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In-host evolution of Yersinia enterocolitica during a chronic human infection

Author

Listed:
  • Cyril Savin

    (Yersinia Research Unit
    Yersinia National Reference Laboratory
    WHO Collaborating Research and Reference Centre for Plague FRA-146)

  • Pierre Lê-Bury

    (Yersinia Research Unit
    WHO Collaborating Research and Reference Centre for Plague FRA-146
    Center for Immunology of Viral, Auto-immune, Hematological and Bacterial diseases (IMVA-HB/IDMIT/UMRS1184))

  • Julien Guglielmini

    (Biostatistics and Bioinformatics Hub)

  • Thibaut Douché

    (Mass Spectrometry for Biology Unit)

  • Guillem Mas Fiol

    (Yersinia Research Unit
    WHO Collaborating Research and Reference Centre for Plague FRA-146)

  • Rodolphe Buzelé

    (CHRU de Tours
    CHRU de Tours
    CH Yves Le Foll)

  • Cécile Brun

    (CHRU de Tours)

  • Frédéric Bastides

    (CHRU de Tours)

  • Maud François

    (CHRU de Tours)

  • Béatrice Birmelé

    (CHRU de Tours)

  • Laura Guichard

    (Yersinia Research Unit
    Yersinia National Reference Laboratory)

  • Julien Madej

    (Yersinia Research Unit
    Yersinia National Reference Laboratory)

  • Rémi Beau

    (Yersinia Research Unit
    Yersinia National Reference Laboratory)

  • Nicolas Cabanel

    (Yersinia Research Unit
    Yersinia National Reference Laboratory)

  • Laurent Dortet

    (Center for Immunology of Viral, Auto-immune, Hematological and Bacterial diseases (IMVA-HB/IDMIT/UMRS1184)
    Service de Bactériologie-Hygiène
    Centre National de Référence Associé de la Résistance aux Antibiotiques)

  • Mariette Matondo

    (Mass Spectrometry for Biology Unit)

  • Olivier Dussurget

    (Yersinia Research Unit
    WHO Collaborating Research and Reference Centre for Plague FRA-146)

  • Elisabeth Carniel

    (Yersinia Research Unit
    Yersinia National Reference Laboratory)

  • Philippe Lanotte

    (CHRU de Tours
    UMR1282)

  • Javier Pizarro-Cerdá

    (Yersinia Research Unit
    Yersinia National Reference Laboratory
    WHO Collaborating Research and Reference Centre for Plague FRA-146)

Abstract

Bacteria exhibit remarkable adaptability in response to selective pressures encountered during infection and antibiotic treatment. We characterize four Yersinia enterocolitica clonal isolates from successive bacteremia episodes that evolved within an elderly patient over 14 years. Their common evolution is characterized by a genome size reduction resulting in the loss of about a hundred genes and a so far undescribed deletion in the DNA gyrase gene gyrA conferring quinolone resistance. Third-generation cephalosporin resistance of the last isolate correlates with a truncation of OmpF in synergy with an increased production of BlaA and AmpC β-lactamases. A strong proteome remodeling of the isolates reveals a perturbed stringent response, as well as impaired metabolism which substantiate their severe growth defects in vitro, accounting for antibiotics tolerance and possibly therapeutic failure. This study documents previously unreported genetic and phenotypic changes associated with in-host adaptation of a pathogenic Yersinia species under antibiotic pressure.

Suggested Citation

  • Cyril Savin & Pierre Lê-Bury & Julien Guglielmini & Thibaut Douché & Guillem Mas Fiol & Rodolphe Buzelé & Cécile Brun & Frédéric Bastides & Maud François & Béatrice Birmelé & Laura Guichard & Julien M, 2025. "In-host evolution of Yersinia enterocolitica during a chronic human infection," Nature Communications, Nature, vol. 16(1), pages 1-17, December.
  • Handle: RePEc:nat:natcom:v:16:y:2025:i:1:d:10.1038_s41467-025-60782-6
    DOI: 10.1038/s41467-025-60782-6
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    References listed on IDEAS

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