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The global distribution and spread of the mobilized colistin resistance gene mcr-1

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Wang, Ruobing, van Dorp, Lucy, Shaw, Liam P., Bradley, Phelim, Wang, Qi, Wang, Xiaojuan, Jin, Longyang, Zhang, Qing, Liu, Yuqing, Rieux, Adrien, Dorai-Schneiders, Thamarai, Weinert, Lucy Anne, Iqbal, Zamin, Didelot, Xavier, Wang, Hui and Balloux, Francois (2018) The global distribution and spread of the mobilized colistin resistance gene mcr-1. Nature Communications, 9 (1). 1179. doi:10.1038/s41467-018-03205-z

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Official URL: http://dx.doi.org/10.1038/s41467-018-03205-z

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Abstract

Colistin represents one of the few available drugs for treating infections caused by carbapenem-resistant Enterobacteriaceae. As such, the recent plasmid-mediated spread of the colistin resistance gene mcr-1 poses a significant public health threat, requiring global monitoring and surveillance. Here, we characterize the global distribution of mcr-1 using a data set of 457 mcr-1-positive sequenced isolates. We find mcr-1 in various plasmid types but identify an immediate background common to all mcr-1 sequences. Our analyses establish that all mcr-1 elements in circulation descend from the same initial mobilization of mcr-1 by an ISApl1 transposon in the mid 2000s (2002–2008; 95% highest posterior density), followed by a marked demographic expansion, which led to its current global distribution. Our results provide the first systematic phylogenetic analysis of the origin and spread of mcr-1, and emphasize the importance of understanding the movement of antibiotic resistance genes across multiple levels of genomic organization.

Item Type: Journal Article
Divisions: Faculty of Science > Life Sciences (2010- )
Journal or Publication Title: Nature Communications
Publisher: Nature Publishing Group
ISSN: 2041-1723
Official Date: 21 March 2018
Dates:
DateEvent
21 March 2018Published
29 January 2018Accepted
Volume: 9
Number: 1
Article Number: 1179
DOI: 10.1038/s41467-018-03205-z
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
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