Abstract

ObjectivesTo locate the acquired antibiotic resistance genes, including the amikacin resistance transposon TnaphA6, in the genome of an Australian isolate belonging to Acinetobacter baumannii global clone 1 (GC1).MethodsA multiply antibiotic-resistant GC1 isolate harbouring TnaphA6 was sequenced using Illumina HiSeq, and reads were used to generate a de novo assembly and determine multilocus sequence types (STs). PCR was used to assemble the AbaR chromosomal resistance island and a large plasmid carrying TnaphA6. Plasmid DNA sequences were compared with ones available in GenBank. Conjugation experiments were conducted.ResultsThe A. baumannii GC1 isolate G7 was shown to include the AbaR3 antibiotic resistance island. It also contains an 8.7 kb cryptic plasmid, pAb-G7-1, and a 70 100 bp plasmid, pAb-G7-2, carrying TnaphA6. pAb-G7-2 belongs to the Aci6 Acinetobacter plasmid family. It encodes transfer functions and was shown to conjugate. Plasmids related to pAb-G7-2 were detected in further amikacin-resistant GC1 isolates using PCR. From the genome sequence, isolate G7 was ST1 (Institut Pasteur scheme) and ST231 (Oxford scheme). Using Oxford scheme PCR-based methods, the isolate was ST109 and this difference was traced to a single base difference resulting from the inclusion of the original primers in the gpi segment analysed.ConclusionsThe multiply antibiotic-resistant GC1 isolate G7 carries most of its resistance genes in AbaR3 located in the chromosome. However, TnaphA6 is on a conjugative plasmid, pAb-G7-2. Primers developed to locate TnaphA6 in pAb-G7-2 will simplify the detection of plasmids related to pAb-G7-2 in A. baumannii isolates.

Highlights

  • Aminoglycosides are one of the antibiotic classes that can be used to treat carbapenem-resistant Acinetobacter baumannii infections

  • In Australian A. baumannii isolates, only five aminoglycoside resistance genes have been identified to date, namely aacC1, aadB, aphA1, aphA6 and aadA1.7,8

  • The aacC1 and aadA1 genes are in cassettes in a class 1 integron, and this integron is usually associated with the aphA1b gene in Tn6020 and located in a genomic resistance island in the chromosome of most global clone 1 (GC1) strains[8] and some global clone 2 (GC2) strains.[9]

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Summary

Introduction

Aminoglycosides are one of the antibiotic classes that can be used to treat carbapenem-resistant Acinetobacter baumannii infections. In Australian A. baumannii isolates, only five aminoglycoside resistance genes have been identified to date, namely aacC1 (conferring resistance to gentamicin), aadB (conferring resistance to gentamicin, kanamycin and tobramycin), aphA1 (conferring resistance to kanamycin and neomycin), aphA6 (conferring resistance to amikacin, kanamycin and neomycin) and aadA1 (conferring resistance to streptomycin and spectinomycin).[7,8]. The aacC1 and aadA1 genes are in cassettes in a class 1 integron, and this integron is usually associated with the aphA1b gene in Tn6020 and located in a genomic resistance island in the chromosome of most global clone 1 (GC1) strains[8] and some global clone 2 (GC2) strains.[9] the aadB gene cassette is often in a small plasmid,[6] and the location of the aphA6 gene is not known

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