Plasmid-Driven Resistome Diversity in 9700 Escherichia coli Genomes Across Phylogroups and Sequence Types
<b>Background/Objectives</b>: Plasmids are key vehicles for the dissemination of antimicrobial resistance (AMR), yet their contribution to the global resistome architecture of <i>Escherichia coli</i> remains poorly resolved. This study aimed to quantify how plasmid backbones shape the distribution, mobility, and stabilization of resistance genes across diverse phylogenetic backgrounds. <b>Methods:</b> We analyze 9700 high-quality genomes spanning major phylogroups and sequence types. Plasmidome reconstruction was integrated with lineage-resolved antimicrobial resistance gene (ARG) mapping to characterize plasmid-ARG associations and evolutionary patterns. <b>Results:</b> Although most antimicrobial resistance genes (ARGs) are chromosomal, plasmids disproportionately encode clinically important determinants including <i>bla</i><sub>NDM-5</sub>, <i>mcr-1.1</i>, and multiple <i>bla</i><sub>CTX-M</sub> alleles that show strong, recurrent associations with a restricted set of backbone families, most notably IncX3, IncX4, IncI, and IncF. These conserved plasmid-gene modules recur across phylogenetic backgrounds and continental scales. We identify a marked divergence in evolutionary strategies: generalist phylogroups (A, B1, D) maintain plasmid-rich and highly diverse resistomes, whereas globally dominant Extraintestinal Pathogenic <i>E. coli</i> (ExPEC) clones such as ST131 and ST410 exhibit reduced plasmid dependency and frequent chromosomal integration of extended-spectrum β-lactamase (ESBL) genes, particularly bla<sub>CTX-M-15</sub>, consistent with a shift toward vertically stabilized resistomes. By integrating plasmidome reconstruction with lineage-resolved ARG mapping, this study delivers the most extensive plasmid-focused resistome analysis to date, revealing highly modular plasmid-ARG networks structured around a small number of high-risk backbone types. These backbones account for the majority of globally relevant ARGs, including 64.6% of <i>bla</i><sub>NDM-5</sub> and 76.4% of <i>mcr-1.1</i> detections. <b>Conclusions</b>: Together, our findings establish plasmid lineages rather than individual genes or clones as central units of AMR dissemination and critical targets for future genomic surveillance and intervention strategies.
Authors
- Melhem Bilen (ORCID: https://orcid.org/0000-0002-0178-5124)
- Adel Azour
- Ghassan M. Matar
Institutions
- World Health Organization - Pakistan (PK)
- World Health Organization - Lebanon (LB)
- American University of Beirut (LB)
Publication Details
- Journal
- Antibiotics
- Published
- 2026-03-12
- DOI
- https://doi.org/10.3390/antibiotics15030287
- Primary Topic
- Antibiotic Resistance in Bacteria
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- American University of Beirut