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Title: The success of particular Acinetobacter baumannii clones: accumulating resistance and virulence inside a sugary shield

Abstract

Abstract Background In Portugal, carbapenem-resistant Acinetobacter baumannii (CRAB) has been associated with ST98, ST103 and ST208 (Oxford Scheme, Oxf) and a clone has usually been associated with a particular period of time. These clonal shifts were primarily explained by an increased antimicrobial resistance profile. Here we explore genomic and biochemical differences among these and more recent clones, which could further explain the diversity and evolution of this species. Methods A total of 116 CRAB isolates (2010–15), together with representatives of a previously described CRAB collection (4 isolates, 2001–06) were characterized by attenuated total reflection Fourier transform infrared spectroscopy (FTIR-ATR) and MLST. Representatives of different FTIR-ATR/MLST clusters were selected for WGS (n = 13), which allowed the in silico extraction of resistance and virulence genes, capsule locus and SNP analysis. Results A. baumannii clonal shifts of OXA-58-producing ST103Oxf (2001–04), OXA-40-producing ST98Oxf (2002–06), OXA-23-producing ST208Oxf (2006–10) and OXA-23-producing ST218Oxf (2010–15) were accompanied by an increase in AMR genes and virulence factors. FTIR-ATR clustering was congruent with sugar composition predicted from the capsular locus: a fucosamine cluster comprising ST98Oxf, ST103Oxf and a single ST218Oxf isolate; a pseudaminic acid cluster of ST208Oxf and ST1557Oxf isolates; and legionaminic acid, resembling the sialic acid from mammalian cells, inmore » a cluster comprising ST218Oxf isolates. The whole-genome phylogenetic tree was congruent with MLST, with isolates presenting 5–28 938 SNPs. ST208Oxf and ST218Oxf presented ∼1900 SNPs while ST103Oxf and ST1557Oxf showed a greater number of SNPs (∼28 000). Conclusions Clonal shifts of CRAB were promoted, in our country, by consecutive virulence and AMR gene pool enlargement, together with features increasing pathogen–host adaptation. Worldwide dominance of ST218Oxf is supported by the combination of high AMR and virulence levels.« less

Authors:
 [1];  [2];  [2];  [2];  [3];  [2]
  1. UCIBIO/REQUIMTE, Laboratório de Microbiologia, Faculdade de Farmácia, Universidade do Porto, Porto, Portugal, ESALD, Instituto Politécnico de Castelo Branco, Castelo Branco, Portugal
  2. UCIBIO/REQUIMTE, Laboratório de Microbiologia, Faculdade de Farmácia, Universidade do Porto, Porto, Portugal
  3. Hospital Geral de Santo António (HGSA), Porto, Portugal
Publication Date:
Sponsoring Org.:
USDOE Office of Nuclear Energy (NE), Nuclear Fuel Cycle and Supply Chain
OSTI Identifier:
1761230
Grant/Contract Number:  
SFRH/BD/88028/2012; SFRH/BD/132497/2017; DL57/2016/CP1346/CT0034
Resource Type:
Published Article
Journal Name:
Journal of Antimicrobial Chemotherapy
Additional Journal Information:
Journal Name: Journal of Antimicrobial Chemotherapy Journal Volume: 76 Journal Issue: 2; Journal ID: ISSN 0305-7453
Publisher:
Oxford University Press
Country of Publication:
United Kingdom
Language:
English

Citation Formats

Silva, Liliana, Grosso, Filipa, Rodrigues, Carla, Ksiezarek, Magdalena, Ramos, Helena, and Peixe, Luísa. The success of particular Acinetobacter baumannii clones: accumulating resistance and virulence inside a sugary shield. United Kingdom: N. p., 2020. Web. doi:10.1093/jac/dkaa453.
Silva, Liliana, Grosso, Filipa, Rodrigues, Carla, Ksiezarek, Magdalena, Ramos, Helena, & Peixe, Luísa. The success of particular Acinetobacter baumannii clones: accumulating resistance and virulence inside a sugary shield. United Kingdom. https://doi.org/10.1093/jac/dkaa453
Silva, Liliana, Grosso, Filipa, Rodrigues, Carla, Ksiezarek, Magdalena, Ramos, Helena, and Peixe, Luísa. Thu . "The success of particular Acinetobacter baumannii clones: accumulating resistance and virulence inside a sugary shield". United Kingdom. https://doi.org/10.1093/jac/dkaa453.
@article{osti_1761230,
title = {The success of particular Acinetobacter baumannii clones: accumulating resistance and virulence inside a sugary shield},
author = {Silva, Liliana and Grosso, Filipa and Rodrigues, Carla and Ksiezarek, Magdalena and Ramos, Helena and Peixe, Luísa},
abstractNote = {Abstract Background In Portugal, carbapenem-resistant Acinetobacter baumannii (CRAB) has been associated with ST98, ST103 and ST208 (Oxford Scheme, Oxf) and a clone has usually been associated with a particular period of time. These clonal shifts were primarily explained by an increased antimicrobial resistance profile. Here we explore genomic and biochemical differences among these and more recent clones, which could further explain the diversity and evolution of this species. Methods A total of 116 CRAB isolates (2010–15), together with representatives of a previously described CRAB collection (4 isolates, 2001–06) were characterized by attenuated total reflection Fourier transform infrared spectroscopy (FTIR-ATR) and MLST. Representatives of different FTIR-ATR/MLST clusters were selected for WGS (n = 13), which allowed the in silico extraction of resistance and virulence genes, capsule locus and SNP analysis. Results A. baumannii clonal shifts of OXA-58-producing ST103Oxf (2001–04), OXA-40-producing ST98Oxf (2002–06), OXA-23-producing ST208Oxf (2006–10) and OXA-23-producing ST218Oxf (2010–15) were accompanied by an increase in AMR genes and virulence factors. FTIR-ATR clustering was congruent with sugar composition predicted from the capsular locus: a fucosamine cluster comprising ST98Oxf, ST103Oxf and a single ST218Oxf isolate; a pseudaminic acid cluster of ST208Oxf and ST1557Oxf isolates; and legionaminic acid, resembling the sialic acid from mammalian cells, in a cluster comprising ST218Oxf isolates. The whole-genome phylogenetic tree was congruent with MLST, with isolates presenting 5–28 938 SNPs. ST208Oxf and ST218Oxf presented ∼1900 SNPs while ST103Oxf and ST1557Oxf showed a greater number of SNPs (∼28 000). Conclusions Clonal shifts of CRAB were promoted, in our country, by consecutive virulence and AMR gene pool enlargement, together with features increasing pathogen–host adaptation. Worldwide dominance of ST218Oxf is supported by the combination of high AMR and virulence levels.},
doi = {10.1093/jac/dkaa453},
journal = {Journal of Antimicrobial Chemotherapy},
number = 2,
volume = 76,
place = {United Kingdom},
year = {Thu Nov 05 00:00:00 EST 2020},
month = {Thu Nov 05 00:00:00 EST 2020}
}

Journal Article:
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https://doi.org/10.1093/jac/dkaa453

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