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Cited by 288

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Emergence of a Plasmid-Encoded Resistance-Nodulation-Division Efflux Pump Conferring Resistance to Multiple Drugs, Including Tigecycline, in Klebsiella pneumoniae

Open access
Lv, Luchao, Wan, Miao, Wang, Chengzhen, Gao, Xun, Yang, Qiwen, Partridge, Sally R., Wang, Yang, Zong, Zhiyong, Doi, Yohei, Shen, Jianzhong, Jia, Peiyao, Song, Qianhua, Zhang, Qianhui, Yang, Jun, Huang, Xianhui, Wang, Minggui, Liu, Jian-Hua·2020·mBio

Abstract

In an era of increasing concerns about antimicrobial resistance, tigecycline is likely to have a critically important role in the treatment of carbapenem-resistant Enterobacteriaceae , the most problematic pathogens in human clinical settings—especially carbapenem-resistant K. pneumoniae . Here, we identified a new plasmid-borne RND-type tigecycline resistance determinant, TMexCD1-TOprJ1, which is widespread among K. pneumoniae isolates from food animals. tmexCD1-toprJ1 appears to have originated from the chromosome of a Pseudomonas species and may have been transferred onto plasmids by adjacent site-specific integrases. Although tmexCD1-toprJ1 still appears to be rare in human clinical isolates, considering the transferability of the tmexCD1-toprJ1 gene cluster and the broad substrate spectrum of TMexCD1-TOprJ1, further dissemination of this mobile tigecycline resistance determinant is possible. Therefore, from a “One Health” perspective, measures are urgently needed to monitor and control its further spread. The current low prevalence in human clinical isolates provides a precious time window to design and implement measures to tackle this.

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Metadata

Authors
Lv, L., Wan, M., Wang, C., Gao, X., Yang, Q., Partridge, S. R., Wang, Y., Zong, Z., Doi, Y., Shen, J., Jia, P., Song, Q., Zhang, Q., Yang, J., Huang, X., Wang, M., & Liu, J.-H.
Venue
mBio
Published
2020-04-28
Volume
11
Issue
2
ISSN
  • 2150-7511 (ISSN-L)
  • 2161-2129
OpenAlex
W3008821393
Cited by
288
References
2
FWCI
11.21
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Emergence of a Plasmid-Encoded Resistance-Nodulation-Division Efflux Pump Conferring Resistance to Multiple Drugs, Including Tigecycline, in Klebsiella pneumoniae. https://app.cochat.ai/papers/10.1128/mbio.02930-19
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Lv, L., Wan, M., Wang, C., Gao, X., Yang, Q., Partridge, S. R., Wang, Y., Zong, Z., Doi, Y., Shen, J., Jia, P., Song, Q., Zhang, Q., Yang, J., Huang, X., Wang, M., & Liu, J.-H. (2020). Emergence of a Plasmid-Encoded Resistance-Nodulation-Division Efflux Pump Conferring Resistance to Multiple Drugs, Including Tigecycline, in Klebsiella pneumoniae. mBio. https://doi.org/10.1128/mbio.02930-19

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