectively, E. gergoviae and E. pyrinus into Pluralibacter gen. nov. as Pluralibacter gergoviae comb. nov. and Pluralibacter pyrinus comb. nov., respectively, E. cowanii, E. radicincitans, E. oryzae and E. arachidis into Kosakonia gen. nov. as Kosakonia cowanii comb. nov., Kosakonia radicincitans comb. nov., Kosakonia oryzae comb. nov. and Kosakonia arachidis comb. nov., respectively, and E. turicensis, E. helveticus and E. pulveris into Cronobacter as Cronobacter zurichensis nom. nov., Cronobacter helveticus comb. nov. and Cronobacter pulveris comb. nov., respectively, and emended description of the genera Enterobacter and CronobacterSystematic and Applied Microbiology, 2013
- Multilocus Sequence Typing (MLST) for Characterization of Enterobacter cloacaePLOS ONE, 2013
- Prevalences of the Enterobacter cloacae complex and its phylogenetic derivatives in the nosocomial environmentEuropean Journal of Clinical Microbiology & Infectious Diseases, 2012
- SPAdes: A New Genome Assembly Algorithm and Its Applications to Single-Cell SequencingJournal of Computational Biology, 2012
- First Detection of bla IMI-2 Gene in a Clinical Escherichia coli StrainAntimicrobial Agents and Chemotherapy, 2012
- progressiveMauve: Multiple Genome Alignment with Gene Gain, Loss and RearrangementPLOS ONE, 2010
- Specific Distribution within the Enterobacter cloacae Complex of Strains Isolated from Infected Orthopedic ImplantsJournal of Clinical Microbiology, 2009
- Identification of resistance and virulence factors in an epidemic Enterobacter hormaechei outbreak strainMicrobiology, 2009
- First Isolation of bla IMI-2 in an Enterobacter cloacae Clinical Isolate from ChinaAntimicrobial Agents and Chemotherapy, 2006
- Carbapenemase-producingEnterobacteriaceae, U.S. RiversEmerging Infectious Diseases, 2005