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High Genomic Diversity and Heterogenous Origins of Pathogenic and Antibiotic-Resistant Escherichia coli in Household Settings Represent a Challenge to Reducing Transmission in Low-Income Settings

机译:家庭环境中病原和抗生素抗性大肠杆菌的高基因组多样性和异因起源代表了减少低收入环境中传输的挑战

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Escherichia coli is present in multiple hosts and environmental compartments as a normal inhabitant, temporary or persistent colonizer, and as a pathogen. Transmission of E. coli between hosts and with the environment is considered to occur more often in areas with poor sanitation. We performed whole-genome comparative analyses on 60 E. coli isolates from soils and fecal sources (cattle, chickens, and humans) in households in rural Bangladesh. Isolates from household soils were in multiple branches of the reconstructed phylogeny, intermixed with isolates from fecal sources. Pairwise differences between all strain pairs were large (minimum, 189 single nucleotide polymorphisms [SNPs]), suggesting high diversity and heterogeneous origins of the isolates. The presence of multiple virulence and antibiotic resistance genes is indicative of the risk that E. coli from soil and feces represent for the transmission of variants that pose potential harm to people. Analysis of the accessory genomes of the Bangladeshi E. coli relative to E. coli genomes available in NCBI identified a common pool of accessory genes shared among E. coli isolates in this geographic area. Together, these findings indicate that in rural Bangladesh, a high level of E. coli in soil is likely driven by contributions from multiple and diverse E. coli sources (human and animal) that share an accessory gene pool relatively unique to previously published E. coli genomes. Thus, interventions to reduce environmental pathogen or antimicrobial resistance transmission should adopt integrated One Health approaches that consider heterogeneous origins and high diversity to improve effectiveness and reduce prevalence and transmission. IMPORTANCE Escherichia coli is reported in high levels in household soil in low-income settings. When E. coli reaches a soil environment, different mechanisms, including survival, clonal expansion, and genetic exchange, have the potential to either maintain or generate E. coli variants with capabilities of causing harm to people. In this study, we used whole-genome sequencing to identify that E. coli isolates collected from rural Bangladeshi household soils, including pathogenic and antibiotic-resistant variants, are diverse and likely originated from multiple diverse sources. In addition, we observed specialization of the accessory genome of this Bangladeshi E. coli compared to E. coli genomes available in current sequence databases. Thus, to address the high level of pathogenic and antibiotic-resistant E. coli transmission in low-income settings, interventions should focus on addressing the heterogeneous origins and high diversity.
机译:大肠杆菌存在于多个宿主和环境隔间中,作为正常居民,临时或持续的殖民机,作为病原体。在宿主和环境之间的传输在宿主和环境之间传输,在卫生差的地区更频繁地发生。我们在孟加拉国农村农村的土壤和粪便源(牛,鸡和人)的60大肠杆菌中进行了全基因组比较分析。来自家庭土壤的分离物是重建的系统发生的多个分支,与来自粪便源的分离物混合。所有应变对之间的成对差异大(最小,189个单核苷酸多态性[SNP]),表明分离物的高多样性和异质起源。存在多种毒力和抗生素抗性基因的存在表明,来自土壤和粪便的大肠杆菌的风险代表了对人们造成潜在伤害的变体的传播。孟加拉国大肠杆菌相对于NCBI可获得的大肠杆菌基因组的辅助基因组的分析鉴定了该地理区域中大肠杆菌分离株中共用的公共辅助基因池。这些研究结果表明,在孟加拉国农村,土壤中的高水平大肠杆菌可能受到与先前公开的辅助基因库的多种和多样化的大肠杆菌来源(人和动物)的贡献驱动。大肠杆菌基因组。因此,减少环境病原体或抗微生物抗性传播的干预应采用集成的一种健康方法,以考虑异质起源和高多样性,以提高效果和减少流行和传播。重要性大肠杆菌在低收入环境中的家庭土壤中报告了高水平。当大肠杆菌达到土壤环境时,不同的机制,包括生存,克隆扩张和遗传交换,具有维持或生成大肠杆菌变体,其具有对人们造成伤害的能力。在这项研究中,我们使用全基因组测序来确定从孟加拉国农村家庭土壤中收集的大肠杆菌分离物,包括致病性和抗生素抗性变种,是多种多样的源。此外,与当前序列数据库中可用的大肠杆菌基因组相比,我们观察到该孟加拉国大肠杆菌的辅助基因组的专业化。因此,为了应对低收入环境中的高水平致病和抗生素的大肠杆菌传播,干预应该专注于解决异质起源和高多样性。

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