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Sacramento AG, Fuga B, Fontana H, Cardoso B, Esposito F, Vivas R, Malta JAO, Sellera FP, Lincopan N. Successful expansion of hospital-associated clone of vanA-positive vancomycin-resistant Enterococcus faecalis ST9 to an anthropogenically polluted mangrove in Brazil. MARINE POLLUTION BULLETIN 2024; 198:115844. [PMID: 38056291 DOI: 10.1016/j.marpolbul.2023.115844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/23/2023] [Revised: 11/21/2023] [Accepted: 11/23/2023] [Indexed: 12/08/2023]
Abstract
Mangrove ecosystems are hotspots of biodiversity, but have been threatened by anthropogenic activities. Vancomycin-resistant enterococci (VRE) are nosocomial bacteria classified as high priority by the World Health Organization (WHO). Herein, we describe the identification and genomic characteristics of a vancomycin-resistant Enterococcus faecalis strain isolated from a highly impacted mangrove ecosystem of the northeastern Brazilian, in 2021. Genomic analysis confirmed the existence of the transposon Tn1546-vanA and clinically relevant antimicrobial resistance genes, such as streptogramins, tetracycline, phenicols, and fluoroquinolones. Virulome analysis identified several genes associated to adherence, immune modulation, biofilm, and exoenzymes production. The UFSEfl strain was assigned to sequence type (ST9), whereas phylogenomic analysis with publicly available genomes from a worldwide confirmed clonal relatedness with a hospital-associated Brazilian clone. Our findings highlight the successful expansion of hospital-associated VRE in a mangrove area and shed light on the need for strengthening genomic surveillance of WHO priority pathogens in these vital ecosystems.
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Affiliation(s)
- Andrey G Sacramento
- Department of Microbiology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil.
| | - Bruna Fuga
- Department of Microbiology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil; Department of Clinical Analysis, School of Pharmacy, University of São Paulo, São Paulo, Brazil
| | - Herrison Fontana
- Department of Clinical Analysis, School of Pharmacy, University of São Paulo, São Paulo, Brazil
| | - Brenda Cardoso
- Department of Microbiology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil
| | - Fernanda Esposito
- Department of Clinical Analysis, School of Pharmacy, University of São Paulo, São Paulo, Brazil
| | - Roberto Vivas
- Microbiology Laboratory, Sergipe Urgent Care Hospital (HUSE), Aracaju, Brazil
| | - Judson A O Malta
- Postgraduate Program in Development and Environment (PRODEMA), Federal University of Sergipe, São Cristóvão, Brazil
| | - Fábio P Sellera
- School of Veterinary Medicine, Metropolitan University of Santos, Santos, Brazil; Department of Internal Medicine, School of Veterinary Medicine and Animal Science, University of São Paulo, São Paulo, Brazil
| | - Nilton Lincopan
- Department of Microbiology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil; Department of Clinical Analysis, School of Pharmacy, University of São Paulo, São Paulo, Brazil
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Farias BO, Montenegro KS, Nascimento APA, Magaldi M, Gonçalves-Brito AS, Flores C, Moreira TC, Neves FPG, Bianco K, Clementino MM. First Report of a Wastewater Treatment-Adapted Enterococcus faecalis ST21 Harboring vanA Gene in Brazil. Curr Microbiol 2023; 80:313. [PMID: 37542533 DOI: 10.1007/s00284-023-03418-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 07/14/2023] [Indexed: 08/07/2023]
Abstract
Enterococcus faecalis has emerged as an important opportunistic pathogen due to its increasing resistance to antimicrobials, mainly to vancomycin, which leads substantial cases of therapeutic failures. Wastewater treatment plants (WWTP), in turn, are considered hotpots in the spread of antimicrobial resistance according to One Health perspective. In this study, we present the first report of a vancomycin-resistant E. faecalis strain recovered from treated effluent in Brazil. For this purpose, the whole-genome sequencing (WGS) was carried out aiming to elucidate its molecular mechanisms of antimicrobial resistance and its phylogenetic relationships amongst strains from other sources and countries. According to Multilocus Sequence Typing (MLST) analysis this strain belongs to ST21. The WGS pointed the presence of vanA operon, multiple antibiotic resistance and virulence genes, and a significant pathogenic potential for humans. The phylogenomic analysis of E. faecalis 6805 was performed with ST21 representatives from the PubMLST database, including the E. faecalis IE81 strain from clinical sample in Brazil, which had its genome sequenced in this study. Our results demonstrated a strain showing resistance to vancomycin in treated effluent. To the best of our knowledge, this is an unprecedented report of vanA-carrying E. faecalis ST21. Furthermore, it is the first description of a vanA-harboring strain of this species from environmental sample in Brazil. Our data highlight the role of WWTP in the spread of AMR, since these environments are favorable for the selection of multidrug-resistant pathogens and the treated effluents, carrying antibiotic resistance genes, are directed to receiving water bodies.
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Affiliation(s)
- Beatriz O Farias
- Instituto Nacional de Controle de Qualidade Em Saúde, Fundação Oswaldo Cruz, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro, RJ, Brazil
- Fiocruz Genomic Network, Oswaldo Cruz Foundation - FIOCRUZ, Rio de Janeiro, RJ, 4365, Brazil
| | - Kaylanne S Montenegro
- Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro, RJ, Brazil
| | - Ana Paula A Nascimento
- Instituto Nacional de Controle de Qualidade Em Saúde, Fundação Oswaldo Cruz, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro, RJ, Brazil
| | - Mariana Magaldi
- Instituto Nacional de Controle de Qualidade Em Saúde, Fundação Oswaldo Cruz, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro, RJ, Brazil
| | - Andressa S Gonçalves-Brito
- Instituto Nacional de Controle de Qualidade Em Saúde, Fundação Oswaldo Cruz, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro, RJ, Brazil
- Fiocruz Genomic Network, Oswaldo Cruz Foundation - FIOCRUZ, Rio de Janeiro, RJ, 4365, Brazil
| | - Claudia Flores
- Instituto Nacional de Controle de Qualidade Em Saúde, Fundação Oswaldo Cruz, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro, RJ, Brazil
| | - Thais C Moreira
- Instituto Nacional de Controle de Qualidade Em Saúde, Fundação Oswaldo Cruz, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro, RJ, Brazil
| | - Felipe P G Neves
- Departamento de Microbiologia E Parasitologia, Instituto Biomédico, Universidade Federal Fluminense, Alameda Barros Terra, S/N. São Domingos, Niterói, RJ, 24020-150, Brazil
| | - Kayo Bianco
- Instituto Nacional de Controle de Qualidade Em Saúde, Fundação Oswaldo Cruz, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro, RJ, Brazil.
- Fiocruz Genomic Network, Oswaldo Cruz Foundation - FIOCRUZ, Rio de Janeiro, RJ, 4365, Brazil.
- COVID-19 Monitoring Network in Wastewater, São Paulo, Brazil.
| | - Maysa M Clementino
- Instituto Nacional de Controle de Qualidade Em Saúde, Fundação Oswaldo Cruz, Avenida Brasil, 4365, Manguinhos, Rio de Janeiro, RJ, Brazil
- Fiocruz Genomic Network, Oswaldo Cruz Foundation - FIOCRUZ, Rio de Janeiro, RJ, 4365, Brazil
- COVID-19 Monitoring Network in Wastewater, São Paulo, Brazil
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