A four-amino-acid YRIN insertion in ftsI reduced ceftiofur susceptibility in a canine Escherichia coli isolate
摘要
Ceftiofur resistance in canine clinical Escherichia coli is usually associated with extended-spectrum β-lactamases (ESBLs) or AmpC β-lactamases. However, some isolates display elevated ceftiofur minimum inhibitory concentrations (MICs) without carrying these known resistance genes. In this study, we identified a phenotype-genotype discordant canine clinical E. coli isolate named 231255, with a ceftiofur MIC of 8 μg/mL. Routine resistance gene screening detected only blaTEM-1 and a chromosomal blaEC variant, blaEC-1149, which could not adequately explain the elevated ceftiofur MIC. To investigate the underlying mechanism, a genomic library was constructed from genomic DNA of isolate 231255 and screened on ceftiofur-containing plates. Positive clones revealed one candidate determinant: an altered ftsI fragment encoding penicillin-binding protein 3 (PBP3) with a four-amino-acid YRIN insertion downstream of residue P333, previously identified in human E. coli. Previous studies have shown that this type of YRIN/YRIK insertion alone can reduce susceptibility to PBP3-targeting β-lactams, particularly aztreonam and ceftazidime. Functional validation showed that recombinant plasmids carrying the altered ftsI consistently increased the ceftiofur MIC to 4 μg/mL in different recipient backgrounds. These findings provide experimental evidence that ftsI/PBP3 alteration can elevate ceftiofur MIC in canine E. coli. Notably, the isolate belonged to ST410, and phylogenetic analysis indicated that it was not confined to a dog-associated background but instead clustered within a broader lineage shared across multiple sources, highlighting the need for potential dissemination of this mechanism and its associated resistant lineages at the human-companion animal interface.