Diversidad genómica de Escherichia coli uropatógena en aislados clínicos de seis países de Latinoamérica, 2018-2023

BACKGROUND: Motivation for the study. To contribute to the genomic surveillance of UPEC in clinical samples from Latin America, in response to the growing public health problem represented by UTIs and their resistance to antimicrobials. Main findings. Our study revealed a high frequency of high-risk...

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Autores principales: Caballero, Francesca, Martinez-Ventura, Anne, Cuicapuza Arteaga, Diego, Fajardo-Loyola, Alex, Gutierrez-Ajalcriña, Rosmery, Soto-Pastrana, Javier, Asmat-Marrufo, Percy, Barco-Yaipen de Vera, Evelyn, Meza-Fernandez, Henry, Chambi-Quispe, Mario, Pino-Dueñas, Jimena, Laura-Rivas, Nicomedes, Briones-Alejo, Alexander, Diaz-Rengifo, Pilar, Peralta-Siesquen, Carlos, Salvatierra, Guillermo, Tsukayama Cisneros, Pablo, Marcos Carbajal, Pool
Formato: Artículo
Lenguaje:inglés
Publicado: 2025
Acceso en línea:Ver en el sistema de origen
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author Caballero, Francesca
Martinez-Ventura, Anne
Cuicapuza Arteaga, Diego
Fajardo-Loyola, Alex
Gutierrez-Ajalcriña, Rosmery
Soto-Pastrana, Javier
Asmat-Marrufo, Percy
Barco-Yaipen de Vera, Evelyn
Meza-Fernandez, Henry
Chambi-Quispe, Mario
Pino-Dueñas, Jimena
Laura-Rivas, Nicomedes
Briones-Alejo, Alexander
Diaz-Rengifo, Pilar
Peralta-Siesquen, Carlos
Salvatierra, Guillermo
Tsukayama Cisneros, Pablo
Marcos Carbajal, Pool
author_browse Asmat-Marrufo, Percy
Barco-Yaipen de Vera, Evelyn
Briones-Alejo, Alexander
Caballero, Francesca
Chambi-Quispe, Mario
Cuicapuza Arteaga, Diego
Diaz-Rengifo, Pilar
Fajardo-Loyola, Alex
Gutierrez-Ajalcriña, Rosmery
Laura-Rivas, Nicomedes
Marcos Carbajal, Pool
Martinez-Ventura, Anne
Meza-Fernandez, Henry
Peralta-Siesquen, Carlos
Pino-Dueñas, Jimena
Salvatierra, Guillermo
Soto-Pastrana, Javier
Tsukayama Cisneros, Pablo
author_facet Caballero, Francesca
Martinez-Ventura, Anne
Cuicapuza Arteaga, Diego
Fajardo-Loyola, Alex
Gutierrez-Ajalcriña, Rosmery
Soto-Pastrana, Javier
Asmat-Marrufo, Percy
Barco-Yaipen de Vera, Evelyn
Meza-Fernandez, Henry
Chambi-Quispe, Mario
Pino-Dueñas, Jimena
Laura-Rivas, Nicomedes
Briones-Alejo, Alexander
Diaz-Rengifo, Pilar
Peralta-Siesquen, Carlos
Salvatierra, Guillermo
Tsukayama Cisneros, Pablo
Marcos Carbajal, Pool
author_sort Caballero, Francesca
collection Producción científica
description BACKGROUND: Motivation for the study. To contribute to the genomic surveillance of UPEC in clinical samples from Latin America, in response to the growing public health problem represented by UTIs and their resistance to antimicrobials. Main findings. Our study revealed a high frequency of high-risk clones, such as ST131 and ST1193. Critical mutations were identified in genes associated with resistance to multiple antibiotics, including fluoroquinolones, beta-lactams, and fosfomycin. Implications. Our results highlight the urgent need to strengthen UPEC surveillance in Latin America. Tracking resistant strains and implementing measures to limit their spread is crucial and has a significant impact on the effectiveness of available treatments. OBJECTIVE.: To genetically characterize clinical isolates of uropathogenic Escherichia coli (UPEC) from hospitals in Peru and contextualize them against 127 additional UPEC genomes reported in six Latin American countries between 2018 and 2023. MATERIALS AND METHODS.: The genomes of 16 Peruvian UPEC isolates were sequenced, assembled and supplemented with 127 genomes available in the NCBI public database. Serotypes, sequence types (STs), antimicrobial resistance (AMR) genes, and resistance-associated mutations were identified. A phylogenetic analysis was also conducted in order to determine evolutionary relations and distribution in phylogroups. RESULTS.: The ST131 clone was the most prevalent (42.7%), followed by ST1193 (13.3%). Phylogroup B2 was widely predominant (83.2%), with serotype O25:H4 standing out. The resistance genes blaTEM-1, blaCTX-M-15, and blaCTX-M-27 were identified with high frequency, as well as mutations in gyrA and parC associated with fluoroquinolone resistance, especially in the ST131 clone. CONCLUSION.: Our findings show high circulation of high-risk UPEC clones, such as ST131 and ST1193, in Latin America, along with a notable burden of genes and mutations linked to multidrug resistance, highlighting the need to strengthen regional genomic surveillance. BACKGROUND: Motivation for the study. To contribute to the genomic surveillance of UPEC in clinical samples from Latin America, in response to the growing public health problem represented by UTIs and their resistance to antimicrobials. Main findings. Our study revealed a high frequency of high-risk clones, such as ST131 and ST1193. Critical mutations were identified in genes associated with resistance to multiple antibiotics, including fluoroquinolones, beta-lactams, and fosfomycin. Implications. Our results highlight the urgent need to strengthen UPEC surveillance in Latin America. Tracking resistant strains and implementing measures to limit their spread is crucial and has a significant impact on the effectiveness of available treatments.
