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Authors Fang LX, Li XP, Li L, Chen MY, Wu CY, Li LL, Liao XP, Liu YH, Sun J
Received 8 December 2017
Accepted for publication 9 April 2018
Published 23 July 2018 Volume 2018:11 Pages 995—1005
DOI https://doi.org/10.2147/IDR.S159345
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Cristina Weinberg
Peer reviewer comments 2
Editor who approved publication: Professor Suresh Antony
Background: CMY-2 is the most prevalent pAmpC β-lactamase, but the
chromosomal bla CMY-2 gene transfer via horizontal transmission has been seldom
reported. This study aimed to describe an IS Ecp1 -mediated
transposition of a chromosomal bla CMY-2 gene from Escherichia coli into
a small endogenous ColE1-like plasmid, resulting in elevated resistance to
extended-spectrum cephalosporins.
Methods: Three ESCs-resistant ST641 E. coli strains
EC6413, EC4103 and EC5106 harbored the bla CMY-2 gene. S1- PFGE, I-ceu I-PFGE,
Southern blotting and electroporation experiments were performed to investigate
the location and transferability of bla CMY-2. The genetic context and gene expression of bla CMY-2 in the original isolates and the corresponding electroporants were
explored by PCR mapping, primer walking strategy and RT-qPCR.
Results: The bla CMY-2-containing region (ISEcp1 -bla CMY-2-∆blc -∆yggR -∆tnp1 -orf7 -orf8 -orf9 -∆tnp2 -∆hsdR ) was transposed into endogenous ColE1-like plasmid pSC137 in the
process of electroporation at very low frequencies (10–8–10–9). The transpositions
resulted in novel larger bla CMY-2-harboring ColE1-like plasmids with size of 14,845 bp, enabling increase
in MICs of 2 to 8-fold for cefotaxime, ceftiofur, and ceftazidime in recipient
strains over their respective original counterparts. Transcriptional level
analysis revealed that the increased bla CMY-2 expression was correlated with elevated MIC values of
cephalosporins. The bla CMY-2 transposition unit was identical to that in a clinical
isolate E. coli TN44889 from France
isolated in 2004.
Conclusions: Our results firstly demonstrated that ISEcp1 mediated a transposition
of chromosome-borne bla CMY-2 into an endogenous ColE1-like plasmid by electroporation.
Amplification of the bla CMY-2 gene facilitates the strain adaptation to a changed environment with an
elevated antibiotic pressure.
Keywords: bla CMY-2, chromosome-borne, ColE1-like plasmid, ISEcp1 -mediated
transposition, extended-spectrum cephalosporin