Abstract
An NDM-5-producing Klebsiella pneumoniae ST147 strain was isolated from a Japanese patient who had not travelled abroad in at least 5 years. Whole-genome sequencing revealed a genomic rearrangement in an FII plasmid harbouring blaNDM-5 due to the replicative transposition of IS26. A hypothetical structure was proposed for its ancestral plasmid, and comparative genomic analysis of the plasmid suggested the dissemination of structurally similar plasmids harbouring blaNDM-5 in Asian and Middle Eastern countries.
Keywords:
IS26; IncFII plasmid; blaNDM-5; genomic reorganization.
MeSH terms
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Adult
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Anti-Bacterial Agents / pharmacology
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Bacterial Proteins / genetics*
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Bacterial Proteins / metabolism
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DNA Transposable Elements*
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Humans
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Japan
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Klebsiella Infections / microbiology*
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Klebsiella pneumoniae / classification
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Klebsiella pneumoniae / drug effects
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Klebsiella pneumoniae / genetics*
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Klebsiella pneumoniae / isolation & purification*
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Microbial Sensitivity Tests
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Plasmids / genetics*
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Plasmids / metabolism
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beta-Lactamases / genetics*
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beta-Lactamases / metabolism
Substances
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Anti-Bacterial Agents
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Bacterial Proteins
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DNA Transposable Elements
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beta-Lactamases