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6 protocols using colistin col

1

Cloning and Expression of Bacterial Strains

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Escherichia coli strains NovaBlue (Novagen, Madison, WI, USA) and BL21 (DE3) (Invitrogen, Carlsbad, CA, USA) were used for cloning and expression, respectively. E. coli strains were cultured on Luria–Bertani (LB) agar or broth (Difco, Sparks, MD, USA) and incubated at 37°C throughout the study. A. hydrophila strain ML09-119 was cultured in brain heart infusion (BHI) agar or broth (Difco) and incubated at 30°C. Plasmid pET-28a (Novagen) was used as an expression vector. When required, isopropyl-β-D-thiogalactopyranoside (IPTG), kanamycin (Kan, 50 μg/ml), ampicillin (Ap, 100 μg/ml), and colistin (Col, 2.5 μg/ml) (Sigma–Aldrich, Saint Louis, MO, USA) were added to culture media.
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2

Edwardsiella piscicida Bacterial Culture

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The Edwardsiella piscicida PPD130/91 strain used in this study was previously known as Edwardsiella tarda PPD130/91 (1 (link), 48 (link)). The E. piscicida strains and plasmids used in this study are described in Table 3. E. piscicida strains were grown at 25°C in tryptic soy broth (TSB) (BD Biosciences) or in Dulbecco’s modified Eagle’s medium (DMEM) (Invitrogen) under a 5% (vol/vol) CO2 atmosphere to activate T3SS. When required, appropriate antibiotics were supplemented at the concentrations of 12.5 μg/mL colistin (Col) (Sigma), 34 μg/mL chloramphenicol (Cm) (Amresco), 15 μg/mL tetracycline (Tet) (Amresco), and 50 μg/mL gentamicin (Gm) (Amresco).
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3

Antibiotic Susceptibility Testing of A. pittii

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Minimum inhibitory concentrations (MICs) for A. pittii TCM strain against multiple antibiotics were tested by using disk diffusion and broth microdilution. It interpreted breakpoints for Acinetobacter spp. according to the recommendations from the Clinical and Laboratory Standards Institute (CLSI), 2021 guidelines and European Committee on Antimicrobial Susceptibility Testing (EUCAST), 2021 . Because there is no tigecycline breakpoint for Acinetobacter, MIC was interpreted according to the guidelines of EUCAST for Enterobacterales (with MIC breakpoint value ≤0.5 mg/L denoting susceptibility and >0.5 mg/L denoting resistance). The antibiotic disks used in this study included imipenem (IPM, 10 µg, Oxoid, Cheshire, UK), meropenem (MEM, 10 µg, Oxoid, Cheshire, UK), Amikacin (AMI, 30 µg, Oxoid, Cheshire, UK), and ciprofloxacin (CIP, 5 µg, Oxoid, Cheshire, UK) in a Mueller-Hinton agar (MHA) culture medium (Oxoid, Cheshire, UK). In addition to the antibiotics mentioned above, colistin (COL, Sigma-Aldrich, St. Louis, MO, USA) and tigecycline (TGC, Sigma-Aldrich, St. Louis, MO, USA) were also investigated using broth microdilution. Escherichia coli ATCC 25922 served as the quality control strain.
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4

Minimum Inhibitory Concentration of Antibiotics

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Minimum inhibitory concentration (MIC) defined as the lowest compound concentration (μg/ml) required to stop bacterial growth was determined by using the microbroth dilution method according to the Clinical and Laboratory Standard Institutes (CLSI) recommendations (Clinical Laboratory Standards Institute, 2016 ). An ESBL-positive strain of KP ATCC700603 was used as a reference control. Three antimicrobial agents were tested: Colistin (COL, Sigma-Aldrich, St. Louis, MO), Meropenem (MEM, Haibin Pharmaceutical Co., Shenzhen, China), and amikacin (AMK, Sui Cheng Pharmaceutical Ltd., Tianjin, China). The concentration ranges of COL, MEM and AMK used in this study were 0.0625–64, 0.5–256, and 0.03125–16,384 μg/ml, respectively. The MEM and AMK results were interpreted per CLSI criteria (Clinical Laboratory Standards Institute, 2016 ), whereas the COL results were interpreted based on the European Committee on Antimicrobial Susceptibility Testing (EUCAST) breakpoint recommendations (EUCAST, 2016 ). The MICs were determined by measuring optical density (OD) at 570 nm using a microplate reader.
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5

Edwardsiella piscicida: Cultivation and Plasmids

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Edwardsiella tarda PPD130/91 was recognized as Edwardsiella piscicida PPD130/91 ever since 2015 (Ling et al., 2000 (link); Shao et al., 2015 (link)). The E. piscicida strains and plasmids used in this study are described in Table 1. E. piscicida strains were grown in TSB medium static. To activate T6SS and T3SS, E. piscicida and its derived strains were grown in Dulbecco’s modified Eagle’s medium (DMEM, Invitrogen) at 25°C under 5% (v/v) CO2 atmosphere. When required, appropriate antibiotics were supplemented at the concentrations of 100 μg/ml ampicillin (Amp; Sigma), 12.5 μg/ml colistin (Col; Sigma), 34 μg/ml chloramphenicol (Cm; Amresco), 15 μg/ml tetracycline (Tet; Amresco), and 50 μg/ml kanamycin (Km; BioFroxx).
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6

Antibiotic Susceptibility Testing Protocol

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Minimum inhibitory concentrations (MICs) were determined by the agar dilution method according to recommendations and breakpoints proposed by the CLSI (CLSI, 2017 ). The antibiotics assayed were imipenem (IPM), ertapenem (ETP) (Merck Sharp & Dohme Corp., Kenilworth, NJ, USA), meropenem (MER) (Sigma-Aldrich, St Louis, MO, USA), ceftazidime (CAZ), cefotaxime (CTX), ciprofloxacin (CIP), gentamicin (GEN), and amikacin (AMK) (Merck Sharp & Dohme Corp., Kenilworth, NJ, USA). MICs of colistin (COL) (Sigma-Aldrich) and tigecycline (TIG) (Pfizer, Philadelphia, PA, USA) were determined by the broth microdilution method, using the European Committee on Antimicrobial Susceptibility Testing (EUCAST, 2017 ) guidelines and break-points since breakpoints for these two antibiotics are not supplied by the CLSI.
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