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Draft genome sequence of blaVeb-1, blaoxa-10producing multi-drug resistant (MDR) Pseudomonas aeruginosastrain VRFPA09 recovered from bloodstream infection

Abstract

Pseudomonas aeruginosa (P. aeruginosa) bacteremia causes significant mortality rate due to emergence of multidrug resistant (MDR) nosocomial infections. We report the draft genome sequence of P. aeruginosa strain VRFPA09, a human bloodstream isolate, phenotypically proven as MDR strain. Whole genome sequencing on VRFPA09, deciphered betalactamase encoding blaveb-1 and blaOXA-10genes and multiple drug resistance, virulence factor encoding genes.

Pseudomonas aeruginosa ; extended spectrum betalactamases; next generation sequencing; blood


Introduction

Bloodstream infections caused by Pseudomonas aeruginosa are serious infections with significant patient mortality and health-care costs (Micek et al., 2005Micek ST, Lloyd AE, Ritchie DJ et al. (2005) Pseudomonas aeruginosa bloodstream infection: importance of appropriate initial antimicrobial treatment. Antimicrob Agents Chemother 49:1306–1311.). The mortality rates for patients with Multi-drug-resistant (MDR) is 34% and drug susceptible P. aeruginosa is 22%. The high mortality and morbidity due to infections associated with P.aeruginosa drug resistance urges increased resource utilization leading to increased cost and time (Nathwani et al., 2014Nathwani D, Raman G, Sulham K et al. (2014) Clinical and economic consequences of hospital-acquired resistant and multidrug-resistant Pseudomonas aeruginosa infections: a systematic review and meta-analysis. Antimicrob Resist Infect Control 3:32.).Emergence of acquired resistance during anti-pseudomonal therapy among initially susceptible isolates accomplished to life threatening infectious disease with limited or no further treatment option (Micek et al., 2005Micek ST, Lloyd AE, Ritchie DJ et al. (2005) Pseudomonas aeruginosa bloodstream infection: importance of appropriate initial antimicrobial treatment. Antimicrob Agents Chemother 49:1306–1311.).

Herein, we announce the draft genome sequence of MDR P. aeruginosaVRFPA09 strain isolated from human blood specimen at L & T Microbiology Research Centre, Vision Research Foundation, Sankara Nethralaya, Chennai, India. Phenotypically, VRFPA09 showed resistance to more than one agent in three or more antibiotic groups such as penicillins, cephalosporins, aminoglycosides and fluoroquinolones. Admitting, VRFPA09 susceptible to imipenem drug but it showed resistance to almost all the commonly used drugs including meropenem and tested positive for Extended spectrum Beta lactamases (ESBLs) production by CLSI method (Jiang et al., 2006Jiang X, Zhang Z, Li M et al. (2006) Detection of extended-spectrum β-lactamases in clinical isolates of Pseudomonas aeruginosa. Antimicrob Agents Chemother 50:2990–2995.).

In this context, we have selected VRFPA09 isolate for whole genome sequencing based genomic analysis owing to multi drug resistance, virulence factors, intrinsic and extrinsic genomic factors involved in VRFPA09 genome. Ion Torrent (PGM) sequencer with 400-bp read chemistry (Life Technologies) was used to sequence the isolate, according to manufacturer’s instructions. Genomic DNA from VRFPA09 was isolated from overnight cultures with DNeasy miniprep kit (Qiagen, Hilden, Germany). Initial identification and confirmation of the monoclonality of the strain VRFPA09 was verified through 16s ribosomal RNA gene based Sanger sequencing. The NGS sequencing protocol has been followed as mentioned in our previous study (Malathi et al., 2013Malathi J, Murugan N, Umashankar V et al. (2013) Draft genome sequence of multidrug-resistant Pseudomonas aeruginosa strain VRFPA02, isolated from a septicemic patient in India. Genome Announc 1:e00425–13.; Murugan et al., 2014Murugan N, Malathi J, Umashankar V et al. (2014) Comparative genomic analysis of multidrug-resistant Pseudomonas aeruginosa clinical isolates VRFPA06 and VRFPA08 with VRFPA07. Genome Announc 2:e00140–14.). The generated data with phred score ≤ 30 was filtered and the raw data was assembled by both de novo and reference based method using both Mira v. 3.4.1.1 embedded in Torrent suite server version 4.0.12 and CLC Genomics Workbench software version 6.5 (CLC bio, Germantown, MD) against reference strain P. aeruginosa VRFPA04 (NCBI Accession no: CP008739.1). Upon assembling the raw reads, 80 contigs with 75× coverage was obtained with N50 value as 6,165,520. The assembled contigs were published in the NCBI under the accession no JAAO00000000.1. The genes were annotated by NCBI Prokaryotic Genomes Automatic Annotation Pipeline (PGAAP, http://www.ncbi.nlm.nih.gov/genomes/static/Pipeline.html). The genomic features of VRFPA09 included genome size of 6,711,239 bp (6.7MB) containing 6,568 coding sequences with 6,014 proteins and a total of 65 RNA genes including 56 tRNA, 6 rRNA and 1 non-coding RNA.

