First IncHI2 Plasmid Carrying mcr-9.1 , bla VIM-1 , and Double Copies of bla KPC-3 in a Multidrug-Resistant Escherichia coli Human Isolate

Author:

Simoni Serena1,Mingoia Marina2,Brenciani Andrea2ORCID,Carelli Maria3,Lleò Maria M.3,Malerba Giovanni4,Vignaroli Carla1ORCID

Affiliation:

1. Department of Life and Environmental Sciences, Polytechnic University of Marche, Ancona, Italy

2. Department of Biomedical Sciences and Public Health, Polytechnic University of Marche, Ancona, Italy

3. Department of Diagnostics and Public Health, University of Verona, Verona, Italy

4. Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy

Abstract

We report a novel IncHI2 plasmid coharboring bla VIM-1 , two copies of bla KPC-3 and mcr-9.1 resistance genes in a human Escherichia coli of the new serogroup O188. The bla VIM-1 gene was included in a class 1 integron, mcr-9.1 in a cassette bracketed by IS 903 and ΔIS1R, and bla KPC-3 in two copies within a new composite Tn 4401 -like transposon. The emergence of carbapenem and colistin resistance genes in a single plasmid is of great concern for upcoming clinical therapies.

Funder

Fondazione Cassa di Risparmio di Verona Vicenza Belluno e Ancona

Publisher

American Society for Microbiology

Subject

Molecular Biology,Microbiology

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