17 August 2021 2 827 Report

We got a colistin resistance Klebsiella pneumoniae which induced in vitro by serial passages in media containing increasing colistin concentrations.

1、By Re-sequencing, we found that there was no gene mutation(including gene insertion, gene deletion and point mutation) in the known drug resistance genes(phoP/Q,mgrB,pmrA/B,crrB).

2、Through RNA-seq, we found that mgrB gene expression was down-regulated and PhoQ / P gene expression was up-regulated。

3、We detected the LPS of drug-resistant bacteria by MS and found that the LPS of drug-resistant bacteria was modified by L-Ara4N rather than modified by pEtN. This result is consistent with the result of RNA-seq.

4、This Cositin resistance can be stably inherited, that is, when we remove cositin, this strain still has Cosition resistance(MIC=16-32).

5、How can I explain this phenomenon?Or what methods do I need to find the cause of stable genetic resistance?

6、In fact, this phenomenon has been reported in some papers(DOI:10.2807/1560-7917;DOI:10.1016/j.ijantimicag.2014.07.020;DOI:10.1128/JCM.01017-15;DOI:10.3389/fmicb.2017.02262;DOI:10.1128/CMR.00064-16), but most of them are in clinical strains, and no further research has been done。

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