Genomic analysis carried out using Web server ResFinder (Zankari et al., 2012Zankari E, Hasman H, Cosentino S et al. (2012) Identification of acquired antimicrobial resistance genes. J Antimicrob Chemother 67:2640–2644.) and manual examination detected the following resistance genes aadA1, aph(3′)Iib (aminoglycoside), Sul1 (sulfonamide), CatB7 (chloramphenicol), TetG (tetracycline), dfrB5 ( Trimethoprim) and fosA (fosfomycin) in VRFPA09 genome. In addition, a novel integron designated as In1147 comprised of blaVeb-1, blaOXA-10, dfrB2, aacA7, aadA1genes in array of gene cassettes which confers broad spectrum resistance to third generation cephalosporins, aminoglycosides and meropenem drug was detected (Yin et al., 2008Yin XL, Hou TW, Xu SB et al. (2008) Detection of drug resistance-associated genes of multidrug-resistant Acinetobacter baumannii. Microb Drug Resist 14:145–150.). Analysis using Blast revealed the presence of Type 3 Secretion system (T3SS) cytotoxin encoding exoenzyme U gene (Gawish et al., 2013Gawish AA, Mohammed NA, El-Shennawy GA et al.(2013) An investigation of type 3 secretion toxins encoding-genes of Pseudomonas aeruginosa isolates in a University Hospital in Egypt. Journal of Microbiology & Infectious Diseases 3:116–122.). However, further study on VRFPA09 genome is required for detecting multifactorial resistance genes and its molecular mechanism of resistance.

Acknowledgments

We thank the Indian Council of Medical Research (ICMR), the funding agency, for having financially supported the research work (project code AMR/10/2011-ECD-I).

References

  • Gawish AA, Mohammed NA, El-Shennawy GA et al.(2013) An investigation of type 3 secretion toxins encoding-genes of Pseudomonas aeruginosa isolates in a University Hospital in Egypt. Journal of Microbiology & Infectious Diseases 3:116–122.
  • Jiang X, Zhang Z, Li M et al. (2006) Detection of extended-spectrum β-lactamases in clinical isolates of Pseudomonas aeruginosa Antimicrob Agents Chemother 50:2990–2995.
  • Malathi J, Murugan N, Umashankar V et al. (2013) Draft genome sequence of multidrug-resistant Pseudomonas aeruginosa strain VRFPA02, isolated from a septicemic patient in India. Genome Announc 1:e00425–13.
  • Micek ST, Lloyd AE, Ritchie DJ et al. (2005) Pseudomonas aeruginosa bloodstream infection: importance of appropriate initial antimicrobial treatment. Antimicrob Agents Chemother 49:1306–1311.
  • Murugan N, Malathi J, Umashankar V et al. (2014) Comparative genomic analysis of multidrug-resistant Pseudomonas aeruginosa clinical isolates VRFPA06 and VRFPA08 with VRFPA07. Genome Announc 2:e00140–14.
  • Nathwani D, Raman G, Sulham K et al. (2014) Clinical and economic consequences of hospital-acquired resistant and multidrug-resistant Pseudomonas aeruginosa infections: a systematic review and meta-analysis. Antimicrob Resist Infect Control 3:32.
  • Yin XL, Hou TW, Xu SB et al. (2008) Detection of drug resistance-associated genes of multidrug-resistant Acinetobacter baumannii Microb Drug Resist 14:145–150.
  • Zankari E, Hasman H, Cosentino S et al. (2012) Identification of acquired antimicrobial resistance genes. J Antimicrob Chemother 67:2640–2644.

Publication Dates

  • Publication in this collection
    Jul-Sep 2015

History

  • Received
    17 Feb 2015
  • Accepted
    19 May 2015
Sociedade Brasileira de Microbiologia USP - ICB III - Dep. de Microbiologia, Sociedade Brasileira de Microbiologia, Av. Prof. Lineu Prestes, 2415, Cidade Universitária, 05508-900 São Paulo, SP - Brasil, Ramal USP 7979, Tel. / Fax: (55 11) 3813-9647 ou 3037-7095 - São Paulo - SP - Brazil
E-mail: bjm@sbmicrobiologia.org.br