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spelling oai:cris.upeu.edu.pe:20.500.15037/11292026-11-02T22:00:04ZDiversidad genómica de Escherichia coli uropatógena en aislados clínicos de seis países de Latinoamérica, 2018-2023Caballero, FrancescaMartinez-Ventura, AnneCuicapuza Arteaga, DiegoFajardo-Loyola, AlexGutierrez-Ajalcriña, RosmerySoto-Pastrana, JavierAsmat-Marrufo, PercyBarco-Yaipen de Vera, EvelynMeza-Fernandez, HenryChambi-Quispe, MarioPino-Dueñas, JimenaLaura-Rivas, NicomedesBriones-Alejo, AlexanderDiaz-Rengifo, PilarPeralta-Siesquen, CarlosSalvatierra, GuillermoTsukayama Cisneros, PabloMarcos Carbajal, PoolBACKGROUND: Motivation for the study. To contribute to the genomic surveillance of UPEC in clinical samples from Latin America, in response to the growing public health problem represented by UTIs and their resistance to antimicrobials. Main findings. Our study revealed a high frequency of high-risk clones, such as ST131 and ST1193. Critical mutations were identified in genes associated with resistance to multiple antibiotics, including fluoroquinolones, beta-lactams, and fosfomycin. Implications. Our results highlight the urgent need to strengthen UPEC surveillance in Latin America. Tracking resistant strains and implementing measures to limit their spread is crucial and has a significant impact on the effectiveness of available treatments. OBJECTIVE.: To genetically characterize clinical isolates of uropathogenic Escherichia coli (UPEC) from hospitals in Peru and contextualize them against 127 additional UPEC genomes reported in six Latin American countries between 2018 and 2023. MATERIALS AND METHODS.: The genomes of 16 Peruvian UPEC isolates were sequenced, assembled and supplemented with 127 genomes available in the NCBI public database. Serotypes, sequence types (STs), antimicrobial resistance (AMR) genes, and resistance-associated mutations were identified. A phylogenetic analysis was also conducted in order to determine evolutionary relations and distribution in phylogroups. RESULTS.: The ST131 clone was the most prevalent (42.7%), followed by ST1193 (13.3%). Phylogroup B2 was widely predominant (83.2%), with serotype O25:H4 standing out. The resistance genes blaTEM-1, blaCTX-M-15, and blaCTX-M-27 were identified with high frequency, as well as mutations in gyrA and parC associated with fluoroquinolone resistance, especially in the ST131 clone. CONCLUSION.: Our findings show high circulation of high-risk UPEC clones, such as ST131 and ST1193, in Latin America, along with a notable burden of genes and mutations linked to multidrug resistance, highlighting the need to strengthen regional genomic surveillance. BACKGROUND: Motivation for the study. To contribute to the genomic surveillance of UPEC in clinical samples from Latin America, in response to the growing public health problem represented by UTIs and their resistance to antimicrobials. Main findings. Our study revealed a high frequency of high-risk clones, such as ST131 and ST1193. Critical mutations were identified in genes associated with resistance to multiple antibiotics, including fluoroquinolones, beta-lactams, and fosfomycin. Implications. Our results highlight the urgent need to strengthen UPEC surveillance in Latin America. Tracking resistant strains and implementing measures to limit their spread is crucial and has a significant impact on the effectiveness of available treatments.Articlehttps://pubmed.ncbi.nlm.nih.gov/40900482https://doi.org/10.17843/rpmesp.2025.422.14299PMC1237789110.17843/rpmesp.2025.422.14299https://hdl.handle.net/20.500.15037/112940900482W4413970267enRevista Peruana de Medicina Experimental y Salud Pública1726-46341726-46422025-06-192026-06-13T09:47:06Z2026-06-13T09:47:06Z
spellingShingle Caballero, Francesca
Martinez-Ventura, Anne
Cuicapuza Arteaga, Diego
Fajardo-Loyola, Alex
Gutierrez-Ajalcriña, Rosmery
Soto-Pastrana, Javier
Asmat-Marrufo, Percy
Barco-Yaipen de Vera, Evelyn
Meza-Fernandez, Henry
Chambi-Quispe, Mario
Pino-Dueñas, Jimena
Laura-Rivas, Nicomedes
Briones-Alejo, Alexander
Diaz-Rengifo, Pilar
Peralta-Siesquen, Carlos
Salvatierra, Guillermo
Tsukayama Cisneros, Pablo
Marcos Carbajal, Pool
Diversidad genómica de Escherichia coli uropatógena en aislados clínicos de seis países de Latinoamérica, 2018-2023
title Diversidad genómica de Escherichia coli uropatógena en aislados clínicos de seis países de Latinoamérica, 2018-2023
title_full Diversidad genómica de Escherichia coli uropatógena en aislados clínicos de seis países de Latinoamérica, 2018-2023
title_fullStr Diversidad genómica de Escherichia coli uropatógena en aislados clínicos de seis países de Latinoamérica, 2018-2023
title_full_unstemmed Diversidad genómica de Escherichia coli uropatógena en aislados clínicos de seis países de Latinoamérica, 2018-2023
title_short Diversidad genómica de Escherichia coli uropatógena en aislados clínicos de seis países de Latinoamérica, 2018-2023
title_sort diversidad genomica de escherichia coli uropatogena en aislados clinicos de seis paises de latinoamerica 2018 2023
url https://pubmed.ncbi.nlm.nih.gov/40900482
https://doi.org/10.17843/rpmesp.2025.422.14299
https://hdl.handle.net/20.500.15037/1129
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