Wide occurrence of putative mobilized colistin resistance genes in the human gut microbiome
AbstractBackgroundThe high incidence of bacterial genes that confer resistance to last-resort antibiotics, such as colistin caused by MCR genes, poses an unprecedented threat to our civilization’s health. To diminish its impact, understanding the spread, evolution, and distribution among human populations should be a priority. To tackle this problem, we investigated the distribution and prevalence of potential mcr genes in the human gut microbiome by using a set of bioinformatics tools to screen for the presence of putative mcr genes (and co-located ARGs) in the Unified Human Gastrointestinal Genome (UHGG) collection, its genomic context, and phylogeny.ResultsA total of 2,079 ARGs were classified as different MCR in 2,046 Metagenome assembled genomes (MAGs), present in 1,596 individuals from 41 countries, of which 215 MCRs were identified in plasmidial contigs. The genera that presented the largest number of MCR-like genes were Suterella and Parasuterella, highly prevalent, and opportunistic pathogens. Other potential pathogens carrying MCR genes belonged to the genus Vibrio and Escherichia. Finally, we identified a total of 22,746 belonging to 21 different classes in the same 2,046 MAGs, suggesting multi-resistance potential, increasing the concern of its impact in the clinical settings.ConclusionThis study uncovers the diversity of MCR-like genes in the human gut microbiome. We showed the cosmopolitan distribution of these genes in patients worldwide and the co-presence of other antibiotic resistance genes, including ESBLs. Also, we described mcr-like genes encoded in the same ORF with PAP2-like in bacteria from the genus Sutterella. Although these novel sequences increase our knowledge about the diversity and evolution of mcr-like genes, their activity has to be experimentally validated in the future.