Abstract
Carbapenem-resistant Enterobacterales poses a global urgent antibiotic resistance threat because of its ability to transfer carbapenemase genes to other bacteria via horizontal gene transfer mediated by mobile genetic elements such as plasmids. Oxacillinase-181 (OXA-181) is one of the most common OXA-48-like carbapenemases, and OXA-181-producing Enterobacterales has been reported in many countries worldwide. However, systematic research concerning the overall picture of plasmids harboring bla (OXA-181) in Enterobacterales is currently scarce. In this study, we aimed to determine the phylogeny and evolution of bla (OXA-181)-positive (gene encoding OXA-181) plasmids. To characterize the plasmids harboring bla (OXA-181) in Enterobacterales, we identified 81 bla (OXA-181)-positive plasmids from 35,150 bacterial plasmids downloaded from the NCBI RefSeq database. Our results indicated that diverse plasmid types harbored bla (OXA-181) but was predominantly carried by IncX3-type plasmids. We systematically compared the host strains, plasmid types, conjugative transfer regions, and genetic contexts of bla (OXA-181) among the 66 bla (OXA-181)-positive IncX3 plasmids. We found that IncX3 plasmids harboring bla (OXA-181) were mostly ColKP3-IncX3 hybrid plasmids with a length of 51 kb each and were mainly distributed in Escherichia coli and Klebsiella pneumoniae. Most of the IncX3 plasmids harboring bla (OXA-181) were human origin. Almost all the bla (OXA-181)-positive IncX3 plasmids were found to carry genes coding for relaxases of the MOB(P) family and VirB-like type IV secretion system (T4SS) gene clusters, and all the 66 IncX3 plasmids were found to carry the genes encoding type IV coupling proteins (T4CPs) of the VirD4/TraG subfamily. Most IncX3 plasmids harbored both bla (OXA-181) and qnrS1 in their genomes, and the two antibiotic resistance genes were found to a composite transposon bracketed by two copies of insertion sequence IS26 in the same orientation. Our findings provide important insights into the phylogeny and evolution of bla (OXA-181)-positive IncX3 plasmids and further address their role in acquiring and spreading bla (OXA-181) genes in Enterobacterales.