Antibiotics (Feb 2024)

First Report of Colistin-Resistant <i>Escherichia coli</i> Carrying <i>mcr-1</i> IncI2(delta) and IncX4 Plasmids from Camels (<i>Camelus dromedarius</i>) in the Gulf Region

  • Akela Ghazawi,
  • Nikolaos Strepis,
  • Febin Anes,
  • Dana Yaaqeib,
  • Amal Ahmed,
  • Aysha AlHosani,
  • Mirah AlShehhi,
  • Ashrat Manzoor,
  • Ihab Habib,
  • Nisar A. Wani,
  • John P. Hays,
  • Mushtaq Khan

DOI
https://doi.org/10.3390/antibiotics13030227
Journal volume & issue
Vol. 13, no. 3
p. 227

Abstract

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Addressing the emergence of antimicrobial resistance (AMR) poses a significant challenge in veterinary and public health. In this study, we focused on determining the presence, phenotypic background, and genetic epidemiology of plasmid-mediated colistin resistance (mcr) in Escherichia coli bacteria isolated from camels farmed in the United Arab Emirates (UAE). Fecal samples were collected from 50 camels at a Dubai-based farm in the UAE and colistin-resistant Gram-negative bacilli were isolated using selective culture. Subsequently, a multiplex PCR targeting a range of mcr-genes, plasmid profiling, and whole-genome sequencing (WGS) were conducted. Eleven of fifty camel fecal samples (22%) yielded colonies positive for E. coli isolates carrying the mcr-1 gene on mobile genetic elements. No other mcr-gene variants and no chromosomally located colistin resistance genes were detected. Following plasmid profiling and WGS, nine E. coli isolates from eight camels were selected for in-depth analysis. E. coli sequence types (STs) identified included ST7, ST21, ST24, ST399, ST649, ST999, and STdaa2. Seven IncI2(delta) and two IncX4 plasmids were found to be associated with mcr-1 carriage in these isolates. These findings represent the first identification of mcr-1-carrying plasmids associated with camels in the Gulf region. The presence of mcr-1 in camels from this region was previously unreported and serves as a novel finding in the field of AMR surveillance.

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