SME-4-producing Serratia marcescens from Argentina belonging to clade 2 of the S. marcescens phylogeny

J Antimicrob Chemother. 2019 Jul 1;74(7):1836-1841. doi: 10.1093/jac/dkz115.

Abstract

Background: SME carbapenemases are increasingly reported, especially from North and South America. Here, we describe an SME-4-producing Serratia marcescens (SME-Sm) clinical isolate from Argentina and compare its genome with other SME-Sm and Sm isolates recovered from public databases.

Methods: Sm isolates were characterized by WGS using Illumina technology, susceptibility testing and MIC determination. Carbapenemase activity was revealed by biochemical tests based on imipenem hydrolysis. A whole-genome phylogeny was estimated for all the Sm isolates retrieved from public databases with kSNP3 and a whole-genome phylogenetic analysis based on non-recombinant core SNPs was inferred for Sm complete genomes and for those encoding any blaSME variants.

Results: Sm163 was resistant to amoxicillin, temocillin, aztreonam and carbapenems, remaining susceptible to extended-spectrum cephalosporins. WGS analysis of Sm163 revealed a genome of 5139329 bp and a chromosomally encoded blaSME-4 carbapenemase gene located on a genomic island closely related to SmarGI1-1 of Sm N11-02820. Comparison of the Sm genomes revealed that the 14 SME-Sm isolates possess this genomic island inserted at the same loci, that 13/14 belong to clade 1 and that 11/14 form a well-defined subcluster of cluster I of Sm clade 1, while Sm163 belongs to clade 2, suggesting that an SME-encoding genomic island may have been transferred between isolates from different clades.

Conclusions: To the best of our knowledge this is the first report of an SME-4-encoding Sm from Argentina. The blaSME-4 gene is located on a SmarGI1-1-like genomic island. The genome of Sm163 belongs to clade 2, unlike all the other SME-Sm isolates, which belong to clade 1.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Argentina
  • Bacterial Proteins / analysis*
  • Carbapenem-Resistant Enterobacteriaceae / classification*
  • Carbapenem-Resistant Enterobacteriaceae / enzymology
  • Carbapenem-Resistant Enterobacteriaceae / isolation & purification*
  • Computational Biology
  • Genome, Bacterial
  • Genomic Islands
  • Genotype*
  • Humans
  • Male
  • Microbial Sensitivity Tests
  • Middle Aged
  • Phylogeny
  • Serratia Infections / microbiology*
  • Serratia marcescens / classification*
  • Serratia marcescens / enzymology
  • Serratia marcescens / isolation & purification*
  • Whole Genome Sequencing
  • beta-Lactamases / analysis*

Substances

  • Bacterial Proteins
  • beta-Lactamases
  • carbapenemase