Investigation of mobile genetic elements and their association with antibiotic resistance genes in clinical pathogens worldwide.

<h4>Objectives</h4>Antimicrobial-resistant bacteria are a major global health threat. Mobile genetic elements (MGEs) have been crucial for spreading resistance to new bacterial species, including human pathogens. Understanding how MGEs promote resistance could be essential for prevention...

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Main Authors: Markus H K Johansson, Thomas N Petersen, Sidsel Nag, Timmie M R Lagermann, Laura E K Birkedahl, Silva Tafaj, Susan Bradbury, Peter Collignon, Denise Daley, Victorien Dougnon, Kafayath Fabiyi, Boubacar Coulibaly, Réné Dembélé, Natama Magloire, Isidore J Ouindgueta, Zenat Z Hossain, Anowara Begoum, Deyan Donchev, Mathew Diggle, LeeAnn Turnbull, Simon Lévesque, Livia Berlinger, Kirstine K Søgaard, Paula D Guevara, Carolina Duarte, Panagiota Maikanti, Jana Amlerova, Pavel Drevinek, Jan Tkadlec, Milica Dilas, Achim Kaasch, Henrik T Westh, Mohamed A Bachtarzi, Wahiba Amhis, Carolina E S Salazar, José E Villacis, Mária A D Lúzon, Dàmaris B Palau, Claire Duployez, Maxime Paluche, Solomon Asante-Sefa, Mie Møller, Margaret Ip, Ivana Mareković, Agnes Pál-Sonnevend, Clementiza E Cocuzza, Asta Dambrauskiene, Alexandre Macanze, Anelsio Cossa, Inácio Mandomando, Philip Nwajiobi-Princewill, Iruka N Okeke, Aderemi O Kehinde, Ini Adebiyi, Ifeoluwa Akintayo, Oluwafemi Popoola, Anthony Onipede, Anita Blomfeldt, Nora E Nyquist, Kiri Bocker, James Ussher, Amjad Ali, Nimat Ullah, Habibullah Khan, Natalie W Gustafson, Ikhlas Jarrar, Arif Al-Hamad, Viravarn Luvira, Wantana Paveenkittiporn, Irmak Baran, James C L Mwansa, Linda Sikakwa, Kaunda Yamba, Frank M Aarestrup
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Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0330304
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author Markus H K Johansson
Thomas N Petersen
Sidsel Nag
Timmie M R Lagermann
Laura E K Birkedahl
Silva Tafaj
Susan Bradbury
Peter Collignon
Denise Daley
Victorien Dougnon
Kafayath Fabiyi
Boubacar Coulibaly
Réné Dembélé
Natama Magloire
Isidore J Ouindgueta
Zenat Z Hossain
Anowara Begoum
Deyan Donchev
Mathew Diggle
LeeAnn Turnbull
Simon Lévesque
Livia Berlinger
Kirstine K Søgaard
Paula D Guevara
Carolina Duarte
Panagiota Maikanti
Jana Amlerova
Pavel Drevinek
Jan Tkadlec
Milica Dilas
Achim Kaasch
Henrik T Westh
Mohamed A Bachtarzi
Wahiba Amhis
Carolina E S Salazar
José E Villacis
Mária A D Lúzon
Dàmaris B Palau
Claire Duployez
Maxime Paluche
Solomon Asante-Sefa
Mie Møller
Margaret Ip
Ivana Mareković
Agnes Pál-Sonnevend
Clementiza E Cocuzza
Asta Dambrauskiene
Alexandre Macanze
Anelsio Cossa
Inácio Mandomando
Philip Nwajiobi-Princewill
Iruka N Okeke
Aderemi O Kehinde
Ini Adebiyi
Ifeoluwa Akintayo
Oluwafemi Popoola
Anthony Onipede
Anita Blomfeldt
Nora E Nyquist
Kiri Bocker
James Ussher
Amjad Ali
Nimat Ullah
Habibullah Khan
Natalie W Gustafson
Ikhlas Jarrar
Arif Al-Hamad
Viravarn Luvira
Wantana Paveenkittiporn
Irmak Baran
James C L Mwansa
Linda Sikakwa
Kaunda Yamba
Frank M Aarestrup
author_facet Markus H K Johansson
Thomas N Petersen
Sidsel Nag
Timmie M R Lagermann
Laura E K Birkedahl
Silva Tafaj
Susan Bradbury
Peter Collignon
Denise Daley
Victorien Dougnon
Kafayath Fabiyi
Boubacar Coulibaly
Réné Dembélé
Natama Magloire
Isidore J Ouindgueta
Zenat Z Hossain
Anowara Begoum
Deyan Donchev
Mathew Diggle
LeeAnn Turnbull
Simon Lévesque
Livia Berlinger
Kirstine K Søgaard
Paula D Guevara
Carolina Duarte
Panagiota Maikanti
Jana Amlerova
Pavel Drevinek
Jan Tkadlec
Milica Dilas
Achim Kaasch
Henrik T Westh
Mohamed A Bachtarzi
Wahiba Amhis
Carolina E S Salazar
José E Villacis
Mária A D Lúzon
Dàmaris B Palau
Claire Duployez
Maxime Paluche
Solomon Asante-Sefa
Mie Møller
Margaret Ip
Ivana Mareković
Agnes Pál-Sonnevend
Clementiza E Cocuzza
Asta Dambrauskiene
Alexandre Macanze
Anelsio Cossa
Inácio Mandomando
Philip Nwajiobi-Princewill
Iruka N Okeke
Aderemi O Kehinde
Ini Adebiyi
Ifeoluwa Akintayo
Oluwafemi Popoola
Anthony Onipede
Anita Blomfeldt
Nora E Nyquist
Kiri Bocker
James Ussher
Amjad Ali
Nimat Ullah
Habibullah Khan
Natalie W Gustafson
Ikhlas Jarrar
Arif Al-Hamad
Viravarn Luvira
Wantana Paveenkittiporn
Irmak Baran
