背景:第5枝艰难梭菌与其他枝明显不同,因此,由于其巨大的异质性,引起了越来越多的关注。在这项研究中,我们使用第三代测序技术对三个ST11艰难梭菌分离株的完整基因组进行测序,RT078和另外两个新的核糖分型(RT),从三名接受抗生素治疗的独立住院老年患者中获得。移动遗传元件(MGEs),抗生素耐药性,耐药基因,并对这三个分离株中的毒力相关基因进行了分析和比较。
结果:与分离株21,062相比,分离株10,010和12,038在tcdA中具有明显的缺失。此外,所有三个分离株在tcdC中都有相同的缺失和点突变,这曾经被认为是RT078的独特特征。分离株21,062(RT078)具有独特的质粒,不同数量的转座子和遗传组织,并带有特殊的CRISPR间隔物。所有三个分离株都对11种药物保持高度敏感性,分离株21,062(RT078)携带不同的耐药基因,并丢失了许多鞭毛相关基因。
结论:我们得出结论,基于毛细管电泳的PCR-核糖分型对确认RT078很重要。此外,RT078分离物显示特定的MGE,表明了一个独立的进化过程。在进一步的研究中,我们可以用更多不同来源的RT078分离株证明这些发现。
BACKGROUND: Clade 5 Clostridioides difficile diverges significantly from the other clades and is therefore, attracting increasing attention due its great heterogeneity. In this study, we used third-generation sequencing techniques to sequence the complete whole genomes of three ST11 C. difficile isolates, RT078 and another two new ribotypes (RTs), obtained from three independent hospitalized elderly patients undergoing antibiotics treatment. Mobile genetic elements (MGEs), antibiotic-resistance, drug resistance genes, and virulent-related genes were analyzed and compared within these three isolates.
RESULTS: Isolates 10,010 and 12,038 carried a distinct deletion in tcdA compared with isolate 21,062. Furthermore, all three isolates had identical deletions and point-mutations in tcdC, which was once thought to be a unique characteristic of RT078. Isolate 21,062 (RT078) had a unique plasmid, different numbers of transposons and genetic organization, and harboring special CRISPR spacers. All three isolates retained high-level sensitivity to 11 drugs and isolate 21,062 (RT078) carried distinct drug-resistance genes and loss of numerous flagellum-related genes.
CONCLUSIONS: We concluded that capillary electrophoresis based PCR-ribotyping is important for confirming RT078. Furthermore, RT078 isolates displayed specific MGEs, indicating an independent evolutionary process. In the further study, we could testify these findings with more RT078 isolates of divergent origins.