Abstract

The complete sequence of the plasmid pNDM-1_Dok01 carrying New Delhi metallo-β-lactamase (NDM-1) was determined by whole genome shotgun sequencing using Escherichia coli strain NDM-1_Dok01 (multilocus sequence typing type: ST38) and the transconjugant E. coli DH10B. The plasmid is an IncA/C incompatibility type composed of 225 predicted coding sequences in 195.5 kb and partially shares a sequence with bla CMY-2-positive IncA/C plasmids such as E. coli AR060302 pAR060302 (166.5 kb) and Salmonella enterica serovar Newport pSN254 (176.4 kb). The bla NDM-1 gene in pNDM-1_Dok01 is terminally flanked by two IS903 elements that are distinct from those of the other characterized NDM-1 plasmids, suggesting that the bla NDM-1 gene has been broadly transposed, together with various mobile elements, as a cassette gene. The chaperonin groES and groEL genes were identified in the bla NDM-1-related composite transposon, and phylogenetic analysis and guanine-cytosine content (GC) percentage showed similarities to the homologs of plant pathogens such as Pseudoxanthomonas and Xanthomonas spp., implying that plant pathogens are the potential source of the bla NDM-1 gene. The complete sequence of pNDM-1_Dok01 suggests that the bla NDM-1 gene was acquired by a novel composite transposon on an extensively disseminated IncA/C plasmid and transferred to the E. coli ST38 isolate.

Highlights

  • Gram-negative bacteria have acquired mobile genetic elements associated with multiple resistance determinants for most antibiotic classes

  • De novo shotgun sequencing of the transconjugant DH10B strain, which harbors the plasmid transferred by filter-mating conjugation, was performed and revealed the plasmid to be composed of 225 predicted coding sequences (CDSs) of 195,560 bp with a guanine-cytosine content (GC) of 51.0% (Fig. 1)

  • The IncA/C incompatibility group of pNDM1_Dok01 can be determined by in silico polymerase chain reaction (PCR) using the PCR-based replicon typing (PBRT) primers described by Carattoli et al [21]; the primer A/C-RV sequence has 2 nucleotide mismatches with the corresponding sequence in pNDM-1_Dok01, suggesting that the PCR assay might fail due to such variation in primer sequence

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Summary

Introduction

Gram-negative bacteria have acquired mobile genetic elements associated with multiple resistance determinants for most antibiotic classes. In Gram-negative bacteria, the most common b-lactam resistance mechanism involves b-lactamasemediated hydrolysis, which leads to inactivation of antibiotics [2]. Metallo-b-lactamase (MBL) genes, which hydrolyze all b-lactams including carbapenems (except aztreonam), are increasing in frequency among Gram-negative organisms such as multidrugresistant Enterobacteriaceae [3]. In 2008, a novel MBL, New Delhi metallo-b-lactamase (NDM-1), was identified in K. pneumoniae (strain 05-506) and Escherichia coli isolates from a Swedish patient who was transferred from India [4]. A recent surveillance study showed that NDM-1-positive isolates were circulating in New Delhi as early as 2006, and it was two years before the first European case was reported in 2008 [9]

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