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      Whole Genome Sequencing Differentiates Presumptive Extended Spectrum Beta-Lactamase Producing Escherichia coli along Segments of the One Health Continuum

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          Abstract

          Antimicrobial resistance (AMR) has important implications for the continued use of antibiotics to control infectious diseases in both beef cattle and humans. AMR along the One Health continuum of the beef production system is largely unknown. Here, whole genomes of presumptive extended-spectrum β-lactamase E. coli (ESBL-EC) from cattle feces ( n = 40), feedlot catch basins ( n = 42), surrounding streams ( n = 21), a beef processing plant ( n = 4), municipal sewage ( n = 30), and clinical patients ( n = 25) are described. ESBL-EC were isolated from ceftriaxone selective plates and subcultured on ampicillin selective plates. Agreement of genotype-phenotype prediction of AMR ranged from 93.2% for ampicillin to 100% for neomycin, trimethoprim/sulfamethoxazole, and enrofloxacin resistance. Overall, β-lactam (100%; bla EC, bla TEM-1, bla SHV, bla OXA, bla CTX-M- ), tetracycline (90.1%; tet(A), tet(B)) and folate synthesis ( sul2) antimicrobial resistance genes (ARGs) were most prevalent. The ARGs tet(C), tet(M), tet(32), bla CTX-M-1, bla CTX-M-14 , bla OXA-1, dfrA18, dfrA19, catB3 , and catB4 were exclusive to human sources, while bla TEM-150 , bla SHV-11–12 , dfrA12, cmlA1, and cmlA5 were exclusive to beef cattle sources. Frequently encountered virulence factors across all sources included adhesion and type II and III secretion systems, while IncFIB(AP001918) and IncFII plasmids were also common. Specificity and prevalence of ARGs between cattle-sourced and human-sourced presumptive ESBL-EC likely reflect differences in antimicrobial use in cattle and humans. Comparative genomics revealed phylogenetically distinct clusters for isolates from human vs. cattle sources, implying that human infections caused by ESBL-EC in this region might not originate from beef production sources.

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          Mobile Genetic Elements Associated with Antimicrobial Resistance

          SUMMARY Strains of bacteria resistant to antibiotics, particularly those that are multiresistant, are an increasing major health care problem around the world. It is now abundantly clear that both Gram-negative and Gram-positive bacteria are able to meet the evolutionary challenge of combating antimicrobial chemotherapy, often by acquiring preexisting resistance determinants from the bacterial gene pool. This is achieved through the concerted activities of mobile genetic elements able to move within or between DNA molecules, which include insertion sequences, transposons, and gene cassettes/integrons, and those that are able to transfer between bacterial cells, such as plasmids and integrative conjugative elements. Together these elements play a central role in facilitating horizontal genetic exchange and therefore promote the acquisition and spread of resistance genes. This review aims to outline the characteristics of the major types of mobile genetic elements involved in acquisition and spread of antibiotic resistance in both Gram-negative and Gram-positive bacteria, focusing on the so-called ESKAPEE group of organisms ( Enterococcus faecium , Staphylococcus aureus , Klebsiella pneumoniae , Acinetobacter baumannii , Pseudomonas aeruginosa , Enterobacter spp., and Escherichia coli ), which have become the most problematic hospital pathogens.
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            Resistance plasmid families in Enterobacteriaceae.

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              Antibiotic resistance in the environment: a link to the clinic?

              The emergence of resistance to all classes of antibiotics in previously susceptible bacterial pathogens is a major challenge to infectious disease medicine. The origin of the genes associated with resistance has long been a mystery. There is a growing body of evidence that is demonstrating that environmental microbes are highly drug resistant. The genes that make up this environmental resistome have the potential to be transferred to pathogens and indeed there is some evidence that at least some clinically relevant resistance genes have originated in environmental microbes. Understanding the extent of the environmental resistome and its mobilization into pathogenic bacteria is essential for the management and discovery of antibiotics. Copyright © 2010 Elsevier Ltd. All rights reserved.
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                Author and article information

                Journal
                Microorganisms
                Microorganisms
                microorganisms
                Microorganisms
                MDPI
                2076-2607
                22 March 2020
                March 2020
                : 8
                : 3
                : 448
                Affiliations
                [1 ]Department of Food and Human Nutritional Sciences, University of Manitoba, Winnipeg, MB R3T 2N2, Canada; adatore@ 123456myumanitoba.ca (E.H.A.); Claudia.NarvaezBravo@ 123456umanitoba.ca (C.N.-B.)
                [2 ]National Microbiology Laboratory, Winnipeg, MB R3E 3R2, Canada; matthew.walker@ 123456canada.ca (M.W.); celine.nadon@ 123456canada.ca (C.A.N.)
                [3 ]Lethbridge Research and Development Centre, Lethbridge, AB T1J 4B1, Canada; rahat.zaheer@ 123456canada.ca
                [4 ]Canadian Food Inspection Agency, National Center for Animal Disease, Lethbridge Laboratory, Lethbridge, AB T1J 3Z4, Canada; noriko.goji@ 123456canada.ca (N.G.); kingsley.amoako@ 123456canada.ca (K.A.)
                [5 ]Alberta Agriculture and Forestry, Lethbridge, AB T1J 4V6, Canada; Shaun.Cook@ 123456gov.ab.ca (S.R.C.); lisa.tymensen@ 123456gov.ab.ca (L.T.)
                [6 ]Feedlot Health Management Services Ltd., Okotoks, AB T1S 2A2, Canada; sherryh@ 123456feedlothealth.com (S.J.H.); Deirdre.Church@ 123456albertapubliclabs.ca (D.C.); calvinb@ 123456feedlothealth.com (C.W.B.)
                [7 ]Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4N1 Canada; Ron.Read@ 123456albertahealthservices.ca
                Author notes
                Author information
                https://orcid.org/0000-0003-3307-4666
                https://orcid.org/0000-0001-7824-5065
                https://orcid.org/0000-0002-8266-6513
                Article
                microorganisms-08-00448
                10.3390/microorganisms8030448
                7143971
                32235751
                66e3aa53-1654-48c5-b572-814bcb7cc181
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 04 March 2020
                : 19 March 2020
                Categories
                Article

                one health,extended spectrum beta-lactamase producing e. coli,antimicrobial resistance,whole genome sequencing,comparative genomics

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