James C L Mwansa
Linda Sikakwa
Kaunda Yamba
Frank M Aarestrup
author_sort Markus H K Johansson
collection DOAJ
description <h4>Objectives</h4>Antimicrobial-resistant bacteria are a major global health threat. Mobile genetic elements (MGEs) have been crucial for spreading resistance to new bacterial species, including human pathogens. Understanding how MGEs promote resistance could be essential for prevention. Here we present an investigation of MGEs and their association with resistance genes in pathogenic bacteria collected from 59 diagnostic units during 2020, representing a snapshot of clinical infections from 35 counties worldwide.<h4>Methods</h4>We analysed 3,095 whole-genome sequenced clinical bacterial isolates from over 100 species to study the relationship between resistance genes and MGEs. The mobiliome of Staphylococcus aureus, Enterococcus faecalis, Escherichia coli, and Klebsiella pneumoniae were further examined for geographic differences, as these species were prevalent in all countries. Genes potentially mobilized by MGEs were identified by finding DNA segments containing MGEs and ARGs preserved in multiple species. Network analysis was used to investigate potential MGE interactions, host range, and transmission pathways.<h4>Results</h4>The prevalence and diversity of MGEs and resistance genes varied among species, with E. coli and S. aureus carrying more diverse elements. MGE composition differed between bacterial lineages, indicating strong vertical inheritance. 102 MGEs associated with resistance were found in multiple species, and four of these elements seemed to be highly transmissible as they were found in different phyla. We identified 21 genomic regions containing resistance genes potentially mobilized by MGEs, highlighting their importance in transmitting genes to clinically significant bacteria.<h4>Conclusion</h4>Resistance genes are spread through various MGEs, including plasmids and transposons. Our findings suggest that multiple factors influence MGE prevalence and their transposability, thereby shaping the MGE population and transmission pathways. Some MGEs have a wider host range, which could make them more important for mobilizing genes. We also identified 103 resistance genes potentially mobilised by MGEs, which could increase their transmissibility to unrelated bacteria.
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language English
publishDate 2025-01-01
publisher Public Library of Science (PLoS)
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series PLoS ONE
spelling doaj-art-a765e40aed5d444e93a42482981e1a262025-08-23T05:32:32ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01208e033030410.1371/journal.pone.0330304Investigation of mobile genetic elements and their association with antibiotic resistance genes in clinical pathogens worldwide.Markus H K JohanssonThomas N PetersenSidsel NagTimmie M R LagermannLaura E K BirkedahlSilva TafajSusan BradburyPeter CollignonDenise DaleyVictorien DougnonKafayath FabiyiBoubacar CoulibalyRéné DembéléNatama MagloireIsidore J OuindguetaZenat Z HossainAnowara BegoumDeyan DonchevMathew DiggleLeeAnn TurnbullSimon LévesqueLivia BerlingerKirstine K SøgaardPaula D GuevaraCarolina DuartePanagiota MaikantiJana AmlerovaPavel DrevinekJan TkadlecMilica DilasAchim KaaschHenrik T WesthMohamed A BachtarziWahiba AmhisCarolina E S SalazarJosé E VillacisMária A D LúzonDàmaris B PalauClaire DuployezMaxime PalucheSolomon Asante-SefaMie MøllerMargaret IpIvana MarekovićAgnes Pál-SonnevendClementiza E CocuzzaAsta DambrauskieneAlexandre MacanzeAnelsio CossaInácio MandomandoPhilip Nwajiobi-PrincewillIruka N OkekeAderemi O KehindeIni AdebiyiIfeoluwa AkintayoOluwafemi PopoolaAnthony OnipedeAnita BlomfeldtNora E NyquistKiri BockerJames UssherAmjad AliNimat UllahHabibullah KhanNatalie W GustafsonIkhlas JarrarArif Al-HamadViravarn LuviraWantana PaveenkittipornIrmak BaranJames C L MwansaLinda SikakwaKaunda YambaFrank M Aarestrup<h4>Objectives</h4>Antimicrobial-resistant bacteria are a major global health threat. Mobile genetic elements (MGEs) have been crucial for spreading resistance to new bacterial species, including human pathogens. Understanding how MGEs promote resistance could be essential for prevention. Here we present an investigation of MGEs and their association with resistance genes in pathogenic bacteria collected from 59 diagnostic units during 2020, representing a snapshot of clinical infections from 35 counties worldwide.