Emergence of fexA in Mediating Resistance to Florfenicols in Campylobacter

Antimicrob Agents Chemother. 2020 Jun 23;64(7):e00260-20. doi: 10.1128/AAC.00260-20. Print 2020 Jun 23.

Abstract

Florfenicol belongs to a class of phenicol antimicrobials widely used as feed additives and for the treatment of respiratory infections. In recent years, increasing resistance to florfenicol has been reported in Campylobacter spp., the leading foodborne enteric pathogens causing diarrheal diseases worldwide. Here, we reported the identification of fexA, a novel mobile florfenicol resistance gene in Campylobacter Of the 100 Campylobacter jejuni strains isolated from poultry in Zhejiang, China, 9 were shown to be fexA positive, and their whole-genome sequences were further determined by integration of Illumina short-read and MinION long-read sequencing. The fexA gene was found in the plasmid of one strain and chromosomes of eight strains, and its location was verified by S1 nuclease pulsed-field gel electrophoresis (S1-PFGE) and Southern blotting. Based on comparative analysis, the fexA gene was located within a region with the tet(L)-fexA-catA-tet(O) gene arrangement, demonstrated to be successfully transferable among C. jejuni strains. Functional cloning indicated that acquisition of the single fexA gene significantly increased resistance to florfenicol, whereas its inactivation resulted in increased susceptibility to florfenicol in Campylobacter Taken together, these results indicated that the emerging fexA resistance is horizontally transferable, which might greatly facilitate the adaptation of Campylobacter in food production environments where florfenicols are frequently used.

Keywords: Campylobacter; fexA; food safety; multidrug resistance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Bacterial Agents / pharmacology
  • Campylobacter Infections* / drug therapy
  • Campylobacter jejuni* / genetics
  • Campylobacter* / genetics
  • Chickens
  • China
  • Electrophoresis, Gel, Pulsed-Field
  • Microbial Sensitivity Tests
  • Thiamphenicol / analogs & derivatives

Substances

  • Anti-Bacterial Agents
  • florfenicol
  • Thiamphenicol