Multidrug Resistance Genes Carried by a Novel Transposon Tn 7376 and a Genomic Island Named MMGI-4 in a Pathogenic Morganella morganii Isolate.

Antimicrobial resistance in Morganella morganii is increasing in recent years, which is mainly introduced via extra genetic and mobile elements. The aim of our study is to analyze the multidrug resistance (MDR) and characterize the mobile genetic elements (MGEs) in M. morganii isolates. Here, we report the characteristic of a pathogenic M. morganii isolate containing multidrug resistance genes that are mainly carried by a novel transposon Tn 7376 and a genomic island. Sequence analysis suggested that the Tn 7376 could be generated through homologous recombination between two different IS 26 -bounded translocatable units (TUs), namely, module A (IS 26 -Hp-IS 26 - mph (A)- mrx (A)- mphR -IS 6100 - chrA - sul1 - qacEΔ1 ) and module B (IS CR1 - sul1 - qacEΔ1 - cmlA1 - aadA1 - aadB - intI1 -IS 26 ), and the genomic island named MMGI-4 might derive from a partial structure of different original genomic islands that also carried IS 26 -mediated TUs. Notably, a 2,518-bp sequence linked to the module A and B contains a 570-bp dfrA24 gene. To the best of our knowledge, this is the first report of the novel Tn 7376 possessing a complex class 1 integron that carried an infrequent gene dfrA24 in M. morganii. IMPORTANCE Mobile genetic elements (MGEs), especially for IS 26 -bounded translocatable units, may act as a reservoir for a variety of antimicrobial resistance genes in clinically important pathogenic bacteria. We expounded this significant genetic characteristic by investigating a representative M. morganii isolate containing multidrug resistance genes, including the infrequent dfrA24 . Our study suggested that these acquired resistance genes were mainly driven by IS 26 -flanked important MGEs, such as the novel Tn 7376 and the MMGI-4. We demonstrated that IS 26 -related MGEs contributed to the emergence of the extra gene dfrA24 in M. morganii through some potential genetic events like recombination, transposition, and integration. Therefore, it is of importance to investigate persistently the prevalence these MEGs in the clinical pathogens to provide risk assessment of emergence and development of novel resistance genes.