Genomic Characterization of mcr-1-Carrying E. coli Isolated from Food Handlers

Authors

  • Rapee Thummeepak Department of Microbiology and Parasitology, Faculty of Medical Sciences, Naresuan University, Thapo Sub-district, Muang, Phitsanulok 65000, Thailand
  • Jintana Wongwigkarn Department of Microbiology and Parasitology, Faculty of Medical Sciences, Naresuan University, Thapo Sub-district, Muang, Phitsanulok 65000, Thailand
  • Siriwat Kucharoenphaibul Department of Microbiology and Parasitology, Faculty of Medical Sciences, Naresuan University, Thapo Sub-district, Muang, Phitsanulok 65000, Thailand
  • Sutthirat Sitthisak Department of Microbiology and Parasitology, Faculty of Medical Sciences, Naresuan University, Thapo Sub-district, Muang, Phitsanulok 65000, Thailand
  • Rattiya Cheewapat Department of Microbiology and Parasitology, Faculty of Medical Sciences, Naresuan University, Thapo Sub-district, Muang, Phitsanulok 65000, Thailand
  • Supat Khongfak Office of Disease Prevention and Control Region 3 Nakhon Sawan, Department of Disease Control, Ministry of Public Health, Nakhon Sawan Tok, Mueang, Nakhon Sawan 60000, Thailand
  • Kannipa Tasanapak Department of Microbiology and Parasitology, Faculty of Medical Sciences, Naresuan University, Thapo Sub-district, Muang, Phitsanulok 65000, Thailand

DOI:

https://doi.org/10.48048/tis.2025.10562

Keywords:

mcr-1, Colistin-resistant E. coli, Food handlers, Asymptomatic carriage, Complete genome sequencing, One Health

Abstract

The emergence of colistin-resistant Escherichai coli harboring the mcr-1 gene poses a significant public health concern, particularly due to colistin’s status as a last-resort antibiotic against multidrug-resistant Gram-negative infections. We provide the first identification of mcr-1-positive E. coli that was isolated from the hands of asymptomatic northern Thai restaurant employees. Twenty E. coli isolates were found from 150 hand swab samples; strain EC16 was shown to be colistin-resistant and to carry the mcr-1 gene. By hybrid-based complete genome sequencing, a 4.76 Mb chromosome and 2 plasmids (2 and 239 kb) were identified, the latter carrying multiple resistance genes including mcr-1. EC16 was shown to be clustered within ST1079 by core genome MLST and pangenome analysis, and it is closely connected to strains that are associated with humans and the environment. A varied resistome and virulome, comprising genes for adhesion and antibiotic inactivation, were revealed by LS-BSR analysis. pEcoEC16b was determined by plasmid typing to be an IncHI1A plasmid that is closely linked to p7PM1-IncHI1-mcr-1. Comparative study verified structural commonalities and shared resistance genes (mcr-1, tetA and cmlA1). These results underline the significance of One Health surveillance by demonstrating the potential of IncHI1A plasmids to spread multidrug resistance across species and environments.

HIGHLIGHTS

  • First report of mcr-1 positive E. coli isolated from the hands of restaurant workers
  • New insights into potential human-associated reservoirs of colistin resistance.
  • Our study highlights a new route of transmission via the hands of food handlers.

GRAPHICAL ABSTRACT

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Published

2025-07-20