Low Prevalence of mcr-1 Among Clinical Enterobacteriaceae Isolates and Co-transfer of mcr-1 and blaNDM-1 from Separate Donors

Microb Drug Resist. 2021 Apr;27(4):476-484. doi: 10.1089/mdr.2020.0212. Epub 2020 Sep 15.

Abstract

Aims: mcr-1 and blaNDM-1 co-harboring isolates have been reported, usually reside on different plasmids, suggesting co-transfer possibility of the two genes from separate donors to the same recipient strain. This study aims at screening and characterization of mcr-1 carrying Enterobacteriaceae in Northern China, and studying the transfer ability of mcr-1 alone and in company with blaNDM-1 from a second donor. Results: Three Escherichia coli strains and one Klebsiella pneumoniae strain carrying mcr-1 gene were screened out from 1992 isolates in our study. Co-existence of multiple resistance genes was found in the mcr-1-carrying strains, but none of them carried blaNDM-1. One E. coli demonstrated an single nucleotide polymorphism (SNP) (A-G) at -10 region of mcr-1, and one E. coli showed 2 SNPs (G-T and G-A) in the Shine-Dalgarno sequence-like region of mcr-1. The mcr-1 gene was located on plasmids of about 33-276 kb, and capable of transferring alone in three out of four mcr-1-positive isolates by conjugation. Co-transfer ability analysis demonstrated that mcr-1 from E. coli 13-68, which could not be transferred alone to E. coli C600, was successfully transferred in company with blaNDM-1 from K. pneumoniae ATCC BAA-2146. Conclusions: mcr-1 showed low incidence in our Enterobacteriaceae isolates. Co-transfer ability of mcr-1 and blaNDM-1 from separate donors provides direct evidence for the emergence of the mcr-1 and blaNDM-1 co-harboring isolates.

Keywords: blaNDM-1; mcr-1; transfer.

MeSH terms

  • Drug Resistance, Multiple, Bacterial / genetics*
  • Enterobacteriaceae / genetics*
  • Escherichia coli / genetics*
  • Genes, Bacterial / genetics*
  • Humans
  • Klebsiella pneumoniae / genetics*
  • Microbial Sensitivity Tests
  • Polymorphism, Single Nucleotide
  • Real-Time Polymerase Chain Reaction
  • beta-Lactamases / genetics

Substances

  • beta-Lactamases
  • beta-lactamase NDM-1