Characterisation of mobile colistin resistance genes (mcr‑3 and mcr‑5) in river and storm water in regions of the Western Cape of South Africa

dc.contributor.authorSnyman, Yolandien_ZA
dc.contributor.authorWhitelaw, Andrew C.en_ZA
dc.contributor.authorBarnes, Jo M.en_ZA
dc.contributor.authorMaloba, Motlatji R. B.en_ZA
dc.contributor.authorNewton‑Foot, Maeen_ZA
dc.date.accessioned2021-08-19T10:10:43Z
dc.date.available2021-08-19T10:10:43Z
dc.date.issued2021
dc.descriptionCITATION: Snyman, Y., et al. 2021. Characterisation of mobile colistin resistance genes (mcr‑3 and mcr‑5) in river and storm water in regions of the Western Cape of South Africa. Antimicrobial Resistance and Infection Control, 10:96, doi:10.1186/s13756-021-00963-2.
dc.descriptionThe original publication is available at https://aricjournal.biomedcentral.com
dc.descriptionPublication of this article was funded by the Stellenbosch University Open Access Fund
dc.description.abstractBackground: Colistin is regarded as a last-resort antimicrobial against multi-drug resistant Gram-negative bacteria (GNB), therefore the dissemination of colistin resistance in the environment is of great concern. Horizontal transfer of mobile colistin resistance (mcr) genes to potential pathogens poses a serious problem. This study aimed to describe the presence of colistin resistant GNB and mcr genes in river and storm water in regions of the Western Cape. Methods: Water samples were collected from three rivers during May 2019 and January 2020 and two storm water samples were collected in November 2019. Colistin resistant GNB were cultured on MacConkey agar containing colistin and identified by MALDI-TOF. Colistin resistance was confirmed using broth microdilution (BMD). mcr-1-5 genes were detected by PCR performed directly on the water samples and on the colistin resistant isolates. mcr functionality was assessed by BMD after cloning the mcr genes into pET-48b(+) and expression in SHuffle T7 E. coli. Results: mcr-5.1 and various mcr-3 gene variants were detected in the Plankenburg-, Eerste- and Berg rivers and in storm water from Muizenberg, and only mcr-5.1 was detected in storm water from Fish Hoek. Colistin resistant GNB were isolated from all of the water sources. Aeromonas spp. were the most common colistin resistant organisms detected in the water sources; 25% (6/24) of colistin resistant Aeromonas spp. isolated from the Berg river contained novel mcr-3 variants; mcr-3.33 (n = 1), mcr-3.34 (n = 1) mcr-3.35 (n = 1) mcr-3.36 (n = 2) and mcr-3.37 (n = 1), which were confirmed to confer colistin resistance. Conclusions: The mcr-5.1 and mcr-3 colistin resistance gene variants were present in widely dispersed water sources in regions of the Western Cape. The mcr genes were only detected in water sampled downstream of and alongside communities, suggesting that their presence is driven by human influence/contamination. This is the first documentation of mcr-3 and mcr-5 gene variants in any setting in South Africa. Spill-over of these genes to communities could result in horizontal gene transfer to pathogenic bacteria, exacerbating the challenge of controlling multidrug resistant GNB infections.en_ZA
dc.description.urihttps://aricjournal.biomedcentral.com/articles/10.1186/s13756-021-00963-2
dc.description.versionPublisher's version
dc.format.extent9 pages
dc.identifier.citationSnyman, Y., et al. 2021. Characterisation of mobile colistin resistance genes (mcr‑3 and mcr‑5) in river and storm water in regions of the Western Cape of South Africa. Antimicrobial Resistance and Infection Control, 10:96, doi:10.1186/s13756-021-00963-2
dc.identifier.issn2047-2994 (online)
dc.identifier.otherdoi:10.1186/s13756-021-00963-2
dc.identifier.urihttp://hdl.handle.net/10019.1/110888
dc.language.isoen_ZAen_ZA
dc.publisherBMC (part of Springer Nature)
dc.rights.holderAuthors retain copyright
dc.subjectRiver wateren_ZA
dc.subjectStorm wateren_ZA
dc.subjectAntimicrobial drugsen_ZA
dc.subjectColistinen_ZA
dc.subjectGram-negative bacteriaen_ZA
dc.subjectmcr genesen_ZA
dc.subjectPathogenic bacteriaen_ZA
dc.titleCharacterisation of mobile colistin resistance genes (mcr‑3 and mcr‑5) in river and storm water in regions of the Western Cape of South Africaen_ZA
dc.typeArticleen_ZA
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