Genomic epidemiology and antimicrobial resistance of Morganella clinical isolates between 2016 and 2023

Morganella morganii is a Gram-negative, opportunistic pathogen that is often associated with nosocomial infections. Here, the genomic characteristics and antimicrobial resistance (AMR) of Morganella clinical isolates between 2016 and 2023 were determined. A total of 218 clinical isolates were mainly...

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Main Authors: Wentao Zhu, Qian Liu, Jinlv Liu, Yaqi Wang, Hong Shen, Ming Wei, Ji Pu, Li Gu, Jing Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Cellular and Infection Microbiology
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Online Access:https://www.frontiersin.org/articles/10.3389/fcimb.2024.1464736/full
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author Wentao Zhu
Qian Liu
Jinlv Liu
Jinlv Liu
Yaqi Wang
Yaqi Wang
Hong Shen
Ming Wei
Ji Pu
Li Gu
Jing Yang
Jing Yang
Jing Yang
author_facet Wentao Zhu
Qian Liu
Jinlv Liu
Jinlv Liu
Yaqi Wang
Yaqi Wang
Hong Shen
Ming Wei
Ji Pu
Li Gu
Jing Yang
Jing Yang
Jing Yang
author_sort Wentao Zhu
collection DOAJ
description Morganella morganii is a Gram-negative, opportunistic pathogen that is often associated with nosocomial infections. Here, the genomic characteristics and antimicrobial resistance (AMR) of Morganella clinical isolates between 2016 and 2023 were determined. A total of 218 clinical isolates were mainly identified from urinary tract (48.2%) and respiratory tract (16.5%), with 105 isolates randomly selected for whole genome sequencing. The highest rates of antibiotic resistance were observed with SAM (68.3%), followed by CIP (39.9%), and SXT (37.2%). Distance analysis suggested that the 105 newly sequenced isolates could be divided into two groups: M. morganii subsp. morganii and M. morganii subsp. sibonii. While, the average nucleotide identity between these groups showed only 91.5-92.2% similarity, raising the possibility that they may be distinct species. Phylogenomic analysis revealed that the 102 M. morganii isolates fell into six clades, with clades 4-6 making up the majority. Core genome multi-locus sequence type analysis indicted high genomic diversity among different hosts and relatively stability (< 10 SNPs accumulated over three years) within the same host. Together with epidemiological data, isolates of four genetic clusters could be possible nosocomial transmissions. The identified 80 AMR genes belonged to 15 drug-related classes, with tet(B) gene being the most prevalent, followed by sul1, catA2, and sul2 genes. This study provided comprehensive genomic insights and AMR patterns of Morganella isolates in China, highlighting the necessity for continuous monitoring through whole genome sequencing.
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spelling doaj-art-5f7ef72bd0e04eccb3e57fc6e3a5b29c2025-01-31T09:10:31ZengFrontiers Media S.A.Frontiers in Cellular and Infection Microbiology2235-29882025-01-011410.3389/fcimb.2024.14647361464736Genomic epidemiology and antimicrobial resistance of Morganella clinical isolates between 2016 and 2023Wentao Zhu0Qian Liu1Jinlv Liu2Jinlv Liu3Yaqi Wang4Yaqi Wang5Hong Shen6Ming Wei7Ji Pu8Li Gu9Jing Yang10Jing Yang11Jing Yang12Department of Infectious Diseases and Clinical Microbiology, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, Beijing, ChinaDepartment of Clinical Laboratory, Beijing Anzhen Hospital, Capital Medical University, Beijing, ChinaNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaAcademy of Medical Sciences, Shanxi Medical University, Taiyuan, ChinaNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaAcademy of Medical Sciences, Shanxi Medical University, Taiyuan, ChinaDepartment of Infectious Diseases and Clinical Microbiology, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, Beijing, ChinaDepartment of Infectious Diseases and Clinical Microbiology, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, Beijing, ChinaNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaDepartment of Infectious Diseases and Clinical Microbiology, Beijing Institute of Respiratory Medicine and Beijing Chao-Yang Hospital, Capital Medical University, Beijing, ChinaNational Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, ChinaAcademy of Medical Sciences, Shanxi Medical University, Taiyuan, ChinaHebei Key Laboratory of Intractable Pathogens, Shijiazhuang Center for Disease Control and Prevention, Shijiazhuang, Hebei, ChinaMorganella morganii is a Gram-negative, opportunistic pathogen that is often associated with nosocomial infections. Here, the genomic characteristics and antimicrobial resistance (AMR) of Morganella clinical isolates between 2016 and 2023 were determined. A total of 218 clinical isolates were mainly identified from urinary tract (48.2%) and respiratory tract (16.5%), with 105 isolates randomly selected for whole genome sequencing. The highest rates of antibiotic resistance were observed with SAM (68.3%), followed by CIP (39.9%), and SXT (37.2%). Distance analysis suggested that the 105 newly sequenced isolates could be divided into two groups: M. morganii subsp. morganii and M. morganii subsp. sibonii. While, the average nucleotide identity between these groups showed only 91.5-92.2% similarity, raising the possibility that they may be distinct species. Phylogenomic analysis revealed that the 102 M. morganii isolates fell into six clades, with clades 4-6 making up the majority. Core genome multi-locus sequence type analysis indicted high genomic diversity among different hosts and relatively stability (< 10 SNPs accumulated over three years) within the same host. Together with epidemiological data, isolates of four genetic clusters could be possible nosocomial transmissions. The identified 80 AMR genes belonged to 15 drug-related classes, with tet(B) gene being the most prevalent, followed by sul1, catA2, and sul2 genes. This study provided comprehensive genomic insights and AMR patterns of Morganella isolates in China, highlighting the necessity for continuous monitoring through whole genome sequencing.https://www.frontiersin.org/articles/10.3389/fcimb.2024.1464736/fullMorganella morganiiantimicrobial resistanceclinicalwhole-genome sequencingtaxonomy
spellingShingle Wentao Zhu
Qian Liu
Jinlv Liu
Jinlv Liu
Yaqi Wang
Yaqi Wang
Hong Shen
Ming Wei
Ji Pu
Li Gu
Jing Yang
Jing Yang
Jing Yang
Genomic epidemiology and antimicrobial resistance of Morganella clinical isolates between 2016 and 2023
Frontiers in Cellular and Infection Microbiology
Morganella morganii
antimicrobial resistance
clinical
whole-genome sequencing
taxonomy
title Genomic epidemiology and antimicrobial resistance of Morganella clinical isolates between 2016 and 2023
title_full Genomic epidemiology and antimicrobial resistance of Morganella clinical isolates between 2016 and 2023
title_fullStr Genomic epidemiology and antimicrobial resistance of Morganella clinical isolates between 2016 and 2023
title_full_unstemmed Genomic epidemiology and antimicrobial resistance of Morganella clinical isolates between 2016 and 2023
title_short Genomic epidemiology and antimicrobial resistance of Morganella clinical isolates between 2016 and 2023
title_sort genomic epidemiology and antimicrobial resistance of morganella clinical isolates between 2016 and 2023
topic Morganella morganii
antimicrobial resistance
clinical
whole-genome sequencing
taxonomy
url https://www.frontiersin.org/articles/10.3389/fcimb.2024.1464736/full
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