Emergence of extensive multidrug-resistant Staphylococcus aureus carrying novel Sa-MRRlsa(E) in retail food

• Published in: Journal of global antimicrobial resistance. Vol. 30; pp. 205 - 213
• Main Authors: Wu, Shi, Huang, Jiahui, Zhang, Feng, Zhang, Jumei, Yang, Runshi, Pang, Rui, Dai, Jingsha, Rong, Dongli, Zhao, Miao, Wang, Juan, Ding, Yu, Chen, Moutong, Wu, Qingping
• Format: Journal Article
• Language: English
• Published: Elsevier Ltd 01.09.2022; Elsevier
• Subjects: lsa(E); multidrug-resistant; Sa-MRRlsa(E); Staphylococcus aureus; Tn1546; Sa-MRRlsa(E); Tn1546; Staphylococcus aureus; lsa(E); multidrug-resistant
• ISSN: 2213-7165; 2213-7173
• DOI: 10.1016/j.jgar.2022.06.011

•The lsa(E)-positive Staphylococcus aureus strains in food exhibited severe antibiotic resistance.•The lsa(E) genes were located on two different types of Sa-MRRlsa(E) including a novel Sa-MRRlsa(E)-II in ST1 S. aureus.•Sa-MRRlsa(E) were inserted into lctP and crtP genes. The aim of this study was to investigate the prevalence and genetic environment of the multidrug resistance gene lsa(E) in food-related Staphyloccocus aureus in China. 1463 S. aureus from retail food products in 39 Chinese cities were investigated to determine the prevalence of lsa(E). Furthermore, antimicrobial susceptibility testing, whole-genome sequencing (WGS), and complete genetic analysis were performed in lsa(E)-positive isolates. Thirty-five isolates (2.4%) were positive for the lsa(E) gene, which had an extensive multidrug-resistance phenotype. ST9-t899 and ST1-t4792 were the common sequence types in positive strains. The lsa(E) genes were located in two different types of novel multidrug resistance region (MRRlsa[E]) on the chromosome. The Sa-MRRlsa(E)-I were inserted into the lctP gene. The Sa-MRRlsa(E)-II were inserted into the crtP gene, and were comprised of seven antibiotic resistance genes (ARGs) interspersed with varieties of insertion sequences (ISs), transposons, and DNA invertase genes, showing a novel arrangement harboring lsa(E). Part of transposon Tn1546 was inserted downstream of lnu(B) in the novel Sa-MRRlsa(E)-II. Both types of Sa-MRRlsa(E) could be excised from the chromosome, indicating that Sa-MRRlsa(E) may be transferable. Our study is the first systematical investigation of lsa(E)-positive S. aureus in retail foods in China. It indicated that the origin of most food-related lsa(E)-positive S. aureus in China might be associated with livestock or poultry breeding farms, and these strains may be transmitted between animals and food. S. aureus carrying novel Sa-MRRlsa(E), especially, serve as reservoirs of antibiotic resistance traits, and warrant further attention. [Display omitted]