<h4>Methods</h4>We analysed 3,095 whole-genome sequenced clinical bacterial isolates from over 100 species to study the relationship between resistance genes and MGEs. The mobiliome of Staphylococcus aureus, Enterococcus faecalis, Escherichia coli, and Klebsiella pneumoniae were further examined for geographic differences, as these species were prevalent in all countries. Genes potentially mobilized by MGEs were identified by finding DNA segments containing MGEs and ARGs preserved in multiple species. Network analysis was used to investigate potential MGE interactions, host range, and transmission pathways.<h4>Results</h4>The prevalence and diversity of MGEs and resistance genes varied among species, with E. coli and S. aureus carrying more diverse elements. MGE composition differed between bacterial lineages, indicating strong vertical inheritance. 102 MGEs associated with resistance were found in multiple species, and four of these elements seemed to be highly transmissible as they were found in different phyla. We identified 21 genomic regions containing resistance genes potentially mobilized by MGEs, highlighting their importance in transmitting genes to clinically significant bacteria.<h4>Conclusion</h4>Resistance genes are spread through various MGEs, including plasmids and transposons. Our findings suggest that multiple factors influence MGE prevalence and their transposability, thereby shaping the MGE population and transmission pathways. Some MGEs have a wider host range, which could make them more important for mobilizing genes. We also identified 103 resistance genes potentially mobilised by MGEs, which could increase their transmissibility to unrelated bacteria.https://doi.org/10.1371/journal.pone.0330304
spellingShingle Markus H K Johansson
Thomas N Petersen
Sidsel Nag
Timmie M R Lagermann
Laura E K Birkedahl
Silva Tafaj
Susan Bradbury
Peter Collignon
Denise Daley
Victorien Dougnon
Kafayath Fabiyi
Boubacar Coulibaly
Réné Dembélé
Natama Magloire
Isidore J Ouindgueta
Zenat Z Hossain
Anowara Begoum
Deyan Donchev
Mathew Diggle
LeeAnn Turnbull
Simon Lévesque
Livia Berlinger
Kirstine K Søgaard
Paula D Guevara
Carolina Duarte
Panagiota Maikanti
Jana Amlerova
Pavel Drevinek
Jan Tkadlec
Milica Dilas
Achim Kaasch
Henrik T Westh
Mohamed A Bachtarzi
Wahiba Amhis
Carolina E S Salazar
José E Villacis
Mária A D Lúzon
Dàmaris B Palau
Claire Duployez
Maxime Paluche
Solomon Asante-Sefa
Mie Møller
Margaret Ip
Ivana Mareković
Agnes Pál-Sonnevend
Clementiza E Cocuzza
Asta Dambrauskiene
Alexandre Macanze
Anelsio Cossa
Inácio Mandomando
Philip Nwajiobi-Princewill
Iruka N Okeke
Aderemi O Kehinde
Ini Adebiyi
Ifeoluwa Akintayo
Oluwafemi Popoola
Anthony Onipede
Anita Blomfeldt
Nora E Nyquist
Kiri Bocker
James Ussher
Amjad Ali
Nimat Ullah
Habibullah Khan
Natalie W Gustafson
Ikhlas Jarrar
Arif Al-Hamad
Viravarn Luvira
Wantana Paveenkittiporn
Irmak Baran
James C L Mwansa
Linda Sikakwa
Kaunda Yamba
Frank M Aarestrup
Investigation of mobile genetic elements and their association with antibiotic resistance genes in clinical pathogens worldwide.
PLoS ONE
title Investigation of mobile genetic elements and their association with antibiotic resistance genes in clinical pathogens worldwide.
title_full Investigation of mobile genetic elements and their association with antibiotic resistance genes in clinical pathogens worldwide.
title_fullStr Investigation of mobile genetic elements and their association with antibiotic resistance genes in clinical pathogens worldwide.
title_full_unstemmed Investigation of mobile genetic elements and their association with antibiotic resistance genes in clinical pathogens worldwide.
title_short Investigation of mobile genetic elements and their association with antibiotic resistance genes in clinical pathogens worldwide.
title_sort investigation of mobile genetic elements and their association with antibiotic resistance genes in clinical pathogens worldwide
url https://doi.org/10.1371/journal.pone.0330304
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