Dissemination and Mechanism for the MCR-1 Colistin Resistance

PLoS Pathog. 2016 Nov 28;12(11):e1005957. doi: 10.1371/journal.ppat.1005957. eCollection 2016 Nov.

Abstract

Polymyxins are the last line of defense against lethal infections caused by multidrug resistant Gram-negative pathogens. Very recently, the use of polymyxins has been greatly challenged by the emergence of the plasmid-borne mobile colistin resistance gene (mcr-1). However, the mechanistic aspects of the MCR-1 colistin resistance are still poorly understood. Here we report the comparative genomics of two new mcr-1-harbouring plasmids isolated from the human gut microbiota, highlighting the diversity in plasmid transfer of the mcr-1 gene. Further genetic dissection delineated that both the trans-membrane region and a substrate-binding motif are required for the MCR-1-mediated colistin resistance. The soluble form of the membrane protein MCR-1 was successfully prepared and verified. Phylogenetic analyses revealed that MCR-1 is highly homologous to its counterpart PEA lipid A transferase in Paenibacili, a known producer of polymyxins. The fact that the plasmid-borne MCR-1 is placed in a subclade neighboring the chromosome-encoded colistin-resistant Neisseria LptA (EptA) potentially implies parallel evolutionary paths for the two genes. In conclusion, our finding provids a first glimpse of mechanism for the MCR-1-mediated colistin resistance.

MeSH terms

  • Base Sequence
  • Colistin / pharmacology*
  • Drug Resistance, Bacterial / drug effects
  • Drug Resistance, Bacterial / genetics*
  • Drug Resistance, Multiple / physiology
  • Escherichia coli Proteins / genetics*
  • Humans
  • Microbial Sensitivity Tests
  • Phylogeny
  • Plasmids

Substances

  • Escherichia coli Proteins
  • MCR-1 protein, E coli
  • Colistin

Grants and funding

This work was supported by Zhejiang Provincial Natural Science Foundation for Distinguished Young Scholars (LR15H190001 to YF), the National Natural Science Foundation of China (31570027 to YF), and the National Key Basic Research Program of China (2016YFC1200100 to YF; 2015CB554200 to BZ). YF is a recipient of the “Young 1000 Talents” Award. YH is a member of the Youth Innovation Promotion Association of Chinese Academy of Sciences(2015069). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.