{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"submitter":["Zuo H"],"funding":["Japan Agency for Medical Research and Development","JSPS"],"pagination":["dlae073"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC11089413"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["6(3)"],"pubmed_abstract":["<h4>Background</h4>The spread of transmissible plasmids with carbapenemase genes has contributed to a global increase in carbapenemase-producing Enterobacterales over the past two decades, with <i>bla</i><sub>NDM</sub> and <i>bla</i><sub>OXA</sub> among the most prevalent carbapenemase genes.<h4>Objectives</h4>To characterize an <i>Escherichia coli</i> isolate co-carrying <i>bla</i><sub>NDM-5</sub> and <i>bla</i><sub>OXA-181</sub> (JBEHAAB-19-0176) that was isolated in the Japan Antimicrobial Resistant Bacterial Surveillance in 2019-20, and to evaluate the functional advantage of carrying both genes as opposed to only one.<h4>Methods</h4>The whole-genome sequence of the isolate was determined using long- and short-read sequencing. Growth assay and co-culture experiments were performed for phenotypic characterization in the presence of different β-lactam antibiotics.<h4>Results</h4>WGS analysis showed that <i>bla</i><sub>NDM-5</sub> and <i>bla</i><sub>OXA-181</sub> were carried by the same IncX3 plasmid, pJBEHAAB-19-0176_NDM-OXA. Genetic characterization of the plasmid suggested that the plasmid emerged through the formation of a co-integrate and resolution of two typical IncX3 plasmids harbouring <i>bla</i><sub>NDM-5</sub> and <i>bla</i><sub>OXA-181</sub>, which involved two recombination events at the IS<i>3000</i> and IS<i>26</i> sequences. When cultured in the presence of piperacillin or cefpodoxime, the growth rate of the transformant co-harbouring <i>bla</i><sub>NDM-5</sub> and <i>bla</i><sub>OXA-181</sub> was significantly higher than the transformant with only <i>bla</i><sub>NDM-5</sub>. Furthermore, in co-culture where the two <i>bla</i><sub>NDM-5</sub>-harbouring transformants were allowed to compete directly, the strain additionally harbouring <i>bla</i><sub>OXA-181</sub> showed a marked growth advantage.<h4>Conclusions</h4>The additional carriage of <i>bla</i><sub>OXA-181</sub> confers a selective advantage to bacteria in the presence of piperacillin and cefpodoxime. These findings may explain the current epidemiology of carbapenemase-producing Enterobacterales, in which bacteria carrying both <i>bla</i><sub>NDM-5</sub> and <i>bla</i><sub>OXA-48</sub>-like genes have emerged independently worldwide."],"journal":["JAC-antimicrobial resistance"],"pubmed_title":["Emergence of an IncX3 plasmid co-harbouring the carbapenemase genes <i>bla</i><sub>NDM-5</sub> and <i>bla</i><sub>OXA-181</sub>."],"pmcid":["PMC11089413"],"funding_grant_id":["JP19fk0108061","23fk0108604","JP20K07496"],"pubmed_authors":["Uechi K","Nakano A","Yahara K","Sugawara Y","Zuo H","Kondo K","Kayama S","Kawakami S","Sugai M"],"additional_accession":[]},"is_claimable":false,"name":"Emergence of an IncX3 plasmid co-harbouring the carbapenemase genes <i>bla</i><sub>NDM-5</sub> and <i>bla</i><sub>OXA-181</sub>.","description":"<h4>Background</h4>The spread of transmissible plasmids with carbapenemase genes has contributed to a global increase in carbapenemase-producing Enterobacterales over the past two decades, with <i>bla</i><sub>NDM</sub> and <i>bla</i><sub>OXA</sub> among the most prevalent carbapenemase genes.<h4>Objectives</h4>To characterize an <i>Escherichia coli</i> isolate co-carrying <i>bla</i><sub>NDM-5</sub> and <i>bla</i><sub>OXA-181</sub> (JBEHAAB-19-0176) that was isolated in the Japan Antimicrobial Resistant Bacterial Surveillance in 2019-20, and to evaluate the functional advantage of carrying both genes as opposed to only one.<h4>Methods</h4>The whole-genome sequence of the isolate was determined using long- and short-read sequencing. Growth assay and co-culture experiments were performed for phenotypic characterization in the presence of different β-lactam antibiotics.<h4>Results</h4>WGS analysis showed that <i>bla</i><sub>NDM-5</sub> and <i>bla</i><sub>OXA-181</sub> were carried by the same IncX3 plasmid, pJBEHAAB-19-0176_NDM-OXA. Genetic characterization of the plasmid suggested that the plasmid emerged through the formation of a co-integrate and resolution of two typical IncX3 plasmids harbouring <i>bla</i><sub>NDM-5</sub> and <i>bla</i><sub>OXA-181</sub>, which involved two recombination events at the IS<i>3000</i> and IS<i>26</i> sequences. When cultured in the presence of piperacillin or cefpodoxime, the growth rate of the transformant co-harbouring <i>bla</i><sub>NDM-5</sub> and <i>bla</i><sub>OXA-181</sub> was significantly higher than the transformant with only <i>bla</i><sub>NDM-5</sub>. Furthermore, in co-culture where the two <i>bla</i><sub>NDM-5</sub>-harbouring transformants were allowed to compete directly, the strain additionally harbouring <i>bla</i><sub>OXA-181</sub> showed a marked growth advantage.<h4>Conclusions</h4>The additional carriage of <i>bla</i><sub>OXA-181</sub> confers a selective advantage to bacteria in the presence of piperacillin and cefpodoxime. These findings may explain the current epidemiology of carbapenemase-producing Enterobacterales, in which bacteria carrying both <i>bla</i><sub>NDM-5</sub> and <i>bla</i><sub>OXA-48</sub>-like genes have emerged independently worldwide.","dates":{"release":"2024-01-01T00:00:00Z","publication":"2024 Jun","modification":"2026-06-03T04:30:26.451Z","creation":"2026-04-24T03:09:42.845Z"},"accession":"S-EPMC11089413","cross_references":{"pubmed":["38741895"],"doi":["10.1093/jacamr/dlae073"]}}